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Retired NBME 24 Answers

nbme24/Block 4/Question#3 (reveal difficulty score)
A 23-year-old woman is brought to the ...
Renal tubular acidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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 +3  upvote downvote
submitted by โˆ—brethren_md(105)
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ierRusqe gniwnko who to aluctealc an ionan agp - okol it up. nI iths s,aec ti si a rlonma innao gpa aleobmtci ssiciaod. Kown het unnemsocmi PDLMSUEI and SASD.HRA eaRnl ruTubal asdciiso is eth nloy newasr eccioh hatt si an mlpxaee fo a mnolra noina obmclteia c.disoias

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mousie  nAoin a:pG aN - (Cl + 3)HOC = lamnlroy dronau 112-0 +5
seagull  godo to .konw I kepe knligoo up hte nireu aelsuv but lal it iasd wsa rai","sve then I htrew ym rptmoecu nad eyldle o"des ttah rvya tehroM eF****sr. I od eelf trbtee won. +80
_yeetmasterflex  dlga I stwan' het ylno oen ohw tgo ryve sdspei off at the ueinr veuasl +4
fulminant_life  Ulsuyal teh irfst igthn I lkoo at si hwthree or nto eht C-l si g.ihh lelayeGnr fi the l-C si hhgi ist igngo ot be a mroanl apg +9
henoch schonlein  i hintk hyet eagv you eht iuern esluva bc you can uteaaccll eth IRENU annoi gpa whhci is N(a + K - lC.) In tish case teh neiUr onAni pGa si eosvipit (5.) daBsro and dnoyeB itnsonme htat a iiovtpes AUG si edu ot aleRn bTrauul dcsiosAi ypeT 1 iina(tibly fo lhapa trneaacletdi selcl to rsceeet ndhyeorg )isno. sjtu thnaeor apocphra to wasnre tihs q +23
270onstep1  taAlcyul adrihear is hte D"" ni R(srDnoA"ASe"SHa wyh I asw scutk ewtenbe Chon'sr nda T.)AR enddE pu nttegig ti itrhg itwh RA..T +1
talha_s  So the asnore isth si not nhCsr'o eiseasd si aluaytlc hwta nBB xlapnesi in nlaeR luubTar ioiascsd ieodv. Atnmyei rthee is a biMcelota doisscAi hitw ncitta yednik nsterceoi of H,+ teh URRNIYA noinA agp C-+(lN)Ka is EITVNG.AE Tish si ebcaeus teh ecexss 4NH htta is sredceet tino iruen is bcndmioe wiht l.-C fereh,eoTr ni Cs'hnor eaidsse nad ypTe 2 elnRa rulbaTu iiosdAs,c eht iyrnaru nanoi pga is nG.TAVNEE II tish utnoe,siq teh rruiany onain pga is OIEVSTPI os hsit ouwdl eb an emaelxp of Tpey 1 ART uacsbee hte kiynde can otn recxeet HI+. otg ti irght by cnache, dnielifeyt ddi ont aruetndnsd it in thsi hcum dlitae nehw I aws iagwnsenr it oll +11
ih8payingfordis  AF 2091 pg 580 - 815 +



 +1  upvote downvote
submitted by โˆ—medguru2295(64)
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uYo 'ndtdi elrlay edne ot caecutall niAno agp. ehT abricb asw YCTEAOLNXEPLI .olw tTha is lyglerena T.AR Aaidytoidlln, eth Cl wsa rvey ihgh in het tgisnte fo eotrh arnlmo cteyslteroe.l nia,todyld.ilA it was a s wlo eston vre(o 2 k)ewse kgnoickn out amyn treoh ochecsi leia(ltS,cya Laticc ,iAsdoics AKD, dan hilcoocAl ioaidt)eo.csKs

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 +1  upvote downvote
submitted by โˆ—abhishek021196(120)
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rUnie innao apg = rUnie aN + K โˆ’ Cl

nI a itleamocb osiicsad huttwoi a umsre aonin :apg

A steioipv ruien aonni pag estsgsgu a olw yauirrn +N4H (e.g. elran ruaublt c)so.adsii

A tivgaeen urnei aonni apg ggstessu a hhig iyurnar N4H+ g(..e drr.aheia)

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 +0  upvote downvote
submitted by โˆ—cocoxaurus(59)
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BUT ywh is hte mrsue atospisum mnal?or

I swa labe ot arwonr ti wndo ot T,RA bcaeesu noen fo het thero weasrn soehicc made hmuc snese, utb eht ssiuapomt ahd em ndcseo ignugess sy.emfl anC eseoonm leinapx atht bla nfn?diig !nsahkT

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subclaviansteele  My ktea si taht she ont esupr daitccio dan the K is ta eht olw .end +
nwinkelmann  see hte menotcm by ,zir@db hihwc lnxaepsi taht teh irnue nnaio gpa si nipmortat iwhc(h I okot ot ineetptrr sa oemr tpoamnirt hant eht smrue K+ lv,ele ol,l ucbaese teh rlamno K erwht em off ot).o +



 +0  upvote downvote
submitted by zbird(2)
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This ttipean sah psitlTeyD-a I ATR hchiw is eplaenixd yb rNmlao umeSr nAoin gpa 8)( leMiboact sadiosic wiht her spieoitv rniaury aonin +.p(a5g)

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krewfoo99  hWy owuld the neiru taPioussm be so gihh if ti is eytp 1 ? oSundthl it eb ptye ?2 +
drpatinoire  fr@eo99okw I ntikh t'is TAR2 cna(oniF r)e,onmsyd eh is glsnoi lal ndkis fo ,Na K, lC chwhi lsdohu be dbsoeerarb ni CT.P +1
misterdoctor69  trnei@:apDior ti 'ntac eb 2RAT aeusbce het inuer nnoai agp G)(UA is eoitpsvi +,() chhwi sipieml tath teh ietpant is lnbeau ot etsrece H+ ai(v +N,H4 hiwch culseop /w ).l-C R2AT on teh ohrte ndah ash a eievngat (-) GUA scueabe 2ATR asffcte nyol eht rxaloipm ulbetsu' iblyati ot arbsorbe cbboenatira (e.i. +H iestnroce avi HN4+ ni teh sitlad nvdcelotuo uuetbl is cfue)na.tdfe +



 +0  upvote downvote
submitted by yobo13(5)
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aCn moeosne epainxl hwy it nac't be o'hrsCn icesn ttha duowl osal acsue a nno M?AGA

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drpatinoire  fI esh ash o,Crnh esh sah adalrey tlso a tol fo ,K HOC-3, hten the sonpcmeyotar tmsyes 'lodntwu etl erh keep ngilos lteelsreotyc ni erh urn.ei +1



 -1  upvote downvote
submitted by โˆ—sherry(35)
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rDaehiar in HSDARAS nac dlea to eicomabtl ociadsis sa e.lwl nO ndseoc hguhtot I ieeddcd ot etak nrohc eaisdes ucz I uegrfdi the aclliicn ipcuter si reom ttnmrntteiie hwit uomapsist tesurb.asindc I segus I sutj kienhtvro eud to eht clka fo toerh yispcalh batemanil.srio

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daddyyikes  hrteo ahtn hte attiepn ton egihnav yan xss fo nrosh'c i tndo ees ayn sanreo wyh tis nto .sorch'n we ffride s'orhnc dna rat by ienru nnoia g.ap ni incrcho arrhdeoai ti si igtnevae wlieh ni atr tsi v+e tbu in tsnuieoq the niona apg saw oanrml +



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