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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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ehT esidaes hree is tuocsfre appbisstsheoha yieficd.ecn nI ti, VI llygceor ro sctfuroe n’seodt pleh ueeabsc tboh rtnee hte oluggeoienssenc twpayah obwle ufcsorte a.tahhpopisebs satGacoel no het otreh hadn netsre oveba .ti I no’dt nkith uyo lyelra edne to nkow siht ot coeosh eht terrcoc awsner secni the lcliacni cutprei of ntigasf mapiyychloeg hatt is orcecdrte w/ osem trso of usgar ttha nac reten eht egnnsisgcoeoelu wpahyat lhsuod eluc uyo noti eht ghirt esarn.w

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neonem  I t'ond inhkt uoy ldouc ehav olt*tlay* uderl uot eth rteho sasnwre - I kdcpei cnoglyeg nrbowdkea cusbaee it sdnodeu ndki fo ielk nVo rikeGe seesadi uch)ge(o-satlpsh6ps-oae to :me zercrdahiacte yb ntafsgi eyy,capolhgim ialctc ds,soiaic dan gtpleaoamyhe iensc 'ryueo tno labe to etg tath aflni etsp of eoprinxgt ugoscel ntoi hte bdolo. o,weevrH I suges in hsti csea uoy dut'wnlo ese ttah pmolerb of euroestogl/yfrlcc ufonisin ton cniesragin odlbo cse.loug cNie .cacth +28
vshummy  I iktnh ouy reew serup tsmar ot atchc nVo i!ekGre uJst to fineer ryuo senrwa c/b I adh ot okol tihs up frate dnergai ruyo tnni,opalaex onv ekegri sah a bperlom iwht oiegeocengslnsu sa wlle sa ll.ionogscsgeyy So y’dthe veah a ormlbep twhi gllyeroc and eofrtucs ubt oasl otaelsgac secni tyeh all efde tnoi encguegsseionlo fereob cs6heoshupse--poltaag. reaGt hotguth rs!escpo +24
drmomo  goelylrc dna efcrutos otbh trene eth pwhytaa hrtu AHPD and -hhee-lygdpradyle.3c astGeaolc teenrs hrut -pa-Glh1 to p1uhlg-- rvosninceo +3
linwanrun1357  In shit uesac tousrcef( ospipshhtabsae .fetrynucc),sfioe,iced ulosdh elph to anesirec rumse se,cuglo zcb it can ecboem nito 6eco-P-gslu by ererfheesxie nkT,ho.oa tshi useqntoi makse me eodnc.u...sf +
krewfoo99  rcnoigdAc to ordwl,u costeruf fuionsin lwil ont eirnesca doolb lescugo eesllv ni noV eerGsik aeseisD as lwle +
atbangura  I beeevli Vno eekriG is ont a pisllaebu snaewr ecoich suebace a aetsolacg ufoiisnn uwold tsill otn ees na noeaitvel in csuleog vel.les meeebrm,R gcoaalset oulcd be teevdcrno ot laeogatsc 6 te,saohpph but in drore ot pceoelmt colgenioesegusn nda aolwl ucslgeo ot eevla teh veriL rof an enesciar fo sti ociortnnantec in hte dlbo,o eht tpatnei ulodw lsitl eend gclesuo 6 ahoetphassp iwhhc si mtnaeiilde in Vno ik.Gere +2
lilyo  So thaw sdeseia si h?t?i?s I anme dnouctl we veah tsju desenarw the eqinusot bedsa on het caft htat hte tenipat oesprnds to ctlsgeaoa ingbe dnfiesu adn ew wonk ttha agtoceasl eedfs noit o?gneoel?usceisng I ma os ns.feocud +1
djtallahassee  tsI dHyiearert osuretFc crotanleine igr?ht sget kics terfa rutscfoe dan I ugess lcgoyelr nac mpju ni iva aoadesll B no sith yhaatpw aiv gaep 47 of A1092.F tI dkoleo keil a otcesrfu ignth ot em so I tusj dakrme tou eth heort neos adn dmevo .no +1
paperbackwriter  @alltasedjeash I aws nwgridnoe ema,s tbu rrtidaehye eusrtfoc etileaonrcn sloa rutslse ni biotninhii of syeloygcngliso :/ fgncusnio euionts.q +
amt12d  A uhmc lmsreip way ot intkh obuta ,iths thoitwu rigtyn to rfuige tuo a an,gsidsoi I odolek ta hte imte eamrf rof nehw eth dihcl swa einr.ngetps He hsa eanet proylo orf 3 y,das yb no,w his nlgcogye obrdkneaw si gon.e siH byod dwolu eb yrtgni to akme cu,slgoe ofrehte,er oenneoesgsgucil is dpraiemi, not olcggyen nbdke.owar +7
tyrionwill  fi eruscoft nkeisa si ton aielalbav osru(ctfe col,een)inrte nteh semo sctuefro mya go to -6-PF by oknehaie,xs hnet gose to G6P fi ecguelgssnnoieo si ee.nedd wvhreoe tsih s'npattei uefcostr esknia asw ttanci, so no sutcfreo lwodu ahve go to P,6F os rteeh oldwu be no bldoo cgoleus ecrtimnne arfte itniocenj of ufcrsote. +1
shayokay  You dha to wokn thta ofrtuecs nda lorgyelc erten ysicyloslg ta ,D3/GHAPP nad teoasglca nrsete iygsclolys at PG6 ;-&ggtal( -p-gla1 &-t;g p1-gul- ;g&-t -p6g.-ul) Tshi smean taht eon fo hte 3 eyzmnse eebnetw GP6 dan 3P/GDAHP si nto tinngfniocu pryl.eorp Msot ykleli isht lwoud be pr-shahs1os-esfaiotbcp6u,et esecbau eerth esod ont aarppe to eb ahnitygn rgown wiht ltsgc-tsFyhbahli"pse6i1sr,cosao. poeuy-s BF)(P1 cdfincyeei si rrecacdhetzai by seipidoc acteu sicsre fo clacti dicsisao adn etioctk eympayl,oihcg sanegtiinmf as naievion,tpetyhlr eicnpa ps,elsl esrues,iz on/rad cmo.a ctAue sesrci ear tmso comnom ni eaylr oihd;chldo lenyar aflh fo eecaffdt rlidhnec veah ichmegyapoyl ni the enaloant riodep ceialy(lpes eth ftris 4 ady)s lrunteigs fmro ecdinitef nclgoyge tessr.o osatcrF woknn to itgergr eoeidsps ucinedl fvee,r fsinga,t eeadecsdr laro ieakn,t im,ivognt foiin,tcesn dna iosetgnni of alreg tomsnau of etu"co.frs/n0hb.tsv/.9sohwpw:bn.mt/cBin4KNo5/wo/il3g.k5 +1
shayokay  l,osA eenv hohgut Vno eirGek is tzcrgdoeaei sa a elgoyncg gtesroa esesdia ti is llraye a orbplem hwit oeonegeiglsnsuc nto genlgocy oewrn.abdk So vene if you ottghhu isht aws ,VG oyu istll lduco vaeh tngeto hte rthgi renwas. In G,V nay mcaserconadioh heotr hnat lugesco t(erf,ousc os,lgecaat lgeoclr,y )tce. lwli nto aiser eht sapmal soeuclg vlele eesbuca eyth lla uqreire neesnceosggliuo ot eb eoedrcnvt tnio sugecol nda shit aoctnn ppnahe bcuaese eerht is no .phpagso6asslectueh--o ishT si why the etamnrtet ofr VG is refuteqn arol segcoul ni teh mofr fo anrsrthcoc adn vaiacdeno fo tureofsc dan .closagtea +



 +5  upvote downvote
submitted by usmle11a(102)
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gusy GV wdolu rsweon ihwt lotaegacs ,onunifsi ebbeemrrm ethy ntdo eavh 6PseGa hcihw nmaes hety catn rvecnot iytahgnn ot usecogl

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tyrionwill  ,eYs VG meaks hte rivle toni seulmc, hreew lal gsuars tx(cpee luosg)ec nac lony be beudrn to r+mf(ollyelccrgteaota sgicl)yo,syl ATP mo(rf TCA ,eistaoblmm ot ievg ruic ,)iacd dna tfa tdopsei om(rf +raelgvuelrytcyop giogn ot )+GFAT to norsew eht utstinoia. ragSu ctoann eb dmae tnoi sugloce ni lievr for tehor ses.suit +



 +1  upvote downvote
submitted by cassdawg(1781)
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yM ubdm sas hhttguo kiteaonme aws ikel iamaen fo teekson or nishomgte adn tush emtna low eskotne so I tamsol utp tyatf iacd oaoidixtn oiec(otyphkt .y)yhoigampcle YIF iketoenma si hhig ot.eeskn

tfDecse in tayft dica oxoaiditn udowl olsa be rrcteecdo thiw the rugas dndoitias so vnee if yuo ckus ta lmedcai cvoab uyo ldocu ruel it .otu

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j44n  fi it asw ysolcgysil ehyt owultdn be aebl to eebztomila eth etscgaoal etheri, a dctfee in onylggec oy/wrokbndnolislyeeasgcg ou'wdtl fefect the mdaemieti molbtmieas fo a onramsodhicae it wuodl tffece teh nlgo etmr oregtsa of it. I notd' tiknh ew ewer sudoespp ot owkn whta issdeae sthi si I hktni ew erwe just sseuppdo to hkint oabtu eth msalioebtm fo het eehtr sgrsua in quntei.os aeoixHsnek olyn ocrenstv ufsctroe nweh it is etymexler dovodaeler itwh rfe(ticsotu hsa a wol tanyfifi rof i..t. leh'ylt nvere ysa ttah so eslt asy hhgi" .mK)" Gcygnelo sshsyenti spenpha orve meti dna eh adh orop igfedne rof 3 days so sih lceyongg odulw daaeylr be gone dna eh lowdu eb mlyieidtmae mtcmiatoysp teh esndco ish oblod gucolse pdorped +



 +0  upvote downvote
submitted by adong(144)
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I losa had on deia thwa the soaginsdi wsa nad urlpey went off :tiini'onmtCel naa be ayftt iacd ontdaxiio bc of eth ,eaneoitmk whhci uoy outd'wnl be aleb to eupordc if atth was eth dele.yncGgecotf neordn/hysteswsibka rae letrdea to geyonglc oasterg se,essaid whhci eth preisonettan 'ndidt ilne up lelw h.wti solA I saw kightnni of a waythpa htta uolwd oenrpcotrai leyrgo,cl osrfctue adn gteasacol hhicw deeesm emro ni nlie whti tognwlyye/lgenesgceei inelosscuos.B het slta ,two I ntew twih tluayf iluegneenocosgs bc htat udlwo dlae ot ihs ymcpg.iylohea I dt'on wkon how iltge ro ibapacpell hatt si ot hetro euot,snqis utb gtuhtoh 'dI at lstae eshar ni aecs yeoann idsnf it ulfph.el

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