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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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NdroBMlE/Uw eovl ot sett neral yrarte nistesos in eth tgiestn of svpyreethnie ygme/ceyng.eeucrnr usJt bcesaue tish sah bene nedo so aymn t,smei ouy nac alblsaiyc egt the hirgt nwears omfr teh istrf fhal fo teh usieq.ton tP thiw dne anrgo uesssi (haeedhca, )icnsfouno dan lrelya ihgh BP (I wonk it sit'n 01201/8, tub ti is alyrle i)ghh. So itsh gyu cilylaabs sah etyvenerhpsi ceeer.nymg 'Im dayarel gnhkinti i'ts lanre yrerat oissne.st xeNt ntesnce?e A irbtu vroe the ltef bdo.emna .ginBo ealnR atreyr oesisst,n osmt ntoef caueds yb rssclooehteairs in eolrd nem (sa eprcmoad ot brfocuisluram sdaiypsla in onyrgeu won.)me

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lovebug  eH si yhave sormek ,utb oN iwthge ,ssol No axceicah -;tg& so can be O/R eftL nlera cell ciamoa.crn si ti i?hgrt +
lovebug  lsuavrRenaoc d.s AF90,21 pg 59.2 +
misrao  dna on raiuhatme os r/o RCC +
realnorthomfs  2F020A, gp 604 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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Im nto yarlel ures btu I hntki het tniop si atth twih hte pcioltapr riucelidnaod cnas treeh si a aledy ni uionntfc of the nd.ikey Whta they wtenad su to emeberrm rehe si htat hewn you vgie a " A p"rli to a paetitn with elRan eryrta scosseeloarthri hte relna fnuiontc rsewosn sbceaue htere si tinsoncrtoic of het entfrfee otareielr

AF 2108 - 765

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kevin  enefertf tiesdal tiwh an -CIAE edu to sols of tgaioensnni ddeemati oinoivrcsocattns +
skonys  This si na seaid btu hety evol tsenitg aelRn treAyr iSsnoste ni eht ctntxeo fo EAC Ihobtirnsi esecbau i'st a doog iyolpsygho -.iitne ,Frsit it hlsep ot konw htat entonniAigs sI'I rnteie lero ni the edhye/nitk sneroa ti eodvelv, is ot inaatinm FRG ni het ngteits fo wlo kniyed unoesirpf ymho(vlcipeo chok.s) tI etllirrpfynaee asiccosvtotsrn teh eff ltrori,aee neianicsgr teh urepsrse ustj rtireaon to the ,oucsnolci hsut cgrfino lttrfeia ntoi awnomsb peasluc psedtie rthee igneb ssle dbolo vemulo nnnigru huthogr het .ertayr In atBelalir nleRa rAtrye eiSssno,t aaemcentnni of het GFR is pmteyceoll etrainl on IAgnI sivactsonnitoroc of eht enfreeft reel.roait If uoy iveg mseonoe na EAC ohiti,nrbi uyo ercseade InIgA nda dstevlaaio eht feeetnfr i.otarrele The refco ianintaimgn eht GRF is ,oegn pniegprctitai prearenl- iaotm.zea 'tasTh hwy loeppe thwi sescpdeut Renal AS eend to hvae etrhi KC imrntdooe sllecyo bcaesue it will cneeairs eraft imdrgtnisainat adn CEA ohiribt.In +



 +2  upvote downvote
submitted by ∗usmleuser007(464)
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tusJ ldizaree atht ealnr elcl minccoaar nti's the rctceor areswn cb/ ti endvdai the sonvue ialncitoucr dna not eht eiraartl. PB amy ton be dcfetaef sa hcu.m fi RCC ewer teh snearw tnhe hnet rehet uwodl evha neeb ameed neetprs ndora/ aelnr THN.

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sympathetikey  ,lsoA jsut nktnihgi uot uod,l in eht aesc of CR,C ts'i the niyekd eituss hstat' ildtpsscay mpa&; vongm,i so ynlchtilcae teh alern taerry iltfes tn'si cytpdisals, htg?ir +
paperbackwriter  ms0@es0e7ruul ervy odgo iopnt riggarden the vunose sv erlriata nicliacrout htat I enctdglee ot nde!scori +



 +1  upvote downvote
submitted by ∗rainlad(33)
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owH do we ipnelax hte btuir in hsti ?esca lAso why 'tisn it tfle aerryt naruy?sme thTa smese ikel ti lduwo rtebet exapiln het iurtb

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gdupgrant  ehT tuirb is alyciaslb jtsu lbueurttn wfl,o whcih is tmso mmcolyon adsecu yb ayrert awrg.nroni I swa sjtu nridgea nt/c-e/csc.3ei/pinimldrhetcti1a/oec6amd5c0p:4e.ilmlaes on aelrn yertar aumseyrn dan ti lskoo ikel mots of teh eiryonehnpst is laaytlcu erdalet ot a per amyuenrs soisetns, so i hiktn enositss is het rebet""t wears,n p.es snice eth pt ash elki vyeer skri rtacof rfo estnsoTio s. eb onehst I adh nto eerv ylaelr tghohut toabu ARA orf ihst saec uebeacs ibrtu vero RA ash eebn lidlerd ntoi my dahe sa enalr etrrya ss,ntseio tub i aitpepcear igseen who shit is a seupr blanarosee easwnr - jstu eht sssieotn si r"moe lkyeil" +2



 +0  upvote downvote
submitted by ∗usmleuser007(464)
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Fro CR:C sA( pre LDOWU)R

rcymmStei alilrtbea oerlw tmyeierxt nitgitp damee adn turuoost lnomabdia seniv rae gonrinencc for  ronarinefi aenv acva ()CIV tbntsoiuo,cr cihw,h ni the netigst fo a tsdedfile- nkafl asm,s ussseggne ltra llce Cia(rmRCcc)aon  wiht teionsnxe oint teh IVC . CRC ccsatonu ofr %;0t&g9 fo lla cgaiimasenln agiirsn ni het kyiend nda is ghlyhi sasatodcei wtih ikg .sonm enaPi tst hwit CCR slcaiclsyla ehav a dirat of lknfa a,inp appllbae ,asms adn arhtimue,a ghothlua ymna rmnaie ysatoitpammc liunt het sidasee is aCd ev.aCcRdn si a yhghil aaslucrv mruot ias thdevant het rlena neniv i pu ot 2%5 of .cse as VCI tibrcuntsoo can ocruc deu to anlnarmiluit nesexiotn and umosrhtb nofo,imrta retarh tahn msas tcefef fomr hte mrotu ile. sft

eTh toncusrtboi anc urocc telayuc or yguldalra rove ietm.  nI nchcoir es,cas arclolltea vonseu atlcoriicnu mya evlpode deabs on eth seti fo eht rt obsiotc.nu roPminent bndaimaol arlal welloactl nvi,se as ni this atin,pet sgtsgeu nctbootuisr of hte prpue tgnmsee fo eht VC.I

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nor16  high boldo rpuessre, ie.. ni,eyteHonsrp skir fsraoct fro eta.ochr,ls biurt !!! reov eftl nadbeo,m yercsnado .tar srnHyto.eepni ethy yswaal want eht aenlr yretar stinsose le(ik FvW ni co.ag s.sride.r).do +



 +0  upvote downvote
submitted by ∗jackie_chan(34)
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I deaopcparh ihst utnosqei ecuesba anm hwit ehtarr eeexmrt NHT dna aobildamn ibrut si teqiu fnote raeln tnsiseso

AsLo ocaltppri rneal eanuidcdoilr 'ncssa ifuocnnt si aylitrell to sessas neral sssoeitn oek(lod ti ,up utb i ddi not wnko hatt enwh i s)dnwerea

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