NBME 25 Mitochondrial crystalline (NBME Answers)

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Retired NBME 25 Answers

nbme25/Block 1/Question#18 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Mitochondrial crystalline 🔍 / 📺 / 🌳 / 📖
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submitted by yogurt-dimple(3)

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mA I zacry, or sedo eht tqsoieun tems iplym atth shit aws ndetihier nyltp?leaar

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raspberry-muffin nI sthi uitnseqo suodns liek niteerdhi raaetllpny , utb sith mcselu oiybsp nmrcfieod itMonodilhacr tnrnieeiha.c celuMs :ioypsb uhmtnyoiommetrshicsI lyyalcpti oshsw gerdag red ie,rbsf wihch ear saedcu yb lamousem-salcbr dan fliritbami-ornrely aticmuuocnal of etdfievce nitrdomaocih in eslumsc o(ihmctodrnia asnit ).dre braoPybl eMhrot ahs teh mesa idncnooti .oot +

yogurt-dimple t.cGoah e,Yha eth edr grgdea bsifer dietpp em ffo ot ldtnrihiaoocm myth,ayop tub ebuaesc eht tsem eimdilp nalreatp inat,ireehnc I ferdiug reeth saw sujt etrnaho edesais I dha efonrotgt bouta that sntprsee tihw me.th +

drdoom fnyurermbaf@sipr- 'mI ont onednvi.cc It si lyighh keuinlyl teh BNEM oulwd triwe sith usteoinq nda epxtec you to a"ssum"e mmo hsa iidootcnn whuotti gkianm yna nteoimn fo mo.m u,lsP it is sympil ihhgyl earbobmpli htta ahypmoty si tnprees ni btoh omm adn dda ile.gena htTa smees fof ot em. +

drdoom oulyrgmt@ide-,p I khtin hist a yek ienl in teh nnaoaxelpit: ee,o“wHvr reeht rea nadoiladti antmoitus tath efctfa tanirodoimlhc NAR tnoaasin,rlt tifnfgikarc nda rtooinocnaipr of oriseayrptr reiopnt mxlscoe,ep dna aenemiactnn of het iernn ladhoitriomcn bemaenrm atth cna lsao lead to inootrdhlcima th.ao”ympy +

drdoom ,Yse htye a,sy "onhalcrMtoidi adisssee aer stctilyr dtrnieihe huogrth eht ertm"oh utb sthi si otn a nhmitliodorca aeidses — htis si a dohc-"vo–dnarintimee"olrdni ioaohcmidnltr hyo;tympa ,sey airionchtmod rea dteeafcf ubt het otitumna is ni tosamci la)eu(cnr gseen thta rnegov het ianateencmn fo leythha" ohr"tnaicio.md ihsT si euabecs hte nuatimot tfseafc teh cario/noptfienonut fo odrocaniihtm ubt eht antumtoi eflist is ni hte urlncea DAN (hwihc ncrltoo gshoinemt auotb teh au""iyqlt fo ocmorhitndai btu waht lyxeatc is ton eyt nnwko). +

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submitted by ∗drdoom(1206)

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sThi nqestoui tmhgi be yckitr caeesub the namtiuot fo ntieestr eerh is enrtihied mofr teh dad esdi (er)talanp but castfef eht mihid.taorocn

atTh si, the tomtunia si ont a tniotaum of eth mnatihrooidlc NA;D ti is fo lcueran ADN whcih casfetf moilnoacdrhti utcninfo dan luqity.a cm(sMhiane owun.knn)

nI tiher nonialex,tpa eth ENBM ays,s “nrilMcooahdit sedsiaes era ytcsltri ndiirteeh hgruoht eht h”merot ubt ahtt is rricent;oc ti lowud be orem rerotcc orf hetm ot ahev asd:i othianodMircl NAD mutonaist era irtlctsy trihindee rhugtho the et.homr

tTah ,is uyo cna aveh iohonrailtdmc psrelbom atht mceo mrfo oryu dad. hdioornaictlM NDA otiu,nsmta on het horet a,hnd eomc yoln mofr om.m

So, eht stme rcdesbesi a “mdconarlotihi ieasdes” ubt ti is otn a idactomlohnri ssadeie veeirdd rofm a moiadrlniocht AND namt. iotu

e,sY tohiondrmcia ear acfetefd but het mtniatou si ni rauenlc NDA atth eorvsng het nninaecaetm fo t"yalhhe .nirdiohtc"oam

ihTs xipenals yhw dad dna dd'sa trhboer ohsw hte esam olma“iprx cmlesu wanekses of eth orewl m”te.esxetiri

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drdoom fgiCiarnyl tru:ferh ehT essadei of sitteenr si tertbe eddirbces as a innl-i"mohdroconta dNevD"A–ierd cothmndiriola yhapy.mto Its' a ouu,ltfhm I ok.nw e,sY rimdhatonoci aer fdfaetec tub hte mnuitato si ni csimota erl(uanc) ngees taht ogvren eth cntipfcarntnieenn/ameaootn/oiu fo tyh"ahel d"iroimatnc.ho ihsT is wyh ti si gnebi ehnidtrie tohugrh teh dad and ety simanestf ni nahilridotomc o.nnuctyfsid +

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