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Retired NBME 16 Answers

nbme16/Block 2/Question#36 (reveal difficulty score)
A 55-year-old man comes to the physician ...
Volume depletion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal calculation marked

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submitted by โˆ—acerj(13)
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So, tshi is one of ethso wfe alcnlutioca rmbsepol that uyo thmig see on eSpt 1.

hTe gtetvine nptsio ot y-ad3 srhoyit fo ,imrageat/iirhvnod glohind tnnigoh ndo,w adn tillte uerin utoutp. Also, rofm eht BP dnrseaig, shti guy si ohoasrtcitt pigtinon sdtaowr ouelvm nepitledo.

ev,ewoHr likgnoo at hte Serum ,lbas eh ash ztemaaoi htiw a NUB of /m0L.dg5 In ihts ,ceas KIA NAT( in eht )nsrwsae nda uevmol letpeodni hsolud be yruo pto ow.t

To itierdfaefte,n uyo lucdo atuceallc ,NaEF hte cfnatroi of Na .ectdxree

EaNF = ( [aN ni eth i]Urne * wolF aRet fo eth iUner / [aN in teh al]masP ) / rC([ in eth re]iUn * lFow tRae fo hte neriU / r[C in eht ]mlPaas

gfilmiSnyip ot encalc tou the Flwo Reta fo the rnUei laeves su t:wih

aNFE = (Na[ ni het neU]ir * Cr[ in hte ])aPamsl / ([Na in the lsm]aPa * Cr[ in eth iU)ner]

orF stih ol:pbrem NFaE = 0mE[/]1Lq * 2Ld2][m.g/ / [g([)*9/1qm41LL6dmd/E]] = 700.0 or .0%7

htTa itnops nedtfielyiiv ot nrrpeela AIK and meluvo pt.eilendo

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ibpstepprep  ermo lsliicyecpaf , a sieficpc ygtariv fo eregtra ahtn ro leuqa ot 300.1 = aknrf doaidnyrthe = umleov iletdn.eop I dont' htikn yuo ahev ot uectlaacl eth eFaN, wknnogi reinu suimdo is elss ahnt 02 itaicsend aplenrer iurflae ( FA 19 )0.59 Teh yke to hsti melprbo is eth sefpiicc agvtryi +4
cheesetouch  I 'dndti od nay lautc,loanic ustj tnwe off n'ptseiat rihytso, ditre to ntkhi fo woh teh aN is reaybl high 46(1 wehn BNEM omlarn is pu to 4,)15 twha teh hcek uodwl meak urci caid high ni hatt hoy,rtsi splu no RsBC in .nueir +1
sexymexican888  FA 0022 P 1:60 uYo ondt' evah to tluaeaccl a,EFN uoy cna tsju okol at hte somdui 01 /mqL.E nI e-rpalern aiztamoe runie aN si tl;2&0 qmL/E nagimne het tblesuu ear etnpta and Na si negbi bodrseerba prplyo,er eenv emro anht sualu senci tsi ginessn ovlume dilpeton.e NI SCONTATR anrtna-lrie aufrlie wlli have a nriue aN ;&04gt q/LEm bc het lenar suebutl era ddgmaae AT)N( and nntaoc rabesobr Na .yrorpple +1
sexymexican888  NEFa si eth meas co pt cne. a-enerrpl mataieoz NtaF;E-&g %t;1&l ;&tg- aN si bgien rrbabeedos &;g-t niydeK is hehylat dan gnikrwo irIts..in c. n larne iraulef &t;-g FaNE &g;t2% ;-&tg Na si TNO eingb sbbdaerroe rpprloey &-g;t Keindy si OTN heltayh +
sexymexican888  aols UNrBC/ iato:r 0./225 ~ 25 in lnrrep-ae eozmaati U/NCBr &20gt; i(nskde'y patiaccy to areosbrb si nittac) fi it swa TNA B/CrNU troia odwlu be 5lt1;& eydki(n is cfukde up ntca eraosbrb uera )yroreppl +4
ddaddy  aocniCtlalu si a aestw fo teim. xH fo a/iehoiirtnrgdmva is lla htat is nedede +1
an1  Tp:i fi a itpeatn mosce ni whti MI adn ieunr fncuiont si cloo tub etnh seldcnei fatre 2 a,yds spctues p-rrenlae AKI tcksyh(e .)ptha ucatlClae eht BCrNU/ tair.on ;2g0t& is eearlP-.nr l2;t&0 si lratri.anen nad stPo lnera nca eb &t0;g2 ni aerly sstgae ro l;&t02 ni slat setgsa +



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