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NBME 21 Answers

nbme21/Block 1/Question#37 (reveal difficulty score)
A 35-year-old man with diabetic ketoacidosis ...
Serum potassium concentration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—an_improved_me(91)
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ffkloabc@;cee

nnIisul sdoe yapl a elor ni bgniirng kbac +K otni lcels iav mtauodnloi of ++HK/ exa.cghen iThs si ecaeubs ti splhe to sderasd hte ociaitotkdec ttsea fo the peai.tnt yB nbnggiir Hp ocsrle ot ba,neelsi eerht is rnteur fo +K ntio the sec,ll lhiew H+ scoem bcka uot of eht c.elsl

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an_improved_me  ,Hwevreo yuo aer ihgt,r in taht oto my ,gdoleeknw that is ont teh iman wya nisuiln neifncelsu ;+K ti is eomr avi the aeTPAasN sa you aveh oien.dtnme +1


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submitted by โˆ—nala_ula(127)
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nI teibdica kiie,dosasoct rteeh is eansdcrei icda ni teh llxrtereuacal epsc.a icAgorcnd to AF treeh si a artaluelcsnrl hstif eud ot eedscedra nislnui tath dlsae ot oemr H+ ternegni hte ellc ni xnehaecg rof K.+ shTi slade ot mheaylrpiaek hiwt edteedlp ilruanlcrtael setors of K.+ ehTer is laos ootmcsi ruissedi hatt dlsea ot cinasrede K+ sslo in teh iuern dan tltoa oybd K+ .olenedtip eTh ientuoqs ssak atth si otsm kyleli ot aersceed wiht innlusi thar:pey smure sasiptumo ionoercnanttc lwli sceeerad sa +K si own cdgxeneah orf +H inised het cel.l

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cienfuegos  ldiaAotidn UW nfu cfsat negdgarri Psatomsui adn eDu :sKA iaoutnc ngigiv iiunlns nda IV ufisdl ot derydhtdae emegcclhirpyy uceaesb i coesfr K in leslc gnicaus tsfa caseedre of rltuelcrexala ,Pmtuaossi tshu gvie K iopnmtueantspel even ehnw srume K dtalveee +3
linwanrun1357  Wyh uirne K+ dseo ton acesred?e +3

This explanation is faulty. Insulin causes K to go inside via upregulating NaKATPase activity. Nothing to with H+ exchange as far as Insulin is concerned.

H and K exchange is separate from this.


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submitted by โˆ—peachespeaches(2)
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I regae thta Sermu K cdaeeesr si eht eretbt weran,s tbu uwtdn'lo inUer K asol sedraeec noce lbood ursag oesg dnow wthi nuilnsi rentmtate .ei(. mitoocs sedsuiri dwuol s)snlee?

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