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Retired NBME 18 Answers

nbme18/Block 2/Question#8 (reveal difficulty score)
A 25-year-old man who has a history of facial ...
Decreased catalytic efficiency of K487 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—acerj(13)
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atCcitayl finifeeccy is dfnieed sa Ma_Kt_K./c

fI uyo wokn hwat taht si I( ddi o,n)t nhet thsi eolpmrb si a pmesil svi.oindi

eSe eher orf oemr ofni stpo( ta eth sfrit enli fo teh caletri for oyur won isytna): ek/tnhitsactn/fspo/citeg:t.idpiwiioiwyia.kcnep/Sr_

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aakb  iTsh bolempr yma not selodv jtus yb nnokwgi eth veaob ,tuqonaei fi roe'uy elik me dna teg nfecsuod hnew ouy ees tslo of brumsen nad lertste to.rthege Yuo nede to ues m/aKtcK to ndif eht ciactatly ecyfefcini rfo htbo 87E4 nda 74K8. gDoni t,sih uly'lo ees htob A adn B rea .rteu ttliCaacy iecncfyief rof 478K si .56/0950 = 2,000. wchih si redasceed ()A dna for 4e78 uyo teg /10873 = 4, mkgnia B reu.t Nwo owh od ouy cpik bweteen A and ?B heT ntietpa ash lflem-uaskirdi actrnioes rvehewen he senscmou hoocall seinc sih haydleeydalect eeeodnaygdrsh is roswle (edserecda tccliyaat y),fieinccef nsee w/ ,K784 hiwch hte penitta laacutyl has if het iqteuons si read y.eolscl oS if ouy ewkn he hda 48k7 fomr gdaerin teh cuosnngif eqtusnoi stme it ludwo ahev eebn aesy ot ipck btneeew A adn B tbu fi ryueo' leik em nda tca'n esem ot eamk eosht oeisntnccno y,qciluk ikwngno smheinotg abotu enlthoa oiebsmmalt hl.sep +2
tekkenman101  heT ftessat awy to srawen stih iusenqot is ilrgiezna eht eitnapt sah eht litaoren nart,avi so all ioonpst rginadrge E acn be cl.udxeed hnTe ouy acn ese that eht Km of eht a-iatnvKr si hcmu elarrg hnta teh .n-Eoe rgraeL Km = cesaededr idinbgn = acsdeedre natvt/ltyauieccrro 0 yicnfei3.cfe nsoceds .sotp +8
chj7  tNo gniwatn oeppel ot egt sfncueod e.rhe Km edos ceelrtf ingbidn gir(hhe Km aensm ouy deen roem asrbttesu to recah amse a&-g;Vxmt- eedcresda nn.i)gdib oHerevw, vnteruor nurebm the( eunbrm of mesti haec yzmeen tsie onvcstre utatsebrs to cuordpt rep uint eimt) si tderelfec yb atKc, NOT K.m Oen ayw to riemndete lyicattac cyneiiceff is atmc/K,K hwhci is oasl mtreed eth picstfciyei stnoac.nt uYo OANCTN ensawr htis niqotuse by noly kiongol at mK. +4



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