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NBME 24 Answers

nbme24/Block 2/Question#1 (reveal difficulty score)
A 73-year-old woman has had easy fatigability ...
Failure of conversion of N5-methyltetrahydrofolate to tetrahydrofolate 🔍 / 📺 / 🌳 / 📖
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 +16  upvote downvote
submitted by syoung07(58)
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duolw aehv enbe ealr oeant fi yeht wethr ni a -emrysedehngpte luntioerhp

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 +11  upvote downvote
submitted by yex(128)
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Adcgrnico ot oGjnla: 2"1B ()lminaaboc sah ctalbo ni .it incrulgatiC mrfo fo floate is tyatlyte.rfooardehmleht oePpsur of cnamolbia (12B) si ot ekat eht elhtym uporg ffo fo .lerdtoayhhftarttymleoe hTen tis’ lcleda aeylrattdhefotor. fI oyu ndt’o gte het ltymeh prguo off fo tlfoea, ouy liwl otn mkea .NAD ,oS if ouy rae B12 fed, uyo tn’ac tge het htylem pougr off nad onctan mkae DAN. fI ouy rae edf in ,tlfeoa uyo tacn’ aekm ND"A.

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misterdoctor69  aolm +

pic of the methionine/folate cycle: https://i.imgur.com/XXWXTT7.png

+2/- hungrybox(1277)

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 +7  upvote downvote
submitted by lsmarshall(465)
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hgAhuotl hCsron' may ehva l,rusec iasfu,slt dna egbne;ild ti uaysllu soed otn caues ionr nfecicidey amiean adn has esls ednbgile thna .CU ctSruu"latr iabmrolitnsae of eth lneaitmr ,emliu scuh as noChr diasese nda ilgcasur croe,neist nac eusca decseaedr oitbaprosn of iitnmav B.12" - irtsF Adi nleeaGr slPnericip

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 +3  upvote downvote
submitted by lispectedwumbologist(122)
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yhW lwuod ti otn eb mneaia fo ohcrcin edissea ihwt eedresacd esmru rserinnrfat nrcntoai?teocn

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lispectedwumbologist  mirdnNeve I'm itdspu as ckfu I see my msetkia +2
drdoom  eb ikdn ot eurfosy,l c!do ti('s a glon dora ewr'e o)!n +21
step1forthewin  iH, can eoemnso peainlx eth blood se?rma nits' it pesspudo ot wohs desgreehpetmny isoueplntrh fi it asw 12B ce?iiecdfyn +1
loftybirdman  I knthi eth dlobo smare si oishgwn a enol oyemlhyc,pt ihhwc hsould be het emas izse as a omlanr .CBR Yuo anc ees the CRBs ni tihs maser are rbgieg ntah atth acy->rmocict -B1>2 eccieynfdi +25
seagull  aymbe im' wne to hte .amge tbu tni's teh weasrn eoalft cneciieyfd adn ton B?21 sl,Ao i ghtuoh it swa enmaai of hniorcc eaesisd sa lelw. +
vshummy  steclobioipgew,smutLd aplees ialepnx your kseiam?t Lol bescaue that msees lkie a cprsteelieb srawen ot . e. m. +9
gonyyong  Is't a 12B idmifyuceIe clne is rehew 21B is beedosar,br flotae is emTjnh ue uj boodl raesm si igshnwo rndaegle nnoh s itRMeCeiB ytessahn osde hist ,vsnoioncre siugn ofrtaocc 1B2 +2
uslme123  eAnima of icrhnco aseeids is a ytocicrmci aemani -- I eleebiv itsh si ywh yteh ptu a clmtyhyoep on hte edsi -- os ew lucod ees taht it asw a acritcocym ama.ine +4
yotsubato  ahnTks BMEN, ahtt erayll heplde ...e.m +1
keshvi  hte siqeunot was eyiltevlra syea, tbu teh pucrtei saw os gdiiuignms i f!tel i touhtgh it kooedl kile coticirycm .sCBR I gsseu eth kye i,s that ythe acylrel otnemdine tlsiad lmei.u nad ttah is ETH stie rof B12 robt.ipsano +6
sahusema  I ditn'd even itgersre htat swa a .lemtcohypy I togthuh I saw eiseng rgatte scell os I was csefodun AF +
drschmoctor  evaLe it to BENM to dfin het lptase ectomysrac no eht elt.pan +5
zevvyt  so i seugs ezis is roem rmatitpno tnha rlcoo esacu ehots era phmrochayitoc sa fcku +
yesa  The CSULUEN of a teoyhmcylp udolsh be eht emas ezis as a ornlma RC,B hichw is ont het aecs ee.hr rendU lrmona scnucescmrtia RCBs rae tno sa big as ,lsepohymytc os sith is ytrul onaxyitedrarr = obegmalictasl naemi.a +1
weirdmed51  eysa@ you nmea ca‘toc’m.ycir oFr ti ot be l’stiaml‘beacgo reeth dah to eb a regeysmhdenpte .luritpnheo +


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 +1  upvote downvote
submitted by krewfoo99(115)
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ifclo icda when it estner het bdyo is in the rofm fo roatytlmhhtydlaeeofetr HTF( mhdta)etle.y tI atenosd tis tmlyeh rgpuo to vimtnai 2B1 ot emoebc FTH hte( vtcaei fmor hciwh sa a ADN u)or.esrpcr eT h nvatimi 21B hwit tsi lytemh upgor gose on to mcboein iwth meoiytncheo ot fomr hionmten.ei

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 +1  upvote downvote
submitted by sunshinesweetheart(112)
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cccyrtoiam ameain see(n in ldboo asemr) = RCB esruroscpr nac wogr tub ont edidvi

alvo ytcoscrame ene(s ni dlboo mase)r = iabcmtgsollea naemia if( eyth 'ndot oshw uheolritnp oaypegne)ntsihretm

12B sah ilgrcuenoo ypmmstso and wlo hliyecoamtmnl dcai hliwe ofelat cefciyeidn edos ton

ateflo is oadsbrbe in mnuuejj, 2B1 ni ilmue

saucse fo 2B1 yendcifiec = iopesucrni ,emaian agrt,comsyte leali r,inetseco sifh r,optaewm savgemin

)D ifaurel fo MFTRH -g-;&t HFT a(iv ehmtteysanearrlfs = 21B efiiecycnd dna yacrmioctc ameani

B) 6GDP efyedncici = otoccrniym bcauese of cirn CRB ndistcr;oteu pt owldu oswh icasluvnrarta mlsyoiseh sx crepiaetitdp yb an xdietioav trerssso

C) nphrgenoyippoootr ixsdaoe cyifedecni = yimcicrtoc nieama aeeubsc fo wlo mehe ietshnsys

A) cred fritnnrresa = hhig ifnteirr = mienaa of chrncio eieasds = oyrimcccti eaaimn besaceu fo wol oirn

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cmeacham  The way I reemmreb wehre B12 nfstoucni hsit si ttha you watn ot" 1B2 that MerTHo RF" +


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 +1  upvote downvote
submitted by an1(114)
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aWs atuob to ehcoso rsaddeece nnserftiarr cbueaes I c'dntulo ees ehtpe-ydegemsrn shpunio.retl Btu BMNE teonf esirt to throw su fof ihwt egvau is.emag oS I dera a.gani guahtC teh Ie"lla cr."neisote Irno Ftis B!or eImul is 2B1 it.abonoprs 12B tulsser ni slgobailmcate eia.anm N-MF5HT si a pste ni egtinvrcon DFH oint THF. ebIdhniti in olilbsemaatcg neimaa like 21B dna B9 e.fd

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an1  sloA rcla,el hatt B12 si rsdoet rof nmay sayer. so nespgenitr hitw a efd eysar alert I( aeerg 01 is a pjmu tub l)silt si na rdntcaioi oot +


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 +1  upvote downvote
submitted by unknown001(9)
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who ot uler out iorn fe.d ? orin si sbaredob ni emdenuod nda ipmrloxa umjjuen .

b21 in e.umil

tish ilwl gvei uoy het warens

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madamestep  I cufdek ayrtitn:b nI,or eFoat,l 21B +1


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