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Retired NBME 24 Answers

nbme24/Block 4/Question#39 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
Decreased afferent arteriolar resistance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal cookies

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 +5  upvote downvote
submitted by โˆ—sattanki(82)
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hrTee rae owt mscnasmieh of galgurtien leanr olbdo w,lof eht yiemcogn smecihamn dna re-utgmlolrulbuoa akdeebc.f sihT itneusqo sska relupy tbuao eht yecnomig imncamesh, chhiw si reehw eht eetnfarf ilareerto tocnorls lodbo lfwo ebads upylre ffo dbloo rsserepu energitn het ,ieyknd iwhch is why desrdacee trfnefae trarleroai tneiasescr si eth bste aernws eth( eoeirrlta is iltiadgn in nrepseos to het earedsdce doblo lofw in ptematt ot iiatmann loarnm olbdo ofwl to het enydk)i.

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nwinkelmann  ..nM.a I took hsti AYW OOT F,RA ll.o I lylaott ndi'dt oeignzerc the ucel fo RFG nad PRF sa ytansig eht meas to ltle me it aws itnlakg atubo ,lnomar ygsclhoioip eogtlou.uiantra lySli maesit!k +7
j44n  I .eraeg All I saw was a setsoden rterya adn TIIA cotcninrosti +

w/o knowing autoregulation. You want an answer that will maintain RPF and GFR. Decreasing Afferent arteriole => increases RPF and GFR because you have relatively more blood coming in. If you decrease both afferent and efferent => increase RPF but GFR may be unchanged (e.g. dopamine effect) Decrease efferent => increases RPF and GFR will decrease

Increase any of the resistance and your kidney will go bye bye

+6/- peqmd(75)


 +4  upvote downvote
submitted by โˆ—ihavenolife(81)
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Mnyoigec hnacmmeis srkwo in eht faeetrfn oialeerrt that psiespul eth esor.mllguu Wenh bolod eerssrpu r,ianceses tosohm esmluc lelsc in eht alwl of hte ioeealtrr rae tetrhcdes dna depnsro yb gnitcnrotca to tssrei hte urssp,ree ulgntseir ni ltliet agnehc ni .lwfo Wenh doolb rspeuser o,spdr teh easm mostoh uecmsl llsec rxela ot rlwoe seesintra,c golilnwa a nonidutec nvee ofwl of .olbod

ciClk hte ilnk to aerd uabot eblturrgamuoorlu efebadck as lw.el soomduwotlsyphs/altnn.onuem/roeglrfeul/ecnpnroa--:r.in/cuesbp/-areatgil2-/cho-ltfa

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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To add to wtha rnveyeoe slee sha dsai, thsi diles si rptyte ood:g _ae0t/atils/3psd145.p2p/ir1lmmiydc/:gesesijo2deg.3.2l0/hels/s

hte prtpom ssya PFR adn GFR are ,cngadneuh uhts RFB si osla gncnaude,h to do ,thta eth eraln tesrriea duwlo hvae ot sdcaeeer ithre tn.seciresa

vereH,ow as ohsnw no eapg 157 of 1A,9F a ccstitroonin ro ldtaoini fo tenereff dwolu hacegn FF ichhw enmsa RFP adn RFG ert'an gicnganh luqelay - isht si edrlu uot by teh ormptp iasyng hey'rte hndnaucg.e

eaLevs su wiht a adeceers ni nrteffea irntas.cees

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