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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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rnUiyra rtact tsiecnifno rea het otsm monmco dceiruqa esuac fo irceiuetocsV eRlufx )V(R ni dri.hecln RV acn dale ot uefxRl yepotaNhhpr, ciwhh si hieetzacrrdac yb inccorh titllaruuebtontsii flmimtaonani wthi fibsrsoi adn n,grcasir ienalgd to ernal er.afiul

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lancestephenson  Cna eeomsno lsaeep axnliep ta'wsh gngio on ni tshi up?irtec This is eth EASM PRIUECT sude in ENMB 20 nad 12 hwti eno fo emth nbeig a 66 y/o with eroathilul lcel arccaonim nad eht other gnibe urbutal hrt.yoap I sjtu 'dnto wokn aomreny +49
spacepogie  'dI eb haypp ot esdn hmte a fgit adcr to urepchsa emor ksoct amiseg fo denskyi rof esu ni ruutef x.sa..me +20
diabetes  i hktni RV dshuol dlea ot aierlbtl knidey maeadg nad rhee nloy lfte dniyke is elsfechoud.fdta ew ussoppe ahtt hritg ndkyie loas si cfetdaef ? +1
skonys  hTe kid gest owt TUIs nad shi iyesknd nkue mete.svslhe KAAAA.EWA oAls oevl how het dik ahs c~cri~noh ninalmfmotai ta 4 rsy lo.d rbagGae pic .oot +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.



 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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I EATDH hits etprc,iu jtus ikel yneveore esl,e lo,l so I idd omse erom ingidg.g noEeeyvr lwobe si ccro,tre htta the ritepesnnota is gtuignsseg na sctiiufneo pecossr. sITU can eucas ctaeu reehipoty,lsnip and if ocn,rich srsrpeegos to orhncc.i nlyseeohiitPpr si a orstbilittlauntiue iaede.ss I udfno shit onmfoairnti agregrndi i,t dan in het tsal rap,t it sscediebr het srgso oyoghalpt fo irochnc .eeyiipotrnshlp Fmro ym ,narrieittoeptn ti nsudos ikel tahw hte ipcerut is h,ingwso but I sa'wnt able ot ndfi a brt/tjeeuts sa odog neo nenoli ,yet so I 'ndot owkn orf rsue.

tceuA Tsuiiltlnrteouatib rpit:shieN Atceu atfaninmlomi fo lubtesu nda usttmirnetii nac sceua RAF, nda fi teh aymanrtoiflm porsces ssiprste sthi anc lvveoe ntoi cncoirh toluaenibiisltttur tpneihsri adn crocihn ilrsaittinet iofbissr nad ultbrua rtoyahp iwth krsi fo irpensosrgo ot -esegdant iyedkn saesi.de oTw jaorm rcgateieso of tuace tbtliiaustotnriule itnrphise rea etacu ethrolippeniys dna cteua nytispehrteisyiv irttainluibtutloes hipisetnr.

uetcA o:ierlnsptyhepi sdueCa yb cieatablr tncfenoii tsom mcyloomn .E lcoi octifein.n ivispeiyrnesHtty utouintarbiiltstle sneiirtph: Cdsaeu by na llergica o,srpeens ofr ,eplmaxe to a dgru ro ohret ascsutbesn atth are etegdi,ns ushc sa hebrla .edrmeesi

By rfa teh tmos oncmom ueotr of iiotefcnn in cueat heyeiprsilnopt si an nsgiednca ifitecnon ni eht anirruy tatrc, ofr l,xempea vdreedi ofrm a aeblricta dblrdae inne.otcfi teucA tesenporipyhli = tveeinsex ufxinl fo PMsN iihwnt teh it,itriutsmen ubutels blttisuui,)( nad elsunm fo uelbtsu (WCB satc)s (:BPi/ty.tylp/2thD/iJb).

Whit pstrieenesc or ruerrccnee of auect elhpneroyiti,ps eht sseidae ceorssp eveosvl ntio ncrocih proitypn,ieelhs wichh lausylu si dopmcaneiac yb dramek neisoro of eht rilayalpp pti eruitsgln in ntaliiod fo the tejnadca yxacl ci()aces.astli

Teh tsom tarhacccrietsi hgiolatpco atfurees of nicorch eyisirehplotnp rea eth ssrog gcnshea in hte iydnke hwti besoaarddb- csasr ni teh pyarmhaecn lrenvygio aaers fo litoarcc dan ylrdaemlu htyorap with aedacntj castaelisi.c s,lAo eth teronsniepat usegtssg oorh,hyrisspend dan orfm ym crh,saere orhpednsyih,ors hnwe er,e/srchivnco cna octirnteub to the madker slso of ocerxt adn i/oisfasscrbsr fo het mdlleua (dhhmpAleuL/LE0E.t0ThHw/hta7/.:.eatudbeptmAMRR/N.Nst) and cissecitlaa hwc(ih I nitkh is rtepnes on shti .pri)etuc This si teh ctsleos iecputr tiwh edosrcipnit I oucdl idfn ttha scatehm eht etsm sonpetnartei i..e( ydreohrurte dan yenhosroirsdph, sugetsingg eeacsurlvretoi luxref enagldi to eiinotnfc rmfo a" nglo asignntd rcbootstuin yabbrplo( "c)etoalinng so ylkiel mrof a lh)idc tbptat.T/.h.0LNRdphuMate/0:EehulLAEemN/tswRhA8m/.dH.

oAs,l to etnnomi no eth rthoe mcnmeost srisepxgne rrauisnotft that hte seam ieutcpr was eusd rof srmtuo nad ulubtar oyrhapt, from athw I erda, thta sgros gpthyaoo,l is the ngelrae ercapnaepa of rethroeurdy ued ot otcsbtriuev royuahpt i.(e. rtauulb ryta,ohp bo/sigirr,srisanfc cclii/xsylctseaaa laoiti,nd nad itnh rtclaoci irm due to op.ayrth myanl.ehtcolnioogPo asys htta eth stiecaalisc is ageagetrxed in slse esvree saapi/tclears tutnrobscio necsi RGF is ont sedruppess ampkbio.cupl.emohttt/oo:wstrsehtldhlpyo/gtctsiwn/w.uvt/iecyoni).

eoHp tihs elshp oerneyv!e It esur dheple me, ubt koot WYA oto nlog to ruantddesn, .oll

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nor16  nice utb ,ojb i tdno iknht ouy eden lla this fro tehse onisuqest +5
alimd  extn epts is ot od edomdzrain arilt) +1



 +7  upvote downvote
submitted by โˆ—adong(144)
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peruS naoynngi hyte ear niugs eth easm piurect BTU yuo cna rewnsa ithw pesorsc fo m.nitealioni oN mssa ni the ipurtce os nto aheabtlnmtissosrpoo or CC.R 4 ryae old os otn aioisomd.sly eStm deso otn aeryll ceu ouy oitn usmbarnmeo .GN antseId it klats otabu sITU chwih lwoud vhea fatmlyimaron eosespscr &;t-g- teattinilsir aiaftlmminno.

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skonys  olL yeth uesd tihs uepirtc in a ffid eaxm dan eht ernswa was a lswim ruomt tuohgh +



 +4  upvote downvote
submitted by โˆ—bobson150(28)
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sI iths ynagsi rthee si ervlrstuioecea xrfe?lu I oudcl heva rowms isht smae mieag aws no from 20 ro 21 dna teh sranew aws msliW torum

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hello  Yes, it was. I hntik ni othb sgnev,itet eth cirpuet asw ylicaaslb vreiarnel.t rO teorhan slibpsoe celu -- tbu nyfdeeiilt nto deende ot sreawn het .Q +16
presidentdrmonstermd  My cosloh usse dol rtie"re"d MNEB oiqetsnus for asmxe adn 'Ive osla nsee isht txcae saem utcierp tumpiell twmse./.i. neieftdrf rcssiaoen I it.nkh I eridt mebeirrgmen htaw the nqsisueto eewr tub I sesgu 'tsi ymolst nevr.elrita +3
hyperfukus  MESA +
hyperfukus  I soal tup wil'sm omrut bc ti eflt elrlya imifalra wtf +



 +1  upvote downvote
submitted by โˆ—gainsgutsglory(38)
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yhW is isth rslateniIti a?nolfmtmiIan I dtrusadnen this si a VRU nsgcuia oysr.hrneiophsd

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skinnynomore  htsi idk hsa nchoirc ohpterisnpyeil deu to ceutrernr TIsU osorpRysniVU(derh/h is a ksir acr.tf)o dAn -siti = i.amftnnilmoa haTt swa my tkae no .ti +3



 +1  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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urtiePc shows idtaled errteu and lrnae ipslve

iohcnrC PLOYEipisentrh eoypl( = visp)el l=&t; rerrtuecn ssdpieoe fo Aetcu priePlisheyont l=;t& UTI

sihT peitnta yeikll sah reaesvirtucoel lrxeef eadnilg ot eertrrcun TUs.I

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 +0  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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iuPretc hosws dtdelia eterru nda arnel sveipl.

nrCohic OPLYEternshpii yoepl( = )elvspi t;&=l retnrucer piesesod fo Acteu risePytlpheoni =&tl; TIU

ishT ntepiat klylie ash oeetvuilsrrcae exflre enldaig to crrreneut IUsT.

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