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Retired NBME 23 Answers

nbme23/Block 3/Question#32 (reveal difficulty score)
A 70-year-old man comes to the physician ...
Inhibition of prostaglandin synthesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal Prostaglandins hy

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 +7  upvote downvote
submitted by โˆ—sajaqua1(607)
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eTh aculma snead of eth ornpehn hspel nntaaimi ulrubta ofwl by djnuaisgt oiiladnt of hte nftaerfe etoarielr of het reop.nnh hnWe astl si wlo, tis COX eneyszm zseihntyse I2PG wihch lteaid teh enaffetr trreel.aoi SDANIs iinhtib XO,C logbknci snyitehss fo 2GIP and os cinyldteir innbthigii frnefeat otaireerl .dioinlta woT kwees goa rou aetnipt aws utp on beuprofi,n a lesit-vceneon COX rntiibhi.o ihsT aeld ot lla shete fetfe,cs sugtnhti ffo odblo lupsyp to het nsnhr,peo gaitncre na cyiaflrlati ceuddni dpor ni odobl flow ahtt okols sha laedteev NBU dan i,aerntneci ubt anitmsain eht 115: tari.o

.r:l3.f8r#hptowuhgaibly2a2e/62/3aola/r7mashaattwwe-h61ht/

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step1dreamteam  I ihktn the btse xtalnieopna si reom trelade ot angleisca thenhrpyopa ued to ADISN:S ISgD&tG-ASPN-; ii-nte&nc;ogtctsrtbsa-on fo mryaldeul oblod s;-ieohlsvcngtre&cs- tintttuebaluilrsio rpntiiesh RLENA( iedynk lf)=arieu 1:;r:5lCB.NUt&1 siiVcoorsoancntt fo tafferen ioraerlet ude( ot wlo P)G eods nto lexniap yhw 1l5t:U1&;CrN:B ni hte sneqoiut +



 +0  upvote downvote
submitted by โˆ—brise(86)
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so I asw ksctu no isth asceueb shi UBN c/iaeintern iarot lde em ot tkinh eh hda an nsciiirnt lnaer u.ndcontisyf Adn a 2IPG ihbintinio duolw aeld to a na-preelr i,teoazam wehre eth NUB/ aneitrcine toari wodlu be emro hatn 2.0 I nwok ttha AsNSDI iihtbin .GIPS But ohw ear oyu usdoppse ot cosrs uot cnidtniou of atidsl rltuuba scidas?oi

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purdude  oYu can soscr tuo stliDa TAR ceseuab eht uinre Hp is .5 nI tlaisD AT,R neiru pH oesmebc tagrree ntah 55. eucbsae I-Ca sclle ct'an teecesr H+ +2
thotcandy  Hp t&g; 55. is olyn rtue ofr eTpy I .RAT yTpe 2 TRA si aomrlixp so ttha tuolnd'w be icsenderod swa.yyna Teyp 4, ,whrovee enuir Hp dulwo be &l;t 5.5 nad cna eb saduce by A,SINsD so who do ew eemlniati a?tth +1
thotcandy  pH ;t&g 55. si nyol ertu rfo eypT I RA.T eyTp 2 ART is lxomrpia so htta outd'nwl eb ecensoirdd yawys.na ypeT 4, ,rwheoev nueir Hp luwdo eb tl;& 5.5 dan nac be csudae yb NSAIsD, so hwo do we iaimnltee ?atth +1
underd0g  cdotnyah@t tDilsa ATR si trnohae mane rfo epyT 1 R,AT so ttah is the ytep of TRA ahtt thye ear lcylicpasfie iernefgrr ot ni htta rsawne cc.oihe +2
solidshake  egeda.r^ eTpy 4 RAT si tno na otnipo sa an ansrw.e Tyep 4 si a lsrtue fo lwo oosrtledaen or tnreadoleos eiantcsesr tg-;& aaekmylpirhe g&;t- ipidarem NH3 sstshyeni in hte irlaPmox ubtleu t-g&; dairmipe 4NH oamifonrt ;&-tg ghih telubu +H -g&t; lurbtua ciidsoas +
fatboyslim  I ktnhi the sIADNS binetdiih glotapdninsra neisyssht -g;&t raeln miihcase ;-> ruaublt src.esnio ts'hTa ebaym ywh ihs UNB/Cr is &t51;l +1
chaosawaits  a ikuqc oolgGe cahres etlls me htta iatsdl TAR uslauyl ash a ieurn Hp &;tg 3.5 +



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