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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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eTh etorepcr ni nutosqei si a G inoretp eocrretp no eth iptayurit asms. sThi wldou be het RHGH rcpeeor.t Teh HG retceopr liwl be enpetsr msondraewt so that HG daelsree from hte rpattyuii nca dnib ot ti esthe( are T/SATKJA eGHHsRpc.)oterr etepcosrr rea sยฌG eotrs.erpc eeTsh poercestr rae bnudo at teh uu-aiasplhtbn to DGP in hte vnitceai tsaet. nWeh HGRH ndibs ehty adtcevait nehw TGP taaehstc ot the iluau-hnptbsa idas.tne dAn rybehte oroesotpm edlyna cysecla TieG.sia attcvyP si iolspbrnsee ot aeclev shit TGP omfr eht palah ntuisub to ihtcws fo the te.opecre hrTofere a lakc fo GPaTes tivctaiy lliw nrrede he sG prerecto ni a porenogld no ttesa ๏ƒ  eeIcnadrs icyitvat fo deAnly acys.leC

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osler_weber_rendu  lniriBlat iaexptonanl +1
skonys  sI ti essl butao GHRH nhaivg a PI3 ayonscder emgensras ro HG ugsni TKJA/ATS and oerm that ew reew eussppod to rzeiongce thta Gas is a sG udcoelp rretepco and sG kwsor hoturhg Adlyelyn eCsy.cla PTG bdsni to Gs and mstu eb oypseraohhtdlpse yb a easTGP to eb icnatide.av eaesBcu het uotmr lcels akcl shti nofit,cnu Gs sstya ylsoeahhtpdopr nda nlyyelAd scCeyal outenncis to eb ettaa?dvic Im jtsu fedosucn no fi kngwino eht dyrosaenc egnsearsm tessyms enve aretmt or fi craylgmaeo si otwrnh ni sa a orrttscadi mfro hte ofaiontinmr opedvi.rd +1
weirdmed51  GH osโ€™ntde heav 3IP ,mrgsesene it has cPAM +
weirdmed51  HGHR * rryo)s( +

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

+/- qfever(67)


 +8  upvote downvote
submitted by โˆ—hayayah(1212)
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otGwhr neormho eirnalseg rnemooh tsca avi dp-ueGlco eorep.tcsr G dlcuepo eoseprctr ened GTP to oecbem vaatitedc nda sTGaeP ot omceeb evcanaid.tti

oN sT-PeGa -&g-t; cohlcyinral ivcaet trohwg ooenrhm eealgsirn henrmoo epecortr -g;-t& nnoattcs aonatvctii of lyeyalnd ccsleay / AMcP ayhatwp adn seaelre of whrgot o.nohrem

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mcl  Tsih fgeuir si uufsel /67i25w1dsdop28f1F.0ueanlegdgntc7se4frt.r/o80.p6he-75/5ia:0e0-sm9-ms86s0.ga-/z2a76-ei2/31323-2ccd40u10a4bei/b1pauf +1
mcl  i1r-8a0np/nk36/3eep0-7uo0s46.(b8d0uw4/-ss255z-b-aie22e0df:mtsag1da2/3ee1inrg7a6phi0Fse75192[6o-c1lad8f]0c2cm4l../tfgiu7)/. +
meningitis  Hwo ddi yuo wkkno ti saw GHHR nda ton GH sepre? +4
meningitis  rnenmd;eiv I usjt arde owdn bw.elo Tnahk oyu +19



 +0  upvote downvote
submitted by goldenwakosu(7)
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Wyh is het swearn dnylelay acyec?ls I olkedo in AF nad I aws atht HG uess teh JSA2ATT/K aphwayt and atth 1I-FG sues teh MPA neiKsa hp.wyaat Nto reus owh ylanlyed yccelsa pysla nito sith.

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pug_sheen  I ktnhi htey ear ntkiagl atbuo the HHGR pcertero no shtaors,tmoop hcwih krsow hrhutog teh cAPM ah.ptywa +
staygoodpupper  I tdonโ€™ nokw who ti reelsat ot -FH/IGG1 ni rpcutlai,ra btu eth tesnuioq dasi rteeh wsa a anittomu ni het lahpa uutbnis of ,Gs hihwc ettcsvaai lyyedlna cyecl.sa +3
kash1f  I reage teh tinatpe oeds ehva o,gleaAcrym tbu in het uoetnsiq ti taklde toaub how eht aetptin dah a iutmanto ahtt eenedtprv eht eTGPsa tvciytai of .asG oS Gs duolw be eivctrevoa --> cssexe eyydlaln salcecy +31
hyperfukus  ugh i asw so cexeitd oot cb i ugtothh i emdbrrmeee kaj ttas elapiifc +3
skonys  ets'Dno HRGH tac uhhortg na 3PI ancroyes smreseg?an +
xmen  hte otmur escerste HG. GH tac vai a KA/SJTTA hyBuwta Pta. eth GH etescroni si iueatlstdm aiv a GHHR uhtgrho a s.G hTs i sG in hits so'urmt leslc si mutatde dan si anpmerelnty itafc. os PAMc lwli ecianrse. +1
weirdmed51  @kssnoy HGRH kwrso via cMAP +
kcyanide101  RHnG si 3IP --- membreRe TGOA A?GH HHGR si MCPA brmereme ALTF AMChP +



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