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Retired NBME 20 Answers

nbme20/Block 2/Question#25 (reveal difficulty score)
A 14-year-old girl is brought to the ...
Mitochondrial tRNALeu 🔍 / 📺 / 🌳 / 📖
tags: MELAS Biochem

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 +19  upvote downvote
submitted by ∗sympathetikey(1600)
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tnsoauMti in TMT1-L inlrdcy(ltahooiM endodec NtRA enleciu 1)

A mmcono onumatti is 2G43A3. nCa rsluet in elmilptu cliortmnodhai dsiieceifenc nad aeastoidcs drdorsise. It si eacdsoiast thw:i

  • nciMirltdooha mplntpoyyaehhoace
  • cLacit oscdsiai
  • ieoeSt-kklr ieespods EA)MS(L

MALES is a arer hitomolcridna riordsde nnwok to ffaect yman asptr fo teh dy,ob eayilsepcl eth sovruen setsym dna hte .nbari sytpSmom fo MLSEA dec:uinl

  • ctreurnRe esvere sehdaheca
  • uecMsl seneswak am(t)yopyh
  • gHeianr slso
  • ti-lekokreS eopiseds twih a osls fo sc,osscionsenu rszes,eui nda ehrto pemorbls tgfifaenc teh evsurno stme.sy

:rScoue MLwiaihwpgik.-p/s/etkiro1/te.TnT:i/d

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j44n  i sutj aws atth eyvre itusse taht was eatecfdf hda a ghhi P/2Ta0 tumneiqerre dan imxde whit teh caitlc adic htat teamn seh ntwas nsgiu ehr nlrotece nrarotpts cnhai so i edpkic eht oyln wrsena taht ahd otndrihmaoic in it +6
topgunber  ehT sseeiad si ELMS.A ltichMroanodi ecoednd tANR ueenlic 1 is eht u.tinmota tAryneplap csadeastoi hwti hihg tneo dseafsne. It is artppena sti iminoatcdolhr hwti ratlmaen tis,msnasrino thhogu nfunyloteatru eht oioegytl is urtet iterammiozno / oespcsr of inlni.atioem ebaMy nxet tmei hte gsrayt lwli sucof mroe on ionidlcomathr aissdsee dna see ttah ihts ohccei si teh yoln hltiiroodcamn awerns c iilcidnc.hMreotaooh cneahaypotoymplEh ctLaic iscsAiod rkeSot ikel moSMs.ALsytm"pE is a arer orhnicotimald esridodr onwnk ot acetff amyn tspra fo het ody,b islaylepec the esuvron stsmye dna eth a.ribn stpymmSo of EMALS cunleid ernutrcer veeers ad,sheaceh lsuemc ssnewake t(pm,)ayhyo ranigeh ,sosl tsilr-okeek eedsopis htwi a olss of esussncoison,c se,rziues dna teohr mpslbroe etniafgcf eht sueronv [sty]e".5sm rSueco ki:iW +



 +12  upvote downvote
submitted by mrmassador(12)
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I nkiht eth iotnp of eht niutseqo is ot ngzecrieo taht shit si a hcoionmtadrli eeiassd e(ohmtr nad mlnatare amhrgedontr weer )teecfaf.d cesourPd wide erang of tffscee, utb umlces ssweaekn and smoe oegucnrlio itefcdsi toods tuo ot em. oAsl hsti: -iten1.m/phTtocg/rnToe/g.ghnh:lint#oL.sMsdni/v

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sympathetikey  e,Ys tbu soend't atht anme remlaant s?ansnisriotm Men nac heva hstee diaeesss to,o thye tjus 'onwt ssap ehtm o.n +32



 +5  upvote downvote
submitted by ∗hayayah(1212)
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Tshi si a aeinesntrtop fo omcidtrhinoal hyoay.mtp yhTe enfto ensrpet ihtw ap,myoyht citcal oisaiscd, nad NSC saeiesd. °2 to flaurie ni dxiitveoa rsainohoht.plopy lsMuce ybospi notef whoss ggr“eda edr rf”ebis.

reeTh is elaiavrb eeprnossxi in a uptnpoloai ro veen iiwhtn a amfyil deu ot heyesrpomlat ni aociinhmlrodt i.reenticnah

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 +1  upvote downvote
submitted by thomas(3)
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ts'I a ictlidnoraomh -seiade. s eeprsnt ni vscsicseeu einonsrg,ate saylwa with ranlamte i-tssanmnso ir emdgaa to ene-ihghgry ustssei - CFS aclict icosdisa (due ot niasrdcee eracioanb elsmbiamto ude ot eadirimp xveoitdia oatsyohonhi)lrpp

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 +1  upvote downvote
submitted by ∗topgunber(68)
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heT adesesi is LEM.SA ordhaictiolMn cndedoe NRAt uelienc 1 is eth tumt.iano rApynltpea aitdosacse htiw hgih eont fadene.ss It is ernatapp ist imohcaotlidrn ihwt analmret snoisitmrns,a tgouhh lnteruunyfota eht glietyoo is retut eiiaztmnorom / cporses of nieiltnm.aoi Mybae txne eitm hte syartg wlli oscfu moer no dcniohamtoilr ssdeiesa nad ees atht isht ieochc si eth onyl mocdhaotinilr nserwa heccoi.

  • rdaMnctiolohi ohtyanypEachmople acitLc csodiiAs ktoeSr leki s.Ls"EptAmyMoSm is a rear nlhiiramcoodt disoderr wnokn to faetcf aynm psrta fo het dob,y sclyaleepi hte vsoenur estyms nad eth brna.i ytmomsSp fo EAMSL enldcui ecnurrter vrseee hedsaca,eh lumesc snekaswe (,ahmpoy)ty hangeir sslo, ls-oitekker eedsoips twhi a slos of ,ssesucocionsn usrz,isee and htoer emlbsrpo aegfcfint the svoerun 5syme[.s"t] orSc eu i:ikW
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