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Retired NBME 21 Answers

nbme21/Block 2/Question#47 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Increased parathyroid hormone 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by hayayah(1212)
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andeycroS ytrirhpdspeiyarmoha (lyuulsa td/ cnoirhc nreal uelarif).

aLb fniisngd edniclu ↑ HTP sropns(ee ot wol ),cialcmu ↓ uersm uclamic lae(nr ae),irlfu ↑ ermus htspheopa lnaer( )u,afrile adn ↑ kelialna haesohsappt PHT( givnatitac Bstaotesso)l.

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haliburton  sola ebemmrer htat in renal aifruel, oaehyapa-rydhx1ll-s iattvyic si ndo,w os herte ilwl be sles taaviocint fo -dlolarxe2ehhflcyyioocrc5 ot yehhool,a5ieccy-1rlxfdroc2,l wichh si a eyk snmcmahie sicaugn pymeca.lhaoci +4
cr  why otn esdrnieac hdahceoxficyyr2?l,o-l5clreo hitw teh meas coilg nuarltboih aenixlp +
nala_ula  nscareIde shehpa,top iencs eth ydineks natr'e gniowrk llw,e alsed to hte lasreee fo aibtsblrfo wrthgo atrfco 32 rfom enob, iwhhc ceeadrses laotriilcc ncpooduitr adn adrdeesec cialucm rtpbna.oios ehT nciresae in ehpastohp nda het sedeacre in climcau ldea ot ayoesnrdc erpoytsr.aidihpyharm +2
privatejoker  boblrPya a budm tsneuoqi btu how od we iyldnifvtiee nkwo taht hte PLA si avdlteee if tehy vgie su no erecerefn nrgae in hte bal vealus or Q mest? nEhitgyvre ttaeds eavob itileeynfd skmae seens romf a hpcyliilosgoa ntosp,aditn I was tsuj csou.iru +1
fatboyslim  r@c eht tuniesoq kdeas eth" titanp'se BNEO APIN si omst keilyl dscaue yb wcihh of the nll"woog?if srancdIee llsvee of h5oxilocly-ayef2reohrdlcc tghim etxis in taht paeint,t tub it nluwodt' ceusa nebo np.ai HTP asuesc oebn pnai uabsece of boen troenpsior +3
suckitnbme  jpo@krteiaevr APL is dindulec ni eht adrsatnd lba lseuva +
makinallkindzofgainz  eotei@vkrjarp APL is dislte nuerd ahs"Phoapset (neilla)ak, rsm"ue ni eht bal lasuve +1
pg32  Wyh deso AolkhsP enieacrs ni erlan osrotpedt?oysyh hTe TPH lduow eb ytinrg ot aeltstmiu oebn eptrrionos iaers(nec CtoSLTAeso ,ci)itytva not oenb omaonritf seoTt(AoLSB c).iaivtty +
drzed  p@23g eth ylno ywa ot atitmuesl na lsacsotote ni sthi csea .(g.e avi )THP si yb msltiaugtni osloasstbte irtsf urht( RAKN/RAKLN tenritia,cn)o hstu APL nsrcesiae. +1
skonys  AF 2190 13.4 Wtah I ma ucosfnde on si hwy eht Ca is ni hte wlm-onraol ae?rgn Wyh nto limreyahcpaec ilke in Prriamy eHpyTHPr +



 +4  upvote downvote
submitted by lilmonkey(63)
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mrembeeR THP sa ohesaPpth rsangiTh nrHe.oom

suoP↑phrhso ;tg-& T↑HP cseonerit &-;gt oe↑bn poroietrns t;&g- ↑APL adn oenb pain.

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 +1  upvote downvote
submitted by cr(5)
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ywh otn diesacern hycd5roehe,-ofl2l?yarxlicco itwh eht smea ocgli biultohnra anpixle +

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usmle11a  i ieveelb nsecarei fOlceehH52rloacilco eaciinstd the reagots yicpcaat fo vit D, hihcw ntow be ffedeatc ni ecsa of KD.C ti soge elki h,tis eksdyni ntwo srdpeon ot rguarel H,PT essol aC and antc creetxee O,P4 PHT egst meda nad ietrs to unbr boen ot pdcorue Ca, nlutiegsr ni etvleeda lveels fo aC dan 4,PO Ca lwli dibn eht uimlacc nad go ot ynk,ides yte esam tosyr lla roev. da d ot htat eht ftca ttah 1 ho olyahrxesdy wotn be ebal to incutofn in a eadd ken.dyi +1



 +0  upvote downvote
submitted by iwannabedonewiththis(1)
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tujs as a glnreea eno,iuqts doluw ehetr eb wol eslevl of 1 H(O52)-2 ?

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sd22  se,Y ikydne sha phaal1- yoerlhxasdy ihhcw otnsecrv 2CH5-C ot C-2H5C.,1 DCK -t&g; owl 1-as-eOaH acytviit g;t-& owl CC5-21,H +



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