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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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usMantiot ni T1ML-T riatnhcodlilMoy( ocendde AtRN lceienu )1

A ommnco oittnuam si .G4A233 Cna rseutl in ulpmleti citdorniloahm ncieeecisdif nda sseidcatao edodr.rsis It is eosaatcdsi ti:wh

  • doriohitaMlcn ohpecmlatnhoeypya
  • iLatcc osidicsa
  • eltokekSir- oedsipse ME)(ASL

EMSLA is a arer iclimanthorod siodredr kwnon to atefcf anmy rsatp fo the yo,bd ecapseylli teh sevonur setsmy dan het bna.ir osSmtpmy of ESMLA :deuncil

  • tncRurere resvee sehhceaad
  • selcuM eesswnak thaoypy)(m
  • nrigHea ssol
  • re-Stikleko iospdsee ihtw a ssol fo usscsisenonoc, zesi,seru nda ehrto rsmbpole atcfefngi the ovnusre ms.ytse

:Srcuoe eg-r/eptioT:TiMwi/.niias/w.kdthkpL1/

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j44n  i jsut was thta ryeev usstie hatt saw fefcdtea hda a hhgi Ta/2P0 eeemrtnrqiu adn miedx thwi hte icaltc iacd ttah matne ehs nwtsa snugi her ecrtnole srtpratno hcani so i kidecp eth loyn esrawn atht had motdiirhcaon ni it +6
topgunber  eTh seiaesd is MLES.A cMoaohirtdlni onedced tRAN ieenclu 1 is eht u.otiantm pleAraytnp tcsisodaae hitw hghi otne asne.efsd tI is pearatpn its omdriitlchaon whti matrelan rsisi,namntos utoghh ylnrnuuteaoft eht oletgyoi is rettu zantoierommi / scoeprs fo itlonmiae.in ebyMa tenx meti hte grtays iwll ouscf eorm no hamdortinlcio dessiaes and see taht ihst ieocch is het olyn roimahconldit nerwas ecM.hahn diccoiotlori cynaeamEtloyophph acLcit csdsoiiA roSekt ikel "msMSpEomyt.AsL si a rera lrdacomhintio dsdierro nonkw to efafct myan tspar of het ,yobd iyllseacep eht nveosru tesysm nad hte nraib. ymsptoSm fo SLEMA ceundil rturrecne revese sedaahehc, uscmle keawessn )yhoypmat,( irganhe osls, kskl-trioee pseodise hiwt a slso of sunnie,ccssoso rieus,zse adn retoh epmsoblr fnfgitcea the uveosnr .ssem"t][5y urcoSe k:iWi +



 +12  upvote downvote
submitted by mrmassador(12)
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I tiknh hte niotp fo eht eosuitqn is ot noeizgrec htta ihts is a itoaiormdlcnh aesieds (ormteh nad tmrnaela dhmanrgrtoe rwee )af.cetfde ouPcdrse wdie neagr of eetf,cfs ubt clmues essewnak nda smeo ogilornuec ceisfitd dstoo uto ot .em losA ih:st ttnsn..//:eeLshhvdgpin/T.gioc/m#ilghTrn-n1toMo

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sympathetikey  Yes, btu don'est ttah mean taelramn s?sitmrsoainn enM acn ehav shtee sesieads ,oto yhte usjt wt'no spas tehm no. +32



 +5  upvote downvote
submitted by ∗hayayah(1212)
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sThi is a teprsnieotan of odctrhnlmiioa ptyymoha. hyeT etofn enperts wiht ypya,tmho liatcc oiidcssa, dan SCN iesseda. °2 to iuealfr ni dxaevtoii psl.oohyohprtina ulsMec sbioyp ntoef swhso “egdagr red .riesf”b

ereTh is blevaira xsosrpenei ni a puilpontao or veen nitihw a amyifl deu to rmpheoselyta ni iioonldhtarcm nraiteh.neci

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 +1  upvote downvote
submitted by thomas(3)
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sI't a dmihnrioltaco -ese. dias rpentes in sucsiecsve s,nrgniaotee ayslaw ihwt lranetam mtson ir-niass admaeg ot iergye-hghn tuessis - CSF ltaicc dcissiao u(ed to ecenradis rcaionabe osmailtemb ude ot apimirde tixediaov oprnasoohiph)ytl

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 +1  upvote downvote
submitted by ∗topgunber(68)
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Teh isdesea si AMESL. irloohndaitMc edonced tANR cluneei 1 is hte it.amotnu Ayppetalnr esadoctasi htwi ihgh oten nd.sfesae tI si aaetprnp ist lrhiocaidntmo wiht naltemar sstir,snomina hohugt nfuunteyotlar hte ygltoioe is trute oaiizenmtomr / oscpsre of inoiemialn.t beMay txne tmei teh rtsgya ilwl socuf mero on trhicdnloimoa sdisaees nad see atth htsi echioc si the olyn olhdanmricoti wrnaes oc.chie

  • tdilhoMcniaro onoyhahpaypemEctl cLcait diocssiA Sreokt leki tyLpm.mSEs"oMAs is a raer ilodtmrnhicoa diredsro kwnno ot cftfea namy tspra of teh ,oydb paylieslce the uorsven mtyses dan eht rn.bia ymmtSspo fo SAMEL eilnucd ucternrer eesvre d,hacesaeh eclmus senwksea ,amyohy(tp) ahnigre o,lss iekr-tkeosl peesiosd hwti a slos of uiscsonno,cess zse,surie and hteor oeprlsbm nagffciet teh ueonsrv e"ms.[yt5]s eco rSu i:kiW
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