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Retired NBME 24 Answers

nbme24/Block 3/Question#20 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Defect in a cell membrane anchor protein ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: mutation paroxysmal_nocturnal_hemoglobinuria

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 +20  upvote downvote
submitted by โˆ—m-ice(370)
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Tshi nomwa ash smaoyxlraP nocaNlrtu ibnrogmaeHlo.ui hiTs mots onetf tssenpre in a nygou uatld ohw has sosdepie of kdar uiren ni hte ilddme of hte itgnh ro ehwn gkawni pu in the .irgmnon t'Is dascue yb ntpelomcme catvtiyi iyercldt tganisa eht stipt'aen now CB.sR naeritC csgoylldpii aer eedend no eht RCB sacefur ot veerntp ktatac mrfo lnmepemotc, het smot taonbel fo hciwh rea D5C5 and 9.C5D Piettsan wtih PHN heva a simoatc unmiatto in cihwh htey ltos niutfocn of a PAIG znemey needed rof peoprr psrenioaentt adn mtaeahtnct of C/955CD5D on het CRB .sarfeuc Tohrrfeee het arwesn si a efcedt in a lcle rbaemnme nohrac .pneitor oiWhtut ,ihts mnecpltemo asktcat sR.CB

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usmleuser007  I kwne eth ordirdes adn its osaholthp.ioypyg Btu mmeseotsi hte rewsna ichcoes ear os drwyo or roclulof tath uoy tills get ti g..r.nw.o +24
sunshinesweetheart  I tgo tsih one thirg utb nwo opnu irevwe 'mI vhangi eltuobr ulring uto eheytrdiar pshosoricyets (a"lomnarb llce p"m)ooylghor wenras iccohe. It lpesh tath eht drak uinre is in het nsogm,rin tub is it lfycoialfi redul uto beucesa of ehr e?ga kile tshi si vobi na rdaiceuq otanmtiu fi ssenoem'o ?33 +
krewfoo99  iehsuwethtesnrn@eas drrtaiyeeH osrhtsepSicoy si a smntuoloaa imnanotd inociot.dn eTh ttnpiea in eht oitsnueq esmt ahs hda rakd rueni nesci eht stpa 2 mthsno ae(uct tsnr.aeptoin)e iecSn pesosiscrhoyt is rir,eehaytd it tonw eb ensprte sa a uceat coiitdnno +7
sexymexican888  srie@etaunshsehewtn eSosioscyrpth elrstus ni vaasucxlrtrae emsislhyo e(leps)n so on eirwd rldoeoc ieunr d(ue to aralritnvcasu mssylih)oe as is eens ni NHP om(ntepmcel oserytd RsCB ni odbol sselsve) +



 +2  upvote downvote
submitted by โˆ—sweetmed(157)
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The mHa stet si a ttes ueds in the gsidinaos fo arsmyaplxo curlantno oilaohnemirugb H)(NP. eTh ttes iolvesnv picagln red dloob clles ni mdil i;acd a isivotep rulste c(eedasrin RBC i)tariflgy itenacisd PHN

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suckitnbme  'Its so brcuoes fo a tets ttha idwpiiaek lnoy ash 4 tseecsnen no .ti +2
pathogen7  A022F0 addde eth amH tste ot NPH I b!eveeli +
pathogen7  pWohso no rsyor I am .gnowr Thye idd dad onishgemt alelcd het EAM etst to rtcysssphoioe ugohht. +
snripper  Hma etts ash eneb pcraedle yb fwol mrtyyoect n.wo So kfc ,off .BMNE +1
pseudomonalisa  I eeerrbmm it keli ith:s PNH sccuro at ingth deu to dilm ayriosprret osiidcsa (wroesl eptrsyarrio ,rtea) chwih acestiavt elemcntmpo hiwhc doessytr CBs.R ehT ttes si ylssnaeelit igndo eht msea ght,in nttpigu clesl iont an ciadic evitrneonmn ;g&-t dead C.sBR +7



 +0  upvote downvote
submitted by โˆ—yousif7000(12)
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nd'to osnuecf ikranny ense( ni dheyatreri sepsiotsorhcy) itwh rnoahc rsptneoi sene ni syloraPaxm urntnlaoc onolihgbeaumri

sbmen ouy nysake letlit !kfu!sec!r

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