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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 biveele sith estm yma eb friengnir MEN 1 osydnrme - bessipol taingamros ceppt(i rcule aieedss dx,) roadrtipayh ,enmaoda adn riatiputy ndmaeoa uicgn(sa DAS)I.H Bu,t oyu ton'd ende ot enve wkno htis ot get hsit rgiht - stju gksian the etfcfe of gihh HTP no eht syetsm - suaces eesadncir cssatoelot yavicitt sa ellw as mntrtoauai.

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fatboyslim  ehT sosmmtpy fo sthi piteant ear ude ot reyachciemlpa nsse(ot, bo,sne ,ognsar NOSHTER rcdaenis[e eissri,}du dan riipysachtc )oee.ostrvn aeiHmpacceryl nac loas asuce iptpce rleuc i.dsseae So hte apiyrmr oyhltogpa is pordiyratah midaphlseaaoprnay/e ncausig hte yeaicecmhpral +6
beetbox  esoD oynena wonk aswh't pu wthi eht 'on anormseatbiil ni ehsmruu dDiXy'a?r tyeh ustj worth that ni rfo no oarse?n I gto dekhoo on ti, I uhtgoht rhete wsa on adrseecin aoossetlct tvii..t.acy irteeoshw eht aicotlcr eobsn olwud evha enbe lyodd niht ro sitnegmoh +4
topgunber  NME 1 - P P P . yhaPat,dirro nairapsegnr(tacs in htsi )a,esc uayipirtt oien.sl ton eyk ot nweignsra ihst ipn etsoqut. soemc hwit ysotmpsm fo em,iccaphralye aosn,m aonsrg, orstehn (nge,)epi chsyp en oskto.Lveoor ta hpt dna u.imcacl we ees ghhi ca and hgih h.pt eW onwk atth gihh cmaclui oldwu wlero h.thi.p.st amsen the high camclui was eud to het hihg pht .(e.i rdaaoityprh Qesuot)iodnmn aae si lcyatlau in:ksag what ear hte cffeset of TP?H a, c, oeosiptp of D THP nad E i ldieeveb ranet' reldeta ot HBonuST -dPs otmnshgie keli eth piseeogsahnt of s reFspaphaopyiydoudetmr-hi ew nfiletdyie nkwo taht HTP secrenisa aC , os by geancsinri osslecaott /yciiamttrntaotiavu oyu lirtbaee cluiacm iont hte .doblo tihs si hte tebs ra.eswn +3


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 +4  upvote downvote
submitted by ∗laminin(18)
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nac emeoons expnila wyh it ssya eh ahs na tatni'c' THP ..octioe.ntnnasirc ti to elt us know taht eht THP iacnrtcntoone si a etlurs of l gooyanptad?h twhsa' his ?xd ntskah!

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yotsubato  I wasre yhet mkae pu semo fo hist sffut. Like htwas pu ihwt eth hrs,tit niiat,urno adn tepicp clreu dsesei.as +9
redvelvet  ihlcraaeemypc nca escau nineopgrech bdetseai issupdni; so rhs,tit u.rinnotia eeiphmrcayalc can asol acues teipcp crleu .aissede iHs otsmymsp rea lla auobt yprceceiaahml ued ot dtahyrrahi.serymoppi +4
namira  preclay"mciaeH cna asuce eanrl oisundycfnt suhc as rheogicnpne istdeaeb sisniupdi I(ND,) tbu teh mhsencsami ndngeiyurl -clcnueyiimdaerecapdh DIN are not lelw srt neodd".uoewpeif8eitrh3(rwt9-l4x57an/tu)g0woi-a0cr/S0.-l/la./yt0sned3ntnl52i16/t:tko8 +2
dulxy071  hWy tn'ac teh orcterc wnresa eb C) chwih tsnoip sorawtd rnlea ,lefruia hhwci may edal ot nycsdreao ipmyrdthihsroapyear avgihn teh sema tsulers I veeible +2
pmofmalasia  heT areyscndo mpyarsoehprtydhiira in nrela elifura is ude ot lsso fo mlcicau in the no-ntiufniocngn ind.eky In htis snqiteuo eth lcaimuc wsa tedelva,e os ouy can erul tuo nerla r.lafieu +1
sars  Hepcrmeaia-cyl aceuss sosetn liu(cmac )stoe,sn sgrnao nttin(sac)opio, tesrnoh acinse(edr rni,uint)oa bseon (eanrisedc ecatosotls icoit)n,aatv dna sphciytacri osrteenov pnerdie(.ss)o +1
epiglotitties  btot@auyso olsa sa moonees edinomten in aorthne mcn,moet i itnhk trey'he gntihni thta teh px timhg vahe E.N1M ihartyaPrdo esp-rhalaypi iarphc,aymceel tautyprii adon-aem SAHID )rt(ihrnositt,nu+ia adn anceicratp -uortm iaosagtrmn pp(ceti uercl iaesesd) +


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 +2  upvote downvote
submitted by killme(14)
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eTh tnpocec gneib etstde is ath"w deos TPH do taht edsla to mlya"cacrheei pgohsd.jisb/in.e.p3ba:tP/igmtcpVK//

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yotsubato  ,ugh b.liulsth I asw gitrny to grefui tuo an ctuaal eadssei prscoes ree.h +7
rio19111  ist ayrmirp iaoesiyhrampptrhdyr aecsdu yb ahydtoaprri maoda.ne aiidtndo fo het pptiec urlce utgesgs gorZeilln ---tg;& M1NE ut b nneo of taht si mpi aucsbee th'ast nto athw htey ear ainskg. lAl they rae gnaisk for si the fouticnn fo H.TP +3
topgunber  MEN 1 - P P P . ydaortia,Prh aneatcrassp(ngir ni isht asc,)e ypitiraut s.onile nto eyk to wragesinn ihst o.qtsei nupt scemo iwht soytmpms fo ie,emchclrpaay ,saomn s,anrgo nseothr )g(epi,en hpysc eooevksoro Ln.t at hpt nda lcm.ciua we see high ca nad ighh ph.t eW knwo tath hgih caicuml lwuod orwel ..tthhi.ps nsema eht gihh mlicuac asw ude ot the high hpt (i.e. ihrdtyaapro Q dn)oantaeeousim is aclutyla :kangis what rae hte ecffset fo ?THP a, ,c peitopso of D HPT dna E i iledvbee ra'ten rldetea ot d n-soPSuTHB otismnehg ilek eth oheassetpgni of irphrpaamdFeidtsy- hsuopyoe ew tdyleinfie onkw htta HPT sirascene Ca , so yb nirnicesga tsatcseolo avatciintramtu/otiy yuo iaeerblt culcami inot teh blo.do tsih si het steb .aswrne +1


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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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nI tdndioia to PTH = eslotsatco iyivattc = ernidcesa uicc,lma hsti seropn lcuod salo eb nbihtigexi ssmmytpo fo NM.1E

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topgunber  EMN 1 - P P P . rPora,taidhy astpincne(rsaagr ni stih eas)c, tyrtupaii slion.e nto yke ot nengairsw isht p.ieosnq ttu csoem iwht mspysmot of maceia,ylchper am,son anrog,s tenorsh e)eipg(n, shycp eetrLonkov oos. at thp nad im.auccl ew ese hghi ac adn gihh th.p eW oknw ttha high icmlacu uwdlo lwoer .psh..tthi msena teh hhig ucmcali wsa ude to eth hhig htp e.i.( prihrtaoyda o eoninQateda)usm is ltcyaaul asi:gkn hawt aer eht sefcfte fo ?TPH ,a ,c ppioseto of PTH D dna E i edblveie a'tren ltedaer to PTsuHB-ondS stoenmhig klie eth pgesnhostaie of syihopayd-rtepihFopedursam we tfediniley kown taht THP sisceenra aC , os by anrniecgis ttcsolsaoe aicvntomiarytituta/ oyu eltierba lcucima itno eth doo.lb hsti is hte sebt wesan.r +1


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 +1  upvote downvote
submitted by rio19111(16)
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tsi prayirm yrmesiphtaoyrprahid decsua by itophrdyara aa.deomn indaitdo of the tpcipe reluc segstug oreillZgn -;t-g-& MNE1

ubt neno of that is imp scebeua h'satt otn tahw yhet ear iagkn.s All ethy ear aginsk for is eht uictnfno fo PH.T

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rio19111  S,oents n,sargo sohren,t riahycpisct netosvoer --t&;-g tsmpymso +1
topgunber  ENM 1 - P P P . odta,ryPrhia ipsra(tearscgann ni itsh ,case) aiuirtpty sielno. not kye ot nairsewng tsih qstuoi netp. eomsc htiw tmsopsmy of crepiy,lcaeamh nos,ma nagor,s osntrhe ei(ne,g)p pchsy tn.kosvooL oeer at tph dna ulmacic. ew see ihgh ac adn gihh .pht We nwok that ihhg cmluaci wdluo lorew hhst..ip.t menas hte hghi ucimalc wsa edu to eht gihh pht .(i.e yadoatrrhpi odeenontasQaui) m si tualalcy k:nisga hwat aer eht secteff fo ?PTH a, c, oeisptop of HTPD adn E i edblevei 'nater tradeel ot PS usBon-HTd msieoghnt like eht hesgaenostip of ahyrpeo-euipys doidtmshrpaF ew eindiyelft nowk ttha HPT rseiasnec Ca , os yb cnsirengai tooasstlce utrnoacvitai/timtay ouy atlibere umcliac noti the dol.bo itsh si eth tbse rwesan. +1


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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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Dsoe eyanno ownk hte iccseaginfni fo notomyec ?tyioimtl

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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Wtah ehepld em ot rweans thsi oen uqeti esilay was the nlogilfwo ialatern:o

crleyicpHeama + hghi PTH t&;g- apimrry" piathdpmr"yihsroraye

owH do ighh PTH elad to aiycheerplmca? rcaenisnIg oacsttleso att!viyci

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 +0  upvote downvote
submitted by ∗topgunber(68)
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ENM 1 - P P P . aoriPthadyr, cpeasrsitrnang(a ni hsit caes,) paiyuittr .senoil tno kye to naenirgsw hits etnqs.uoi

tp msoec hiwt mmtysosp fo plececyiaahmr, ,nasom ,rnasog hsrenot (ie),gpne hpscy rovset.eon

kooL ta pth nda liumcca. ew see ighh ac dan ihgh th.p We nwok taht ighh ilcacmu udwol rwleo t.ih..hstp easnm eht hhig cialumc saw ued ot teh ghih hpt .i(.e haodaptriry da)neamo

utoniesQ si yalautcl iskgna: thaw era eht sectffe fo ?PHT a, c, eiopospt of THP

D adn E i bveldiee re'atn deertal to PTH

sdn-BouS htongsemi ekli teh oasptsheegin fo hdmersuyatayephsrdopiiop

F- we yetefiidln nokw thta HPT isreceans aC , so yb garscniien aotscslteo cnatuaviatrmo/iiytt yuo iaeebrtl lciacum tnoi eht ldo.bo tshi is hte bste serwn.a

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