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Retired NBME 22 Answers

nbme22/Block 3/Question#35 (reveal difficulty score)
A 4-year-old boy is brought to the physician ...
Interstitial inflammation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—keycompany(351)
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iarUynr atrtc ticosnnfie era eth somt mcoomn aqdueric sueac of iiVuccotrees fRxule V(R) in r.icdlnhe RV cna laed ot ufxlRe arNppyoehht, chhiw is idcararhezect by orcchin lubauotttilnetisri imnflaanomti htwi oiibsfsr and ,srgnrica lgneiad ot anrle lefura.i

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lancestephenson  Can esomeon eespla pelxani 'twhas gongi no in isht ec?ruipt iTsh is the SEAM CUITREP udse in EBMN 02 and 21 tihw one of ehtm gbien a 66 yo/ htiw ihalloerut clel ciranamoc dna eht rehto ngeib taruubl ty.orahp I jtsu n'dot nwko mynorea +49
spacepogie  Id' eb yphpa ot edsn tehm a tfgi dcar ot curehspa emro stock isaegm fo dinsyke orf esu ni tefruu .am.sx.e +20
diabetes  i intkh RV uohdls dale to abtlerli nkydei dmegaa nda rhee nlyo left yedkni is tfsfedocdu.ehal we soepups atth trigh dkiyne aosl is ctfafeed ? +1
skonys  Teh kid gste otw TUsI adn ish iynedks unke sehmetsl.ev AAW.EKAAA lAso veol hwo het ikd ahs cncrih~o~ mmatialnifno ta 4 rys o.dl abreGga icp .too +1

FA 2019 pg. 587 on hydronephrosis +Distention/dilation of renal pelvis and calyces [.l Usually caused by urinary tract obstruction (eg, renalstones, severe BPII, congenitalobstructions, cervicalcancer, injuryto ureter);other causes include retroperitoneal fibrosis, vesicoureteral reflux. Dilation occurs proximal to site ofpathology. Serum creatinine becomes elevated if obstruction is bilateral or ifpatient has an obstructed solitary kidney Leads to compression and possible atrophy ofrenal cortex and medulla.


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 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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I ADHTE ihst ciepu,tr usjt ekil yeevnero lese, ,llo so I idd mseo orme .giigngd nyreevEo elbwo si retrco,c atth the tnnaereoistp is ngesgstuig an fiocinestu s.epcros TsIU acn ecsua aeuct rilhppsieo,nyet and fi io,rcnhc roerpesgss ot ohcrnc.i rtPsplyonheiei si a luliitnutttasrioeb eaidss.e I fnuod sthi toafiimnron nragrdgei ,it nad in eth salt trap, ti ersbidcse eth osrsg lptaoyohg fo inhcocr tnoyp.lhrpeeisi moFr my taerrn,ittipoen it onssud ilek athw het riutcep si niowh,sg ubt I an'wts ebal to dnfi a esrtbet/jtu as odog noe iolenn ,tey so I 'todn nkow rfo su.er

ceutA uTtnslititoielabru :sirhtNipe ecAut omaanitilmfn fo bsuutel adn temisiunittr acn cueas ,RAF dan fi eht ifmoantyalrm pescros ssritpes tsih can eevvol oint nccroih ruubnsotttitelalii peinsrtih nad irnohcc rtsetnlitaii isisofrb dan uurbtal apyroht twhi srik of srgonsoerip ot -tedagnes deyikn ese.sida Tow jmaor esricoagte fo cauet lriletututotasibni iritphesn era uatec yrtnplsopeeihi nad cteau ynispetyvthiersi ltristbiuneotaulti rehpinst.i

tueAc yinprshep:oteli sCueda yb etcaibarl iinfonetc toms ylmooncm E. ocil fcoiinnet. stHeieiyripstnyv iuobililttstrneuat rinpt:ishe Cdseau yb an llircgae sspero,en rfo lexeam,p to a gudr or ohret bstsnuasce that aer ei,tsdneg csuh as abhelr .ieeemsdr

yB rfa teh stmo oocmmn etoru of oftiennic in atceu eitoypnrlhpsei si na signndeca ieinonfct in the aryurin cat,tr ofr axmelp,e dvieder orfm a ibcaatrle erldadb nnoiftiec. tcAue plthrniyesioep = xesnveeti nxfliu of NMsP intihw het ri,tumteistin euulstb ,)ubtiis(utl nad lseunm fo lebustu C(WB ac)sts (/DP:ytyblitt/h.BJ2ip/.)

hWit nerispestce or rnerruecec of atuec oyrlii,thnepspe eth aseisde rpcsoes volvees niot ohicncr p,teophiensiylr hchwi ysulaul is pecmaoacnid by adekmr ooirsne of eht pyalaplir pit sretguiln ni danotili of hte tanecjda clxay l.sicts)aciea(

hTe sotm csaricerhtatic optcoglaih serefatu of coicrhn thniyppieesorl are het rogss gasnech in hte ekdiny htwi brboed-dsaa scasr in het yeanpamhrc yrlgevino seara fo lrcotica and arydelmul ropyaht ihwt tdnjeaca alse.tiiccsa l,sAo eth rnsaeoetiptn gtssuesg sisdh,oryepnhor dan fmro my ecr,ehras phrsheoodsir,yn nhwe enrhi/,cvceors anc tecbuotirn to het mkeadr loss of rxoetc adn ifbssc/rrissoa of hte dlalume (EN7NtlRhe/A0wA.Td:HmhapdtLtu.0sutEhph.LbR.a/etmMe//) adn csliicataes wihh(c I hktni si etprens no hsti uicpt.)re hiTs is teh ostlecs ptreciu thiw dcostreinpi I cludo fndi taht scamteh eht mtes ipenrtoenats .i(.e urretdhorye dna hyoiosrhnpsed,r sigustgneg lovesricuerate xulfer negliad to tioiecnnf mrfo a" olgn ganidtns nrtstbouioc ybbloap(r aecion"lgn)t os lyliek fmro a hcld)i tNt0ep/u/as8.HaNtl/bh/.EEd.Lw0AL.RpuTmAetdhMh:mhRte.

Ao,sl ot enintmo no het rhoet stmconem sirepgexns rauirotsfnt taht teh emsa reuticp asw dsue ofr tmsoru and utlrbau htay,pro rofm wtha I reda, ttah sosrg tlpoago,yh is hte elganre arpeeacpna fo hyoureerdrt due to utosvcribte ryopuaht .e.i( brluaut ytp,ahro girrrc/nos,sfiabsi xclcsiiey/ascaalt diaotn,li dan inht atolcrci rim ued ot hpyaor.t hgoionltocy.emonalP sysa that eht lisatcaiecs si eageeadgxrt ni ssle sreeev laiptsr/aecsa ictsobronut nseci FGR si ont rspsuepeds cc:oo.eaittwngmktrwsho.tslileylmtp/tp/uwdo.iboy/ntshcohvet/upi).

oeHp hist phels eeo!ryven It reus lepehd e,m utb tkoo WAY too olng ot e,udnsadtrn .oll

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nor16  cine ,jb otub i odtn ihntk yuo eend lal stih for hstee sntsuioeq +5
alimd  nxet pste si to do inradzeomd iat)lr +1


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 +7  upvote downvote
submitted by โˆ—adong(144)
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Seupr gyoannin yeht aer sginu eth asem rpcutie TBU uyo nac ersnaw hitw pesrcso of emntoi.iilna oN smsa in teh cetipur so tno tsoahmsotorlaisenbp or CRC. 4 ayer dol so not .lmiayosisdo teSm oeds ont lrlyae ceu oyu noti umsnbaomre .GN Itsaden ti alkts btuoa IsTU hwcih ludwo vhea ynaatmirmolf esporscse t&g--; tisatriinelt al.mfaniointm

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skonys  oLl they dues isth ricpeut ni a diff amex and the rwsnae aws a mlwsi utorm ohthgu +


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 +4  upvote downvote
submitted by โˆ—bobson150(28)
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Is isht aysgin erthe si eestlorevricau l?urxef I dclou hvae omwrs isth aesm igaem swa no rmfo 20 ro 21 adn teh sanrew wsa lmsiW rmotu

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hello  Yse, it ws.a I hitkn in obht eevg,nitst het cpituer asw lcalyisba renlivrate. rO anertho sospeilb ucel -- ubt iletednify not deende to awsner hte Q. +16
presidentdrmonstermd  My lcshoo sesu dlo rei"tder" ENBM ntseuoiqs fro mxsea dan 'Ive aosl ense stih cteax mesa teicrup ltpilume ie.m/t.w.s etenfrifd ssneroaci I ti.nkh I etdri ermrgebeimn htaw het ntuiqseso erwe ubt I gusse is't ymltso eenr.ratliv +3
hyperfukus  MAES +
hyperfukus  I oals utp 'wlmsi ourmt bc it tefl ealrly lfriaiam wtf +


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 +1  upvote downvote
submitted by โˆ—gainsgutsglory(38)
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Wyh si hsti ietsrilatnI Inommfniat?la I asuntddenr shit si a RUV auigcns ornhey.ishdposr

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skinnynomore  hist kid hsa crinoch hiyrtpopslieen eud ot cneterurr sUIT hoRiy/dsresrVpnUh(o is a rksi f.rto)ac Adn -siit = fmmlnnato.iai ahTt swa ym etka no t.i +3


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 +1  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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iPerctu whsos dtailed trereu nda alnre isvple

iCcnohr OEPYLrtihipens (olepy = ileps)v l=;&t rurencert odseepis fo Auect Pshrlienptoeiy lt=;& TUI

Thsi teinpta eliykl ash evorlsacirueet lexrfe ediglna to crneerrtu IUs.T

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 +0  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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Pciertu shosw ledadti teerru adn raenl plvesi.

ncrChoi LEPYOtpnishrie eypl(o = e)siplv &;t=l rrrnecetu doseesip of etcAu isylrpiPeheont ;l=&t ITU

sTih epnatti elliyk ahs irrlasvceoeuet exfrel edglian to rcuernetr T.UIs

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