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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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hTe eedsasi eher is efcurtso aobsptsiapsheh cen.eidficy In i,t IV goelyrcl or uotcfres oend’st lphe aeecbus otbh nrete hte cieselonggoesun wyaptha lewbo suocrfet isopatabehh.sp lateosaGc on hte reoth dhna tseren vboea it. I od’tn khitn ouy alerly deen to wonk sith ot coheos hte errotcc sewrna sncie teh illcaicn ireupct of igfntas eoahycilmgyp htat si cotdercer /w soem rots of saurg atht acn netre eht gicgsneonloseeu pytwaah ouldhs luce uoy oint hte rhtgi .saernw

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neonem  I d'ont nktih yuo udclo haev yao**ltlt dulre uot the htoer anserws - I ckpdie gecnygol rknbadowe caesbue ti udosend kind of liek oVn ekGier dseeisa u--spsc(le6gtsoehopah)a to e:m icrehtrzeaacd yb aigntsf lighampce,oyy atccil aicoissd, nda malptogaeehy since ry'euo ton albe ot teg htat anilf tspe fo gpxntreio lgcosue toin eht olobd. ,Herwevo I usges in htsi scae ouy dluw'ton ese ahtt lombper of ryoegfc/tueolscrl unnsifio otn eircsganni bldoo sglceu.o iceN ch.cta +27
vshummy  I tkhni ouy ewre serpu ratms to cchta Von ekirG!e tsJu to erfien ruoy wneras cb/ I had to olok hits up rtfae edgainr yuor neian,tlapxo nvo eirgke hsa a pmbrelo with geingsoeounslec sa elwl as cge.ooyllsygsin oS deh’ty evha a mrblpeo whti rellcyog adn escrtouf ubt osal aegtaocsl iscen htey lla dfee onti eleuegngscioson ofebre eegc6l.thaoussaho-psp- rGtea ttguohh rpcs!eos +24
drmomo  egolylcr dan ectsfour bhot tnree eht twpayah utrh DHPA nda gcea--peelhd3yr.lydh cGaseloat enster thru G--lph1a ot h--upgl1 ncrinvesoo +3
linwanrun1357  In sthi caesu csot(feru piaosatsshphbe efeut.inrc)c,is,odcfye huldos pehl to resinaec usmer c,goselu zcb it nac oebcme niot P6clus-ge-o by neifhhor,eksorea.eTx e isth qsonetui asmke me oe..csd.fnu. +
krewfoo99  dAgconrci to ,urdlwo eofctsru fininuos iwll ont rsneaeci oldbo oegulcs sveell ni onV keriseG saeDies sa wlle +
atbangura  I eeieblv Von eirGek is ont a bilelsuap nerwas ichoce cesbuea a aoatscleg nniousif olwdu ltsil otn ese an aoenelitv ni gcleuos lsleev. ,eberRmem cosaagelt uclod eb evtorcned to clegoasat 6 tpha,sopeh ubt in doerr ot pemctole cusoeennelsgigo nda lwloa gloeucs ot eelav teh irevL for na acreenis fo tsi ntionoaretncc in eth b,dolo het tepanit dluow sllit dnee leuosgc 6 tasposaephh hhciw is lmteidanie ni noV eGkri.e +2
lilyo  So thwa iessdea is sht?i?? I maen udcntol ew vaeh tujs wsaedern het uesnoqit based on the atcf atth eht nettaip ossdrepn ot salcogtea bnegi fesuind dan ew kown hatt agocsetal seefd noit ?ls?igcnnoeoeeusg I ma os foe.sdcnu +1
djtallahassee  stI reetdHrayi ructFeos iaoelrncetn tg?hri setg cisk ratfe fetsourc nda I essgu eollgryc anc pjmu in via llsdeaoa B on tshi yawpath aiv egap 74 fo .A2F190 It klooed liek a ocstfeur hgitn to me os I jtsu makedr uto the erhot nsoe and domve .no +1
paperbackwriter  ltaah@jeesalsd I wsa ndweirgon em,as utb iehedyrrta ofurcest cronanlitee aslo rsstelu ni iintinbhoi of ynsisloglecgoy :/ ocusnngfi ustn.oeiq +
amt12d  A uhmc mselrip wya to inkht taoub hts,i tthouwi rntygi to ufiger out a osdgain,si I lodeko ta hte mtei fmrae rof nehw hte hdcli wsa .ieptnsnerg He ahs tneea rooypl rfo 3 y,sda yb wn,o hsi cngygole bekaodnrw is .ogen siH ybdo lwodu be tyirgn to amke usl,cgeo teofhee,rr linneougesocsge si eidiarp,m nto gelonycg dnabwr.eok +7
tyrionwill  fi rtoufcse siaekn is ton bealilava te(usofcr lnectr,)einoe hent smoe eftorsuc may go ot 6FP-- by enkxsoheia, tnhe esog to GP6 if nlgsosgiueneeoc is ddene.e rweohev htis tpe'isatn efotcsur easnki swa tacin,t os on torcseuf dwoul evha go to F6P, so rhtee odulw be on ooldb uelcgos nienctemr frtea noinetjic of ecstof.ur +1
shayokay  ouY hda to oknw ttha ortfuesc nda lloeygcr entre ysogylislc ta ,PPHD3G/A nda gatlcaseo sernet sgicolysyl at G6P (lg;ga-&t l1p--ag &g-t; 1ul--gp t;-g& plu-.-)g6 sihT mneas ahtt noe fo eth 3 meznesy beewnet PG6 adn 3DPH/AGP is ont couintfning ep.rorlpy Msto elikly hits lodwu eb -thibrphsfoes,-6pocuse1aats ceuabes ethre eosd not pperaa ot be hgtiynan rwong iwht ely shi-ts,obplp6iossthyes"acrFa1.co-ugs F(1)BP efdciceiny si reeaztrdcaihc by ediipcso eatuc scseir of ltcica icidosas dan kiettco olipyyg,mecha egfistnnmia as hyoplievntitrean, aepnic sels,pl us,ieserz /arond cmoa. teAcu ciesrs era toms oocmnm ni erayl dohc;ildho nrlaye ahfl fo dfeetcfa idehlrcn vahe iypomylahgce in eht lnataeno ierpod pl(aeyilcse hte tfsri 4 as)dy stungleir rmof indecteif gceonlgy tssreo. aotcrFs known to gregitr sepesdoi ideclnu ,evfer gitafs,n erdeseadc oalr n,etkia vngtomii, ,tsnenicifo nad giinteons of alerg mstnaou fo fcrs"u.eot/hsk9NhbB/.ip0o/wl5.ngwtnims://4.o.t3wvconb5K +1
shayokay  ,loAs eenv ghohut noV keGire is aotedrgeczi as a lgoncegy sogeart seseaid it is lyrela a prmleob iwth neggelcssieonou otn cengglyo .bkrdnwoae So veen fi oyu gtutohh sith wsa GV, yuo tlils uldco vahe toegnt eth tgirh snr.awe In ,VG nay ircnshmaoceoda htoer ntah elsgocu r,uecfto(s gaeaolts,c lgeolrc,y )c.et llwi ton eirsa teh msaalp ueosglc vllee sbcaeeu eyth lal ueqirre gsengocnouleesi ot eb nevtoercd onit ueglcos nda isth onctna nhappe uceasbe rthee si no optehsa-c-h6slpsugeo.a iTsh is wyh het ettarment for VG si fteruenq olra gsoluec in het mrof fo oacrtscnhr dna voneaiacd of otrcfsue dan .tgaeolacs +



 +5  upvote downvote
submitted by usmle11a(102)
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usgy GV lowdu wrosen twih sgolctaae nofnsii,u eeembbmrr ethy dnot avhe 6PasGe wihch mnase thye tcna ctoevrn natynhig ot egulsco

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tyrionwill  eYs, VG makes het elriv inot smcuel, hwere lla sursag exetpc( logcu)se acn olny be enbrud to leoolr(atlym+crfteagc scygiyl,)los PAT mf(or ACT s,abmilemto ot igev uric ,)idac nda fta ipstdoe (frmo vrlyetypgruelco+a ngoig ot )TAF+G ot swreno hte onutisia.t aurSg onntca eb emad onit ocglesu in levri ofr ertho sesu.sti +



 +1  upvote downvote
submitted by cassdawg(1781)
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My mudb sas uhghtto omkeateni saw klei naamei fo tosekne or stgenomih nad huts mnaet owl tekenos os I tmlosa tpu ytaft cida aodoixnti coh(tkyitpoe pyiog)lcya.emh FYI eatimkeno is hihg o.kestne

tcfeeDs ni ttyfa icda dootianxi ulowd sloa be rceroedtc whit het srgua oiddnasti os vene fi oyu ucks ta deacmil cabov you doulc ruel ti u.ot

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j44n  fi it saw yscolsglyi etyh nlutodw eb bale to zetmbeiaol eth ctgaslaoe ehi,ter a dftece in yolnggec owingealdrkbcnoelgsyyos/ 'woultd ecetff eht itmieaedm obaeslitmm fo a hcnomsreadaio ti lduwo cfetfe the long etmr atsgore of t.i I dotn' tikhn we rewe pspoudes ot kown hatw sieaeds stih si I nhtik we erew ujts sppseudo ot kinht uaobt hte boimesalmt of the teher rsasug in uqeoin.st naeeiksoxH oynl socevnrt tcrseuof when ti is eeytxlmre dlvoeoedra ithw cso(fiutert sha a lwo ftnyiaif fro t...i ltley'h vnree say hatt os ltse ysa hh"gi .m)K" Glogecny essyntish shpeapn vroe etmi nda he adh opor iendegf orf 3 sayd so ihs yoelgngc odluw yrldaae be oeng and eh doluw eb dmaeiyieltm cmtpsiaymto hte dncsoe sih bolod ousegcl peprddo +



 +0  upvote downvote
submitted by adong(144)
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I losa hda on diea what the sioidngsa swa adn lyepru wten fof loi't: tiCeianmnan be fatty ciad xiidanoot cb of eht ieoea,nmtk iwhhc you dotluwn' be elab to dpercuo fi thta swa eht doynclgce.feteG wykdtabnhssesnroe/i are eealtdr to oggelncy ersogat isssdeea, wchhi eth snieenottrap tnddi' nlie up ewll iwht. Aosl I saw nithkgin fo a hpwtaay atth uldwo pioearcontr royglc,el oresuctf nda ocgtalase chihw dseeme eomr in inle ithw locesgisnBilnteeu/eoy wsnegcos.yegl hte salt o,tw I wnet ihtw fuatly ceggseneouinosl cb that lwdou edal to ihs l.aoyhpicymeg I dnot' kown how egtli ro pcliapbeal tath si to etrho ,noeqsstui but ouhgtht d'I at stlae ahesr ni ecsa nyeoan ifsnd it uphefll.

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