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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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yadeSrnoc srpmathdyayhirpeior yuallsu( t/d nrhiocc naerl ufil)aer.

Lab ndnfisgi ulenicd ↑ TPH (psreosne ot wol mc,c)ilau ↓ resmu cucmail (nrael rfalui),e ↑ mreus tpesahpoh real(n uaef,)irl and ↑ nlelakai eppoasahsth P(TH ttcingivaa ltta.ssB)oeso

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haliburton  oasl mmerbeer tath ni laenr rui,aefl lylads1erp--hhyxaao tvyticai is ,dwno os reteh lwil be less taaictvnio fo c5yhcleo2hracodyle-iorlfx to 5ocaroho1fxc-hyledlyl2ier,,c hwhic si a eyk nsmamiech uinsagc c.eaipaohcyml +4
cr  why ont edinsarec 5ccielxohac?oyrl-eor,f2ldyh iwht the mesa ilcog nailoubhrt aniexlp +
nala_ula  crasednIe ohaheptps, esnic eth deynski rnea't iorngwk wl,le aelsd ot eht elrasee fo btolfaisbr wgohrt afctor 32 mrfo e,bno hwhci erdesasce orctciiall rocitudpon and adeedcesr cucilma ponsartbo.i heT asrience in aoesphtph dna het sedraece ni auimccl dale to soydreacn rahapdhprmet.syroiiy +2
privatejoker  rPaylobb a mdbu nouqiste utb woh od we ntldvfieyiei konw ahtt the PAL si etdaevel fi ethy ivge us on encerfeer anrge in eht bal uselav ro Q esmt? vtirhEgney tsdtea oaevb etlnyfdiei smkea nsese form a yihgoclispalo nnpt,osaitd I asw tjus orsu.uic +1
fatboyslim  @cr het tsqoeiun ksead teh" aiptet'ns ONEB INPA is tsom lkylei esucda by cwhih of eth lwigl"no?of nsrIaedce slveel fo rxeorlc2hcy-cyaldh5fooeli himgt etixs in ttha ptnta,ei btu it 'wounltd sceau ebno .ianp HTP ucasse bone apin casuebe fo ebno roirtonspe +3
suckitnbme  rrepkviea@otj APL si cdelniud ni teh stadnard bal usavle +
makinallkindzofgainz  itpkoreaejrv@ LAP is idtles dnreu hPeaapsh"sto nla(l,aei)k ue"msr in eht bal asevul +1
pg32  Wyh dseo sPAklho srcaenei in ealnr ssottpyd?rhyoeo The HTP oudlw be gynrit to sttuaimle nbeo poeinsortr rnceies(a oSAeTLoCts vca,ty)iti ton oebn mtfrnooia LtSooTAB(es iciyt).vat +
drzed  @gp23 the lyon way ot sutlaietm an steoclstao in shti ecas .(e.g via T)PH is by gttiimlnaus sttosaolseb ftsri ruh(t ARKK/LNRNA aitc)inon,ter huts LPA se.nacseri +1
skonys  AF 2109 34.1 atWh I ma sfuecond no si why het Ca is ni hte a-wlolmrno ?enrag yWh nto mihrapaleeycc keli ni rmaPyir pyPrTHHe +



 +4  upvote downvote
submitted by lilmonkey(63)
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bermReem PHT sa tePasphoh Tringhas nrmHoo.e

sphPh↑uroso g&-;t TP↑H rotneecis ;&tg- nb↑eo pnsooretir ;&t-g ↑PAL adn oneb p.nia

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 +1  upvote downvote
submitted by cr(5)
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hwy ont adercesni rxlde-hr?clcoao,2hcyo5fiyel tiwh teh emas lciog hltbiroanu pniexla +

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usmle11a  i eiveebl ircensae f2lrcolOhcoleHia5ec sdcnieita het ogesatr tyaacpci of itv D, which nowt be decaffte ni seac of C.KD ti gseo kiel its,h eyindks wnot dreopsn to egarrul ,TPH sosle Ca nda ctan eecxrete O4,P TPH egst adem adn estir ot nrbu nobe ot curoedp a,C sgiurtnel ni vleteade eselvl of Ca adn 4,PO aC lwil nidb teh licumac dan og ot y,skdien tye same tyors all e.orv dda to taht hte tfac ttha 1 ho hoaslexydry wont eb able to ntfiunoc in a aedd .nykdei +1



 +0  upvote downvote
submitted by iwannabedonewiththis(1)
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tusj as a gerealn nuiqse,to oldwu hreet eb lwo elvels of 1 -O522)(H ?

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sd22  ,Yse yidkne ahs l1paha- oyhxyadrlse ichhw otvencsr CH-2C5 ot -5C,H1C2. KCD &g;t- low aOs-a-1eH avtctiyi ;&g-t lwo H,15-C2C +



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