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NBME 20 Answers

nbme20/Block 4/Question#3 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Collagen synthesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +16 
submitted by โˆ—welpdedelp(269),
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It was a epty VI HNS ot,rciane hihcw deasl htwi T llsec nda that was teh oynl nrweas thta adh t clesl vd.lnoiev


 +7 
submitted by โˆ—champagnesupernova3(93),
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siTh is a oekild. nI oamnlr oundw aenilgh eypt 3 cognllae is frsti zsesinthedy dna enht argeddde yb rMaxit oraetoinmllspaeet a( cgasoellena iwhhc essu nciZ as a ctaro)foc and ecrlpade by ypeT .1 nI a olKdie na icsxevees ouantm of iagzsoendird yTpe 3 gleolacn t.spisres reTerofhe eth teecfd is in aClleong ysneithss ypT(e 1 insyht)ess

dulxy071  nulWdt'o Gnlarnatuio eussit eb the rem(o )tcoerrc awsenr isnec het tiiilna locelnag dlai wodn rof ndowu eilaghn is ypeT III eolanclg hhwci si toinecnsst of loartianugn iests?u nealClog si a asvt rof os mayn tspey fo sftlei as ew nwko +4  
kpjk  d0x@1y7ul esh dha a yesrgru 3 nthmso galheigaon saw fnie eevn tullpi 6 esewk gao os hte lranmybitao cceduror urgdni gdmolr-inee enwh pyet 3 si cladrepe yb pyet 1 e,alncogl os het wsrean udwnolt eb nilaunratgo tseuis +6  
pontiacfever  dKolei sha obth 1 and 3 eypst fo galCnleo dcaerneis dtin.oorpuc Wearse,h luaaongirtn issteu sotncsis of ptye 3 gecolaln yocw.hn ihl is hwy claenogl stshseyin as rnweas doulw be orem csepfcii +  



 +7 
submitted by โˆ—dbg(196),
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mI,o hist nwsrea ocecih is n,rogw trhee is on mprolbe in eth seposrc fo onagelcl tessh""siny epr .se hTe issue is hwti esxisveec ysietnshs adn gddeiiosnarz oesonp.diti Nto na anlbr'moa ystteihnc rc'ssoep - sa udowl be in ,SED M,F Mnksee, .ect

whoissaad  yaxtcEl ym rgeioansn ofr tno gohcoisn nlolcage "s"etsyhsni +3  
rockodude  ontd ktenvrioh pepelo, eehwrht ist an ooprncrneudtiud or pooritevrduocn fo neog,allc rcoorndouptive si tlils boaamrln olnleagc hisesns.ty sit noablarm to eakm an evsicsxee notmau of ecalnlog 3 dlginea ot a elkdoi +6  



 -3 
submitted by โˆ—celeste(95),
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nsudoS kiel a rpcoetipryhh r.sac ciHoepthrr"py rssac acnnoit iryrilmpa yetp III cnoaglle rtienedo laaelrpl ot the rliadepem cfaurse hwti dnuabtna nlsdeuo nitgonainc syl,irfbabmtoos alerg areaullrelctx anecllog msfanelti nad nfltielup diccai ca.ceusoasrhoidmly"pc 3Mtwmc0w/nbv7m8rta9chpcn2l/ie./t..own/s:2P/lpgi/isC.h

johnthurtjr  I ihtkn it yam uacyltal be a ,lkeodi nto a otpchpryirhe r,acs as ti axspnde dnbeoy eth esrbrod of eht rgloinia ns.coiini +6  
thepacksurvives  I eilveeb shit si a ;ekoldi a etyhrpihocrp cars esdo tno xneedt sapt eth oderrbs fo 'ist ngalroii siii,nonc lwhie a eklido so.ed edsrlaer,gs eht rnewsa to tish qntuoesi si hte mesa ): +1  
breis  sFtri AID gp 2r aSc19 otr:fanomi iypeHtrhpocr vs. doeiKl +1  
charcot_bouchard  heyT geiv angitlrouan tesius is a ponoti cihwh si tyep 3 lelcgan.o os fi ti swa tyrpophcheri asrc ti wlodu be pa rmpbelo sienc tsi oyln ecseievxs whtorg of Tpye .3 iwelh kodeli is eissxecve tgrhow fo boht 1 nad 3 +6  
bharatpillai  I altilleyr edulr tpu oegllacn eysthissn ftceed nesic ihts si ont a aeollcgn hisysstne edtfce at lla ( ESD, yuvrSc) he a/:t tehse dnik fo ostuiensq +1  
kcyanide101  eBas ffo tamah,op stih is ieytprchproh sgnc,ria as it exentds beondy sit ob.ersdr tI lliw eb pyet 1 cll.genao dilKoe liwl be umhc orem evcxsseei nda it si a eytp 3 goncaell +  



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