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NBME 20 Answers

nbme20/Block 2/Question#32 (63.1 difficulty score)
A 12-year-old girl is brought to the ...
OsteoblastsπŸ”,πŸ“Ί
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 +27 
submitted by hayayah(1081),
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A big igtnh ereh oto is onticgni tath hte PAL si dr.cedeeas soasOltetb vycatiti is mdseaeur by bnoe LA.P I ihnkt atth aws eht inam ucosf rhee dan ton ahtt yuo eseanyrslic ende ot wokn eht FBAC1 eneg .unaiomtt

sympathetikey  Exactly. That's the only way I got to the answer. +3  
pakimd  isnt increased alk phos consistent with increased osteoblastic activity? +  
champagnesupernova3  A defect with chondrocytes would cause an short limbs like in achondroplasia so those are ruled out +  
pg32  Exactly. Can also be helpful if you remember that the clavicles are formed by intramembranous ossification rather than endochondral; that allows you to rule out the chondroblast/cyte answer choices. +6  



 +19 
submitted by monoloco(136),
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Tish si a ndiaitncool cedlal eaacolairo.yndipildscs heT kdi on gaSrrten hsTgni wiht teh plis sah hte r.iddosre oN crlloa o,bsen too mnay ,heett artonlf sbsonig =g&;t .sdpaeioalairycconlisd BAF1C si a egen lhyhgi imlteidapc in laosetbots foin.tcnu




 +2 
submitted by thomas(2),
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yTeh tell uoy taht the dki sha on ccleia.lv iTsh maesn teh dectef is in anbuoemmsr stiosioicnaf, ONT oahndodelc,nr os hte gphytoloa si NTO gingo ot vvelnio eth overdhnowheacrt- l.slec seceeddar AKL is ssottiecnn ihwt tesooltbas f.etecd

pakimd  isnt increased alk phos consistent with increased osteoblastic activity? +  
eacv  @pakimd Yes ! ALK phos is a measure of osteoblast work, if the are not working is LOW as in thix px. +1  



 +2 
submitted by usmleuser007(397),
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oT naresw thsi iusqonte si ot eotn t)1ha: t aailekln apssehtphoa vttacyii si dnkiel wiht .oatsbtossle