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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +37 
submitted by โˆ—step420(33),
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ntieuQso ptrety uhcm is aniskg waht pyte of sirvu si leMsse,a cihwh is a eetvgiaN RsANs sv.iur


 +28 
submitted by โˆ—seagull(1899),
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hTis si a tpye II Rlane buualTr o.siiAsdc My Maeicdl ochlSo vNere hgtaut htsi ot .em diD uoy sola go to yetvpro dem lcs?ooh m'I erdspsiru tyeh nvee avge us tiolet erppa.

mousie  haah iemn didt'n i.htree uBt htey suulyal laeve tou tsom hhig iyled nfio so, to eb cdeexpte I egssu. +12  
yotsubato  I dtdni veah oysoligpyh ni my lmecdia looh.cs ne,No zip, ozre, en.no orN ddi I heva e.ocbihm yeTh iads you" laenedr all hsti hist in ,gurdenadr oyllu emreiozm it gnaia rfo ptse 1 nad terogf it mpyotlrp" nad then tsju emovd n.o +9  
jcmed  nI het nabraCibe tthas 1 inthg we ewer .i.nevg. otsl adn stol fo itolte paepr +5  

For those who are wondering why not decreased H+ secretion = H+ is just looping back and forth to make H2Co3, only HCO3- is absorbed

+2/- apurva(100),


 +20 
submitted by โˆ—smc213(167),
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To be oeymplcetl creal!

hiTs etnitap sha yssCsoiitn a rear oaalumost srcveseie sooymasll oegstra idderosr nda ostm onmcom aescu of nnFioca dsnyrmoe in hnrdli.ce istssonCyi si cseisytm nad dlsea to yeictns yatlcsr sseitodp ni ellsc dna eiussst gutroothuh teh .yodb

lthghuoA lnissWo dsasiee cna dale to S,F eth yrlstcsa in eth esconar odes tno aecetorlr wiht snosiWl deas.sei
oeMr fino: l/wwla.8n:n/ps4hPhii/.crt.t1wciC/vpcb/4ns0t6mom.geM1/

highyieldboardswards  nhTka u!oy uYo are a dlnege ofr ginfguri iths !uto +  
paulkarr  pcArtepaei you. +  
drzed  nAd enve if ti aws Wiosln i,dsseea ti wloud eahv teh ceaxt meas neocequnces iegnald ot ainFnoc oesyd.rnm +3  
abhishek021196  nanFcio dsoymenr eiazpboieaoldenr sGerntr ecefdt CP Tni Ixnaeees=tdercย nicย or mooinf a ,aidsc l OgeHo,scuC 3 โ€“ , and PO 4 โ€“3 adn, lal boassredr scautesbbne by TthPeMa y C dael ob ittomalce iaix msdsapl(irooc t tep,TehyshatReiyhAmiaaipon eoHr)os ,paeorpd s,d(fgctee e nsWoil gsoamioedet,neysgyel ici,n sra rgae tas,)iosdese muep illsimciheat, oremsd yamhnu,(n/l,spergtogoixe t,i peifniali,sao)mfscd nol.idaoesngpi Plauyri,o alnre abturlu socsidai ptey II, twhgor aefrerl,iuoey tcetll s,bimenacal psymtoeaichohpph ckseitr = io nFanc deomryns ipu(eltlm eicnombd icoynsndtfu fo reti mlaxohp cnuoodvlet b)eu.lut +2  



 +7 
submitted by โˆ—lamhtu(139),
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To eb enve er,earlc htsi sodsun leki Fncanoi nseoyr,md whcih ahs laed to eyTp II TRA




 +5 
submitted by โˆ—sympathetikey(1591),
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sKye eerw eth:

uaicoGsulr-

aiahursh-tPop

mAn-io acrdiuia

soTeh sdhluo be -eobbrraeds by the C,TP os fi te'ryhe ont, ypTe 2 .ART

lamhtu  To eb neev recelr,a hist sunsod kiel noFn**iac ,syromedn hhiwc hsa edla to eTyp II TA**R +12  
yb_26  oT eb enve lcreare: oWsinl isedsea g;t=& Finocna nryodsem g&=;t yetp II xoli)pma(r RTA +  
charcot_bouchard  To eb evne ,alecerr oyu lla veah eenb eptryt alcre +  
charcot_bouchard  To eb veen e,eclarr uyo all ahev ebne pretty claer +  
yng  I n'otd ntih stih is oinWls e(propc in meesetcd leray fo onac.e)r shiT si oitscsnysi rayl(tsc in hte )cnroea -;-g&t coinFan eydrSmno t-;g&- eTpy II CP)T( A.RT +  



 +3 
submitted by โˆ—nor16(69),
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tujs konw heerw hte gib uffts / titrmpona ftusf is bs,eerodr it is het TC.P No edne to wkno ATsR e.rhe..




 +1 
submitted by โˆ—asharm10(37),
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Poahstpeh is odnw that emsna nstheigmo si nrogw twhi TCP, htne onn niaon gap isioacsd tath smaen nbraietoacb is tno eingb boead,srb ruoaisucgl aaign PTC so juts eus uryo rabin nad echoos aseeecdr iceanartobb opratonrsebi in TCP




 +0 
submitted by โˆ—agraham416(5),
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I odt'n thnki uoy eevn dah ot onkw tawh ssdeaei sthi wa,s beacues I n.i'dtd I ntcodei tath het dik swa logsni a olt of itsghn in het re,inu os eth'ers rblpobya enotismgh gwonr hwti the yiedkn. enO fo eth ianm scnuinoft of eth eyinkd is ot retihe sbrobear aibrbc nad sienc ehs ash a lrpobem rbgsroanieb a lto of rohte fsf,ut I jsut drefugi cakl fo cabibr sobearroipnt emad hte tmos eenss.




 +0 
submitted by โˆ—titanesxvi(105),
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hyw ont ceaeerds CA civitayt in eht xriapolm u?eutbl siht saol ucldo edal ot itbalcoem co.aidsis

ergogenic22  nirobcac nhaeaydrs bthirniois cna aeusc pyeT 2 TRt Aub it si nto eth cusea rehe y)tsicoissn( +  
doublethinker  eYh,a I sdia AC .oot Pmberlo si tath CA yficdinece wutd'nlo adel to ackl fo riotbsaronep fo lla het osin esitd.l +1  



 +0 
submitted by โˆ—charcot_bouchard(549),
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A ecas fo oninFca .eodrmnys fI ti wsa ltadseio peyT 2 TRA opniot B duowl be the e.swnra




 -1 
submitted by โˆ—yb_26(303),
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lsnoWi edseasi &=;tg cniaFno onedymrs =&g;t eltbiamoc saiicdos p(yte II aip(ormlx) RT)A




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