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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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Am I yza,cr or eods the esuinqto mset ipylm ttha sthi swa ithereind naltp?arely

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raspberry-muffin  In hits qieuostn undoss ekli rtineiehd lrealpnyta , btu tish euslcm ibyosp odnemfric dlitihanMoorc ieichret.ann Mseucl yobsp:i mhcsmImuiiothretyons alptylciy howss agergd rde e,rfisb hwhci era eadsuc yb asuleommablrsc- dan elnorf-iyirrambtli caantoicuuml of eticdfeev ndioatrhomci ni sleucms rmcnitoh(odai itnas d).er brbaoPyl tMoehr ash eht mesa onoiicdnt o.to +
yogurt-dimple  chGtao. ehYa, teh edr edargg refbis ptepid me fof ot lcionrdhaiomt hyompyta, utb sacubee the tmse liedpmi nealratp ,etnnaihierc I drfguei ehret swa just haronet seaides I hda erotongft oatbu ttha peessrtn tihw t.hem +
drdoom  @ff-rumbrnrseyaip m'I ton ven.cnodci tI is hglyhi lnlkeuyi hte MEBN loduw etrwi ihts qniteosu nda petexc ouy to ameus"s" omm ahs dniocntoi uwthoti kimang yna entoimn of mm.o u,lPs it is yisplm hlyihg apoemlbrib that othyamyp si snteerp ni tobh mom and dda a.neelgi aTth emsse off ot e.m +
drdoom  imtruo@d-pelyg, I thkni isht a yek nlei ni het an:lextpnioa v“,weeoHr hrete are noialdatdi timntuaso taht ftcfae iotlidhoramnc ARN n,alaitsontr cifgiafntrk nad icnionoroaptr of oritrprasye eitprno expecm,slo adn iecmatanenn fo eht ienrn ocdmntoihrali branemem taht can osla aled ot hodatrlnciiom ”tyyh.mpoa +
drdoom  Ys,e eyth ,ays rta"ionchlMdio dsesasie aer yrcltist endirheit hogurth hte rheomt" but hist si ton a rhiaocnodtmli siedesa — htsi is a evd-ce"hor"oriaiomni–lnddnt noclmdthiroai typa;mohy y,es cirminhtdoao era dcfatfee tbu the antimtuo si in osctaim ralue)(nc genes hatt oevgnr het eemnancaint fo "ehaltyh dimoantrc"io.h ihTs si because eht tionmatu affects the noiir/oatepntofnuc fo monhriiocdat tbu teh ittnuoam siltfe is ni het renaulc NDA hwh(ic rtnloco msihntego btoau het ltua""iqy fo dmarnoitioch tbu wtah ectlaxy is not eyt n.k)nwo +


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submitted by drdoom(1206)
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iTsh oqtunies ghtmi eb ytrkic scbuaee hte mouitant fo erntstei eerh is iehindrte ormf het add sdie )aplr(tnea ubt tsceffa het .aoimhdnircot

ahTt ,is hte ntimauot si nto a niamutto of the oilrdiatohcmn ADN; it si fo enularc NAD wihch teacffs rihooaimlndtc nfocniut dna aq.itylu ihsmMcnea( no.nwk)un

In tihre aatinn,pxleo hte ENMB sysa, “arhcMdlnitioo iaesesds are tciysltr ieenthdri htgourh eht ”eromht tbu atth si ter;roccni ti dwulo eb omer tecorcr ofr meth ot aehv d:isa incMoloatdirh NDA nutsoamti aer sicrtlyt tdhiinere oruhhgt het mert.oh

atTh si, yuo nac vhae anioidltorhcm lsremobp htta mceo ofrm yuro add. otiMihoadnlcr ADN isuttamon, no teh orhte dnah, coem nyol mfro .mom

,So eth setm dbserseic a “irmhoitdlocna eieassd” tbu it si ont a taiidmcnroolh eassdei drevedi mfro a lchidtiromano AND taom .intu

Y,es doiorctahmin era eadefftc but the otautimn si ni anecrlu DAN atht sornegv eth mnaiencetna fo yalhth"e othdo"a.imnicr

sihT eapilnxs why dad and d'ads rtbeorh whso the easm ox“arlimp cmeusl asnkeesw of the lwroe ”eirxestteim.

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drdoom  iginylraCf efurhtr: heT asesdei of tseriten si retteb iddcersbe sa a dnotoi"imaonrnhlc- rddiDev–"ANe ootildmihcrna mt.yyahpo 'sIt a thmuflou, I n.wok eYs, hmariotiocnd rea edfftaec tbu hte otitmnau si in ctosmai (rnuea)cl egens ttha gvnroe teh iaomcuncaoiteontefrptinna/en/n of "lhytaeh .dmotria"noich iTsh is wyh ti si gibne inrehtedi othhrgu the add adn yet nfsmeasit ni icromhadniotl .cyidufnostn +


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