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Retired NBME 23 Answers

nbme23/Block 3/Question#24 (reveal difficulty score)
A 25-year-old man is brought to the emergency ...
Fractional excretion of sodium greater than 2% ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—andro(269)
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pSte 1 znniggeoicR tsi Acute neKyid ryuinj
te pS 2 : ngetnidiraifetf eewetbn enlrreaP ihey()pnvetos aiatzmoe dna ischmIce ATN

mrFo eht ivgtntee , tiaPetn si yuf"ll meovul dosrerte " ( ton ohpitesynev omrnay)e btu yet eh listl has a low unrie ttupou e:otN Fruiael of AIK to cerrotc aeftr tntipae is oenc naiga elcievomu - ldwuo gegusts ihrtee ethaorn reelnpar asuec schu sa tHaer arluFei , otihpcNre snymdore etc or an rcnnitsii saceu elik mhIcecsi TNA

ATN eaStsg : .1 orompedr
. 2 woL inreu putotu grO(luiic sphea )
. 3 Hhgi inuer touput cuPoi(lry asp)eh

A sedi noet ofrm espcedam : Isimhcec TAN si a iomntucun of enPralre zAmaeito . Ienedd teh caeus of eth two toinosnidc are the amse , eicscmhi ATN ertslugin nhew irfpoysuhnepo lwveemrsho the skediyn ltetayoraouurg endessef gnedali ot llec etdah

I ihtkn fo it sa a rseeilbver auces vs an sevrlrebIrie eon .
reFuial of nrarelPe oAmzaeit ot tcrreco arfte diful oruateitssinc msaen ti hsa esrosedprg to the opitn of elcl thade ; tAuce buTrlau eiscsoNr (hee .Ts leslc wlli eenylvluta erteganree whit teim )

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b1ackcoffee  x!tlycaE +
imgdoc  eTh key ni shit nsiqtoue is ttha he si UFYLL melvou terepl,ed nad YET he llsti nscneoiut ot evha .goraiiul sTih is hyw ti si IAK and NTO leenrapr o.eatzaim +1



 +8  upvote downvote
submitted by โˆ—thomasalterman(181)
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heT itntape hsa ANT ydsreaonc ot nrael .mehacisi uDe to ulrtabu rec,ssnio hte apientt lwli aehv na vaeteled aF.eN The i'aneptts nreui wlil laso be ldueit, tbu isth ilwl be edlrfeect yb the wlo ernui i,loamsloty ont the eaNF

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mousie  ponosiyHetn nac sloa ueacs pre nealr tazeaomi twih a NFEa 1.%<... How do you know hist si iiheccms TNA adn ton eisnthpooyn duiedcn nlrPerea mAozt?eia +19
sympathetikey  I hda eht meas gthhout as oyu mues,o@i tbu I knhit maa""eizto nad low rneiu tuoupt hups it ermo odswrta TNA ilkngoo( cka;b I got it nogrw )t.oo Psu,l eht ylaitilni VMC / leumcs adamge parbyolb escdau smeo bultue nijryu by e.ftlsi +3
ajo  Thsi gtimh phel lycfari hyw hte pt. has TAN rraeht htan erp laenr m.ztaeaio he T noeqiuts idd netoi,mn htgohu utlsby, ttha eht dlebiegn was rdltooe.lnc htTa stom lyiekl eniasdtci tath ish lhyiaeopovm has bnee ec.decorrt gDeevoplin aatomzie 42 shr tafer rectconiro of olhoyevaipm is ermo egteivussg of NTA ise(cn he toden's ahev iehovopaylm anr.ymoe) I heop htta selhp nad eefl eerf ot reoccrt ,em if I am wgon.r +53
ajo  In oiitddan to ym erralei ,ctoenmm I utjs ineotcd hte oqtnesiu sola cteylxiipl etmoinedn ahtt eh aws lylfu mleovu etdror.es chiWh si ntocnssiet itwh my lerarei aumts!sonip +21
gh889  htAholgu lit,liniay hyposienont scesau eplernar i,ozatame het muvloe iocentrocr phseus uoy aywa mfro erlpearn e.zoamiat but ethy twna you ot mreeberm tath ni ap,oimhlyevo het nidseyk rae osal ecinbgmo hemsc,iic nda os oelednpmtve of amtieoza 42 ursoh atlre si rmeo civtaendii fo rlainnatre eiztmoaa ude ot NTA +1
sugaplum  fro ayoenn hwo nwats ot ese i:t FA 1290 9pg51 +2
divya  'mi defuncos oabtu noe tn.gih fi the lbstueu anert' iorgwnk elik etyh usdh,ol het :brcnu irtoa alfls htir?g ot'edns that eyisnalstle maen zteiaamo dsrecue ?too +1
osler_weber_rendu  teLs all teak a mmntoe to merida owh ihst siht sentqiou s"Bpi dpe/"9ee.taR600" dspesoei fo enhtopyoins ni teh RO" and ltsli hte wnesar is ANT +5
donttrustmyanswers  l@wuoen_rd_vreseer TNA acn eb uedcas yb aim.iecsh +4
step1dreamteam  byaeM is't a nerarb,i tbu I hiknt the key opnit reeh si ot dnatdunsre that issoepde of rere-lapn KAI aer EEI,ESVRLBR if uoy rtoercc eth aesuc of miacshie (in caes of the gvnti,tee opdtesp lbdegine + rcreocedt mo.)lviea ece,Hn athw eirsmna as a vaelbi tnioop is noly NAT ued to repvsiuo psiedoes fo saecmiih the( agedma ot teh tulsbue epaenphd dgruni the eossidep of enelgd.)bi Ag,nia sith igtnh tabuo hte breriiteyivsl fo -epaelnr IAK setta is ym ,ieda not erda wnyrehea el,es tbu it woudl eb oeewsam fi noesoem uodlw nrcfmoi t.his +
kcyanide101  hsTi qoueints si a ill f.u.i.a.rn tisrF dai sotnneim that ANT bnsgie 1 to 3 weske etafr nuyr.ij heT mnai lemobpr eher swa ssngiudnthiigi tbewene NTA dna ePr lanre zaaometi :( +
stsfyt  lerogPond nalerrep rjuiyn delas to itsncinir riy,nju sa eedcesdar learn sefouiprn euacss tbauulr oeinrssc. .e.,g( molveoayihp, senhoptnyi,o tuicirsde tce cet) +



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