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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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siMaotunt ni 1LT-TM idlrMotcihano(ly eenoddc NtRA uienlce 1)

A cmmono tiunoamt si G.34A32 Cna utresl ni mtuillep mitdlnaoihroc dcisniceefie adn aassotcdie s.edoisrdr tI is tdaisscaoe hw:it

  • nciiMatorhold ethpeoapmhclyayon
  • accLti dacsisio
  • ekiSrtlek-o sseodpie (EM)ASL

SAEML is a erar mntrdhcliaooi rrsieddo konnw to acetff yanm rptas of teh dybo, cepyliseal hte eovrnsu mtsyse dan the bi.rna yoSmmtps fo MEALS dielnc:u

  • crenReurt eersve daeehashc
  • ucselM askwsene hmy)o(apty
  • ganreHi ssol
  • ieoeSktr-lk esiopdse hwti a lsos fo csun,soisseocn usesir,ze nad roeth beosprlm nfgaifcte the vosuern stems.y

ur:Seco Mskt/ipwi:i/TLniwr/-go.i1pakTeht.d/e

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j44n  i jstu asw atth eyver stuies taht saw ftefdcae adh a ghih P/20Ta rmetreqeuin dna mdexi thwi hte clcita dcia ttah etnma esh stwan ginsu hre tceleorn oratrtnsp inhca so i ekdpci the only nswear ttah had othcnmdraoii in it +6
topgunber  eTh eisdsea si SM.LAE cioahontrMldi ddeceno tARN iecenlu 1 si eth n.uoaittm Anpeaptyrl scestdaoai with hhig eotn dafnss.ee tI si retpaanp sti tmaicioohnrld iwth rtmlaean tsonarn,siism ghhuto eutrytunfaoln eth leoygoti si rtteu omirneitozam / crpeoss fo aoniltn.iiem eMyab ntex tmei eth ysratg lwil cfuso meor on aitnmrhlicood ssseieda dna see thta stih hcioce si het olny cnlmtodroaiih srenaw cici.Mcorahtnioodl eh ecppylEahoyhonmat icctLa sAdsoici koSert iekl "Esp.yLAtmSoMsm is a rear thiociadrnolm eordrdsi onwkn ot teaffc amny atsrp of eht oy,db pcselyliea the esrovnu ysmste nda eth an.bri symmStop fo ESMAL ucldien urceetrrn evrees ceaadeshh, sucmle sweenaks ),otmyph(ya hganire sslo, esekiolt-kr seisdpoe hwit a lsos of necc,suosoissn zusise,re nda hoert bomlsrep fcfngeati eth reuvson .e]ms[yst5" Suoecr ik:iW +



 +12  upvote downvote
submitted by mrmassador(12)
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I iknht eht otnpi fo eht noutqise si to cozngerei that ihst si a tcinhdliormoa sasedei o(rhmet dan ntaealmr artnmegrdho erew f)e.tafecd dursceoP dwei grnae of fetsfe,c ubt cesuml wanessek dna oesm cnoeliuogr dfiictse todso tuo to me. oAsl :tshi ps#omlegT1ninn.-tr.inhh:oTghvs/eM/gt.nLo/t/icd

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sympathetikey  Ye,s btu ods'net htat mena mtalrnae sasmr?nntsoii Men acn ahev steeh asseised oto, ehyt stju tonw' saps mhte .on +32



 +5  upvote downvote
submitted by ∗hayayah(1212)
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hisT si a inenertatspo of hocdinraiotml omy.pthay They ftnoe speentr wiht p,aytmhoy lcctai ioisdcas, nda SCN daeisse. 2° ot iaferul ni votedaxii ho.polatonirpsyh eluMcs yoibsp ontfe hossw gdrgae“ erd fs.irb”e

Teehr is eailavbr inesrosepx in a oailuptpno or neev iwtnhi a alfmiy ude ot tsrheypamoel in alnmhrtoiicod .eintchrenai

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 +1  upvote downvote
submitted by thomas(3)
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'Ist a cthailrdomino . sed-aies estpren ni siccusevse eoinet,sgarn asyalw thwi maaletrn -amsitson rsni agmead to yrgneehgh-i essusti - CSF ltacci oisasicd d(eu ot idencrsae necbairao abmtsmieol ued to iirdpaem tvaidoiex yni)ophoprltasho

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 +1  upvote downvote
submitted by ∗topgunber(68)
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hTe deeaiss is LSA.ME idMhoorantcil ondecde RNAt elniuec 1 is the tntumo.ia npyarteAlp dacetioass whit hhig toen ed.nsefas It si peaaptnr its himiortocnlad iwth lteaamnr issnnot,saimr gouhth ynfaoetruntul the yoglotei si tetru maiitomrezno / pessocr fo an.iteilniom yMaeb xetn ietm the aysrtg wlil fuocs erom no aotimrcnhdoil eiessads dna ese taht isth occhie si hte lnyo nlcathmriodoi sarwen cei.ohc

  • ilaMticorhnod alEntpaochhyempyo Lcacit disicAos Stoekr eikl pS.mmsoL"EsMtAy si a rrea oidcrhiolantm rddresio owknn to efcfat amyn sptra fo het obyd, eislyaepcl het ovneurs syemts dan the b.ainr pmmStoys of MSLEA lendicu etcrernur esevre caheadseh, luscme eeaksnsw mo)(,ahypyt eganihr ,osls olikrstek-e dsspeoei hiwt a sols fo osesosicunsnc, eeri,uzss dna otreh msbpeorl tiangfcfe hte ourvesn ]y.ses"5m[t ruecS o k:iWi
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