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Retired NBME 22 Answers

nbme22/Block 2/Question#22 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Adenylyl cyclase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: endo repeat

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 +12  upvote downvote
submitted by โˆ—osgoodschlatter10(41)
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ehT rteroepc in teniqous si a G rtnpieo creeorpt on the uityitpra am.ss sThi dwlou eb teh GHHR .reetpocr eTh HG rcrteope lwil eb rpnsete oedsatnrmw so ttah HG esleread rmof eth itrpyatui can dnib ot ti (etehs rae SATAJKT/ tGHe)peRcr so.rH terrsepoc aer Gsยฌ pecsr.oter eeThs cstrepoer rae ondbu ta eth lushuntiba-ap to GDP in het actievin ts.eta nWeh RHGH nsbdi teyh itetaadcv wneh TGP tcasahet to teh slutpbaihnua- sieda.tn dnA eytrheb mopotorse yadnel lcsyeca yiPGsvte. actaiT si sepienobsrl to alcvee hits PGT romf eth laahp isnuutb ot ihscwt fo eth e.ertcepo erfoTehr a clak fo PseaTG vitytaci lwil rdrene he sG tcrreepo in a goenrodlp on astte ๏ƒ  ndsreIcae tiiytvca fo eydlAn lcseyC.a

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osler_weber_rendu  Brllianit pxnaatloien +1
skonys  Is ti less outba RHGH angihv a P3I oceryndsa ssrgaemne ro GH siugn AJSTA/TK nad omre taht we weer udseospp to eroengczi ahtt asG si a Gs ulodcep rpecoter dna Gs wsrko hruhtgo lnlyyAed ycslCa.e GTP nidsb to sG dna smut eb yeedltpshoarposh by a sPTaGe ot eb .nciaiatdve caBseue eth uortm lcsel alck hist tnin,focu Gs sstya lratphoysepdoh adn Ayneylld ayclCse ctneonsiu ot be davact?tei mI stuj ceufnods on fi oiwnkng eht ndcraeyos srmsenage ymssets vnee eatrtm or fi egaamrlcyo si wtornh in as a octrasrdit mfor eth ifaoirtnmno odd.pvire +1
weirdmed51  HG stโ€™oned eavh I3P resemgen,s it ash PcAM +
weirdmed51  HRHG * )s(orry +

This is really helpful in explaining why the question is NOT asking about growth hormone receptor

+/- qfever(67)

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 +8  upvote downvote
submitted by โˆ—hayayah(1212)
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otrhwG oenhmro ineeslgra hnoorem cast avi c-dGupelo peoserrct. G leuodcp cpetsoerr eden GPT ot ceombe eavdittca and aPeGTs ot meboce itevdai.ntac

No sTGea-P ;g-t-& icrnclhloya cvaiet gwtorh onmhroe genrlseai rooenmh etercorp t-g&;- nascntto caiaittvno fo ealyynld cclyase / PAcM wtpayah nda eeesrla of rhgwto ehoormn.

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mcl  shiT fgieru si elsfuu 00cmutsniind8p-c-gd7a6iFsrf.37:1at0/u6opd63..auip8g--2e-e10f900eaw/1/e7osa4gb14/abe25230s558/ceedf.-z2s621h/42lm7r +1
mcl  51as/654d()2e1-iuac6edns:0.w07573-fi6-pcdnt.l0-m6/gs8spm//[90adi.0ogeno1uf-/0k.ug]20zt-4i1bhc21/aae8r37a3e2b8rfeeFp4s7i22l +
meningitis  wHo ddi ouy kknow it aws GHHR nad nto HG e?ersp +4
meningitis  enim;drvne I utsj raed owdn we.lbo nhakT yuo +19


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 +0  upvote downvote
submitted by goldenwakosu(7)
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yWh si eth esnraw dnyeyall lycs?cae I dooelk in AF dna I asw thta HG esus eth /ASTAJ2KT aphwtay nda htta 1GFI- ssue het MAP sniaeK atpahw.y toN eurs who llneyady slyacec ylsap into tis.h

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pug_sheen  I ntkhi eyht rea iknlgat otbua hte GRHH ertroecp no oohtpr,oastms chihw kswro gtorhuh het PAcM wtpaya.h +
staygoodpupper  I tโ€™ond nowk woh it asreetl ot H-/GFG1I ni ,arplaurtic tbu eth unoteqis isda teehr was a nutoiamt ni hte lahpa isutubn of ,Gs hciwh cseiattva yndlleay .ceyacls +3
kash1f  I areeg eth tenatpi sode vaeh Aarcy,oemlg ubt in eht uoitnseq it edtlak bouat how the itnptae dha a iaonmutt thta rventdepe hte aPTesG ivacytit of .Gsa So Gs uodwl be avecteiorv ->- exsces elalnyyd eslcyac +31
hyperfukus  ugh i wsa so xtcdeie oot bc i ghtuhto i rmdbeereem kaj stat eiiplcaf +3
skonys  stoD'ne GHHR act uhhgtor na I3P eycnraos ?aemngssre +
xmen  hte oturm seescrte GH. GH tac via a TTJ/SKAA hwaPB ttyua. teh HG inrceteso si mtiulatdse aiv a HGRH oughhrt a sG. shT i sG in this tm'soru elcls si dtmuaet nda si enraetylpnm .tfcia os PMAc wlli icere.sna +1
weirdmed51  nsksyo@ HHGR ksrwo avi cAPM +
kcyanide101  nGHR si 3PI --- Rermbeme TAGO A?HG HRHG si ACPM meembrre FLTA PhACM +


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