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Retired NBME 20 Answers

nbme20/Block 4/Question#20 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Hypophosphatemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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 +30  upvote downvote
submitted by โˆ—imgdoc(183)
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You nca ssrco out het pto hreet anwsre ,ochesic ,,AC.B oYu ntow eb ergabnorisb hinnaygt in het TPC in innsca'fo rm.esndyo Lignkoo ta iehl,apaykom e,atpmyrhinao dan aohsapephmiyhtpo .now mpyHaeolika an'tc eb oetrcrc sabeuce evne tuoghh sisuompta si tslo it liwl be drebreabso ta the trael hckit cdneisagn olpo dan if ttah estnod kmea e,snse teh ydob illw jdstua ofr owl eumsr istamupso but antatvigci het +/+HK pmpu no slce.l tI sni't etnrmhiyaoap saebecu at eht oicgecltln dutc parlpniic lel,sc rbsnaoorptei illw ccuo.r ihTs lvesae ysmehhhtppooaapi as eht roctcre nda noly ewsanr cieco.h

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imgdoc  b*y +2
larascon  lctenxeEl nanolex,ipat kahtn ouy ! +2
waterloo  'Ist htrwo nmnoi,intge htta 5%2 fo Na is srbae ni eth thcic nnagdices ib.lm 7%6 of frdeilet aN is adbersreob in the PTC, aehwser 8%5 of hphpaseto deerrasobb ni teh CPT. So pt omer ylklei ot wsoh pp.yohsHo +4
coconut  odWrUl 27D6:Q6I yass alb stsurle ni oelepp hwti Facnnoi odmyersn lwli sohw ohaiykepmla +
j44n  ctucono i thhtuog htta oot tub neth i dbereemr nonacif is cstaseiado ihtw typchpohpihesamo ickres/t VTI D tiesrnast tikcser nad sith tlleti dedu is igogn ot be rnogwig csebeau hse' 5 and thtsa ngnoa ecsaeinr the aenmdd rof ehahtposp in hsi dybo +1
habs741  Mayn ousecsr dea,cMps(e DUeoa,Ttp droman juloanr l)eiscart lla ibesrced nnFaico iesegnntrp twih ikamepoal.hy I elbeeiv eth anschsemim si lsos of TCP obneistrraop of Na sgeicuna cseaderin aN iyelrevd ditylals ewhre it dsene to be berb.dsraeo nI hte cnellctigo duct atth wlli sluetr in K giwst.na So maiyolpehka and hoihsamhppeatypo rae hobt tur,e whihc ameks tish a adb ueqntois I.OM tBu I duocl ees MNEB rgaugin htta tyspiophaemaphho is teh b"set" asenrw sbeecua 'sit emor ctrilyed etledar to eht TPC fdtcee nad wlasay treu (vs iapohmaeykl hcwih si tno cseilnrsaye etrepsn dan is cilydeirtn ldetear to the TPC tde.cf)e tSlli tkinh i'st a amel nuetiqso hotugh. +



 +5  upvote downvote
submitted by โˆ—celeste(96)
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hisT sudnso keli Fcaoinn osemy.dnr The oxailprm rtualub ipteiheall lecls hvea a hdra etim obrsnbairge tfirl,tea so loul'y see a osls fo phospate,h ainmo ,aicds rabn,itaobec nad uelgco.s

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medschul  W'lnuotd caoniFn osrymend also sucea koalpyemhai ht?ohug +4
yotsubato  ipyEaescll gdcsiiornen teh afct tath het DCT will eb nikrgow in vrivedero to taemnopesc rof ltso ???lotusse +1
nala_ula  Tish tsiqenou did not make esens to em at l.al I ekwn it wsa iaoncnF dsrmoyne eyt 'tndid lestce eht uoisbov ewasnr usbcaee ti idsa lowfol" up etmanaixoni 1 eekw faret sidgsno."ia I huhttog ti dulow yaerlad eb in .et.tter.anm I eedcsarh ()wno nda it ssay atth enrtamett si baislycal hlignsenerpi was is lsot in teh rie.nu So yeiedifntl the nwrodgi is kile twf ot me +1
sugaplum  I swa gthinikn enics it eedafctf eth PTC tath Na riposnotre uldwo be dtfceeaf as w?lel utB I ugses hte throe eesmtsgn liwl pcki up eht ksal?c +



 -7  upvote downvote
submitted by โˆ—mdmikek89(6)
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'alYl oerv aptlcmoeci tihs shti so d.arh rhWehet or tno tsi ocnn,aiF ti syas Proalxmi uTuble etef.cd 58% of apsethpoh si broerdseab he.er If sit itdv,eeefc htepsphoa esbnpia-toror is seaed.derc

mpaoyhohthespiap

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meddoc2023  Yes nad doimsu opotabrisn uodwl be fafteced oot I eblevie bceesau hte PTC si tfcedefa +



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