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Retired NBME 20 Answers

nbme20/Block 2/Question#7 (reveal difficulty score)
A 30-year-old man comes to the physician ...
Increased osteoclast maturation and activity 🔍 / 📺 / 🌳 / 📖
tags: endo PTH

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 +11  upvote downvote
submitted by cafeaulait(11)
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I ebeeliv this etms amy eb nreigifnr NME 1 yenrmods - osbiples anrmgsaoit eptp(ci crleu iessdea d,)x yhridoarapt dmo,eaan dna uiaiyptrt emnaoad ncasiug( S.HD)IA t,uB uyo td'no nede to even nwok htis ot teg ihst rigth - ujst aigkns het feeftc fo hghi PHT on eht tsyems - sesauc enairdsce saeltostco yiiattvc as lelw as aounmiat.tr

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fatboyslim  The tymmspso fo hits napeitt rae deu ot ipeahycrelacm (tsse,no enbso, g,soanr HETSRNO d[reiscnea i}ediuss,r dna rtpiiyhscca re.tnov)eos aarcpeecHimly can lsoa uaesc ptpeic curel essi.dae oS het iryarpm hoylpogta is itrydhraaop dphpea/aamsrneyaoli usgncai teh crycealiaphem +6
beetbox  eoDs eaoynn owkn a'tswh pu ihtw the 'on aoairmsbneilt in sehrmuu dDyXa'?ri heyt utjs ohwrt hatt in orf no neoa?rs I ogt ookdhe no ti, I otughht rhete asw on rdsceaien setlscaoto at...cyviit tiwerhoes the crioatcl eonbs wdluo eavh been lydod thin ro gsiohtmen +4
topgunber  MNE 1 - P P P . thyrPrdaaio, sning(rsaaapecrt ni tsih ces,)a iutarityp eslnoi. not eyk to gnnsarwie sthi nqsituetpo. mcose iwht mssptyom of apceamie,lychr smao,n srao,gn netrhos gie)(npe, cshyp eLo.rktnesv ooo at pth nad cc.muila ew ese hghi ca dan high .thp We konw taht high macucil dowul wlero pit.th.s.h msnea hte ighh acumicl aws ude ot het ghih tph .i.e( airypraodth oQmaoaniednue) st is laylauct :ikgsan thwa rae eth eftfsec of HP?T a, c, soeippto fo T PHD adn E i ieveblde 'etnra eeradlt to snBT-PouSd H ogsitnmhe elki eth tohpasseneig of ediadsmopiyapor-rFsyhuph et we tefliyndei wnko atht HTP nasesreic Ca , so by egisicrnan lascottose v/titoattyunriacaim uoy iebatlre uacmicl inot het bl.ood tish is eht sbte aren.ws +3



 +4  upvote downvote
submitted by ∗laminin(18)
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can mnseoeo nxealip wyh it yssa he sha na 'intta'c THP nroso.nti.e.acctni it to lte us konw hatt the HPT tcnotecorinan is a eslurt fo o?ytlapdnho ga 'htswa sih dx? katns!h

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yotsubato  I rsewa teyh kaem pu meos of hsit sffut. iLke awsth pu wiht teh hstrit, t,unniioar nda cpitep rcelu sisea.esd +9
redvelvet  eipahclamreyc acn seuac oghcinepnre detsebia p;nsuidis os hsritt, ot.iriunna aciamepycherl acn oals escua cippte reclu aei.essd His msmostyp era all oabut crapcimhaeeyl deu ot iohyraptmy.eprdsriah +4
namira  rHalpeiyemca"c anc auesc aernl incnuofsdyt hcus sa hnocpnrgeei eaitdseb idissipun D)(I,N ubt eth misahcnmes lngyrdeniu pcaea-heiurdlcdnyimce DIN are otn wlel ndrsotu.do" erg5iu2in9i0(oeti0:ftspo3k//St6ttd8la..rle)4w5nt7-r3w0/e/n-8layhc-1txla/nwe0 +2
dulxy071  yWh na'tc het rcctreo rnewas eb )C hiwch nospit rswdtoa laren eli,fura hicwh may edal to nercasydo perimiotpdyhyrhaars ahignv teh esam lsesutr I bevelei +2
pmofmalasia  Teh dayocrens hrpryysthemaoipirad in nrlea rlieauf is eud to slso fo calumic in the nnncgunotoiif-n iy.knde In shit eunoitqs the cmualic asw eteld,eav so uyo cna lreu tou realn lufrei.a +1
sars  rclaip-eymHaec ecusas tsnsoe caicm(ul tsneo,s) onsrga apcist()ontino, rontehs naedserc(i tainnuio),r nsbeo (ndesacier oetaotslsc atnoi)av,cit dan yatscirciph etroevson s(ipdenr).seo +1
epiglotitties  uy@soaobtt saol as eneoosm tmeneodin ni norhtae nmcmoet, i nkith eth'eyr hitngin tath eth xp gmthi ahve M1N.E yahraitPrdo sapal-ihyepr aharecympie,cl uiityrtap eona-mad HSADI +att,rnnts)uiioir(h nad niacptcera rto-um tgasmriona ppctei( cluer e)eidssa +



 +2  upvote downvote
submitted by killme(14)
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The toccpne gnbie eetdst is twah" sedo PHT od tath lsdea ot aiar"mphle cyecmi/e/3hpjK/dti..pbsPV:taob/scingg.

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yotsubato  ,ugh h.ulbsitl I swa trgniy ot egfuir uto an lautca eesdsia scerpos ee.hr +7
rio19111  ist pirryma pihepiyrdahomtrrysa escuad by iyapatrrohd ned.moaa taniddio of het cppeit ucrel gugsset geiZrloln ;-&-gt- 1NME tu b enon fo ahtt is imp aseecbu stt'ah tno hawt heyt era ag.skin lAl tehy rae gknisa ofr si hte uicnnotf of HTP. +3
topgunber  ENM 1 - P P P . ot,yirdaharP (nsaragcistaerpn in hits )sce,a ytirutapi lseoin. ont kye to nsneairgw ihst puqs.nitto e escom wtih smtsmpoy of ,eypcilahcmare nmo,as a,osgnr etnohrs i,eg)np(e hycps rnoLestoooe.vk at thp nda miulc.ac we see hgih ac nda ighh p.th We nwok htta hgih cimaulc ouwld reowl hpst...iht esnma hte hgih ulcmica swa deu ot eth ghhi pht ..(ei droptrayhia Qio)tan aonsdueme is luctayal :skangi thaw era hte stceffe fo TH?P ,a c, soppetio fo T PDH nda E i bedileve a'rtne lerdeat ot PdHT-o uSsBn sntiogemh kiel eth apgtioehssen fo iiddoyaasro hFpptm-ruphysee ew fiieynetdl wonk atht HPT sinceeasr aC , os by ncagsirine lsosttaeoc aatormtiviy/tcatniu uyo iatelber iccmalu iotn teh oobdl. tish si het tbse snawer. +1



 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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nI oitndaid ot HPT = tlsaecotos vcttiyia = seaicendr cculima, thsi nseopr ldocu lsao be bxehniigti ossmptym of EN.1M

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topgunber  NME 1 - P P P . oyi,arhdtPar eancspsarnatrig( in tsih e)csa, priiuaytt ins.leo not eyk ot gwnrsanie ihst ost.neiuqtp ecoms iwth mpmytsso of ,cmpiceyraaleh a,osnm aron,sg sohtenr eni(,p)eg hcyps vstoreko eoon.L at tph and cmulia.c ew ees ghhi ac and hihg pt.h We owkn thta ihgh milaccu owdul rloew .h..titphs nsema teh hhgi imccalu was edu to the hhgi pth i..e( ytarohpiard et aimsnaQe)oudon is alcayutl nkg:isa hatw ear the cefftse of PH?T ,a ,c ioppsoet of PHTD and E i bedvelie a'rtne teedrla to -PsuS odnBHT hsgtmnioe ekli teh aistphneegos fo aeuoshrdhptmp osiF-iyaperyd ew elintefdyi konw atht TPH rnessieac Ca , os by aecriginns satsoetlco ryvmattonacaiuitti/ yuo iebratle luicmca tnoi eth dob.ol isht si eth btes ns.rwae +1



 +1  upvote downvote
submitted by rio19111(16)
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sit ymrraip ayayisemdhohrtprrpi dseacu by iaordtphary mdoa.ean itdoanid fo het pptcei eurlc sgesgtu girenlolZ ;g---t& 1ENM

but nneo fo htat si mpi baesecu 'tthas ton hwat yeth rae isa.nkg lAl hety are isgnka for si eht ofictnnu of PHT.

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rio19111  ,snStoe nogsra, hrot,sen ytccpisrhia onretoesv -t&--;g tsosmypm +1
topgunber  EMN 1 - P P P . r,tiyaPrhoda cnaesstpgraai(rn ni hits e)sac, tpriauyti inels.o otn eyk to sriagnnwe thsi . ptstqoinue cmose iwth stoypmms fo yrclmpe,iaaceh s,anom sog,anr tshonre ),geepi(n cpsyh s Lroen.tooeovk at hpt adn cu.milca we ees ighh ca adn ghhi tp.h We wnok that ihhg icmcaul wuold reowl i.phsth.t. emsan teh high uccimla aws due ot hte gihh thp ..ei( athdrpryoai )nndoaasiotee uQm is layuactl gin:kas htaw aer teh ffcseet of T?PH ,a ,c tesoppoi fo DHPT nda E i deeilveb t'nera ldarete ot BdToPsuH n-S hngsietom leik eth sesgapoenhti of tsryy-aiuippordmeaFphe oshd we flenditiey knwo ahtt THP aserseinc Ca , so by rciengsain soeactslot aamtioiyatu/tictnvr yuo tealebir lacumci iont eth o.dlob tshi is eht tebs rea.snw +1



 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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osDe nyeoan wnok eth engiacfcinis fo cnyoetom yi?ittlom

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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thWa dehelp em to sawenr htis noe qiute ilyaes swa het iwflognlo r:eiantalo

iraepelccHmya + hghi PTH t&;-g ympr"ira reta"ohyyrhpdrpmsiai

How do hihg TPH adle ot ercla?iemaypch nnsrIicaeg totlcsosae viy!aictt

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 +0  upvote downvote
submitted by ∗topgunber(68)
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MNE 1 - P P P . idrProt,hyaa aigsetpancs(rnar ni hist ac,es) pitaturiy ilneo.s not eyk ot ninwergsa tsih tis.nouqe

pt cmose hiwt ypsmmost fo pimlehyc,eraca soa,nm rga,nso threnos pn()ei,eg hsypc ev.tseoonr

ookL ta hpt dna cal.micu we ees ighh ac nda gihh pht. We nowk tath high caucmli dlwou olrwe .htth.psi. nsmae eht hhgi icclaum was ued ot the ighh pth e(..i aadiphtryro nd)maoae

ntsQouei si aatcuyll ags:nik whta rea teh sfecfet fo TH?P a, c, iopospet fo TPH

D and E i eeibvdel taen'r taedrel to HPT

onusBSd- tigmohesn leki eht ngisoeaespht fo hytdooprsisyampipedhreua

F- we idienlftye know ttha PHT isceasrne Ca , os by sireigncan ctoleossta itnvr/yataictomuiat oyu teiearbl ailmcuc toni the dbol.o iths si het tebs wreans.

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