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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 vbeelie isht tsem may eb rifngreni EMN 1 noyredms - sposibel mgaarisnto ip(ctep crleu siaesed dx), thodryipara ,aoednam dna taiutyipr eadmano na(gsciu S.)AIHD t,uB uoy odn't eend to eenv wnok ihts ot tge siht tigrh - tjsu asgink teh cftfee of hgih TPH on hte mysste - cssuea aiescndre tseslootca cyitvtai sa wlle as otatami.nru

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fatboyslim  ehT stosmpym of hits ptetain are due ot lyhreeacipmca etn(,sso o,sbne ,asgnor SRTHONE i[eearscnd ,issu}dire dna aicytcpirhs vseotn)roe. eaymlaeicrHcp acn asol eusca pciept ulrec eeaids.s oS eht prmaiyr thoyolpag is ihraoraytpd eahsyiapod/npraleam nacuisg eht ayhrcaeieclpm +6
beetbox  oeDs noeayn wokn 'hswta pu hwti eht 'no inrltbisoeama ni eusmhru D'idraX?y eyht usjt rtohw thta in ofr no rsaeon? I gto dokoeh on i,t I tgtohuh teerh saw on ndsaceire atsleoosct it..civ.yta iteoehswr the caolcirt soneb olwdu aevh eben ldydo ihnt ro themongis +4
topgunber  NEM 1 - P P P . rPtiodhyraa, arpaa(nicgnsrste in shit sc,e)a iutpatiyr elnis.o otn eyk ot riasnegnw htsi setuqn pti.o secom wthi mpsyostm of aiyehcme,lparc ,sonma g,soarn rhoesnt i)(e,pneg hycps eoLtrvo.kenoo s ta thp and cmiacul. we ese ihhg ca and hihg pt.h We konw tath ihgh mclcaui dowul rewlo tti.hs..hp esnam eth high cuamicl wsa ued ot teh hgih thp (.e.i pdtoirrhaay )imseaeunont daQo si clutylaa sgn:ika ahtw era the eftecfs fo T?PH ,a ,c ipoestpo fo PHDT nda E i beedveli n'erat etardel ot -sunH SdPoTB mgetohins kiel eth poentsigehsa fo mFpdioeyhpeyrsdh usp-ortiaa we ylfieetndi wkon ahtt HPT sneearisc Ca , os yb sncgaieirn osatsecotl rm/yicotaauitnvitta you eaetilbr ucacmil ntio hte .lobod shti is the btse esna.wr +3



 +4  upvote downvote
submitted by ∗laminin(18)
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anc noesemo plaexni yhw ti ssay he sha an 'ttin'ac PTH snctceani.to.inr.o ti ot lte su wnok htat het PHT cennoanortcti si a rteusl fo o?nag pyaotldh wsa'th his ?dx knhtsa!

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yotsubato  I resaw yhte kame pu mose fo iths sffu.t eiLk ahtsw up ihwt teh srtt,ih n,intiruoa adn ptpcei lurce issdaes.e +9
redvelvet  clrephyecmiaa nca cesua onrihgcenep ditbseea ;diipnssu so tsthri, nri.tuoian mcaihelyraecp nca asol asceu ceptpi urcle edeis.sa siH yopmsstm aer all bauot cacieahmeplry eud ot mhiitdarrea.hpryoyps +4
namira  ey"lerapmaHicc cna ausec leran dnsyintfuoc chus as hpgonnicree astdieeb siidupisn ,)IN(D tub eth shcmanimes lynigndeur curdyec-hiidalmncpaee NDI rae tno lelw dus"no. rodte02s.gonna/lw0tldeytfleeo8x-t1ptnwe3u04tt3/hr0a/5iwaiSc7l6/t9)/5-8i-(.:kirnr +2
dulxy071  yhW nat'c eht rorecct wnsrea be )C wichh pstnio rtaowds lnare fau,eilr hcwhi mya elda to sycnreoda imrhayspedrahiyrpot gainhv eht esma estrsul I vbeeiel +2
pmofmalasia  The dcoyrnesa yphimtaaridheorsyrp in nrela rilueaf si edu ot sslo fo miucalc in hte ctoniinfnnnog-u k.nedyi In ihst eisutqno eth aulimcc wsa devlaet,e os yuo can rlue uot rlane lu.eifar +1
sars  ylHecaip-raecm saeucs sonste ucmlc(ai os,sten) grsano o)itatnp,(conis roetsnh ear(sdcien out,ia)nrin boesn cerdsni(ae otacetlsos t)ont,ciavai adn ccisitapyrh vnrsteeoo ns(ediopre.s) +1
epiglotitties  s@atyobuto salo as menoseo nedmienot in tronhae tnome,cm i hnikt yr'eeth ihtingn ttha het px ihtgm avhe 1.ENM atdyraihPro spaierhyp-al apleacrmecy,hi ittaupiyr nm-eoaad DAHIS suirt,+nititha)ro(n dan ianprectac mr-tou ntrgiasmoa (tipecp reluc )asesdei +



 +2  upvote downvote
submitted by killme(14)
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eTh copntce giebn tdtees si ath"w seod HPT od atth aelds to c ipcl"ymreaaeh/dpb.ceitgn/V/g:jsm/siop3Pb.Kihat.

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yotsubato  hu,g .uiltshlb I was ynigrt ot grfeui tou na tuacla sieadse scepsor .rehe +7
rio19111  its mrayrpi imsadayirrhoetyprhp daescu by dhtaryopira edm.onaa didniota fo het itppec cuelr eusstgg ongiZrell &t---g; NEM1 btu none fo atth is ipm usbceea httsa' ton awth htey rea kngais. llA ythe rea kgansi rfo si eht tunofinc fo TPH. +3
topgunber  ENM 1 - P P P . aa,ytPirrhod capra(gnrsitensa in htsi aces), ruitypiat e.iosnl otn eyk to egnsrwina ihst ttsp.qu inoe smcoe thwi opysmtsm of ,ihyprcaaelcem maso,n o,asngr rhtenso ege)(,nip hycps Lonvreto.eok os at tph dan lcamuci. ew see ghhi ca adn hgih .thp We nkwo atht gihh mciaclu wdlou relow .hsip.h.tt aenms eht gihh aucmicl was due ot the gihh thp .e.(i odrpiyhatra nnde mioQo)staeua si cyulatla n:gkisa whta ear eth cstffee fo PHT? a, c, ioespotp of HTDP and E i elbeiedv ntrea' adetrle to -souSnP TBdH itsonghme ikle teh piehongasste fo ehihmpdpysooypda-iu rFsetra ew fidntyleie wnko that THP inesascre Ca , os by naiercngsi eslocsatot trcaatiittyvniu/amo oyu iereabtl clmcuia iotn het dl.boo sith is teh esbt .arwens +1



 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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In iadidotn to TPH = secotsolta vttciyai = iescenrad iclam,uc sthi oenrsp clduo olas eb igxiihnbte momstyps fo N1.ME

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topgunber  EMN 1 - P P P . riaohaPyrtd, aprsraincngeats( in shit e,s)ac ttaryiupi o.nisel nto eky ot sgirwanen tsih tio sune.qpt eocms ihwt pstomysm of a,iepelamcrhyc onma,s oasrng, hstnreo ,)inpe(eg syphc e nseLk.rtvoooo at thp nda maic.ucl we see hihg ca nda gihh .thp eW knwo ahtt ghhi cucailm duwlo eolrw .ph.sith.t nesam teh gihh laucmic was eud to hte hghi pth i..(e rapiryhatod uiQaansteeo)mnod si atyulcla ns:akig athw rea eth tefcsfe fo P?HT a, c, ppeosoit fo TPHD dan E i lbeivdee atne'r ertadel to unTs-PoHBS d egtoihsnm keli hte peesgihsnato of tyheoah-pdm rpuasisrdeipFoy we eiytfnidel wnok thta THP ercainess aC , os by iniesacgnr astotcoels itaturai/aivtytnomc yuo breltiea aulccmi onti eht odb.lo ihts si eth steb sraw.en +1



 +1  upvote downvote
submitted by rio19111(16)
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tsi rryipam ayydiphaprrtrhsmoei ucsead by roptaiyrdah anmeda.o ddtionia of eth ieppct rucel gsutesg orniegllZ -g&-;t- NE1M

utb enon fo ttha si mip cseaebu tsah't tno what tyhe aer .aisgkn llA eyht rae ikngas orf si het incfunot of .THP

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rio19111  Son,tse n,agros nrot,she chsiyicratp estenrvoo &-;t-g- mosysmpt +1
topgunber  ENM 1 - P P P . ,dahyProirat citg(earasrnaspn ni sith ),easc ittuiyarp en.ilos tno eky to nrsngieaw htis tqen iuospt. ocmse wtih sysomptm of amceheicypra,l a,snmo o,sngra setnroh ,ien)(pge cspyh roveeotnsoo kL. at thp nda .muclaic we ees ghih ca dan hghi ht.p We nwko that ighh limccau dowul lwore ithst..hp. semna the high cacmliu aws ude to the hhgi pth i..e( oadiptarhry )tandueooa mensQi is ltycuala :agknis awth are het fstecfe fo PH?T ,a ,c ostpieop fo TPD H dan E i elveedbi t'raen dreleat to TSPu-dsBn Ho stomgnhei ilke teh teopgenssahi fo - pytdmiaisoerousheahFyprpd we dfteiyinel nkwo ttha PHT saneiecsr Ca , os by sinariecgn tlcosoaest iaoantuvcar/ytitimt uoy blareeit accluim oitn het d.oolb shti is het bset eanrw.s +1



 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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eosD nynoea nokw het fecisaincgni of otcoeynm tym?iitlo

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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tWah pdleeh em ot wsearn tshi one teiqu lieasy swa eht lnwgflooi aerlno:tia

mylpaaeHiccer + hhig PTH g-t;& a"irmryp "ihadehrortamipysryp

owH od hhig PTH ldea to yamrlechipca?e enIacrnigs toetsscoal tatii!cvy

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 +0  upvote downvote
submitted by ∗topgunber(68)
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NME 1 - P P P . ro,ytridhaPa astgpreannsrcia( in hits ,aes)c ptayuitri lsei.no otn eky ot weringsan isth oietn.uqs

pt soecm twih oypsmtsm fo hyelcamp,ciera oasmn, sag,ron nestrho ni),(epeg phsyc renest.ovo

Loko ta pth nda iaclm.cu we ese hgih ca nad hhgi th.p We wnok tath ighh cluacim dlwou eolwr itp.sht..h amens eht ihgh ucicalm asw eud to the ihgh pht i(..e rodarptyiha edaona)m

Qsienotu si cyuallta akigns: htwa era het eftscfe of HP?T a, c, soeitppo fo PHT

D dna E i eevblied atrn'e tldeare to HTP

undsoB-S snohgtmie keil eth psehaniogtes fo readuppsosphhyeioyitramd

-F we idftienely kwno atht THP seinecasr aC , so yb ergnaicnsi esacsttloo oint/taavtticrauimy oyu erteibal caculmi iont hte oo.bld sith si hte sebt rws.nea

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