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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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eThre rea owt esinchmmas of raetgguinl nelar boodl lfwo, hte noecymgi esnammcih nda trrgmllubuuo-aoel fdkea.ceb hsTi nusoetiq kass peyrul abuto the yoimncge mmn,ashcie whihc si ehwre eht fnefetar raiorleet rotonlsc bolod olfw asebd upyelr fof olobd rrseupse trnneeig hte ki,neyd iwhch is hyw erdacdese reaefnft tlararroie reiscnesta is hte btes awsren the( arroeleti si inlidatg ni seesornp to teh ceerdseda ldoob lwof ni ttmatpe ot mniinata lonrma dbolo wlof to the ny).idek

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nwinkelmann  M..an. I koot sthi WAY OOT FRA, o.ll I lyoltat t'dndi cziernego teh lcue fo RFG dan FRP sa yitsnga hte asem ot llte em ti saw tgailkn abtou an,mrol oyishoiglcp neourt.agtaluio Silly takeis!m +7
j44n  I erega. All I asw was a tsodeesn terray dna IIAT nosctinioctr +

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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ygncoeMi cmahseimn wrosk in hte trfnfaee reaieorlt ttha selpisup the g.meulluros Wneh oodbl ursepsre sa,ersecni smtoho csemlu lslec in the lawl fo hte aorreliet aer ttcdhesre dan drnpseo by roicgcntnat to itsres eht ussr,pree trsienlug in tlteli change ni wlo.f enWh odlob seesrurp o,sprd teh sema hosmto slmceu sllce rxael ot orewl eanirtesc,s naiwogll a ninucoted evne ofwl of blod.o

iCklc teh knli ot aedr bouat euurrmbuogollart kfaecedb sa lwel. /cyhasnltsc/eercuerudg.at/hotmtb2eni/gopnoaiu/fa-:sfoolles---rwr.nmunppleoonra/ll-

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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oT add to ahwt revnyeoe slee sha sdia, itsh eilsd si eprtyt o:dgo //0t2d3a.ol2siime/i_lct0./shles/ig/rp54pjssdlyea1p.:gme2s1d3e

teh mrtpop syas RPF dna FGR rea hdgne,cnau suth RBF si also e,hnncaugd ot od ahtt, hte neral sirarete would hvae to eercdsea rehti n.tricessea

Hrewv,oe sa ohnsw no egap 715 fo ,9FA1 a isiottnnrocc or nldoitia fo eftfreen wduol hecgna FF ihcwh ansem RPF nda FGR ear'nt gnicghna uellqya - hits is redul tuo yb eht rpotmp ynsagi ee'ytrh n.gcndeuha

aeLves su hwit a dreaecse ni fnraetef ecnssirtae.

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