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NBME 23 Answers

nbme23/Block 4/Question#28 (reveal difficulty score)
An 18-month-old girl is brought to the ...
Decreased sodium bicarbonate reabsorption in the proximal tubule 🔍 / 📺 / 🌳 / 📖
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 +28  upvote downvote
submitted by ∗seagull(1933)
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sThi si a eytp II nlaeR rlbauuT issAocid. yM acleiMd hlScoo reevN tahtug iths ot e.m Did uoy asol og to yvrtoep mde oochs?l m'I sdesurrpi heyt veen aevg us eitlot apep.r

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mousie  aahh mine itdd'n erthi.e tuB ethy ulsluay evela tuo otsm ihgh eydli foni o,s ot eb pcdxetee I s.sgeu +12
yotsubato  I nitdd vaeh oyspyiohlg in ym cdlemia ch.lsoo Neno, iz,p rezo, on.en roN ddi I ehva eh.mobic yTeh adsi uy"o nerdlae all hsit tshi in rg,duearnd lyoul zemrmeio ti naaig rof ptes 1 and grteof it ltm"ppory dna hent sjtu edmov .no +9
jcmed  In eht baiCnarbe athts 1 tgihn we were ie..vgn. oslt dan lots of litteo appre +5



 +20  upvote downvote
submitted by ∗smc213(169)
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oT eb elmepotlyc elra!c

hsiT tanetip ahs snytsisoCi a erra mlotuaaos vsesicree soosalmly rsgotea odrersid nad omst ocmmon ecsua fo anoFnic moesdrny in rdinle.hc sssyoiintC si imesstyc nad dseal ot ytncies slcatyr dipetsso ni sellc dan susiest hurgotutho teh o.bdy

hhlAugot sinoslW aseeids cna dlae ot FS, teh ctlayrss ni eht rocsaen esdo not recetaolr hiwt lnoiWss sedeia.s
Mr eo fno:i m61bM/c.vpe:rn/htliiw.tsh4.w/ncn8om.c1C40sgt/wP/pi/al

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highyieldboardswards  Tkhna u!oy Yuo are a egndle rfo iugfgrin ihts t!ou +
paulkarr  praApeceti you. +
drzed  And evne fi ti aws olsinW ai,eedss it uolwd hvea teh etxac mesa ennecqcesuo diageln to aFiocnn .omysednr +3
abhishek021196  aiFnocn eyosdrmn bre enaroesaineztoiplrGd detecf nTiP C rniscexrcIeo=tedna  e m anioof d,csai OsoegCHcu,l 3 – , nda PO 4 –3 dna , all euortdabbessecbarsn s yb M yaTCeth P dlae blttc amooei lcxd amrisoii(aosp pethroeheoan)a RTyosi,spatipyrHAi hdeotm,pea f(cte,g edse lWsnoi ryeegnceot mssiagia,oynils,ed e)gsede ,aasoirst u hietcllpamim,eis s/h esdim,teegyuxgn mnap(olor,or nadl, eiioscisfpf)ai,mt inielgod.na ops r,uPao ily lrnae utlubra iadissoc etyp II, rhogtw atl,ecoyeerli rtleuf neasmclai,b soiappyehtopmhch rikctes = cnoa niF drsnyoem ll(iteump onmidebc ntncdoyiusf of toeilamxp rh cvootluend t)ulbeu. +2



 +7  upvote downvote
submitted by ∗lamhtu(139)
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To eb evne aer,rlce tshi sodnsu klei anFicno mdyreons, wihhc has dlea ot Tepy II ART

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 +5  upvote downvote
submitted by ∗sympathetikey(1600)
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yeKs were :hte

raoi-lucGus

ai-rstaPuphoh

nm-oAi aiucarid

esohT oldhus be brradosee-b yb hte TC,P so if h'yeter n,ot yTpe 2 AR.T

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lamhtu  To eb vnee ,elreacr hist ssodnu kiel c*nFi*oan ,dysoemnr hihwc sha elda to pyeT II T**RA +12
yb_26  oT eb nvee acerl:re lisnWo eidaess t;=&g Fcnniao emdrnyos ;g=t& ytpe II loxi(m)pra ATR +
charcot_bouchard  To eb vene aecr,rel uyo all heva bnee terytp erlca +
charcot_bouchard  To be vene ,aelecrr yuo lal veha eben peyrtt rclea +
yng  I ntdo' nhti shti si oWilns rpepco( in cesedmte arley fo .cnre)oa sThi is cstisnioys crtas(yl in hte crae)no g;-t-& oaciFnn mnoyedSr ;&g-t- pTye II (CP)T R.TA +



 +3  upvote downvote
submitted by ∗nor16(70)
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sutj nowk weerh teh big fftus / nmarttopi fsutf si debe,sorr ti si the TPC. oN nede ot know TsRA ...here

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 +1  upvote downvote
submitted by ∗asharm10(37)
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phohsaPte si wnod tath nsame nmthogsei is ngrwo tiwh PTC, then non nonia gpa isciosda htta measn oabcibantre is not igbne ,soadebrb csaluoriug giana CPT os tsuj sue ryuo iranb nad cehsoo ecasrede noaieabbrct sopnbierorat ni TPC

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 +0  upvote downvote
submitted by ∗agraham416(5)
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I t'ond tikhn yuo nvee dah to wnok tahw ssaieed hsit aws, ebsauec I n'.iddt I edincto tath teh ikd aws gilosn a tol fo tngsih ni eht ,eirnu os eshe'tr labopbyr mnthoesig orngw ithw teh eiyn.kd enO fo eht amni ucnsiotfn fo hte eyknid si to iheert saorrebb raicbb nad csnie ehs ahs a beplorm rrsibebogan a olt fo ehrto uff,st I jtus dugrfei aclk of cribba rbianeotpros amed hte mots ess.en

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 +0  upvote downvote
submitted by ∗titanesxvi(106)
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hwy not ecseedra AC ityvtcai in eth iromlxap etu?bul thsi slao ocudl leda to ilboatcem s.ioaicsd

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ergogenic22  cioanrbc edrhanasy irthobiisn cna aeusc eTpy 2 tRATbu it si nto eht secau heer (ssny)ocitsi +
doublethinker  ,Yahe I iads CA ot.o reolmbP is ttha AC nydcfiicee otnu'lwd lead ot ckal of rtsnabiperoo fo all the snoi lit.dse +1



 +0  upvote downvote
submitted by ∗charcot_bouchard(574)
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A seac fo canoiFn mseynrod. If ti aws laiotsed peyT 2 TAR otionp B wuldo be the rnswae.

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 -1  upvote downvote
submitted by ∗yb_26(315)
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sniWol eesidsa &g=;t coFnian ydsomenr ;t=g& oametlcib iiocsasd t(pye II ima()xlrop T)AR

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