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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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erhTe are otw siaeshmmnc of trgiaelung anrel olobd f,olw eth mcygnoie ceanmhism adn tgaulrmleoo-rlbuu abcek.def Tish tuqeinso kssa yurepl btaou eht ngmioecy imhsca,nme whchi is rhewe eht fftaeren leiteaorr slctonor ldboo owlf eabsd lurpey fof oodlb rueepssr eingretn eht dein,yk hhicw si yhw ascdrdeee ertffnae eltriarrao nseaiectsr si the sbet wreasn et(h erietrloa is igdniatl in oeenssrp ot eth scedderea dbool fwol ni tetmapt to mananiti mraonl oobdl lowf ot the nei)dk.y

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nwinkelmann  .anM.. I okot sthi AWY OOT R,AF ol.l I tllaoyt 'niddt oneeczirg teh ecul of GFR and PRF sa tsgiany eth msae ot tlle me ti was tnailkg auotb ran,lom icghypslooi aloontirugu.eat Slyli kame!sit +7
j44n  I aeer.g lAl I swa asw a etsneosd rrtaey adn AIIT cotcisrotinn +

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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gcyoenMi ncmaihems kwros in the teafnfre aeolrtire htta plpuiess eht lulo.ermgus nheW boold epsrrues srisaec,en shotmo meuscl cllse in eth allw of teh aorielret rae rttechsed nad snroepd yb icanttoncgr ot tirses het perr,euss etlirnugs ni tlliet ceangh in .folw hWen boodl rseerups r,sodp hte smae othsmo lseucm clsle xlrea to ewrol taceine,rss lawngoil a nueoidtcn evne owfl fo do.olb

cilCk het nilk ot rdea ubtao ralmtourrlugbuoe bcfkedae as ew.ll /sol-phr/n.ualllr:etmn2uaeontr--shnib.oyaprpolo/gd/c-eaefcrgew-uutnt/iaonfs/loecms

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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To add ot twah ryeeneov esle ash aid,s tihs ldsei si tpytre odog: s2l:1_pidtpms2/1mda45e/lsssp0./3ocdieras03yjg.lte2hiel/g/.e/i

eth pmtrop asys FRP nda FGR are uac,hdngen shut BRF is soal gehacn,dnu ot od ttah, eth rlnea isateerr wolud vhae ot deeseacr retih raciss.ente

ro,weevH as sowhn no pgae 175 of A91F, a ottcnnioiscr ro idnitloa fo fefneter luowd eagcnh FF hicwh snaem RPF nad GFR ter'na achngign ueyqall - stih is edrlu tou yb the mptrpo ansgiy 'ethyer gnnda.uech

veseaL us thwi a edeaercs ni fefrntae ar.eisscetn

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