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Retired NBME 21 Answers

nbme21/Block 4/Question#13 (reveal difficulty score)
A 4-month-old boy is diagnosed with a rare ...
Dilated rough endoplasmic reticulum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: biochem repeat

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 +5  upvote downvote
submitted by โˆ—sklawpirt(34)
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I tknhi eht diea rehe is smlpyi htat one sohudl tnkih uaotb hweer ecsseivl aer cnoigm rmof no reiht ywa to teh ggiol .pmoxcel

"wTo eptss rroawdf dan neo pest kbca." flyeciplSca teh ntosuqei mya be rerrenigf to a rare nrciailacfao ersdidr.o an ssrasweena of ttha eiesdas is not ec.nyssera tWah is eeynasscr is tnndeuagdisnr the igonir mfro hweer sleeivcs aer eaikdctrf to teh oGgil strppauaa.

COIP piotenr si deedne ot atco sleescv fmro teh RRE to ndes ot g.giol ush,T tiwh a utoaimnt ni atht peitnor, hte ecpdaakg poternis htat sulhod bbel fof dna eb sten ot het lgi,go dntaise cltuameuca in the RER dna eidatl .ti shuT eth rasnew.

9S/l9sfwwl/(6d/hf4dt103a.pjpw0.0/1g):c-7t2cp22.o/20-meh

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hayayah  .gp 74 on FA tgo eth odgo !iulassv +6
notadoctor  PIC*IO eirsnopt rea nddeee ot caot cvelssei ofrm eht RER ot igo.Gl TIPw(o)"COI espst rfr;dwoa ICPoenO() spet trae e.bkAga" rodc n oesg RER >- Ggoli >- sLer/oyescSoeroytsm leiVcsse >- smlPaa eberammn +27
titanesxvi  ywh nto allsm oyom?sslse +5
varunmehru  adn I uhottgh garel lyesomsso deu to lakc fo yemszne ot edregda +1
samsam3711  hTe isez of eth lsoomsey is tno eftcafed by het eeesrpcn or nsbeaec of eo,riptn but tsi fuointcn si sopmdeiocmr .(eg onrpeit si ngtetig ckuts ni eth RR)E +2
fattyacid  I hpoe hsti ephsl to orwvheme asw lsot iekl me llNu otiu:mnat A utintamo a( hn)caeg in a gnee ahtt dlsea to sti ton egbni tsrbrdiecna iton NAR ra/ond attnldresa inot a ulfcitoann topinre rdput.oc For pxlme,ea a lunl ntumoati in a egne ttha ulsyalu nedoces a iepcscif eymezn adsel to hte ipntuocord fo a anlnotounincf zemney ro no mzeeny at a.ll +3
pingra  I ktnhi ouy daem a tp:yo IOCPI (ERR g-&t; )cg-Gsolii; ICOP iasrog-ng(lt &;-tg cg-losiig adn iggs-cilo -> ,)RRE rtaihcln cio(yntesdso adn -tngilragos ;t-g& oysos)mel +2
kevin  oS ym outhght ocperss wsa fi hrete si on OCP slangi etnh tdnsaei fo ignog to igGlo it dulow eb setn arsyta itno slymtcp,ao naki ot how in lIcl-e xD teh ezmseny get sten tou fo het clel nesci eerth is on rikfgfiatnc nalgsi (terfreheo I redeupsm rlage smseyolo deu to ngieat eht aggeagedrt pri)to.en Aer we nygsia tuwoiht OPC ro rnhiClat ahtt hte lesvcei iwll lmpiys yats put eherw it ?is fI I acn etg a ylerp brefeo my aexm (2 ksw)ee dta'ht eb chum tpdpreaicea +2

"Swelling of the ER" = Myocardial ischemia from cessation of coronary blood flow describes a stepwise process of cellular injury. One of the first manifestations of cardiomyocyte injury is swelling of the cell and its organelles, which occurs as the intracellular accumulation of sodium leads to an alteration in the osmotic gradient. If blood flow is not restored, apoptosis eventually occurs.



 +0  upvote downvote
submitted by โˆ—abhishek021196(119)
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ICOPI ssecelv:i RRE to oGIgiP lCO isevlsec: olGig to RE CrhRtnali : igolG ot lleC emMbrnae

atGer amirgda ot eefrr - -a9c/40/ge0t00-hcem-rjtsco.x.p./o/e/7S2f1tnm1s0.id-6st6s:162np00ga85nl

If abynody ntsaw to ees uholrgy het nsaem of deeisssa OPICI antoumti esausc

ocpx5:n.entgrset;s.oeencraetcbpciui.oldt&=tteagcettthl1ns/7aoe/=2ianwvidvm?/c/mit.ecpraiti

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