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NBME 24 Answers

nbme24/Block 4/Question#16 (reveal difficulty score)
A 24-year-old woman who has diffuse toxic ...
Phosphate: increased;
Parathyroid hormone: decreased;
25-hydroxyvitamin D: normal
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 +30  upvote downvote
submitted by tinydoc(276)
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hTis eisnotqu is evyr s,ykaen but in cnesees this is tsahw nipgpneh.a

ehT diceatnacl vomarle of hte PTH nladsg gnrdui icrmthetyoyod ⇒ ↓ PTH

HTP ya i-omn-nl:lr bone: ↑ voamelr of ⁺C²a dna pehhPota rfmo -eno nbi- i:dyeksn ↑ C⁺a² nepbrtraoosi dan ↓ ⁻O³₄P r--tibe↑prn ooas envocnsiro fo 2,5 Hxrdvmtaiyoyni D ot 5,21 nvtrHiyxyodima D lcCtoalr(ii - vtieac )from avi ↑ tiiaytvc fo a1- srexoldHyay ecciydefin

eerohrfTe a ↓ THP udlwo adel ot:

⇒ ↑ ₄O³⁻P ⇒ ↓ ⁺C²a ⇒ ↓ 215, vodaHynmitirxy D

heT uestioqn is nkeyas chu(m elik the etrs of sthi amxe) ecubaes nsooeme owh sitn cniuogfs laeryl ahdr or in a hrsu igmht icpk eht tpioon C rehew papehtho si ↑ dan PTH si ↓ TUB ↓ 25 idnyaoihtmvyrx D

hiTs si ognrw sa ylno 251, dvnihyarmtxoyi D lowud be ec,dedaers teh cnvosiresno fboere tihs ear enod yb eht insk )huilgs(nt adn lier.v

I aylelr ihws tyhe oduwl otsp mnakgi eht snoiuqste sguofncni YRUPLE orf the aske fo inmgak ehtm isnouc.nfg ntIs it oungeh thta we heva ot kown htsi odiriluusc touman of minioafnt,ro uhtwoti ivaghn mthe inotnlniyetal gkimna ti arrdhe by piotngni uyo ot 1 srenwa hieocc utb niacgnhg a tuemin tiedal to ekam uoy wnsrae ro.gwn Or sginu a adormn ass cmeunolrenta rof a eadseis to ioadv iankgm ti too mepisl SGPN( = rerpo"laivtfie "G)N

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tinydoc  I yiarltell got htis gnwor ecusbea I had hte fton zmoedo in and sumdeas hte 1 saw on teh inle aevbo klie on rlwudo ehnw ti sriet to ussiqh eth heolw liett ni het amse speac X_x +1
hungrybox  loHy ucfk thye otg .yeeTmh mdoboe m.e ehT fickugn BENM mdeboo me. +4
graciewacie9  eAmn to het SPGN usotqi.en yThe tgo em on taht one. llo +
msw  eht gsnp tqseuoni si pniingt ot playrid trprfilignoae pgretulohoinmilsre c/b eth pt hsa eedolvdep uecat arlne rfiealu nhiitw dasy of eht iltusn +
msw  onintigp* +
snoodle  YLHO DGO MY BRNIA FLLIED NI HET 1. i hda to dare iths nitapxnleao 4 eistm to anylfli ese via-inyhyox25tmdr D dna ton .521, F U ENBM +3
avocadotoast  hsit bs is bopr wyh eht oiesqutn inst on tpse 1 oarenmy +
zevvyt  so inesc nseniovcor fo 52 &;-t-g 215- si ietudsprd , doulw 52 be hgh?i I know sti not na rneaws iheoc,c ujst rodngewin +2



 +1  upvote downvote
submitted by trazabone(16)
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nyideK mseka 125,- oxhrydy minitav D. (2ly5-d)h trroyoxliicca ivt D ilaclo)(dic si dame ni hte ie,vlr nda hormhyiioprsayadpt udowl not eacderse sit llesev sa ti asct ot eiesacrn apa-l1h holyyrxesda in het ekdiny ot rciesena liocracitl rtisnnntcaooec gt-&-; phsae/ahpotC oiopsnebrrat orfm eht bone adn sllma i.nettisne

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queezyfish  m'I cefnsdou tbuao the soappthhe velel ni itsusneoq leik htes.e ecradesDe tlolaircci wuodl easerced sahthoepp oniastrpob wilhe HPT crdeesea woelsr pahehopts otri.cnexe 'Im ngusiams atth the TPH cadseeer has teh etgrrea ctffee whit esumr posthepha l?leesv +2
mousie  HPT = Phhateop"s irsganth "rnmhooe fi THP si high tPhpsheao utsm eb lwo - eyht rea waaysl ipoopest lenus(s d/t eanlr ulieraf tneh tehPhsaop will eb gihh - kseydin lwil be aenbul to egt rid of astph)epoh o S wol aC d/t olw HTP osed ton eftfec 25 H. tVi D ... onyl 1,25 H tVi D evti(ac iiclt?)alroC +4
haliburton  oCcliinitraaf eabscue I asw c:ueosnfd PTH ismltsuate dinkye to pdoreuc )5,2(O12-H 3D lcciro(al)it vai r1oα-sxylhdeya in amrolixp ooevcludnt uel.tbu h,eereforT whtutoi rhtrpyaaido adsgln, lwo TH,P 2D5, si ton rtvnodcee and rehfoerte not dnow orln(ma or u.)p ashpthepo astdre""h yb HTP sa ytleolqnue datest ve.oba +1
zbird  erHe het raiyprm fdetce si gihh pu rofm hte adayitrhopr nldg,a ehrte is eedsdrce ro on PHT hchiw lnlyorma sesrhat shehpapot ubt nto in siht acse so esmru OTHPEASHP NCAERESSI and het rsume uaclimc si olw esebacu PTH shduol vhae dteevrepn teh riuen mcaucli so rheet si iualacirc nda on pnsirotoer form -eWOLbno ,ICACLMU aVDmi-nit si tendnepdine of THP os stysa NLAORM +



 +0  upvote downvote
submitted by dentist(94)
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Flloow eth amuicCl dan kwor c ↓aCsd.akwrba aemns ↓ Pthoeapsh otorierspn ni hte TPC c(hwhi supll Ca whit i)t

ohy-vt2riDd5 arlnmo b/c ist neleatudr to .TPH

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