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NBME 21 Answers

nbme21/Block 3/Question#12 (reveal difficulty score)
A 55-year-old man with hypertension comes to ...
Left renal artery atherosclerosis 🔍 / 📺 / 🌳 / 📖
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 +5  upvote downvote
submitted by pg32(218)
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lowBUMN/rdE lveo to sett lnrae ryeart sotnssei in hte gtnetis of tipnhvsyeree ureygcm.erny/enceg suJt aeecbus isht sah ebne nedo so anym st,emi you anc aiyllbcsa gte eht ihrgt wrsnea orfm the istrf afhl fo eth eti.oqusn tP twih edn gnaor sussei caahe(,hed on)oisunfc dan realyl hihg PB (I konw it n'ist 8/021,01 but ti is yrelal h)h.ig So shit ugy laabsylci ash epsneyrvheit .gnecemrye mI' leaardy tniighkn 'tis rlean teayrr nite.ssso extN cnene?est A biurt orev eth lfet nedb.moa n.goBi eaRln aeytrr snissote, sotm otnef esaudc yb oesarleshiostcr in rdelo nem as( repdamoc ot ufrriucsmblao ialsaypsd ni rygeonu no.em)w

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lovebug  eH is hyeva esrkmo ubt, oN wghtie ,ssol No aeihcxac gt&;- so anc eb O/R eftL lrnae lelc raico.amcn is it rgt?ih +
lovebug  saRcvloenrau d.s 1A20,9F gp 25.9 +
misrao  nda on uhamtraei so o/r CRC +
realnorthomfs  20F20,A pg 640 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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Im not llyera rseu ubt I hnikt het ontpi si taht ithw teh paotrplci onrliddeuaci snac terhe is a ayeld in ncoftuni fo het denyk.i What tyhe twnade us ot mremrebe erhe si hatt ewnh uoy evig a " A lrpi" to a ieptant tihw alenR rterya cseslritohesoar het nearl tunicfon rewssno eaucesb eerht si icsnnrttcioo fo the frneeetf eoriealrt

FA 2081 - 756

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kevin  neetferf tiledsa hitw na ACIE- due to sosl of igenoinatsn demdeita viotscoaitcnrson +
skonys  sihT is an idsae tub thye voel ittnseg aleRn tryrAe Stoessni in eht xnotetc of ECA siibInthro saecbue 'sit a dogo pioghyosly .-eniit F,rsit it pelhs ot kwon htta snitnioengA 'IIs reeitn reol in eht hi/kdeenty arseon it devlvo,e is ot imaatnni RGF ni het nsitetg of low eindky npesruifo eiocolhm(vpy k)c.hos tI irlfyneeptarel avtrsocctsniso the ffe terora,eil sngnciraie eth ruseepsr ujts tnrireao to hte nisccu,loo tshu oirfcgn iteltfar niot bnsamwo scupela dipetes htree ingeb esls olobd mouelv nrgnuni uorhght eth erytr.a In aelrlaiBt lRaen trreyA inSste,os nnenamiacte fo hte GFR is eyoptcllem netalir on AgIIn oricovnstoctansi of het retefnef ioetr.rlae fI oyu igve seoeonm an CEA iitbrhn,io uyo eseardce AIIgn nad eosiatdalv eht tnfreefe ltri.roeea ehT forec ntinamiagin the FRG si gon,e ptrciinaipteg nearerl-p zmoeti.aa 'sThta yhw eeolpp tihw etspuedcs aenlR SA edne ot heav eriht KC oidtmoren osylecl aebucse it iwll sarieecn rfaet amnrgiidtnaist dna ACE iIt.bhrnio +



 +2  upvote downvote
submitted by usmleuser007(464)
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tusJ eilzedar thta learn ellc nimcoaarc tnis' eth rccrote wasnre /bc ti ddviane hte ovnuse tciionaclur nda not eth rlaat.rie PB yam otn eb adfeetfc sa .cmuh if CRC erwe hte sewarn thne tenh heter ulwdo ehva ebne amede tepnser onr/ad naelr TNH.

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sympathetikey  o,Als sujt nkigithn out odl,u in eth esca of R,CC ist' het deinky seiuts 'astht asispdtylc ;ma&p ovim,gn so yinleccthal teh eranl teyrra tiself i'tns sy,asdptilc ghtir? +
paperbackwriter  erl0e7su@sm0u revy odgo nptio eirngagdr the oesnuv vs taealirr cicranutiol hatt I egtceednl ot seiro!ncd +



 +1  upvote downvote
submitted by rainlad(33)
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Hwo od we xlinpae eth trbiu in siht ?ecsa losA hyw s'tin it etlf tryrae my?narues taTh msese lkie ti would rteteb xpaenil eht bitur

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gdupgrant  heT ribtu is yacllbais utsj tunubrelt owf,l ciwhh is msto onomlycm ucdeas yb ateyrr agnwr.niro I swa ustj girdane cc.ai-cee1es/ic0r5mps/emliitnnhpile/c.mdtl/aeo3cat46:d no lanre eryatr ensmaury dna ti oklso leki otms fo het poyhstnneeri si ltcaylau edtarel ot a pre uyrsamne oti,nesss os i hntki ioetssns is eth "teb"tre ar,senw .sep sicen hte pt ash eilk yveer rkis fctaor rfo s.Tooisnt se be estnho I ahd ton rvee llaery guthoth tuoba RAA for hsit sace asbeecu utirb eorv AR ash eenb ldiedlr toni my edah sa laren trryae noteiss,s tub i caepitpare gseien who thsi si a srpeu aronselaeb rawesn - tjus eth esissotn si ero"m "ikelyl +2



 +0  upvote downvote
submitted by usmleuser007(464)
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orF R:CC (sA epr WDULOR)

ytireScmm rltbaiale eolwr exmryitet tipitgn emeda nad ottsoruu ainoamdlb vensi ear rnencgnoci rfo ia efornnri vnae caav IC)(V bcontusro,it ,ichhw in eht gistnte fo a e-lfedtsdi kanfl sms,a n esusglaertgs cell oCrnicC(am cRa) twhi xneietsno nito hte V. IC CCR suoccant rfo g&t9%;0 of all acgminalneis iinsagr in the nykeid dan is ighyhl sdaaietsoc htiw  gmo.iksn tintPsea twih CCR slacillycas veah a tdira of lfnak npa,i palbalep sa,ms nad iath,reaum thulgaho namy einmra tsaytciapomm iltun eht isedsea si na ea.RdCdvCc is a lihhyg acrulvas tmuro nttaih sevda teh reanl  inienv up to 2%5 of .e csas VIC itcouosntbr nac roccu edu to iiamtlnnrual etisenxon adn thsoubmr ,atnromfoi erhart atnh assm tfeecf rfmo het omrtu .elifs t

eTh tnbotcoruis nac cruoc ytluaec ro llaudrgay vroe etm .i nI rchcino ,cases tecraollal osvneu ulitnricaoc yma epoevld based on hte iets of the .bootnturcis  onePnmitr naobadilm llawarollacelt  ve,nsi sa in itsh tptae,in sgtsuge trtoiusonbc of the erupp ngemets fo hte VC.I

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nor16  hghi dolob ,ssuprere ei.. Hnpi,eeysnort iksr fosatrc ofr oat,hlrse.c uibrt !!! vore etfl nmb,eado sadnrceoy at.r yro.pnesiHnte htye wsalay antw eth nlaer rtyare osenssit i(elk WFv ni .gaoc i.e)dors.srd. +



 +0  upvote downvote
submitted by jackie_chan(34)
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I oapedprhca ihst siueotnq asuecbe mna wiht hrreat rxmeete NHT and diaanombl uritb si tiuqe onfet lnear sneostsi

oAsL laiptcrpo leanr adnucdeoliri a'scsn ountncif si aelllyrti ot assess earln itssenso kd(looe ti u,p utb i ddi nto nkwo ttha enwh i ewnade)rs

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