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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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taitsunMo ni -LTT1M dMoctiar(nollyih dedcnoe NAtR eecilun )1

A nomcmo ttumanoi si A343G2. Cna lrsuet ni lupmilet itdhmcironloa iicenfeeiscd dan sdacstioae sisr.roded tI is oetaaiscsd ihtw:

  • icMioahtonrdl moyhactapeypeolhn
  • Laccti isacosid
  • leoektik-rS essdpoei SAL()EM

MLAES is a raer iotchdlnrmaio iorerdds nokwn to teafcf aynm prsta of teh bdy,o ecyselilap eth vusoenr stsmey dan eth .brnia yoSmtsmp fo SAMLE l:ncuedi

  • rreuentcR svreee hesaceahd
  • uleMcs eensaskw pmyat)o(yh
  • ineaHrg sslo
  • loeSkkeit-r osedseip hiwt a sosl of oncsisecsosn,u e,zsresiu nda tehro msoebrlp teafgifnc eth ruoensv se.ymst

cS:roeu oMTshekiiiipeLwni.p1T/:awk.-d///trgt

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j44n  i stuj saw htat vreey usiets atth was tffacede had a ghih 2PaT/0 etmeuiernqr and emdxi twhi the tcacil aidc atht emtan hes tnsaw isgnu rhe rcotnlee notraprts hncia so i cipked hte yonl rsnwea thta adh nitdacmrioho in ti +6
topgunber  The dessaie si MASEL. oindMrtcoilha ndedoec RtNA eceilnu 1 is hte tinu.omat npetyalApr tsdeaasioc ithw ighh neot efeand.ss It is pptnraae tsi ntmilairodoch tihw rlmeatna nsmao,itrsnis utoghh tunatflorneuy eth gioltoye si utter toremoizmnai / esrscop fo i.ninaitlmeo Mbaye nxet mite teh rgasyt liwl ofusc eomr on oimrnthialcod iseseasd dan see atht shit iohcce is eht onyl cholrinoitmad esrawn oioceih.ictahndcoM rl yypnelhahpEcaomto cciaLt dssAioic kSreot keil st.Ms"mSLpmyAEo is a raer lriioodnthacm iderdrso nowkn to cetfaf yanm tsrap fo eht oy,bd syleilcaep the nuosrve yetsms and the ai.brn Smmpsoyt of ASELM nldeiuc unerrcter ervese eadhahcse, cmeusl nsseeawk ,yh)pm(ytoa higaenr s,los kierolske-t pessiode wthi a ossl of ssn,euoiosnscc usrzee,is nda orhte somerpbl feitnfgac hte oeuvrns .st]s["y5em urecSo ki:iW +



 +12  upvote downvote
submitted by mrmassador(12)
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I tikhn hte niopt fo the nieutqos is ot cnoezirge htta tsih si a otalroicdinhm deeassi thm(eor dna ratnlaem deatrohrmgn rewe eetcd.)aff srPoduec iewd rnega fo ,efecfts ubt esucml wnskasee nad osem ocnrlogieu ftiidecs odsto uto ot me. Alos tish: tTg/Mcp1o#ThtLme-/n/..sln/hnigvient:orgoinshd.

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sympathetikey  ,esY but dsone't atht mena mlnrteaa oitsrsnsani?m eMn nac haev esteh ssaeiesd oo,t ehyt sutj otwn' apss htem .on +32



 +5  upvote downvote
submitted by hayayah(1212)
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Tshi si a rspeiteonnta fo iocrolhiadntm tyyp.maoh They ntofe tesnepr wiht ahtymo,py ictlac cissidoa, dna NCS sasiede. °2 to rfuaile ni oatixdive nstooohrpli.ahyp lcesuM pyosbi etnfo hswos red“gag rde irf”.esb

Treeh si elrbaiav pnsoxeesri in a oluopianpt ro evne tiihnw a lafiym eud to oyslaeprhmte in lconiaoihtmdr aneichne.tri

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 +1  upvote downvote
submitted by thomas(3)
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ts'I a tnlocioiahrdm -dsea.ise epnsert ni cceessiuvs ao,isgetenrn wlsaay ihtw rmtneala r-nnsoisiastm agemda ot greneh-ighy sistsue - FSC actcil sdicsaio e(ud ot iasneercd aronecbia emlbmitosa ude ot aidrpemi iiaoxdvet olytinaohpps)orh

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 +1  upvote downvote
submitted by topgunber(68)
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hTe eessiad si .SLMAE iotcMahlriodn condede RAtN euneilc 1 is eht itmnuato. yprlnapeAt essatoaicd wtih ghhi ntoe ases.edfn tI is eanrtpap sti almriodotcinh iwth rtanemal r,sstiismaonn huohtg lntntuyferuoa eth oegyitol is rteut itmomnrzeaio / posesrc fo ntline.miiao bMaye tnex meit eht yrtgsa iwll ucosf mreo no mraicoodlnhti sesdaeis dna see tath htis hcoeci is hte nyol mrnlcaioitdho swaern ceohi.c

  • doMonirthlica aoenpEhmtcyphayol cciLta iscdsoiA rkSoet elik smt.yps"MLmoASE si a rare htnlairicdomo dsodierr oknwn ot faceft mnya asptr of eth bdoy, lpeycelasi teh eovnrus smsety dna the brani. Sysopmtm fo SLMEA ecudnli euerrrnct reeesv ,eahcsadhe melusc swskenae po,yy(ta)hm egairnh ,loss lsrtoieekk- dieseosp hwit a loss fo cioss,csunsnoe srieze,us dna rheot lpmsober fgtficane teh reounvs yms5e[]s."t ruS coe Wi:ki
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