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NBME 21 Answers

nbme21/Block 1/Question#49 (reveal difficulty score)
An 80-year-old woman comes to the emergency ...
Hydrochlorothiazide ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +41 
submitted by โˆ—xxabi(290),
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Laed tmie bsai si aesduc yb ryael teetidcon igenb cuofdnse htwi sneidreac uvvs.alir layer ndotteice askem it esem as oghhtu lvvsirau sha c,iadersne tub het nlauatr hrysoit fo het eaiseds has nto eben dciempa.t


 +32 
submitted by โˆ—hungrybox(1263),
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toizioecHdhdayrhlor si a aieidhzt urdiecti ;g=&t zatihedi riutcside ear issteoadca wthi .kmhoayailep

taWh rthoe cdrteuisi ear aotsisaced hwti ?hekpolyamai opLo idscui.ret

h?Wy

biiotInhin of Na+ rooitsberanp oruscc in hobt pool ecidsritu nth(ibii CKNC ptrn)rstceoaro dan eihdaizt tisedurci (itnihbi lCaN teo).rrcornrstap All of hits isdcnerae aN+ acnesires loorenesAdt iyt.ctiva

lvteeRan to tshi bpomler, dAosntoeerl geuutprsael espeoinsrx of eht ++/aNK PTA atrreionpt arsbrob(e +Na into dybo, lepex +K nito .u)meln hTsi rsetusl in hiyeolmakap in het b.ydo

ngaH ,on e'sehrt roem ghhi eyidl inf!o

soeotAeldnr oesd one retoh artnmpoti tghni - icaavnoitt of a H+ cahlnen thta xeelps +H ntio the enlu.m

S,o vnegi taht stih enpttia ash yalimp,hkoae ouy kwno teerh si ulugintorape fo et.onrAedlos oD uyo ihtkn erh Hp odulw eb gh,ih ro l?wo taEyclx, ti wodlu be ighh seaceub c.ni ooeedsrlAnt => cn.i H+ elepdlxe tion eht unmel g=&;t etaomblci .aiakolss

oNw yuo dartunensd wyh obht polo ducieitrs nda iazeihtd uestcrdii can uaesc hs'twa dacell ehacmp"yokil ebiolmatc .siaosa"llk

hungrybox  ejuss tshi earwns saw yoabbplr too lgon im' rrsyo +9  
meningitis  I rdesg.eia t'Is eht lcotepem hohugtt essprco edeend rof mayn iaeLiopToh/dz utiqnoes tath nac eb hwro.nt ah.Tnks +17  
amirmullick3  Tihs si htwa MNEB hlodus be idovripgn thiw aceh 'oeisnustq ccrreto !wesarn shnkaT hbr!uonxyg +1  
amirmullick3  g@yohbuxrn ddi uoy neam "llA fo tihs CRAEDESDE Na icsneeasr teolesnrdao vityatc?i". +2  
pg32  Ayeonn crae to iaxnepl ywh esh efles seh hs,a ots"l r]h[e ?ep"p sI atth ued to hte amlyka?ihepo rO phlmcacraeeiy ucased yb hte tiihsdz?ea +  
cmun777  djmo@oa p2g@3 I msesaud eetnwbe erh eolahikpyma (ihcwh cna asuce snskgt/fauwa)eeei nad oseplisb aoinctnocrt klolsaais otshe erew het tosm iklyel sascue rof eth lsot" erh ep"p m.ecntmo I ihntk fi hyte wndtae to anditeci chaeirpmeylac to airtteedfinef if oplo iertdsicu weer oasl ni het awresn cshecio yeth luowd arliycten egiv eorm eontcxt rfo ymchrcieaalpe sx +  



 +8 
submitted by usmlewarrior(8),
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fI tobh CZHT adn oolp drsuitcei ewre ivodedpr as an wnsera occhie, efrtuhr eclu atth tchz odlwu eb eth neasrw icchoe si eht snretptoaine of teh piettna ng"elefi un".fyn hsiT tgsuessg irlaayeechpmc r(aiysitcchp es)oevnotr wichh is a sdei fetcfe qinuue to .HTZC

adong  ethre 'sntaw ayn oolp idscte.iur.. +  
the_enigma28  oodG !lanioe!xaptn +  



 +3 
submitted by โˆ—neonem(621),
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zhadTeii uirtcdsei aer eht saslc whit the erasltg irks of aeypo.hlkmia




 +2 
submitted by โˆ—the_enigma28(70),
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naC enonya ialepnx twha sedo lsot" erh p"pe am?sne

drdoom  p`e`p aayutllc comse mofr pp`r;`pee to epper``p imsetnhgo (dgluiicnn a odof s!hd)i si ot akem ti emor o,usgirov ot vieg it orme ci,kk ot tivealzi .it o,s ot leโ€œos soenโ€™ โ€pep is ot loes oโ€™nse ia,titvyl efel u,egdtiaf elfe lrcatleks,u c.et :/yw/riettool/dwnm.emcseo.pwp/phtwn +1  



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