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Retired NBME 23 Answers

nbme23/Block 4/Question#28 (reveal difficulty score)
An 18-month-old girl is brought to the ...
Decreased sodium bicarbonate reabsorption in the proximal tubule 🔍 / 📺 / 🌳 / 📖
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 +28  upvote downvote
submitted by seagull(1933)
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sTih si a epyt II lnaRe ulbaTru oscAd.iis yM iMeladc lohcoS verNe htugta tshi to .me Ddi you sola og ot porvety mde clo?osh m'I idrrsspue htye vene geva su ttoeil aerpp.

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mousie  aahh enim dn'tdi eht.eir But tyhe uysulal aelve out stmo hhgi lediy onfi s,o ot be etxpeedc I u.segs +12
yotsubato  I dindt vaeh goshyypilo in ym emcilda sho.col oN,ne i,pz re,zo eno.n Nro idd I vhea b.hmeico yeTh dasi y"uo eradlne all tsih tshi in ,dearrgndu uoyll ezemiorm ti gnaia fro epst 1 dan reofgt it lppotym"r adn hnet sjtu edmov .no +9
jcmed  nI het binabCare hatst 1 night ew ewre e...nvgi otls dna lsto fo iloett paepr +5



 +20  upvote downvote
submitted by smc213(169)
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To be eytcomplle lae!rc

Tshi panetti sah tniiysCoss a rare ouotlaasm viseecers lasoolsmy sgetaro oidrrdes adn ostm omomcn sceua of Foicnna msdyrone in .endlrhci tssiCosyni is ysmcstie dna aldse ot sntycie taylrsc dsetisop in cells and isstues ugourothth hte bd.yo

ughhAotl ossiWln eedisas anc edal ot F,S eht ctrayssl ni teh csnareo deso tno rectoreal twih iWsslon e.esaids
eMo r onif: ilpcmwb/:ehpilnwt.1..Ps.4ct1miwn/tM/r///v064Casghn8oc

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highyieldboardswards  haTkn u!yo uoY era a lndgee ofr fguiirgn sthi tuo! +
paulkarr  epAcaetrip ouy. +
drzed  And vnee fi it saw insoWl isa,edse it odulw veah eth acetx mesa eeconcuensq aidlgen to Fcanoni sey.dmrno +3
abhishek021196  aFoncin neyromds deosrzapireltebnni Goera detfec PCnTi aeIei  nxdonsc=cetrer oofiman ,caisd uHesO ,lcgoC 3 – , and OP 4 3– ,nda lal ssuesbroa eenbcbdtars by PCMh Tayet lead iecoto mltab mxdaaso( ilircposi e hap,eie)ttythApo nsa irheaopToHdaers,pyRomi f(cese,d gte Wolsin d naiyeen sio,sgclaers,itygome gti)sresdaseeo,a ,mltleimasuiphei c tmeon,,r ogsedm( oeahyrg/xsilpnu df cm)ipao,,iafsltinesi .ispgnl doiaoen ay Pro,uil elarn auutblr cidsisoa tyep II, rthogw ieleelcero tlftru,ya s,calmieanb ptmhpoohisayhepc ksceitr = cniaFno dyenmosr (lpelmtui ocedbimn diycuonntfs of a rtpxhmoile oetvclodnu )tueub.l +2



 +7  upvote downvote
submitted by lamhtu(139)
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To eb even rr,elace hits unssod eikl aonicnF nom,yrsde cihwh sah elda to pyTe II TAR

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 +5  upvote downvote
submitted by sympathetikey(1600)
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seKy rwee e:th

ausicou-Glr

oprhhsaa-tuiP

iAnm-o raudaiic

heTos udlsoh eb eosab-drrbe yb eht C,PT so if hre'yet n,to peTy 2 R.TA

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lamhtu  oT be neve eerlcar, htis sdousn ikel nn*oi*Fac morsden,y cihhw sha elad to Tyep II R*T*A +12
yb_26  To eb enev alrerce: nWisol edssiae g=;&t aniocnF neoymdrs => epyt II x)aoimrpl( RAT +
charcot_bouchard  To eb vnee ,clerera oyu lal have been ettryp ceral +
charcot_bouchard  To eb neev a,errcel ouy lla ehav neeb tyretp alecr +
yng  I ntd'o tinh sith si noslWi rc(ppeo ni etmeesdc yaerl of orcn).ea hTis is sinsoiytsc (lascrty ni the ca)orne &-g;-t nocFani omdyenrS g-;&-t epyT II C(TP) .TRA +



 +3  upvote downvote
submitted by nor16(70)
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tujs nwok erweh eht big uftfs / tripmtaon ufsft si e,osdrerb ti si eth PT.C No ndee to owkn RsTA ..re.he

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 +1  upvote downvote
submitted by asharm10(37)
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peohPshat is ondw htat nsaem hgmnstoei si gnrwo thwi T,CP enth non ainon agp iadoiscs taht measn nercbaitabo si nto bgeni drbo,baes crauoilusg aagni PCT so utjs use royu rianb dan hsooec sadeecre bcatnerioba otesrorabpin ni TPC

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 +0  upvote downvote
submitted by agraham416(5)
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I n'tdo hinkt you vene adh to nwko hwta idasees this ,saw abecesu I tdd.'ni I citdeno htat hte dki asw lsnogi a olt of ghnsit ni teh i,neur so ts'here yarlobbp nhegomtsi onrwg ihwt the niekyd. One of het nmai ofntunsic fo the dyiekn is ot eertih aesrbrob iacrbb dna esnic seh sah a rmbolpe girsnebbrao a tol fo hotre fsftu, I jtsu gdrifue lkca fo bbacri pbnorritoeas dame hte tsmo sseen.

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 +0  upvote downvote
submitted by titanesxvi(106)
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hyw ton cdeerase AC ttavcyii ni eht laxrpmio uu?lbte itsh lsoa loduc edla ot btmeilaoc ioscasd.i

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ergogenic22  acinrcob arandehys hirnsiotib anc aesuc yepT 2 buAtRT it is tno hte ceaus reeh ycon(tsissi) +
doublethinker  a,heY I dsia CA .oot bloPmre is htat AC inyefdecci 'nutodlw edla to kalc fo aspbrtronieo fo lal eth snoi dsl.eit +1



 +0  upvote downvote
submitted by charcot_bouchard(574)
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A esca fo anoincF mneors.yd If ti wsa dlotasie peyT 2 ATR noitpo B udolw be hte .nwresa

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 -1  upvote downvote
submitted by yb_26(316)
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lWinso edsasie ;gt&= cannoFi dsrnyome =&;gt iemcoablt sadcisio ep(ty II rlmp(xoa)i )RAT

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