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Retired NBME 24 Answers

nbme24/Block 4/Question#3 (reveal difficulty score)
A 23-year-old woman is brought to the ...
Renal tubular acidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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submitted by โˆ—brethren_md(105)
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euqiseRr onwnkig woh to elccaluat an noina agp - okol it .up In hsit asec, it si a nrmoal naino gpa ctialmoeb ocsdis.ai wKon hte cmunsmeion MEUSDLIP dan ADRHS.SA Ranle Turlaub odscaisi is eth lyno narwes ehcoic ahtt is an lpeaemx fo a mraoln naion bomiclaet isidsaco.

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mousie  noinA Gpa: Na - l(C + 3)OHC = yllonmra duanro 2101- +5
seagull  dogo ot wkno. I kpee iolkgno up eth einru asluve tbu all ti adsi aws ,a"v"esri neht I herwt my ptmreouc nad eldely es"do taht ryav hMerot *.re***sF I do flee etbret .now +80
_yeetmasterflex  glad I nsw'ta het olny one how tog evry esdpis fof at teh uneri ealuvs +4
fulminant_life  Uysulal het istrf thing I olko at is rthehew or ont the lC- si i.hhg alneeGlyr if the -Cl si hhgi sit igong ot be a arlomn gap +9
henoch schonlein  i tkhni teyh geav ouy eht urnei laeuvs cb you anc clatealuc teh RUENI nnoai gap cihhw si (Na + K - Cl). In sthi easc eht nireU nnioA aGp is psiveoit (.)5 aosBdr dan donBey stneonim tath a toevpisi GUA si deu ot aelRn laTurub iscoAdis epTy 1 ibyai(ltin of plaah tainctreeadl celsl ot setcere nedyhgor .sino) stuj oaertnh aapcproh ot awenrs itsh q +23
270onstep1  lulytacA dararhie si eht D"" in SnRHe"Dora(sA"SA wyh I aws tkscu nebtewe Cosh'rn adn .TR)A dnedE pu tneiggt it tgirh wiht .R.TA +1
talha_s  oS het enasro thsi is not h'rnsCo sdeieas si ylutacal htwa BBn xslpaeni ni aeRnl blrTauu cidsaios d.eiov Ayemint teher si a iMacetlbo cisosidA wtih nctati edikyn sieotecnr of H+, het ARIRNUY nionA pga )N-Kl(a+C is VEGTAEI.N Tish si ebceusa het ecssxe NH4 tath is ecedrest onit ureni is bmidoenc wiht .C-l eeTrohefr, in nhoCrs' sdsaiee dna Tyep 2 aeRln lruubTa ic,Asdosi eth uarryni nniao apg si Nn.V EIEGAIT sthi isouteq,n eht uryirna niaon apg si SIPOIVET os isth dolwu be an exmlape of peTy 1 ART sueaecb eth ynkdie acn ont xrtceee .I+H ogt it ihtrg yb c,canhe ieleytnifd idd ont nddsaneurt ti ni thsi hmcu ldeiat nwhe I was sniewragn it oll +11
ih8payingfordis  FA 2091 pg 805 - 851 +



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submitted by โˆ—medguru2295(64)
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You t'dind larlye edne to aculatelc inonA gap. ehT icbbar swa ICTYENPLEAOXL .lwo athT si nlgerlaye TRA. d,alyAdtolini het lC aws rvye hhig ni the gtsnite fo rhoet anlmro eselotcytle.r lAao.,lddtiyni ti swa a s olw notes oev(r 2 eews)k kciogknn tou anym treoh ocsiche ,eaylctlS(ia accLti cdiso,isA D,AK adn lAhoicolc tdsios.)ecKiao

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 +1  upvote downvote
submitted by โˆ—abhishek021196(120)
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iUnre naoin agp = Uiren Na + K โˆ’ lC

In a mibceaolt sodiasic tiwhuot a rsume noain :gpa

A vtspeoii rnuie oanni gap sgestugs a low nauryri N+4H .(ge. rneal lauurbt assci)doi.

A aetgneiv reuni ionna pga egssgust a ghhi rynirua +NH4 .(eg. rade.ah)ri

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 +0  upvote downvote
submitted by โˆ—cocoxaurus(59)
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TBU hwy is eth urems pistuamos ?mlnrao

I saw labe to ronwar it dwno to RAT, secaebu onen fo hte tehor ewarsn cihecso mead hucm seen,s utb the mpsutsioa dah me edncos egssunig lemsy.f nCa nooemse epxilan taht bal d?ignnif kTnh!sa

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subclaviansteele  yM keat si htat she tno esrup diaiccot and het K is ta the owl n.ed +
nwinkelmann  see hte nctmmeo by z@ridb, ihchw nixpasel ahtt hte inure ninao pga is ominttapr (wchhi I took ot nrerpitte as oerm ntmrtioap nhat teh umsre K+ vle,le l,ol scebeau hte noamlr K rwhte em off o.to) +



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submitted by zbird(2)
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siTh npattie has as-TeiDtypl I TRA chwhi si eaixlpnde by alNrom remuS Annio pga 8() baoclMite icaidoss thwi reh tpsievoi niaryur naino p.()5+ag

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krewfoo99  hWy udwlo hte uiner uaPstmosi eb os ghih if it si pyet 1 ? htnodulS ti be ptey 2? +
drpatinoire  e@9w9koorf I hktni is't 2ART oanc(nFi don),rmeys he is ligosn all nisdk fo aN, K, lC hchwi udlsoh be eberobsard in CP.T +1
misterdoctor69  Dri@opi:erant ti an'tc be 2RAT aecbues hte nuire anino pga A()GU is svoteiip (+,) hcihw ilpmsie htat teh netitpa is ebluna to erteesc +H (vai +H,4N wcihh solepuc w/ .lC-) A2TR on teh roteh danh ahs a vinegeat -)( UAG eceuabs T2RA fseactf oyln the rlopimax lteu'sub batiyli to beosarrb rbctnaaoeib (i.e. H+ enecirots via 4NH+ in teh iltsad odceuntolv lbuuet is .ac)utenffde +



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submitted by yobo13(5)
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naC meosnoe xainepl hyw it 'ntac be roC'nhs niecs htat udwlo aosl esacu a onn MA?AG

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drpatinoire  If hes ahs Chro,n seh ahs aayerdl tslo a lto of K, H-3,OC neht het cnartysooemp ssetym 'todlwnu tle her pkee nsigol etyresllteoc in her .rneui +1



 -1  upvote downvote
submitted by โˆ—sherry(35)
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hrraiDea ni AAHDSSR can adle ot olitaecbm cdisasio as e.wll nO sncode ttuhgho I iddcede ot eakt ocnrh seidase zuc I irgeduf hte illcnica iectupr si eorm rniemettttin tiwh uitmosasp entir.bucssda I segus I tsju ernvitokh ude to eth ckal fo ohret yscpiahl mio.isntlaerab

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daddyyikes  otreh nhta eth tenpait ont ievagnh nya sxs fo ro'hsnc i ntdo ees nya aensor why tsi tno sc'.honr we iffedr hsro'nc and atr by eurni ainno a.pg in rnhcoci haroredai ti is eitegvna lheiw in rat tis e+v btu ni utonsieq eth ianno apg wsa larnom +



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