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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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udowl ehva neeb eral teano if ethy rtewh in a dtpsemyenh-eegr ilenrotuph

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 +11  upvote downvote
submitted by ∗yex(128)
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inccodrAg ot joG:lan 21"B oam)(ncilba ash ltbaoc ni t.i Ccurialting mrfo fo elofat si tmhroetoyeel.aytahtdrlf eproPsu fo baiaocnml B)2(1 si to keat eth telyhm rgopu off fo tydhmholtf.earletetyaro Tehn ’sit lcalde y.rratthaloetfdoe If uoy d’not teg the mheylt proug ffo of ,elfato ouy will otn amek AD.N oS, fi yuo aer 21B df,e uyo ’ntac egt eht heytlm ourgp ffo dan cotnan emak N.DA If yuo rea fed ni ltaeo,f ouy a’tnc emka ".NDA

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misterdoctor69  loam +

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

+2/- hungrybox(1277)


 +7  upvote downvote
submitted by ∗lsmarshall(465)
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hlAgotuh nhosrC' may hvae cs,urle fits,ulsa nda ildg;bene ti yausllu osde nto csaeu onri fdinyeccie mieana dna ahs essl lndbegei nhta UC. lcuSat"rrtu inobaalisermt of eht atrnelmi ule,im shuc as hnroC assedei adn ircasgul roeitse,nc nca eusac eaercsded nobasrtpoi fo tinvmai "1B2. - siFrt Adi raleneG ncsirpilPe

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 +3  upvote downvote
submitted by ∗lispectedwumbologist(122)
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yWh wuold ti otn be ienama fo cirhocn iessead htwi edsredcae smeur eitrnnrafrs cnoira?enctnot

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lispectedwumbologist  mienervNd m'I ipsdtu as ucfk I see my tskiame +2
drdoom  eb dink to suor,lefy !dco (s'it a nlog ardo wer'e n!)o +21
step1forthewin  H,i cna emoenso pelnaxi eht odlbo resa?m 'nits it despopsu ot whos pynteeedehrgsm ulsherpniot fi it wsa B12 dciyinec?ef +1
loftybirdman  I knthi het loobd emras is wnhiosg a nelo yo,mcpytlhe hhwic ouhdls be eht easm eisz as a lmorna CB.R ouY can ese hte CRBs in hsti arems era gbeigr than ttah iccmy>-acotr 21-B> yinieccfed +25
seagull  myeab im' enw ot hte am.eg but n'ist het ranswe ftlaoe yicniedfce adn otn ?12B ols,A i hohtug it asw aenmia fo hrocicn esdeais sa llw.e +
vshummy  cwpesbsdo,igtletmuoiL spelae apiexnl oruy aki?smte loL beecusa tath ssmee eilk a lcerptbesie nsrawe ot me. .. +9
gonyyong  s'It a 1B2 numi dleycicIfee si werhe 12B si dr,abeseorb ltaeof si T hnuuej jme oldob rmaes is nohwgsi rdengeal s teoiCnen iRMhB tnasyesh osed ihst svcinon,eor nsugi otcrfoac 21B +2
uslme123  aeiAmn of inrochc dasisee si a mriccoycit anaime -- I elevieb htsi si yhw ehty put a cltepyohmy no the iesd -- os ew uolcd ese atth ti aws a trcacocmiy naamei. +4
yotsubato  sTnhka BMEN, taht aeyllr lpdehe em.... +1
keshvi  het iountesq asw aerltelyvi ,ayse utb het cieturp swa os nmgsiigidu i fetl! i huottgh ti doelok leik mtcriciocy B.CRs I gessu eth yek is, ahtt yteh celalry enneimdto aistdl .ileum and taht is ETH ties ofr 12B .tinsaoropb +6
sahusema  I ind'td eevn rrtesgei atth asw a oehytymp.lc I htouhgt I saw genesi trtgae eclls so I wsa sofudecn AF +
drschmoctor  aevLe ti to EMBN ot ndif teh satlpe mtascyocer on eht .paetnl +5
zevvyt  so i uegss szei si erom parinotmt htna corlo caesu htseo aer hypoctorachim sa fkcu +
yesa  hTe CUUSLNE of a eyolymhcpt dshlou eb het maes ezis as a larmon BCR, hwhci is not eth scea .reeh rdUne anomrl ncseisacmturc CRsB are ton sa gib as ympyl,chesot so iths is lyurt aiyrnrxtdorea = istaelcmbgalo .ianmea +1
weirdmed51  @aesy ouy anme icr‘.y’mcocta For it to be o‘il’gmaalesbtc trhee ahd ot be a emgehestdpeynr horelint.up +



 +1  upvote downvote
submitted by ∗krewfoo99(115)
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fiocl acdi nweh ti renets eth dybo si in eht rfom of tylryaoortemttelahefdh FT(H atmt.)elehyd It odanset ist hlmety pruog to miiavtn 21B to ecbmeo HTF (eht cetaiv morf ihwhc as a NDA so.urrrpc)e h eT vinmtia 12B tihw sti hltyme rgoup geos no to omnbcie iwth hncoeymitoe ot form thenoe.nmii

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 +1  upvote downvote
submitted by ∗sunshinesweetheart(112)
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tcoraicmyc mnaeia n(see ni dobol )asrem = RCB eruoscrpsr nac rogw tub ont veidid

lova raeycostmc e(sen ni ldboo aemrs) = stillmecbaaog aimena if( ythe tdn'o swoh rtniulpoeh gtresion)tahnemeyp

B12 has eloiruocgn ssmpyomt and lwo eaihmcymltnlo iacd eilhw faoelt yecfincdie dsoe otn

tfleao is ebdrosab ni ejjumnu, 21B ni lieum

e ssauc fo 1B2 nyiiceedcf = rcinesiuop iema,na amrcstyote,g ellai ,creensito sihf r,powmate semnvgia

)D ileuraf of RMTHF ;&-g-t FHT i(va eftmhyatlnasresre = B12 ifnccdeeiy and ytccmoirca eaainm

B) DG6P ceyfnideci = tnmoyiorcc esebcua fo cnir CBR tuict;nrsoed pt wodul hswo arlsvnaatrcui yeshilsom xs aittceideprp by an ivaoxitde rsstrseo

C) ngropienrooptypho ixdoeas yicincedfe = ocmctiicry inmeaa bsecaeu fo wol heme ystnisseh

)A dcer ratrnrsefni = ghhi itfnierr = naaemi of hciornc sdeiaes = iimcrtccyo aneima eebuasc of wlo niro

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cmeacham  Teh yaw I bmrmreee reehw 1B2 fcintnuso stih is that yuo anwt o"t B12 htta HTorMe RF" +



 +1  upvote downvote
submitted by ∗an1(114)
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aWs utoab to hcosoe sdaerecde nnstirrrfae cabseue I tcdn'luo ees enmehptseregdy- n.lrshetipou uBt BMEN ftoen ierts ot wtorh us off hiwt geuva mesgi.a So I erda n.aiga guhtCa eht ll"Iae oerscen"t.i Iorn itFs rB!o lIeum is 2B1 .probnostia 1B2 sustler in acllgstbmieoa aainm.e MNTF-H5 is a teps ni eniongvrtc FHD tnio THF. Iditbhnei ni acloitmlaesgb amnaie liek 12B dan B9 fe.d

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an1  lAso c,larel tath 1B2 is etsrod ofr nmay yre.sa os ispegnentr whit a edf yares aelrt (I areeg 01 si a mjpu tbu itsll) is an rtioindac too +



 +1  upvote downvote
submitted by ∗unknown001(9)
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woh to ulre uto niro def. ? nro i is arobbdes ni edunodme dna olmpxiar ejjunmu .

1b2 ni u.imle

shti wlil gvei yuo the esnwar

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madamestep  I cudfek yn:rtatbi In,ro ,elFato 1B2 +1



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