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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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 +3  upvote downvote
submitted by โˆ—brethren_md(105)
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ueiRrseq ningowk how to aaelulcct na ionan agp - oolk it .pu nI shit ,seca it si a marnol niona gap actielmob isdioac.s wKno het nmimcsnueo LEUDSPMI nad A.SSHDAR lRean bluuaTr oaicssid si eht only aswren oicceh taht si na pexaeml fo a rnmola onian eoimtcalb ci.daossi

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mousie  niAon a:Gp Na - Cl( + HC)3O = arllnyom rdnuao 1210- +5
seagull  dgoo to nkw.o I kepe kilnogo up eht ieunr uvlase tbu lal ti idsa swa "vrias",e then I wterh ym percumto adn elldey "osde ahtt vray tMroeh *r*s.**eF I do eefl ebtret onw. +80
_yeetmasterflex  dgal I 'wsatn hte nylo eon how otg yvre epsdsi off ta het uenri asulve +4
fulminant_life  yUullsa eth sifrt tnhig I loko ta si eetwhhr or tno hte Cl- is .ighh lGrynleae if het C-l is ighh tis ognig to be a nolmra gpa +9
henoch schonlein  i hnikt ehyt vaeg uyo hte iuern veulas cb ouy nca caeclalut hte UINER anion apg ihwhc is aN( + K - C.l) nI tihs esca eht Unrie noAin Gap si ispvoeit ().5 aosdrB adn yoBden nsniemto thta a oietsipv AUG is eud to Relan ubrulaT doiAcssi Type 1 y(btiilina fo lphaa ntrceitlaead esllc to eretces onrdhyeg )oni.s jtus antohre pocharpa ot anserw ihts q +23
270onstep1  cllatyAu dhaareri is hte "D" ni SHAnsSD(AaR""oer ywh I was tcuks weenbte s'hConr dna TR)A. Ednde up nteggit ti tgihr wthi TR.A. +1
talha_s  oS teh noears shti is tno 'sohrCn sedsaei is latylauc htwa BnB sanlxeip ni elRan Turalub isasicod o.veid etynAim hteer si a tcoiMalbe sAdiosic with cntiat ikdeny tceiroesn fo +,H teh URRYINA ionAn apg aN)l+KC-( is I.GVETNEA hisT is beuecas eht cxssee N4H atht si creedest otni runie si incbeodm iwth .-Cl re,hfTereo in o'nCshr deeissa nad eTyp 2 naRle abuulrT csdsoiA,i eht rinyrua noani gap is TE.IA NVGIEn sthi oituqn,se eht aunriry onani gap is TIISPVOE so ihst luwdo be an pexelma fo yepT 1 ART abcusee eth yikned nac tno eextcre .I +H gto ti hgitr by eac,hnc tdeinfyile ddi ton uernatdnds ti in shit umhc adeilt ewhn I wsa angneswri it oll +11
ih8payingfordis  AF 0921 pg 058 - 518 +



 +1  upvote downvote
submitted by โˆ—medguru2295(64)
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uYo t'indd alelyr ende to lcluateca Annio .agp Teh abcibr aws ONICETXPLYEAL .low Tath si leryganel R.AT taAildlin,yod eht lC asw vrye ihgh ni eht ttenisg fo rehto onmlar teres.coltely t,y.dAloiiadnl it aws a s wlo oenst r(veo 2 )kwese igconkkn tuo nyam ohret eihcsoc eSy,l(acalti aLctic is,soAdci AD,K adn iolhcoAcl sas)teo.iocdKi

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 +1  upvote downvote
submitted by โˆ—abhishek021196(119)
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nrUei onina pga = eUirn Na + K โˆ’ lC

nI a ilcoeamtb aisscoid hiuowtt a umser nnioa agp:

A peiitovs nuier naion pga tgsseugs a olw nurraiy +N4H .(g.e alern rabultu .sdi)ascio

A aignteev unier naoin apg egsgusst a hhgi uariryn 4HN+ ..ge( .herraadi)

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 +0  upvote downvote
submitted by โˆ—cocoxaurus(59)
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TBU hyw is eth msreu mssoauipt n?mrloa

I aws beal to rnoawr it nwod ot TA,R escebua eonn fo the hoter erawns eoishcc made cumh eesn,s utb eht otmspasui had me dcneos suiesgng e.ymfsl nCa nooeesm elinaxp thta lba i?gfndin sanTk!h

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subclaviansteele  My aekt si atth ehs nto purse ocicadit dna teh K si ta het lwo n.ed +
nwinkelmann  ese the tmceonm yb b@z,idr whhci palnxesi tath eht ueirn aonni pga is apmoirntt hhcwi( I okot ot tteepinrr sa meor ttpmnrioa htna eth murse +K e,evll ,lol buacees the anmlor K erwth me off .oo)t +



 +0  upvote downvote
submitted by zbird(2)
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hiTs aeptint ahs eDits-yaTpl I TAR hciwh is ixdlepena by laNrom mrSue oAnin gap )8( teMlacboi aioisscd thwi erh toivepsi rrnuyai onani a+pg)(5.

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krewfoo99  yWh wduol eth runie osmitPsua eb so ihhg if it si yept 1 ? hloutndS it eb ypte ?2 +
drpatinoire  9ok9we@rfo I ihknt t'is A2TR Faon(cni ,er)nosdym he is onsilg lla kinds fo aN, K, Cl whcih dlouhs be bsarobedre ni PCT. +1
misterdoctor69  rt@:inapoDeir ti n'tca eb A2TR eabusec teh ienru iaonn gpa )(GAU is pstoiiev +)(, cihwh eplisim ttha het pnettia is nlubae to eetcser +H iva( H4+,N iwhch lpusoec /w -.)Cl TRA2 on het ethro dnah ash a eenvaigt (-) UAG eeacusb TRA2 fcetsaf noly eth iraolpxm 'sbultue iilbtya to oberbasr ataecriobnb ..e(i H+ noicreset vai 4NH+ ni het saildt ovnlouetcd bueult is )f.etnuefacd +



 +0  upvote downvote
submitted by yobo13(5)
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naC esonome iaxlnep why it act'n eb C'osnhr ensci ttha douwl oals acseu a non M?AGA

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drpatinoire  fI hse has hron,C ehs ash rleaady lost a lot of ,K H3-O,C nhet eth teaoyorpscnm tysesm ltduwn'o tle reh epek snlgoi ysteerllceto in ehr ern.ui +1



 -1  upvote downvote
submitted by โˆ—sherry(35)
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ieaarhrD ni ASDRSAH acn lead to iaelombct icoadiss sa e.lwl nO scnoed tuhgoht I ecdddie to take hcron eiedass czu I riufdeg the iiaclcln teupcri si mreo ernmtititten iwht saotuimps sr.ebtansicud I segsu I tjsu keivotrnh deu ot hte klac of oerht syhcaipl tie.aoamilnrsb

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daddyyikes  hoert tnah het inpeatt ton ahgiven nya xss of nhr'ocs i dont ese nay rneosa why ist ton .oh'srcn we irfdef 'osnhcr dna atr by rnuei naoni ag.p in nchoric raraoedhi it is ntvgeiea ewlih ni atr its e+v tub ni qseuitno teh oanin apg asw nomral +



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