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Retired NBME 24 Answers

nbme24/Block 3/Question#24 (reveal difficulty score)
A 3-month-old boy is brought to the emergency ...
Gluconeogenesis 🔍 / 📺 / 🌳 / 📖
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 +24  upvote downvote
submitted by tea-cats-biscuits(273)
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heT asidsee hree si ctofuers ssospieahbhtpa in.cfdieyec nI t,i IV loelcrgy ro ecrtufos toe’dns lphe cseebua bhto tnree eht eogcslngseunieo hawyapt owble sfutceor .heaapobpsthsi Gcoslaeta no eht trohe ahnd tsnree evoab t.i I ond’t nhkti ouy larlye nede ot onwk tsih ot ohcsoe het cectrro erswna icens hte accinlli piruect of niasgft eaoicylygmph ahtt is ertcecodr w/ smoe orts of surag ttha anc reent eht loonsuigcsgeene ytapwah osdhlu ucle oyu toin eht igthr nsa.erw

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neonem  I 'dton nktih uoy duocl veah y*olt*lta ureld out het ohrte ssrneaw - I kdipec cygnelgo bnakoerdw csbeuea ti uesoddn ndik of elik Von eGikre edsisae p)sglhap(co-6tahu-seose to :me arheacizrdect by sfatnig myohgl,pyicea iccatl asds,iico nad tmaplaeehoyg encsi oeryu' nto elab to tge hatt ilfan epts of trepgnixo ecslogu otin hte odob.l vweHore, I gusse in ihts scae you undtow'l ese atht leropbm fo loreotrcfs/gecuyl fnisoniu not isgearncni olbod c.eosugl ciNe tac.ch +27
vshummy  I tkinh you ewer reusp atrsm ot htcac oVn erei!kG Jstu ot eenfir uyro eswanr cb/ I ahd ot look htis up eatfr iengard yrou ,xnialeontpa onv krgeei has a bpoelrm ihwt esnoegonegcilsu sa elwl as g.yongslyosciel So ehdyt’ eavh a rpmbelo ihwt logeylcr dna ftuecosr utb lsao lcegsaota einsc hyte lal feed otni inglegoencessuo eforbe 6hep.pacsout--ohagelss artGe ohuhgtt eoscpr!s +24
drmomo  ygelocrl nda eurfotsc both entre het apthyaw turh ADHP adn cpyeh3ra--heleddygl. lascotGea eetsnr uhrt -1ph-Gal to gh1--lup crneioosnv +3
linwanrun1357  nI hsti ucaes cfue(rtso psoabaptheishs eeurdc,ii)oy,cetnscff. dulohs hlep ot iecesanr usmre cgsoel,u bzc ti nca oemceb into 6e--golsuPc by Tikrohee fn.or,hxeesea htsi noisqtue eksma me .sn..cuf.oed +
krewfoo99  dAgccinor to wdlor,u esfcutor nuiinsof will nto nirsecae bolod osulecg veelsl ni onV kGeesri iDseeas sa wlel +
atbangura  I ilveebe Von iGreke is ton a plbiaslue ewrsna ciheco esaubce a taolcseag unnisfio ulwdo illts otn see na iteaveoln in lcesugo llsvee. bme,rmeRe gaactoesl udolc eb cednoterv ot cteaglsao 6 phtsah,peo btu in eodrr ot tcmeelpo lscenigusngoeeo nda lwoal lcguseo ot eavel eht evirL rof na iaecsner fo tsi trooteannincc ni hte b,olod hte anttepi luwod tslil need ceosulg 6 sphaptoashe wihch si dmniteaiel ni nVo ke.ieGr +2
lilyo  So wath isseaed si ht?is?? I mnea olunctd ew evha juts raeeswdn teh tsequnio dseba on the cfta that eht piattne rposndes to gsloateac gineb ufensdi dan we konw htta olagcseta eedfs nito snlcsngoo?ieguee? I am so cnuesf.do +1
djtallahassee  stI eedyHrairt ucerostF linneoartec hgr?it estg kcsi faetr eoustfcr adn I gusse olyrlcge acn pujm ni vai delosala B on shti aawtphy via apeg 74 fo 21AF0.9 tI lodoek kiel a seucftro hngti to me os I ujts dmkrae out the rtheo neos nda mvode .no +1
paperbackwriter  ated@jleahasls I asw oewgindnr m,esa btu eyeiatrhrd estrcouf erictnanoel oasl eurtsls in nbtinioiih fo ylgesioysnclog :/ gisonfnuc otq.siune +
amt12d  A much mpirels awy ot nikth utabo tsih, hiwotut ytigrn to grufei out a iinodssg,a I edolko ta eth iemt rafme rof when teh dhlci aws gspn.tirnee He sha antee yoprlo for 3 say,d yb on,w hsi nleggocy dranebkwo is .ngoe Hsi bydo uodlw eb grinyt ot keam ocegl,su er,frheteo neosugnelesogci si ,rmipeaid ton eolcyngg nbekrowda. +7
tyrionwill  fi sceturfo ineksa si tno blileaaav rfeou(tsc )en,lionetcer then oesm ucfroste amy go to PF--6 yb xoknah,seei enth geos ot 6GP fi gsoegslicuoenne is eedne.d reovewh htsi ipttensa' urfteosc nkiesa swa inctat, so on eutcfosr wloud ahev og to ,FP6 so rethe wuodl be on dlobo eouslgc etienrmcn rtefa iinjnteco of tsoc.feru +1
shayokay  oYu ahd to wnok htta orectsuf nad ocgelyrl ertne lscgiosyly at A,GPP/HD3 nda tolcaeags retsen ysocgllyis at P6G lt(gg&a-; 1-palg- -;> -1upgl- ;-> ug--.)lp6 Tihs naesm taht oen fo teh 3 smenyze etbwene GP6 dan ADHP3P/G is nto utnoncgiinf yo.elprrp otMs liekly this odwlu be sauhtrbsosi1-spfhepa6cet-o, cuseeab ereht odes nto aprpae to eb hingtany nwgro twhi cyF oshibr6ss.ito,a"hplee-1pgylcssst-uao 1BP)(F ccenideify is erceirazachdt yb osipcedi ueact rsceis fo iccatl issiaocd nda otekcit opgyha,cyemli aeingsntmfi sa piryeoni,ttlavhne acinpe ll,spse se,rusezi road/n .maoc ectuA rssiec ear smot coommn ni aryle ;ddihoohcl alnrye half of ftdecefa lnirechd heva yyocegmhpali in teh eannolta doierp sl(eaylcipe teh rfsit 4 sdy)a tsgeurnil romf encftdeii cyeglgon toer.ss atcsorF onknw to rrigegt peesdosi ndeluic ve,ref ifnst,ga secddeaer roal eknait, ,tigvomin tciseni,nof and nnsioiegt fo agelr maousnt of e"frus.otc ikKnw/c/poBm5:htoh/.nil3s.g5v0otww.bbs./9/4nN +1
shayokay  ,Aosl vnee htugho nVo Gireek is eaigeocztrd as a egogcnyl toresag ieadess it si lleray a epbrolm thwi eisnsncogeeolug ton gneyocgl bakow.rnde oS vnee if ouy tohguth hsti aws ,GV you tsill oldcu veah ntetog het thirg nsaw.er In G,V ayn anmaeisdoorchc trheo athn gulocse oestf(u,rc oetalca,gs ycl,olegr cte). lliw ont sarie teh pasalm goeuslc eelvl sabueec htey all eqiurre ncesioogesgleun ot eb voceedrnt tino segulco nda itsh notcan anhppe eubcaes ereth si on -elhaegpauh.s6po-tcoss hTis is wyh hte attnterem fro GV si eqeutnfr arlo scuegol in the fmro of hrarconcst dan oacveidan of reuscfot dna lsa.ogtaec +



 +5  upvote downvote
submitted by usmle11a(102)
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guys GV lduwo owsner htwi oalcstaeg s,noiniuf mrbrmebee ehty todn vaeh a6sPGe whihc esnma ythe tacn nrvtceo nyitnhag ot glcsuoe

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tyrionwill  esY, VG meska eth vleri otni meusc,l eehwr all sgusar xee(cpt lscg)euo can lnoy be reundb to ymraf+cgtl(reelaoolct gy)illso,csy TPA mor(f CAT eatblm,msoi ot ievg uicr dai)c, and fta tdpiose from( tvglcluroyreyea+p iggno to GTF+)A to wnores eth iuatts.oni Sargu atnnoc be edam niot uecslog in ivler rof throe sutssie. +



 +1  upvote downvote
submitted by cassdawg(1781)
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yM ubdm ssa hguotth eekaionmt was ikel imeana fo oetsenk or stgmeniho nda htus anmte wlo teoekns so I altsom utp ayttf iadc tnaxdiooi etyci(tokpoh hyi.oapglme)cy YFI ieemonkta is ihgh ee.oktns

tseefDc in tatyf iacd iondoiatx owdul losa eb odrrcetce ihtw hte agrus osiandtdi so evne if uyo kusc at decmlai bocva yuo doclu lure ti uot.

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j44n  fi it was gsiycsolly hety touwnld be bale to atzoleimeb the caeoaglst rt,ihee a fdetce ni ceygnglo oscyse/woeybnggnaorlldki 'dulotw etcffe het atdiemmei tmaesbioml of a renmdiaaooshc ti uwlod tefcfe eht ogln rmte aetosgr of i.t I tnod' ithkn we wree ousspedp ot nokw twah iaeessd hsit si I thkni we weer utjs usepospd ot knith tobua teh osltemmbai fo hte eetrh rssagu ni sitoqen.u knsxHeieao noyl nsoetrvc tsoeurcf enhw it si yxeeemltr oreovdaled thwi ecutsiot(rf ahs a wlo fnyitiaf rof .i.t. htelly' evern yas thta so tles say ghhi" K)"m. elgnyGco hnteyisss pehsapn evor item nda he had rpoo fendegi orf 3 asdy os ish ggceylon ludwo eadrayl be geno dna he lwduo be imditelamey ptsmyitomca the ocdnes his lodbo eugsloc odeprpd +



 +0  upvote downvote
submitted by adong(144)
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I sola hda no aied htaw eth onsdisagi saw adn rpluye tnwe fof 'a:itntCmo nlinaie be fyatt aidc daotoxnii bc of eht ieat,konme chihw you lotduw'n be elba to cdurepo fi atth wsa hte f eglctnd.yoecGe yrehnwio/setdbasnks are tedrale ot ggoclyen gratoes ,ssasieed hhciw het narsoetetpni dtdin' ienl up lwel thwi. lAso I wsa gknitnih fo a yaawhpt taht uldow pceonrritoa ecl,yrlog ceuotfsr nda aotgaclse ihwch meesde meor in nile hiwt swe.leycntcgneogiegosyelBenli/ ssuo eht tals wo,t I tnew itwh utalyf oensngsluiceoeg bc thta lodwu adel ot shi oiychlgym.pae I d'ont okwn owh tlieg ro llepcapbia hatt si ot oerht ies,onsuqt utb hgthtou Id' at letas harse ni esac onayne ndfsi it lfleh.up

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