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Retired NBME 20 Answers

nbme20/Block 1/Question#49 (reveal difficulty score)
A 56-year-old man comes to the physician ...
Fibromuscular hyperplasia of arterioles ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—hayayah(1212)
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sCae of rlssltoeroe.aicisro

pialsecHprty oecloisosrliarstre ivnevols cgnitenkhi fo esevsl wall yb hlepyaipars of sotmho csmuel 'n-isoo(nnik p'arecnpaea)

  • neecuneoCsq of gatminaln pneihtnyeors 10/(81g;t&02 w/ aetcu onrendag- maa)egd
  • ulsetsR in creuedd esesvl erbiacl ihwt rndnaoeg- iahecsim
  • May elda to rdinoiifb scioenrs fo eht lesvse wlla tihw mhorgre;ahe iclllcsyasa ecussa cueta eanlr reulifa ARF() wthi a icthcircateras ''bla-fnttiee paeepcaarn
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masonkingcobra  rFom rrulRi:sb 'u soanFbomi cb adysilsap si a lcfoa earlgirur nentcgkihi of eht wasll fo eiemsduim-zd nda galre rlauucsm seaietrr ude ot a conbiaonimt of ldimea and anlitim hayplaiepsr adn sb.fiosir It nca ftnismae at ayn ega but sccruo tsmo ulyternfeq in onugy m.nwoe eTh locaf llaw tngikcenih ussltre in illmuan ssentiso ro anc eb aaedtissco hiwt morlanab seevsl mpssa that eerdcsu uaaslrcv wlof; ni het elnar ,serrtaei ti nca deal ot rracseavluon ysioetnpr.enh wBeente eht caflo eemsntgs fo hietdecnk ,lawl eth yatrre nfote aosl isxebith dialem on;ntauteiat lrsuaavc ioposhncuugt acn vopdeel in thees opnrsiot fo hte slesev and msmsieteo pretr.uu +1
asapdoc  I ohtthug hits aws a lywrdei drdeow .serwan I iymaeemdlti ( )sitpdlyu scosder fo iusflocmurrba aailsysdp einsc ti atnws a gouerny eownm /= +26
uslme123  I saw nkhniigt nilanmtga pschsnooleirser ... tbu I ssuge oduy' etg eapyilcpstrh iarseret sftir -_- +1
hello  ehT asewrn ccheio si cmrfruaoslbui aYlipaEPsHR - I khnti tshi si efrdnifte fmro lursairucobmf aDYpSilas (eens ni gnyuo w;onme) +36
yotsubato  hleol is i.thgr umsliarourbcF saypeihplar si iecntinhkg fo het lusarucm areyl fo teh ortarliee ni srensoep ot nocrchi tpnnseyeorhi s(a teh uetoiqsn smte i)elipsm +10
smc213  arusbuFmclior raseyHpaipl sv pl.Ds...a.i.yas are ospleuyspd teh AMSE hnigt ithw ltemulpi na.mse aucs bouimFrlr iyaasd,psl alos noknw as uscirfuamlbor liahreayp,sp alimed ahri,laepspy or rtlaeria ad,plisyas is a yrlalvieet cnmuonmo mactiufllo arirleta dsieeas fo nknonuw es,uac tedracarezich by caitonrleoocsethnr miibnoaslaetr novgiivln het omhost umse,lc uirbosf and altcsie isetsu, of aml-ls to demidim-suez laeiarrt w.l sal_h:dc/tdknmwrimsawp.au.lfmrotpbaioeisiuwslyetc/ll/cr/a +3
smc213  s*rroy I dah ot sopt hits eeacsub ti asw nrnfics!Fsclgu!b*imra!ouuo aysdsilpa si most omomcn ni ewnmo tewnebe hte gsae of 04 of nad ,60 utb eth dnnciotio nac aosl oucrc ni iredhlcn nad the elrdle.y ehT ortimyja ro(em hant %9)0 fo attnseip hitw DFM rae .oenmw woHe,rve emn nac loas veah FD,M nda thsoe ohw od heva a eihhgr skir fo cocilitompnsa hcsu sa asunmyres gib)(ulng or osstincdise )(aestr ni eth i re.atsrer-loupnlseai/aemchundmhadl-sigcs:ifmra.sit1ro7ev1byteac0iyd/cl/ad.//ssls0tefh-pl +2
momina_amjad  Thees oqtsiusen rea vrgidni me -zacyr ulrmifrbscoua shy/dailpasyaleisrapp is teh amse t,hing adn ti si NOT hsti tenrioapents adn ti dnt'eos efrre ot sotocrirliseraelos esen ni nmlanitga N!TH Is eth TNH a acsu,e or a nu?eneqecsco I raed ti as ebnig eht asceu odnul(onerltc HTN fro nyma sa Iy)ref ti asw the oesnuccne,qe the ipnnattrseeo si sitll ton sa!csallci -_- +2
charcot_bouchard  rooP orltednclo HNT si teh eascu ehre +1
charcot_bouchard  Aosl ysgu fi u kate it as slumroarcFbui aldiapyss gisetlurn ni RSA onne fo teh waenrs hecoci smetcha +1



 +1  upvote downvote
submitted by โˆ—chandlerbas(118)
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eesevr iprnyntsheoe deals ot iyhcspptlear roorisasloisecterl igendal ot srroosnahioeeroeislpcltr A'8(1F -gp- 9)27

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 +1  upvote downvote
submitted by โˆ—cry2mucheveryday(20)
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Frsiuorcumlba ihslaaepyrp lliw escua rep rlena aizt.aome .S N/BUCr si tg;&20 ni pre rlane otezaiam btu in eht qisteuon tsi luvea si viaitncide of iicnstinr laren a.eulirf yrev o!n!gcifnus

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charcot_bouchard  oNt lal,ery yonptoHisne uaces per renal aiaoezm.t rHee nlog sgdtnani HTN unslgeitr ni ned agorn amdega os iincrtisn nrael rlfieau +3
cry2mucheveryday  gh!u i ujst dentcio ers'hte a afrliy ogln /oh of rooylp tcoolenlrd NTH hihwc asmek ihst ientusqo ipsrmle ow.n haT!ns!k +1
j44n  eeriltsoar aer in eht e.yd..n.ki ya nokw ilek ffetea/frnenetfre ELEAIORTR @ hte .mlog if isht asw in teh raeln eaytrr 'hed hvae epr rlnae aieazmot +1



 +0  upvote downvote
submitted by โˆ—athenathefirst(7)
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woH do oyu wkno eht nswrea is nto ?E I ochse E scuaeeb I htuhgot fo NTA (: emooSne lhep slpeea

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lovebug  I ma tno rs.ue btu I gohtuth )E mpuiellt sweapgdee-hd rcoltcai ifacrnt . ulodc be denidcu yb illmpute liosmbme fo eta.yrr or pmtecoel bkslco fo msall reryta guosji.lo.ckatcn(neb fo loobd c)nnituoj tbu ihts sace asw rasheiplcpty lossiaoecoil.srrert +



 +0  upvote downvote
submitted by โˆ—j44n(141)
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I ehdat rieghtynev aobut etshe ewnars oescich

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 +0  upvote downvote
submitted by โˆ—lickmyass(0)
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Wyh tno peluiltM enalr ertayr ?ysmasurne I wsa hrntow ffo yb the rdoniisecpt fo lryteicphpsa ieacrsrlliresosoto dna os I wetn whti hits .ecicoh I ohtught lpecaphsyrit ocereoilsaroisrlts may aedl to nrifdioib nrisesoc fo eth vlsese allw ithw roehar.hemg

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hiroshimi  I hkint pasyrihletcp csotserrsraoiile amgnnie hatt het llwa fo the rareyt si itk,echr nda taht aorsrnw the mne,ul imgkan it emor i"fst"f dna ueredc ceio.aplnmc stI' xctaely twah yuo ese ni pneatti thiw T.NH hTkin oatub tp htwi crotia oiesssnt, 'ist iialmrs. nI srocnat,t ni ,ysaenmru het lawl of teh etrray si latlcuya eitn,nhr eht wall si ,knedeaew t'ahts wyh 'sit sereai ot et,rpruu hitnk ubaot eth ratoci srn,uaemy 'tis eomr yeklli to utrepur i'fs nto te.ardet +2



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