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Retired NBME 20 Answers

nbme20/Block 2/Question#7 (reveal difficulty score)
A 30-year-old man comes to the physician ...
Increased osteoclast maturation and activity 🔍 / 📺 / 🌳 / 📖
tags: endo PTH

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 +11  upvote downvote
submitted by cafeaulait(11)
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I elvieeb shti smte yam be finirrgne ENM 1 sdneoyrm - ssoilebp trsmanaiog (cptiep urecl eissaed ,dx) ydrtaporaih madao,ne and pituitary mendoaa gnu(scia DH).SAI ,But yuo no'td edne to enev nokw stih ot teg hist thrgi - ujts nigsak hte efetcf of ghhi HTP on teh metssy - csseau ecansider satsoletco iticytav as elwl sa anmro.utita

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fatboyslim  heT soymmtps of htsi tipetan aer edu to pcmarhclyaeei ,sote(sn se,nob a,rogns HRSNOET inace[dser ieusr},isd dan iphscartcyi evreo)n.ots mrlHaaeciepcy can soal acseu piptec crleu eiss.dea oS het rmirpya optaolygh si topirhayard hraopsdaym/ailanpee nsagcui hte cacmyielrpeah +6
beetbox  osDe oneayn kwno h'wast up with the n'o aalimrinsteob in rseuhum iDr?a'ydX htey tsuj wrtho htta ni ofr no rne?aos I tog dkhooe on it, I htghuto etrhe asw no ndaeseric asoeclstot ica.yt..ivt weehortis hte otrlicac sneob oulwd avhe bene lydod nhti or homsgenti +4
topgunber  MEN 1 - P P P . arroiPhty,da pen(cniaaatrsgrs in iths ea)cs, rititpauy sl.eoin nto eyk ot gawernins ihst qtsont. ipeu mseco with tysosmmp fo alcrcpm,eiyaeh sanmo, snagro, horntes en(i)e,gp ycphs .kooosv etneLor at tph nad aclcmiu. we ese hhig ca nad high .pth eW ownk tath hghi milccau odwlu rweol sh.th.ip.t senam the gihh iccuaml swa edu to eht hihg tph e.(.i aiptadrohry mnQait oesnda)eou is cuatally kn:siag htwa are the fftesec fo THP? a, c, eoistpop fo PDHT adn E i evbedlie enar't lrdatee ot Tun sHoBS-Pd sngomihte ilke teh aesoingptesh fo aisFtrpmde-ohihedspayurpyo we yietdlnief nkow that HPT isaecnrse Ca , os yb rnaegcsnii otaoltescs ty/itarottaiacinvum oyu rtelaibe ulcmaic otin hte o.dblo shit si eht sbte anrswe. +3


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 +4  upvote downvote
submitted by laminin(18)
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anc ooenems lpxiena hyw it ssay he has na a'itn'ct TPH ..onotreti.snccani ti ot etl su knwo htta eth TPH ocntiarotnecn is a eurlts fo tgohldnyao?pa whsa't hsi xd? ah!ntks

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yotsubato  I eswar tehy ekma up meos of hsti ts.uff keLi astwh pu ithw teh strhit, iau,nnrtio nad cetipp cleur esi.edsas +9
redvelvet  hlripeaycaecm nca aecus roenepgnihc itseadeb dsiui;nsp os ,irthst tu.nniiroa iayhecpmaecrl nac aosl ueasc ceptip cluer sesd.iea isH tmsymops are all uatob aleriehmcaycp edu ot phhaodmay.irpesrytir +4
namira  aplcyiaemcre"H can casue alern indcfoyntus uchs sa neoihpgrcen teidaseb spniidisu I,)N(D but het semcamihns gyunlnderi mhiedr-ldunieepccayca IND era tno well todue"n .drosnlw0/ifr7kt8e/S1tr0oxwecl/3/5hi6rtnwttn/-lata3)i:-2dita0y.-o09n(psgl84eeu.5 +2
dulxy071  yWh tcna' the crrteco eawnsr be )C hwihc ipntso rdstwoa rnael erai,luf cwihh may dale ot ydsrcaoen psdehropiamiyhyratr hvigna teh msea ltruses I bevieel +2
pmofmalasia  hTe oyndarces hpsphiiryordyaeartm in lrane uariefl si ued ot osls of cilaumc in het ont-unniofncgin ike.nyd In hsti ointqeus hte ailccum swa a,edtleev so uyo anc leru tou nlear uaf.lier +1
sars  eyaapcrmecliH- aseucs tensso alumcc(i e,son)st narogs tinnit,opa(co)s onersth r(iedecasn rin)n,atuoi onsbe aces(riedn tsooelctas ,ataoivni)ct nad ycrsctihiap veeortnos ne).resdi(ops +1
epiglotitties  y@otosutba laos sa nomeoes tneniemod in tearonh mnoctme, i htink re'ehyt hgintni atth eht px ihmtg evah .ENM1 draaPhroyti yhiapearlps- ieaachylmrcep, puaytirti oenaa-dm IADHS (+tnt)irshot,arniui and pacetaincr ur-tmo raitnmasgo pciept( ulerc saese)di +


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 +2  upvote downvote
submitted by killme(14)
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heT pcctneo gnieb esdett si ahwt" oeds HTP od thta aldse ot lr iec"eapchmyabtb..miajen//Kgt3g/poipi:sdPh./scV

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yotsubato  guh, hslliubt. I swa tgniry ot erfuig uto an uatcal sseadie rpcesos .erhe +7
rio19111  tis ypmirra imhyaaerritrpsoyhpd edusca by adtryropiha .emaonda aniddiot of eth tpepci curle gstuseg rilegnlZo -g&-;-t NM1E tub onne of ahtt si ipm seaceub tahts' tno hawt etyh rea ksa.nig lAl thye era skgain for si eth iuncnfto of H.TP +3
topgunber  ENM 1 - P P P . y,Porairatdh tsgerasnanpia(rc ni itsh ca,)se titpryiua sn.iole otn yek ot inegswran isth .tstpiuneoq emcso thwi smmotpsy of ccyihlap,emaer so,amn goa,snr nhtoesr (g)eiep,n sypch eoe stkoro.novL at thp dna c.ucamli ew see ghih ca dan hhig ht.p eW konw atht hgih mcuilca ldwou rlwoe .tps.hiht. mnesa teh hgih lcacmui aws ued ot the hgih pht e..i( rhdoytaraip )nQoutoaandeei ms si clautlya nkga:si wtah rea het stcefef fo PTH? a, c, itpsoepo fo P DHT and E i eelbediv 'rante alderet ot -BuPnsdHST o osngemith ekil eht snapgoeshite of stiiedradpohysuhmrappy- eFo ew yflneitedi kwon hatt PTH ceaesisnr aC , os yb nnarsgieci ootctasles crtyaiu/oaivitantmt ouy realitbe uiamccl iont teh .obodl tish is eth tbse aeswnr. +1


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 +2  upvote downvote
submitted by sympathetikey(1600)
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In nodiadti ot HPT = oosltecast vytitcia = israneedc ,malccui this preons ldcuo laos eb gthixeinbi tmyssomp of MN1E.

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topgunber  ENM 1 - P P P . ydahriPraot, rsicsnn(eagpraat ni stih )easc, riputtiya l.nieso ton yke to rieaswngn hsti t.qtinp esuo mceso tiwh tsmympso of iayhcpemrlae,c oms,na rgosna, terohsn ge,e()npi chpsy oske evot.noLor ta hpt nda cciaum.l we ees high ca nad hhgi pht. We kwno thta hhgi alicumc ouwdl rwleo pht.th..si enams the ihgh imaclcu asw ued ot the ighh htp e(i.. arhadtiypor dnn)eumoiQt saeao si ctallyau sikga:n hwta rea eth fefetcs fo HTP? a, ,c poietosp fo DTPH dna E i lvidbeee a'tenr delaret ot ouBHPSdnTs- tiemsgnoh eikl teh pniseshetoga of rihud-ehmrpassedpti pyFoyao we etdenliyfi owkn ttah HTP eescniasr aC , os yb nngsieraci taestcolso antotcai/uyvtrmaiti oyu belriate ciacuml toni eht o.obld ihst si teh bste anwre.s +1


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 +1  upvote downvote
submitted by rio19111(16)
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its imrrypa edaiaprtrrimhoyhyps uasecd yb ohpriraaytd menodaa. diodnait fo eht ptpcei ecurl gugtess eZorlginl g-;--t& EMN1

but nnoe of atth is mip usacbee 'shtat tno hawt htye ear sgn.kai lAl ehty are gaiksn rof si eht uotnfcni of TP.H

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rio19111  nts,oSe o,nsagr sornet,h itcyahicrsp voesetnor g;--t&- oymtpsms +1
topgunber  MEN 1 - P P P . ,radrtPyaiho cepaiganrastrns( in ihts eca),s yrpittaiu eln.iso nto yek ot swingeanr htsi .ouqnise ptt oemsc ihwt ytsmmsop fo rcalhyempaei,c msna,o a,gnrso nthsero gnep),ie( csyhp soo kLovr.etoen at thp nad .cculima we ees ihgh ca dan hghi .pht eW okwn ahtt ihgh mualicc loduw erolw .phtts.h.i measn het ihhg umclica was eud to eth ighh hpt .ei.( yradhotrpia udeeQn)siomoaant is caluyatl gsk:ain ahwt rae teh effctes of PHT? ,a ,c tesoippo of TDHP and E i veileedb ae'trn edtreal to TP-SHsBd oun metsigonh lkie the soianhegespt fo oda eiuoepytsrFsidhhrpm-ayp ew yineliefdt onkw hatt THP ceirasnes Ca , os by ncngsiaier csaolttoes aotiayicutnivtm/atr uyo aleerbit cuacmli toin the .boold hist si the estb wsnera. +1


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submitted by nwinkelmann(366)
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Dseo aennoy know eth iifecsiangcn fo cteymoon ymlttiio?

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submitted by arthur_albuquerque(1)
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tahW hdeepl me ot aswenr hist oen euitq aisyle asw the linfoolwg laetirona:

rpHaeeiyaclcm + ighh THP t;g-& i"prmyar ahryeimprop"ryatsdih

wHo od hhgi PHT eadl ot eleaa?hcyirmpc Irisegnnac sesolctaot vtatiy!ci

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submitted by topgunber(68)
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NME 1 - P P P . ar,ahoPrityd engrpa(acnitssra in tsih ,eas)c urtiptyia leosi.n tno eyk to innagwser siht tsquoie.n

pt cemso htiw tspoymms of mcaephyr,aclie noams, nogr,as nhreots e,)p(eign hpscy sovet.reon

ookL ta hpt nda .clacuim ew ese ghhi ac nad ihgh ht.p We knwo that hgih alimucc woldu lorwe .tphh.i.st mnsea eht ihgh ulaccim aws ude ot eth ghhi hpt ei.(. iyarhradpto mo)eanad

usiQonet si atlycual gnis:ak waht rae hte etfscef of HPT? a, c, seopopit fo PTH

D adn E i bdeleiev te'anr related ot THP

oSds-nBu ehtgnsiom keli eth oethesapnsig fo seyitoysaedpahopurmprdih

-F we eftdyneili oknw hatt PHT snecsaeri Ca , so yb aineingcsr alooestsct anrtymituttva/oiaic you lbreieat limuacc iont eht b.lood shit si eth esbt rsaenw.

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