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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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hiTs is a ptye II nlRea bruuaTl Adsi.osic My lMedcia oSohcl vNere hugatt ihts ot m.e dDi oyu oals go ot eytvpro emd ohcls?o 'Im duiesprsr hyet neve aveg us otitel p.raep

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mousie  aahh neim tdd'ni ie.hret tBu ehty ulyslau lvaee uot smto hgih idlye ionf ,os ot be dpxeteec I ugsse. +12
yotsubato  I ddnti ahev sglooipyyh in ym eldciam .sholoc en,No ipz, ozer, enn.o orN idd I veha omhic.eb heTy dasi y"uo eerlnad lla sith tihs ni grdanrdue, lylou ierzeomm it agani for setp 1 nad ftogre it rloytpm"p nda hetn juts emdov o.n +9
jcmed  In teh eiaanbrbC tasht 1 gniht ew wree .gnei..v lots nad stol fo otleti eappr +5



 +20  upvote downvote
submitted by ∗smc213(169)
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oT be ctoeplelmy erla!c

iTsh taenpti ahs yinoitsssC a arre tasmaoluo vsireeces saolylsmo esgator rrsedido nad tsom ommcno ucsae fo anocinF endymsor in hnidcerl. isCystinos is systemic and aldes ot ecityns tsyalrc steopdis in lscel and steiuss utrhhgouto teh dboy.

tlhhouAg lnoWsis adessei nca elda to SF, eth ssyrtalc ni het rsaecon oeds nto atlecrreo itwh ssnWilo eesi.sda
Mroe f:noi mcMicwCis.ptP/////t4m.:twb1l0n/hahecv8p.nw1nir4ogsl.6

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highyieldboardswards  hknaT oy!u You rea a dgnlee rof fguigrin ihst uto! +
paulkarr  atpecierAp oyu. +
drzed  dnA neve fi it was olWisn diseae,s it luodw hvea teh ctaxe same sonqceuenec ilnaedg to ioncnaF rd.mnseyo +3
abhishek021196  oFanicn msenyrod nepiearsnibeor rlGeotazd cdtefe iCTP n cxIeoan=reedcsritn e  amionfo sdci,a soe,HClucg O 3 – , and OP 4 –3 nda, lla nbe sebbtosarcdasuers by ThCM teaPy elad oatlmetoi bc imaclio(poadsis rx o pH pe rhehotstTseayaiorh)Apnyid,mpoatReai,e ( es,cegfedt lnsioW aassy tisrgey,cneei,igonle dmo i asas,reodte)gse paeei,ctilisumm hl moedexu g ore(lr/ont,ima,pygshns mcid)po,nfsli atfi,aeis ns oapi.ldingoe ,oi auyrPl earln ubualrt isdiosca etpy II, otrwgh uelrfteleocteryi,a l ,lasineambc ppheyootimcshpha ciekrts = nFcain o nersdyom pel(umlit iendbcom dsyntnicfou of oeiap lxmhrt couetvnlod .bluu)et +2



 +7  upvote downvote
submitted by ∗lamhtu(139)
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oT eb neev re,reacl htis usosnd eikl cninFao ndmyoes,r ihhcw sha ldea to ypTe II TRA

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 +5  upvote downvote
submitted by ∗sympathetikey(1600)
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syKe eerw eht:

uGrliuso-ac

uohapsPrtia-h

omn-iA raicdaui

Teosh luoshd be erdobbsre-a by eth C,TP so fi hee'tyr nto, Tepy 2 ATR.

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lamhtu  oT eb nvee lrca,eer ihts sosdnu klie Foancn*i* ndyms,reo hwchi hsa dela ot pyTe II *T*AR +12
yb_26  oT be eenv e:erclar nsiloW deisase &t;=g ncFaoin orsmdeny =&t;g ytpe II l)(roiampx TAR +
charcot_bouchard  To eb nvee e,cealrr uoy lla aveh eebn petryt ralce +
charcot_bouchard  To be neev ac,reler you lal ehav ebne etprty clare +
yng  I dotn' htni isth si noiWsl (prpoec ni ceedtsem eyral fo nreoac). hTsi si soiscsyitn l(csarty ni eht )eaonrc t;&-g- cnoinaF rmSonyde -;&-tg yTpe II (P)CT ATR. +



 +3  upvote downvote
submitted by ∗nor16(70)
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ustj wonk werhe the gbi sfuft / pamnirott fsutf is rr,beesod it is eht T.PC No deen ot nwok TRsA .here..

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 +1  upvote downvote
submitted by ∗asharm10(37)
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ahphstePo si ondw atth asnme nstomgihe is grwno wiht ,TCP ehtn nno naion gpa iadsciso tath msane oabbnitrcea is ton bengi rdsobbe,a uoilgcsuar iaang CTP os ujts use uroy rnbai adn ohceos edascere rnaicbbotae sooeartrpnbi in CPT

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 +0  upvote downvote
submitted by ∗agraham416(5)
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I otn'd thkni yuo evne ahd to oknw ahtw dseasei iths ,was aeeubsc I ddi'.nt I iocetdn ttha the kdi saw iosgln a otl fo intghs ni teh ier,nu so 'eersht oablyrpb snoghtmie nwgro iwth eth ny.kdie eOn of eth iamn cniftsoun fo teh eiyndk is to hteeri borebasr abcrbi dna niecs she ash a ombrple bigoasrebrn a tol of htoer fuf,st I stju edgfiur aklc fo iabbrc ibstrrnopoea eamd eth stmo nses.e

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 +0  upvote downvote
submitted by ∗titanesxvi(106)
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wyh not eeaescrd AC vtciiyta in the polmrxia ueb?lut siht olsa lcuod edla ot libaoecmt i.iadssoc

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ergogenic22  raocincb nreadhsay isiobhtnir anc csaue Tyep 2 buAtRT ti si not hte aesuc eher ionssyst)(ci +
doublethinker  Yh,ea I said CA o.to Pmlbore si tath AC ceeicdinfy 'nwolutd eadl to aklc fo ritrposaebon of lal het nsoi idts.el +1



 +0  upvote downvote
submitted by ∗charcot_bouchard(574)
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A esca of ncaoniF nerd.yosm If ti saw eosdtial Tepy 2 RAT nopiot B lodwu eb the asnr.we

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 -1  upvote downvote
submitted by ∗yb_26(315)
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noWsil idassee t&=;g ancFoni syodenrm t=&;g coelmitab acodsisi tpy(e II mxaploi()r )TAR

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