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NBME 22 Answers

nbme22/Block 2/Question#3 (22.9 difficulty score)
A previously healthy 28-year-old man comes to ...
NephrolithiasisπŸ”
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 +12 
submitted by hopsalong(25),
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hiTs iqntsoeu ahs a lto fo rsewna p,nooist dna yuo avirre ta lstpNearihhisio yb tgownihr tuo lal eth hetro npoisot yb awht is inssi.gm

,A B - ocalCtri cssoeriN dna aarllyiPp creNisos ostmla aalyws uorcc ni eth tneisgt of imeahcis. lsirvyeouP ahteylh 82 yare ldo nam sah on dncievee fo fiacnntyglsii cdeeearsd lrena pof.uesinr

C - etcAu alrbTuu oNesiscr is what uoy slodhu ihtkn fo twhi tlySaleiac I(NAS)D ctioiy.tx eTrhe aer yamn throe ocrneopixth sudrg atth aeucs AN,T utb nkhit of ANT sa grdu uednicd nkydei dea.mga

D - tiisstyC - nlFka npai si adeertl ot dneiky yrniju, nto labdder .aeagmd sytCsiti lcoud be sbeplois ni nsciegadn TIU, tbu hte patietn ash no freev dan is male muhc( ssel mcmono ni a)lse.m

E - shmeoliGtonurrlpei - Tish tgse iton nrrcocitp/ethinehip ssd.oneyrm Teh mets emnnoist hatt eh hsa dlobo in hte unier hihcw mya edla yuo owdn the ncptheiri a,twyhap but eh edos tno hvea any of het ertho tadeoiacss s.momstyp

F - nprryHpheemao - rteoAnh ordw rfo leaRn elCl imCn.carao No whtieg ossl or toher eccrna dtelaer mstsmypo eaufg(it .)tec

G - rnteiliatIst srethipNi - sTih is eotfn a durg cniudde MNEMIU taedmedi .ooieprxnhtcity hsTi si a etyp IV isnrpyvttiyhsiee retoainc htta ccsoru ewsek ot shmotn etfra the astrt fo idiamctone iek(l )sAIS.ND NAT is remo iosstdaeac iwht durg sedorvoe ehwli tatlseitrIni si mero isaedoasct whti nmumie aot.icern tslInaetiir iersNhpit iwll veha BWC cstas ni rnu.ei

I - inPlsrpiyohtee - Cusaed yb nngsidace UIT utb on veefr si estr.epn

sTih aleesv ethiaroisNslhpi )(H sa eht ercotrc r.wasne 8%5 of psoNialhiertshi is teiodcssaa ihtw oavphcyite wbloe ns.dous eTh nipa rfo snothlhpiiraeis acn epaerls adn t,emir dan yasoanllcico teh pnia cna altvre romf eth ndykei k(fnla )niap to eht umotrcs sa hte etson svemo hugrtho hte rrue.et

whoissaad  Great explanation. Always found it hard to differentiate between ATN and AIN due to NSAID use. This made it clear. Thanks! +3  
hyperfukus  yasss +  
dubywow  "occasionally writhes in pain" -- as a guy who has had a kidney stone, writhing in pain definitely hits the mark. Picture yourself knees on the ground, face on the couch, screaming incoherently while the paramedics are there because you can't control your own body movement and don't know if you're dying or whatnot from the canonball sized hole that (may or may not be) in your flank. Then imagine one of the paramedics is your premed study buddy. Never forget writhing and nephrolithiasis and premed study buddies. You will forever get this question correct in the future. +4  
bharatpillai  i swear to god ive done a similar question on the usmlerx qb and they answer was renal papillary necrosis. which is why i got it wrong :( +  
targetmle  i also remember that uw ques which got me this ques wrong. i think in that ques,patient sibling or he himself had sickle cell +