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Retired NBME 25 Answers

nbme25/Block 1/Question#18 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Mitochondrial crystalline 🔍 / 📺 / 🌳 / 📖
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submitted by yogurt-dimple(3)
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mA I c,yazr ro eods teh uqioetns semt ipmly taht itsh was reidnetih lrnatplyea?

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raspberry-muffin  nI siht nsueoqti usdnos ikel editrnhie yartpelnal , utb hsti lsumce pboiys ofmcnierd Mniltocdhiroa et.aiehcnirn sMucle y:bopsi oeIromitmciuhsytmshn tiayyllpc hwoss gegrda edr ,sfrbei hciwh are caudes by rlscombmae-lusa nad ifrlr-yieiobnalmrt ucmaiauoltnc fo edevcfeti ncitmdoaiorh in selsumc ca(dirnimtooh nitas erd). boPlabry roehtM sha eth smea ctoioinnd o.ot +
yogurt-dimple  co.Gaht ah,Ye hte rde eargdg birefs eiptdp me fof to tadimionlhorc ,hmaotyyp ubt bsauece eht smte ielpdim pletnraa nitaechir,ne I redugfi three saw jtsu hratneo deaiess I hda noogtrfte oatbu that tenerpss hitw em.th +
drdoom  mypa-fsburirr@enf Im' otn cedin.vcno tI is ilhhgy uilylekn eht ENBM ldouw ietrw tsih qntiuose nad pectxe uyo to se"smau" mmo has tncnoidoi tuhwoti inmkga any itmneno of mom. u,sPl ti is miplys ghlihy aiblrpembo atth hyatpymo is tnsrepe ni thob mom nda add ene.lgai atTh esems fof ot .me +
drdoom  ytm,polg-ui@der I kinht ihts a yke ilen in eht innlpxoe:taa w“eevHo,r there ear tniilddoaa ottmansui hatt ftafec odmrholcaitni NRA sra,atnotlni nirgtciaffk and ctorapioorinn of eayprsotrir treiopn exepolmcs, adn iannmetaenc fo hte nenri miidocahlonrt areemnbm atht nca olsa dlea ot dltcnhmrooaii .ma”ptyhyo +
drdoom  se,Y teyh say, lMnhoior"ciatd esisades aer tysictrl thriieedn ruhtogh the mherot" utb isht is ont a nirhcdomolita aeessdi — tsih si a mch"oatnreo-d–viloed"niidrn colrmhodintia yy;oahtmp ,eys rmcohndaotii ear taedfcfe btu eht uanotmit si in aitcoms rlea(nc)u nsgee htta vrgnoe eht eamnctaeinn of ahhl"yet "thmoai.cnrdio hiTs si beuseca eth tmniutao afectsf teh tcirfapooituonn/ne fo ndtaomcihoir tub teh naouittm siftel is ni het caernlu ADN wcihh( nlooctr sentoimgh bauot hte "aylit"uq of hitdcriaomon utb wtha cyxltae is ton yte .o)knnw +


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submitted by drdoom(1206)
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iTsh eqitunos tgmih eb tcryik bseceua teh otnaumit fo tteresin eehr is itnierdeh romf teh dda ieds en)at(palr utb sfcftea eth tncdromia.hio

tahT si, het moitnuta si not a oatunimt of teh adciotnoihrml ;NDA ti si fo uerlanc NDA chwhi ectfafs htilnromidcao fiocuntn dna auq.tiyl nsMec(hami .konuwn)n

nI rhtie paolix,nnaet the EMNB s,asy “catonhMrdloii edseissa aer trisylct diitehner grhhtou hte hrtme”o tbu ahtt is tcerrcno;i it wodul be reom tcorcre rfo ethm ot vhae siad: tiMdnrooahicl AND uasinttmo aer tycirslt iietehdrn rughoth the .metorh

aTth i,s ouy nca vhae htdlnoracimoi plbemsor that cmeo rfmo uory a.dd acndoilohriMt ADN ,uaotmsint no hte tehro ,adnh meco olny rofm .mom

So, hte stme rdssciebe a “comradtihilno assdiee” utb ti si not a olndcomithrai dseeais dvieder morf a rtdaochomiinl DAN at oimnut.

Ys,e oohindtciarm aer tfcadeef but the itmatoun is ni acrnlue DAN hatt nveogrs the cientmnaane of thehy"al intoi"mr.dacho

Tihs liaenpxs why dad dan das'd orbreth sohw teh msea prmil“oax slmuce easnweks of teh elwro etri.”eextmis

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drdoom  lgrfiyiaCn :fhtrreu hTe sdeesai fo eteintsr is ebertt ebsecridd sa a onoho-lnid"mnictar deNiAr"vdD–e hnmiitloacord ytmohap.y It's a ul,mtfuho I w.kno sYe, onidctairmoh rea ctdaefef ubt het tmitnoua si in casitmo u)(cnalre egesn tath noregv teh ntcnoonptn/emiintecaaui/renafo of "lehayth o.imch"oatrnid iThs is why ti si bieng idnrheeti ghturho het add and tye saeifsntm in rihiomtaoncld osfiynnc.utd +


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