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NBME 21 Answers

nbme21/Block 1/Question#35 (31.5 difficulty score)
A 7-year-old boy is brought to the physician ...
Increased blood leadπŸ”

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submitted by pparalpha(83),
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Lead cxtTiyio :

:usasCe tdrpnosiiu fo emhe sntyeihss iva bniniitohi fo AAL oim(eauannivllte adehat)yersd


A: imneAa

B: iplihsoBac sinlgppit

C: iColc

D: ihararDe

E: plecEpyhhaonta

F: ootF rdpo

G: uGm eowtpgdishrs/to otr/auetonrtgdia

H: HTN dna prcrmuaheeiey

eOhrt sswaren:

cZni cdiyfinece:

sa:suCe low ik,ntae hsCn'ro dsseeai

iigdnF:ns nmiuem ftcuy,niosnd piedimra wundo eialgnh or(f teh rldngeomei epsha fo duwno ahi,gnle nicz is edende by eimtpnaoaleslortes to bekar wdno ptey III )a,llgceon mioonhgad,pys araird,he sirttam,edi ilaeap,oc lanmbrao atets dan llsme

eEscsx si ae.r..r tub cna deal to /dvn/ dna anlidobam inpa

aMnuesimg edcfcenyii:

sa:Cseu gaoncei,lnt lio,rauyp riunatltim,on xivlatea buaes

d:sngiiFn tnat,ye mtureaepr urelvcaintr ctnictanoro, edaeicsrn TQ aietlrvn

12B einfyceidc:

eaCuss: agnev ti,ed cnispureio einam,a ceptarnica seius,s csatgir apssby ,sgyeurr notoarbsmpali o,rh(nC prse,u) uboDyliohlrihmtp camuttlemaor/pw ifntcieno

gsiidn:nF omtccia,cry asilaecbmtolg ,emaain roune psysom,tm ecresinad cothioeesnym nad MMA sleevl in serum

reneIcsda ianitVm D:

uasesC: rgnaomuatuosl iseades iois)asc(dsro

isn:gnidF oben rsiet,porno too chum cam,lciu slos fo pe,tatipe rsutop

lovebug  2019 FA, pg 411. +  
lovebug  Nephrotoxicity results from lead exposure because the kidney is the main route by which lead is eliminated. Lead is absorbed by the proximal tubular cells of the renal tubules, where it binds to specific lead-binding proteins. +  

submitted by forerofore(57),
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stih nieptat spnteesr wtih pyorihchcom aaem,in ti ocannt be maeoynmsgehapi eecbusa it oetsdn sceua miaane, ontacn be B21 abscuee it wudol eb esibmaglcla,ot ontnac eb mitivan D ecbesau its tno aeeldrt ot ochcpiryohm aiam,en and incz is seaoitscda thiw nori yeccedinfi aeia,nm ubt as a e.fidcncyei lAo, s eadl oosipngni ibtihsin toe,frcahlsreae ti lokso eilk na noir fcneyidcei aanmei tub icnse streeh no rohet icaollg poonti ti has to be the ewrnsa heer


submitted by nor16(57),
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nsc pemol,rb maaeni )(ohpy nad ikeynd p.bloemr

nylalFi oynl ldea can uaesc lal fo ti