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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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fecfab;cleko@

uIlnnis esdo ypal a oler in inngirgb bkac K+ noit lsecl iva uoondaltmi fo +/HK+ e.xcnegah hiTs si baeceus ti selph to sdardse eht adkiotoceitc tstea fo eth apnit.te By rgiigbnn pH rsoelc to ebielsna, three is nutrre fo +K into hte csel,l welhi +H escmo cakb out fo the cll.se

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an_improved_me  Hevweor, you rea hr,igt ni tath oto my nkwolged,e ahtt si ont eth iman yaw sulnnii enuniefslc ;K+ ti is mero iav hte saPaNAeT sa ouy heav onmtdniee. +1



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submitted by โˆ—nala_ula(127)
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In iidbceta tacioksoesd,i hrtee si esaidcren adci in het elraalrtxulec saecp. dgcoAncri ot FA herte si a tuallasclrner stfih edu ot ardsdeece lsnunii ahtt slade ot emro +H gintrene hte clle ni eahgencx rfo .K+ hsiT asdel ot erplaamkyhie wthi epdeedlt alniaurltrcel eotsrs of .+K hTeer is oasl mociots rseudiis tath eslad ot ecniredas K+ osls ni the reiun adn atotl odyb +K tinpledoe. heT ouqsetni asks tath is otsm yiklle ot eceesrda ihtw nisunil hptar:ey umsre tmipusosa conticrnntoae ilwl ceeaedrs sa K+ si own nxeechgda rfo +H snieid eth lce.l

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cienfuegos  Adltadoiin UW nuf atcsf idrreaggn Pitmsoasu adn seu AK:D ctniuao ivnggi slniuni and IV fuisld to dhdetdyare lcmcgeyrehipy baucees i cfreos K ni clsel gisunca tfsa edcersae of ltxaelclrreua ostP,muias hstu vige K putmonpeanlseti evne hwen rsmue K lvedeeta +3
linwanrun1357  Wyh euinr K+ sedo ont s?reedcea +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 erage thta mrSeu K ceersdea si the rtteeb w,aesrn but ol'ndtwu nriUe K also ecseaedr cnoe oldbo rsaug goes dnow thwi uninsli tetmetnar .i(e. oitocms dreisusi udlow ee)ssnl?

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