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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 ebvleei stih mest amy eb irinrnfge MNE 1 endmyors - ebsospli msogtiarna p(cpeti celur eeissda ,dx) rioahparydt men,daoa and pttyriiau dneoaam ucgian(s A.HID)S ,tuB uoy tdn'o dnee to nvee knwo isht ot teg isht htgir - sujt ksgina hte etcfef of hhig PTH on hte syemts - asucse sdereaicn escttlsaoo ivacttyi sa llwe as otunratima.

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fatboyslim  The sotspymm fo this naetitp are due ot ihecaycplarme oste(,sn ob,sne nars,go HRSOTNE r[deanscei ,iiduss}re nda tyracicihsp oevn.teosr) aaHyciermlepc anc also ceasu eiptpc lurec desias.e oS the pymrair potyoghal is raydharoipt saiheoaam/rppednyal gniscua teh rahlcacypemie +6
beetbox  Dsoe nynoae nkow wths'a up twih het 'no iiterobamsanl in sumeurh yDrX'i?da htye sjtu hwrto htat ni orf on ?nroaes I ogt dookhe on ,it I gthhout hrete saw no esancerid oteaslsotc v.yica..tti whoisrete the oartccli nebos dulwo vhae nebe dlyod ihtn ro ghmtisone +4
topgunber  MNE 1 - P P P . ti,Prayadhro ranc(gsraieaptns in itsh ),acse pauryitit ols.eni not key to wrnasgien htis ti onqt.speu oecsm thiw ysmostmp fo mlcr,eaapyeich ona,ms srgoan, nrshteo )eig,e(np ycphs eteLs ooookrvn. at htp dan maiuc.cl we see hhgi ac nda ighh thp. eW nkwo that ihhg ccmluia wodul relwo .t.hipsh.t seanm eth gihh mcuical asw edu to eht ghhi htp .e(i. yaohparirtd Qno)taiu ednomsea si alyutacl iks:nga wtha ear eth eetscff fo ?HPT a, c, eipospto of H DPT and E i eevibdel tare'n treaeld to BdT oSunPs-H ethismogn ikle hte pniegeosasht of eFdrrpiopaoshedsy-ahmupy it we eltedyfiin oknw ahtt PTH naiesserc aC , os yb rcnsiegian sotteaolcs yotivtturaci/imnaat ouy bltireae caucmli onit eth .boldo tsih is teh btes sa.newr +3



 +4  upvote downvote
submitted by ∗laminin(18)
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can onmeeos axnepli wyh ti yass eh sha an attn'ic' HTP .nienoa.conic.srtt ti ot elt su okwn thta hte THP icnnotnotreac is a slrute of ?ltyhgpnaooda ta'whs hsi ?xd tk!ansh

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yotsubato  I rsaew tehy akem pu esmo fo shti utffs. Liek tshwa up iwth eth ht,isrt rtninuoi,a nda pietcp ulerc esssead.i +9
redvelvet  relyaameichpc cna casue eirogpcnneh etaedisb ipnudssi; os ihrtts, .raounniit icceeamlpryha nca saol scuae etcipp reucl ssiae.ed siH yssmtpmo rea lal oabut iapcehalrecmy ued to r.haemiiprphsoytrdya +4
namira  ilm"cecraaepHy can auces ranle cosnuydftin usch as enphcnriego edbaiset issduinpi N),(DI tub the ahssencmmi lnueyinrgd edeahicprcy-nudecmlai NID rea otn ellw en.rdto"dsou t/te.l-0-60lwdia3c1tSi3l0at5gx04nn5pteser-hwfr8to/wu2/tno:97ia/)in.rle8y(/k +2
dulxy071  yWh 'tacn het rcocert erwnas eb C) hicwh otpins dwrasot arlne lefua,ir chwih yma edal ot syorncaed srmrpdayipohyeaitrh agnhiv eht emas susrlet I bievele +2
pmofmalasia  heT saeyordnc ayhrotryepdhmisripa ni elrna larefiu si ued ot slso fo aclcmui in the -inncufonitgnno kye.idn nI stih useionqt hte ulcmcai asw eetd,lvea so you acn uerl otu arenl ufal.eri +1
sars  ip-lHcacmearey aecuss sonets m(ucclia ,sesnto) aosgnr ctaot,)n(inosip rshtnoe (irdaesnec u)iintn,oar noesb nser(ecdai stolceoast va)ionattic, nda aicptchysir rveosneto (eorpse.nids) +1
epiglotitties  sbotyo@aut losa as meeonso nnotmeide ni ratnhoe etn,cmmo i hntki 'yereht htingni ttah teh px gmiht ehva 1NM.E iayPrtdhroa rshpiay-pael echlyarmca,epi yaptiruit amode-na HISDA (ta,)irurtonnti+sih nda aentiaccpr tomr-u simnrogata citep(p ucrle sidaese) +



 +2  upvote downvote
submitted by killme(14)
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heT pecnoct eibgn testde is ht"wa deos PTH od ahtt easld to "le mcheiapyarc/bKt:.V/mcpajgii/p.soPhti3.ng/sebd

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yotsubato  ,ugh .litsublh I saw rynigt to uergif out an aaluct eessida ecsrsop .ehre +7
rio19111  sit ryparim hdaasrpotmieyrryihp scaued yb ahptdroiyar aeadon.m odniitad of eht tppiec eclru uegssgt olenrgilZ --;tg-& MNE1 utb onne fo htta is mip ubeasec st'aht not awht eyth are kna.igs All ythe aer aingsk orf si hte itonunfc fo .TPH +3
topgunber  NEM 1 - P P P . ,tirPradhaoy aticrseang(snapr in hsti a)cs,e rpiityaut is.oeln tno yek ot ngwieansr ihst isutqtn oe.p oemsc hiwt ytssmpom fo alprcae,mciehy ,snamo og,arns oersthn ig(neep), chspy t eLesrooovko.n at htp nda mcuaic.l ew ees high ca adn hgih tph. We kwon thta ihgh lcacuim wdolu rolwe ih.tth.p.s eansm the hgih mlacicu aws eud to teh hgih htp (.ie. hayrtipdaor oQdeetu nansi)aom is lyucltaa gkiasn: thwa era the tefsecf fo HPT? a, c, tpoisoep of TPDH dna E i ilebeved ner'ta rltdaee ot uPdSTon H-sB egmsihnot leik eth ahentsipeogs of hypaoapie uddFi-srshmroytep ew eilteynfdi onkw tath PTH issenrcea aC , so yb rngiesnaci lotcteaoss tcoii/ntatamyvuiart uyo etilebar amlucic onit eht dbl.oo tihs si the best rnwsea. +1



 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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nI iddatoin to PHT = slsctoateo vtciayit = aiencdres aiucm,cl siht orsenp olcdu osla eb ibxeiinhgt mpstysmo fo 1.NME

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topgunber  ENM 1 - P P P . Pdayhar,troi (iasctrnsaeprgna in htis ,)caes ttiiyraup eos.nli ton yek ot iwresngna ihst ts u.tionepq coems wtih mmsotyps of eeycrlm,hapica s,nmoa rgaosn, oehsrtn eg,ei(pn) cphsy eooL vt.eoroskn at thp dan clamu.ci we ees hghi ac nda ighh .htp eW onkw taht ghhi ulmcica dolwu ewrlo hsp.htit.. amsne eth ghih aulccmi asw ued ot hte ghhi pth (i..e yhariotprad dmsennQoieu aaot) si uclalayt ikas:gn wtha are eht fsectfe of P?TH ,a c, isppotoe of PDTH dna E i ledbivee taenr' tlaerde ot Pu -TSosBnHd ignemthso eilk the ngtpshioeeas fo dymdihFoueietrypsasporhpa- ew efydliinet nkwo htat PTH rnscaesie Ca , so yb gicanenisr ocsasettol vimatotuittaicna/yr oyu eerblita cucmali noit eth .lobdo isth si eth tbse .rwsaen +1



 +1  upvote downvote
submitted by rio19111(16)
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tsi aprimry oaiyayhrtpeihrpsdrm edcsau by adyhotripra .edaanom iontdaid fo the ptecpi ceurl gussget nlgZelior -t&;-g- M1EN

tub nnoe of taht si ipm acbeeus st'aht not atwh they aer ai.kgsn All hety rae nskgai rfo is the tunonifc fo PH.T

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rio19111  eosS,tn s,ogran ohrntse, tichcpriysa trsnoovee -g;-&t- mmspsoty +1
topgunber  MEN 1 - P P P . rhdir,Pyaoat n(nsaiatrrescgpa in shti s)aec, ipiyttrua nlso.ie not yke to weannigrs isht ts penuiq.to ocsem whit opstysmm of ccp,ehyralemai s,nmao organ,s srnhteo pgne,)(ei spcyh oke.oevsootLnr ta thp and cu.lcima we ese hghi ac nad hhig pth. eW nokw hatt ghhi uiamclc uwodl eowrl t.ipt..shh neasm teh ihhg mucical asw ued to hte gihh tph .e.(i ydhtraaropi nioe)audo samQetn si autcllya ksi:ang hawt rae the fetcefs fo T?PH a, c, ospitpoe of TDP H and E i eidvlbee rane't lrtedea ot TdSHPnBu-os gtomesihn ilke the hpotesgesani fo yr adpdrpiitFmooshe-pehsauy we efiydltine know ahtt PTH csiaeners Ca , os by incainsger ttclasoeso tyiriitmvtautano/ca uoy eatbleri mucaicl ntoi eht do.lbo tsih si the tesb sawer.n +1



 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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esDo noyena kown eht snicgiaiecfn of teoynocm timty?iol

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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haWt hldepe em to nawres tihs neo tquie iseayl swa eth giwnlofol o:iletnara

arcipycameHle + hghi PTH &;gt- irpayr"m p"orpherhiyiadsmarty

oHw od ghhi HPT lead ot aeelc?ihrpyamc grIsainenc colttsoeas tcavit!iy

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 +0  upvote downvote
submitted by ∗topgunber(67)
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NME 1 - P P P . rPytaiadhor, sgaeicntrp(nrasa in ihts eca,s) yrautiipt lsonei. nto eyk to giarnsnew ihts istu.enqo

pt meosc twhi pmymosts of iemrcyl,hacpea a,smno gasnor, shrtoen ni(g,pe)e hypsc ono.rsteev

koLo at tph nda clmai.cu ew ese ihhg ca and high h.pt eW nowk ahtt hghi iamcluc lowud relow hts.pi.ht. mnaes hte ghhi uclacim swa due ot eth hghi hpt (.e.i ariahrydpot emd)aoan

enoQsiut si yaculatl :nakigs ahtw aer eth fctfese fo HT?P ,a ,c iotsopep of TPH

D adn E i bdeievle rtaen' lreatde ot PHT

nu-dSsBo migsohten ilek teh esoshaiepntg of opyamodrehaeshtudiysprip

-F we iifnyedtel wkno tath HTP seiaernsc Ca , os by sieninracg lsostetoac antyi/ctraittoiuamv ouy eilrtbea iccamlu noti eht bold.o shit si teh estb enrws.a

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