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Retired 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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wloMdB/UNEr evol to ttse nlrea rrtyae notseiss ni teh ntstige fo irvypetesnhe gycncy/eeuerenr.gm Jstu eauescb tshi ash eenb eodn so ynam smt,ei uyo anc slciayabl get hte tgrih aenrsw morf the tsfir hlfa fo eth suqietno. tP ithw nde orgna suisse acedahh,e( n)ncofious nad lreayl gihh BP (I kown ti isnt' 201,801/ btu ti si yllare ih.hg) oS isth gyu balaclsiy sha rhitpsnveeey crg.meneye I'm yrdaeal inngktih sti' rneal earytr nsot.sesi exNt s?nectene A ruibt rvoe teh flte e.nmbaod g.onBi eRnla ryraet esos,sint stmo ftneo cudaes by oisreetaroshlsc ni reodl nem s(a oarpdmec ot cmrblrafsouiu ldaisyasp in rygeonu o.mnwe)

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lovebug  eH is veyha rkemos tu,b No twihge s,ols oN acxheaic -t&;g os nac be RO/ tfeL reanl lcle ci.aarcnmo is it ?right +
lovebug  aRnueaoslcrv s.d 9,F01A2 pg 95.2 +
misrao  dan on iehaatrmu os /ro RCC +
realnorthomfs  F2,A200 gp 460 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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Im nto yerlla ures utb I iknth hte pnoit si htta htiw hte lpaicrtop dnicaulreiod csan eterh si a aldey in tfnonuci fo hte kneidy. Wtah htey tdwena su to emmrbere eher is ttah enhw ouy iegv a " A p"ril to a etaptin thwi alneR rytrea oslrehrcstaieos eth rnlae foitnunc snseowr sbeeuca teehr si intoonistccr of teh teneefrf torleirea

AF 0182 - 657

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kevin  trefenfe saeitdl ithw an C-IAE ued to ossl of neaitoinsgn tidademe tiscitnoonvsraco +
skonys  Tshi si na adsie utb yhte elvo nitgest Renal Aertry ieosStsn in het oxettnc of EAC sbitnorhiI bueceas tis' a oogd hoyiygpslo t-ine.i rFts,i it hples to know ttah gontneiisnA s'II tieren lero in teh tnk/yeidhe sonrea it ldvoev,e si to naniitma RFG ni the tsgeitn of owl ikneyd eposnuifr ycmheopvlio( o.)cskh tI eretpylfnlaeri otosctsnvrsaic the ffe otarreli,e sincgniaer hte psesruer tjus ranioetr to het oiolu,nccs hust fognirc teraflit toni bnwmsoa uelpacs spietde ehret geinb lsse bodlo ulevom gunninr goruthh eht artey.r nI atrallBie elRan reAryt ,issotneS tnaeneimcna of the FGR is ctyloepmel rtneial no gnIAI ioraoonsncsvcitt of teh efrnftee i.rertloae If uoy vieg omnseoe an EAC nr,ihiitob uoy ceaedesr AgIIn dna ovdelsatia eht fenerfte telaroeir. ehT orcef tmiangianin hte GFR is ,gneo gpprnciiiaett rpra-enel i.maaetzo saTt'h hwy lepepo thiw dsspueect enRla SA deen to vaeh eriht CK dtoomrnei soeclly aeeubsc it will nrcsaeie eftra tnstnaiidgarmi dan ECA rnIo.ithbi +



 +2  upvote downvote
submitted by usmleuser007(464)
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tusJ adeizelr atht renla ellc craocnaim ni'ts het ecrtorc rswane c/b ti devandi eth vounse triiolccuna adn otn the tir.raale BP yam ton eb eceffatd sa .mhuc if CRC erew the rawesn nthe nhet eethr wdulo heva eebn deema retepsn donar/ areln .NTH

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sympathetikey  s,olA usjt nkigihtn tuo d,uol in the sace fo C,CR 'its eht ydkine siesut 'athst yscpiatlds &m;ap vn,miog so enictahcyll the renal rrtyea esflti nsti' plcytsas,di g?rhti +
paperbackwriter  0su@eur07msel revy ogdo ptnoi eraignrgd eth neousv sv aatrielr taicclnruoi htat I dgltneeec ot cs!nrodei +



 +1  upvote downvote
submitted by rainlad(33)
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woH do we exinlap eht utbir in tish e?cas sAlo why ts'ni it left ytrrae e?yasurnm hTat seesm ikle it owldu berett paiexln eht burit

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gdupgrant  Teh btrui is ysallbcai tsuj tlutnrebu ,lfwo whhci is msot ymoomnlc cudeas by yretar wraig.ornn I swa sjut ndigare a3..ecd-ie/clmie6pti5/lsi1:thp/ceideso4rcnnlaecam/0cmt no realn tyrera nuasmrey nad it losko ilke tmos fo teh nerhptiesoyn is cylaulat lteraed to a erp nmrseayu ,sesonits so i ihknt tsosnesi is eth "brtet"e ,reanws .spe isnec het pt has ilke yreve srki fctroa orf .otnioTssse be nhtsoe I adh ont erev yralle hhogutt abtou ARA for htis case uesbeca tuibr vero RA has eebn lidledr otin ym edha as erlna tyaerr oinets,ss utb i atiepcpear geneis owh isth is a rpesu selenraoab swenar - stju eht tissseon is or"em lkeiy"l +2



 +0  upvote downvote
submitted by usmleuser007(464)
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roF CRC: A(s rep OULR)WD

tSymcriem lbealtira elwro mxetitery tpnigit eeamd nda ototruus dlinabmao einvs rae inncrncoge rfo i nrfoaneri eavn cava )I(CV tsouitbrnc,o whh,ci ni the nsitget of a t-fseldied fnlka s,ams  sgesagtenuslr elcl mrR)( acaCincoC thiw tinxnesoe onit eht CI V. CCR coautscn rfo ;gt&90% fo lal namgsainicel sagiirn in eht idekyn dan si hyligh osceitasda htiw n.soikgm  Patneis t whti CCR llacscisaly haev a tdari fo lkfan ,nipa lalpbeap ssam, nda raeth,maui utlhhoga nmay emanir aotmcstayipm nitul teh eesdasi si a.cvnedCaCRd si a highly vraulasc umtor svia ndathet teh alern enivn i up to 2%5 fo ces.s a ICV tcorsobitun anc cuorc due ot larunlamitni eostnniex dna hstmrbou to,amfniro htraer hnat sams teffec mrof hte umtro ilsf .et

heT ttioncsrbuo anc cruoc cteyalu or rladulgay oevr itm.e  nI hnoccir ,csesa ataclllreo usveon ctilnuioacr amy edlpevo esdba on het tise of eth inb ctrsuo.ot ePinmrtno daniolbam clraoatellwa ll vesin, as in itsh npt,etia sgeutsg cntrbousoit fo het ueprp nsgetme of hte .CIV

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nor16  hhgi dlobo epsres,ru ei.. eterpin,onHsy rski asctrfo rof olarhect.,s biutr !!! over flte n,mbadeo ysocnared t.ra epio.enystnrH yeth alyaws ntaw eht lenar yterra stiesson (ekli WvF ni .agoc ..idrore.sd)s +



 +0  upvote downvote
submitted by jackie_chan(34)
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I ecdaarphpo tsih tnsoeiuq ebsuace nam whit ahtrre xeemtre HTN and mianoadlb rtbui si eiqut toefn nearl sotnsesi

ALso ltppciora anelr drnleioidacu c'anss ofncntiu si airyllelt to ssases alrne einostss odkl(oe it up, ubt i idd not wnko ahtt whne i sedaenwr)

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