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Retired NBME 18 Answers

nbme18/Block 1/Question#17 (reveal difficulty score)
4 day old boy, vomited throughout night after ...
21-Hydroxylase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: CAH endo

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 +9  upvote downvote
submitted by t0pcheese(9)
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wyh si het Na naomrl ni htsi apittn?e regtyihnvE eels edma s,eens teh hhgi K dan 71 n.xyodtrpoeoesegrrhy

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aneurysmclip  dolcu eb due ot siandcere doolb luveom agendil ot isertocne fo NAP and uhts asteriinsru hwhci owdlu earnmilzo sumre usmdoi ? letel'sshatv teh oyln reoasn I uocdl kihnt fo +
dysdiadochokinesia  My eugss is that het mudiso adn rwtea sslo mofr -solyrahae1xdy2 cnfeieciyd lwuod treslu in icderaesn ARAS vatcaiiont adn cdotunirpo of igstnineonA II AI.GI() aeclRl ahtt GAII actffes the PCT yb ugpgrauetiln H/aN+ shereanxcg, illgaonw orf hteer H2Oa/N ot be reodsber, uhst lpritalya oncutgineatcr the pcmtai fo trlondsoaee eicncfiedy at the litcnoelgc tcd.u vo,ereHw I'm ton ruse if the etffce fo GAII on het TCP is taerg hegnou ot eryitenl encraoaubtncel eth lsos fo onedoesratl ot pneestr wiht oanlrm dosimu els.evl +



 +8  upvote downvote
submitted by โˆ—focus(45)
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So ew rdleyaa knwo hte rnwsea is eeitrh 11- or -21 aetho.xdaBsleryy Hwo ot enrdeemti hhicw ?noe

oinuetQs tsme lcsel ryd" sucoum esm.bna"emr He is hdedtyedra.

eW lareayd okwn taht he n'cat emka roletdneoas esnic teh kcla of ehiter fo stehe enmzsye ldwuo lcbok thta whapa.ty roew,evH if eh is blae ot amke a molecleu thta CSAT like l,eoatsdeorn he olduw ton ehva ydr mcuus marseemnb. eH oucdl asve w.tera

oD we ehav such a cmolelue? SY!E oti.rno-eetcr1ocsdy1exo

ow,N if he ahs -11aetb yxroldsheya idfiec,ecyn eehtr uodwl eb a lpuidub fo 1oeo.xesnori1o-cttycerd ,eHnce it has to eb eht teorh nooi.tp

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focus  Not to non,emit 1ry-esodxlyh2a si hte rmoe cmmoon n!eo +2
boxboys  asol sraeenicd e-hyo7odneorpeyrsg1rxt is a rarmek for 1-eyoaxdlshry2 cinfeiyecd (0220FA p 53)3 +2
boxboys  aslo ecidnarse oyehsexdnr7rog1o-peryt si a aremkr fro dosly2-yaehxr1 dcfienceiy 0(2A2F0 p 533) +



 +0  upvote downvote
submitted by โˆ—an1(114)
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O-21H is eht otsm moocnm d,fe nda it ash 3 s.btpeuys

)1 A iasCcsl astl gwisnat: ta i,hbtr dedad,tyerh owl srAoteenold (hihg K, wol H, wlo rew,)ta iasbmoguu ialetanig

2) A salicsc non tsla tanwgis: at htbi,r uagmosibu n,tailagie dufil llvee nroalm

)3 onn lcassci tael bytepus iwchh si lybalicsa A/S nad ujts sha iglsr ithw nce,a rolooghamnerie dna u.rsmshtii

hHig 17 iisntecad ttah eht dtecef tsmu eb .21

11 eetfsdc -t-;&g 21 liwl be hhig basueec 11 msoce rtaef 1,2 onrneyehispt llwi be sene

chtaw .Dr Rydan Nilse ToYeuub oevid on sht,i anzgmai o!bj

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