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Retired NBME 22 Answers

nbme22/Block 3/Question#6 (reveal difficulty score)
A 50-year-old man is admitted to the hospital ...
Intracellular [Na+]: increased;
Intracellular [K+]: decreased;
Intracellular [Ca2+]: increased ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by โˆ—titanesxvi(106)
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pheo ihst mgaie ehlp ot adestndrun t,i eht ppums nt'do wrko ceusbae alck of TPA

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an1  trtaD.raS pnaeilxs tshi ylaelr u yw.ellarsmm: noprinoT tdseuio het clle msnea ttah the eemnrmab umts vhea eenb gdeaam beservie(rlir daameg) rfo ti to keal otu. ihTs aedls to alriefu of the N/Ka TesaAP up.pm Na bisuld up inesid adn warte lsowflo cnsgaui fruhrte llec silewlgn enrmemab m.aaged Ca lsao iusdbl pu e.niids K lwil iuldb up dsueoti eescaub sit rmlnlyoa espuodsp to be mpedpu in tub het pump is ebr.okn oAs,l alcelr mfro AF htat piHaaelremyk is nsee iwht OD B;LASSB llec slsyi +2


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 +5  upvote downvote
submitted by โˆ—dodgerslakers15(22)
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In lalecrul e,isamihc hte aKN++/ TPsAea mppu pstos iwngork edu to eedcredsa TAP l.sleev eCsuoten,nyql smdoui si nto ppudem uto adn oitpsmsau is tno uppmde ntoi the ,lcle ldneagi ot an mulcutnoaica of sudmio ni the clle dan suiatpoms osutdie het .llec tmerhrFure,o het acspcilasmro lmuructie PCseaa-AT mpup silfa, hciwh aleds ot an anrsicee ni accmliu in eht cell.

tmoBto nli,e hisemcci utsi:se heret si a udilpbu of omsuid adn umcliac in teh ellc.

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madamestep  I loas leik to ebemremr stih avi teh cfsfete htey ecu.as owL APT โ†’ aN/K TePsaA atcn od tis tgihn os oyu etg aN etfl in the el.cl etrWa sfloolw Na โ†’ Cralelul lesw.lgni aC2+ APseaT antc kwro nugidr an ,IM bermemer ttah oyu egt rnatncotoci csrsenoi in a ESIMT igundr usrho 21.-4 otiCnoacntr is rfom eht eisraednc .C2a+ +


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 +1  upvote downvote
submitted by โˆ—oznefu(22)
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I egt taht hte swnaer is tceorcr rfo a vrseeirlbe juyrni wheer ereth is cell ewlingls eesbuca fo eth daiscenre nriaulealrctl +Na adn 2+aC ude ot raimdeip /NKa and cmiospslarac retimluuc tvicitya ...

uBt if rehte rae dcseriaen acridac yzemens in eth boold idatiginnc llec detha nad ebmrneam ,eagmad wtondโ€™lu hte unlilclaterra lotlrtcyeese eb lwo enics thye are dearslee toin eth bldoo?

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lord_voss  oopntrni = irslevebreir uyrnji nda mrenebam gemdaa >- gihh rxlecarultela tnraenitnccoo of Na+ adn +a+C suaesc obth to emov tnio llce rughtoh gmaedad anebmmre nad ghih ltrnrluiecaal +K elsave eth lcel +13
rogeliogs  etinusQo is agknis btoau the ecagsnh ni teh syoeycrtdacmoi nda my onscde npotieenrttrai wsa atth yteh aer nasikg het nehagcs brofee hety uuet""rpr adn irelbaet iehtr oentcnt ni the olobd prcndugio craeisne zsynmee in eht t.pnaeit eTfrheroe euscabe si a iceimsch pcssroe = uorendcti of O2 = wol ATP = mimrnaepit fo /KaN sPaATe = eisnarec -sdarNeeaec K nrcuetllalira = lcokb a/CaN eexgnhrca = ranseeic Ca c. ulhlenaleiratrt smae etefcf as xniogdi +5
allodynia  hWta lilw anphep to aN dan ac crtinaonnctoce nweh htere si na brsrleeveiir nru?yij +
baja_blast  oy@ndailal haaoPmt .pg 4 ahs a rylela good msayurm of i.hts nI ,tsorh Na+ and C+2a obth eencsiar llyaiturcllaren in na lbrsreeiievr u.iyrnj +


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 +1  upvote downvote
submitted by delamj(3)
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I oguthth tshi aws a yrtpte odog ymsuarm fomr iaiedwipk.

tepSs 1-4 linxape eht eu:oisqnt

  1. cLak fo xegnyo essuca het codi']eyco[tsryma aonlmr sercosp ofr ankgmi PTA rfo yengre ot flai.
  2. eTh lecl hwtcises ot aceibaorn mtelasimob, iogrncudp ilctac .adic
  3. AtlrPnaei-T noi srorttpna psmup ail,f gcuisna het elcl ot meocbe raz,idoleepd agnlwilo ,ison indluingc calcium ,a+(2C) to olfw tnio teh lec.l
  4. The ino msupp acn on gleorn satrorntp muaclci uto of eth ,lelc adn ulcaleartirnl iucmlac vlslee tge oto .hhgi
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 +0  upvote downvote
submitted by โˆ—mtkilimanjaro(18)
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onhtAre ayw to hnkti ubaot htsi si ujst ahtt dcseadere O2 elasd to dtninycsfuo of hte /K++aN sPAaTe as tseorh heav dtoiene.nm

isTh is etrpty chum adnilceit ot hte eshmnmiac of i,digxno hciwh kobcls the Na/K seTaAP adn ulcciam lsamccauteu ni the cell bcsaeeu it cnta eb ecdxngahe for teerlalacluxr +aN cw(hih is tno ilrclltreaaun ued to ifeceedtv KNa/ eas)TAP

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 -4  upvote downvote
submitted by โˆ—sbryant6(205)
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fI uyo wkno eth AOM of gixniod oyu dolhsu eb beal to etg isht euioqsnt i.thrg

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sbryant6  ejttrs:tihelp/a/rimgyguscstco-mibciadootDceludmsnp/pfoemp./thl.i/.onswi +


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