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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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sRreqeiu ikonnwg ohw to catlacleu na nanoi pag - ookl ti pu. nI tshi esc,a it is a lamnro inano apg elaobctim siaio.scd Know eth nsemmcouin ULDPEMSI and SADR.SHA aelnR bluTrau iaosicds si the nyol aenswr iehcco hatt is na mexleap fo a oarlmn ionan talombcei ii.codssa

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mousie  niAno :pGa aN - lC( + 3O)CH = myrlnloa uadonr 2011- +5
seagull  godo ot on.kw I eepk oliogkn pu teh einru slvaeu btu lal it iads saw iva,sr""e ehtn I ehrwt ym rucpeomt nda lelyed odes" thta yrva tMhreo *F*.s*e*r I od elfe tbrtee .nwo +80
_yeetmasterflex  ldag I wtans' teh nyol neo how gto ryve isespd fof ta het enuir vselua +4
fulminant_life  yUasllu teh tsifr tingh I okol ta si hehrwet or otn eht C-l is i.ghh arGelelny if teh C-l si ihhg its gonig to eb a rnmaol pag +9
henoch schonlein  i inkth tyeh aveg you hte reuin vlaesu bc yuo nac lceauctal the NREIU oinna apg hiwhc is Na( + K - l)C. In htis aces teh renUi nnoAi apG si psvitieo 5).( Baosrd dan yoneBd tnnimsoe atth a psetoivi AGU is ued ot lneRa uaurblT Adiocsis ypeT 1 iabn(yliit fo paalh radeinattecl cslel to eresect gryodehn )i.ons stuj nraehot hpacaopr ot rwnsae htsi q +23
270onstep1  tclAyaul darhreai is het D"" in r(Rs"oDaASnS"AHe yhw I asw tcsuk neweteb Chsnro' nad .)TRA dEnde pu tigtgne it trhgi with .RA.T +1
talha_s  oS the snaeor tshi is not rsnoC'h asseedi si ayltulca athw nBB sealnpix ni leRan urTablu isdsoaci .dovei emAynti hrete is a tlaciobeM cdisoAis hiwt intcat kdnyei rsectioen fo H,+ hte RYIRNAU oniAn gap (aCK+-l)N si AV.NGETEI isTh si aeubces het sscexe 4NH ttah is ceertdes iotn uenri is bncmeiod twhi Cl-. erof,ehTer in h'orCns saedies dna pTye 2 nleRa bTurlua icsds,ioA hte uryniar onain gpa si G AnT.NIVEIE hsti sneuoqti, teh uainrry ainon pga is VPISITEO so tish oudlw be na eamxlpe fo Tpye 1 RAT seeabcu hte kedniy nca not reecext H+.I gto ti githr yb ac,cneh enieilfytd idd ont nddeatnrus ti in thsi chmu ieladt wnhe I asw sinwegran it lol +11
ih8payingfordis  FA 1209 gp 580 - 815 +



 +1  upvote downvote
submitted by โˆ—medguru2295(64)
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ouY dtdni' yellar ndee to cclealtua Anion a.gp Teh bracbi saw TOECXNLPEILYA low. ahTt si eaygrlnle TRA. Adinllytoda,i eth Cl swa very ihgh ni het ntegtsi of rheot ornlam orteece.lstly A.lytaion,idld it was a s low tseon eorv( 2 ek)sew cnokkngi tou anmy oetrh cishcoe ,aeyilcal(St tiaLcc cisAiod,s KDA, nda iocclloAh t.iosoasci)Ked

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 +1  upvote downvote
submitted by โˆ—abhishek021196(119)
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ieUnr ionan pag = Uiner aN + K โˆ’ Cl

In a cebloiamt odisicas wtuhtoi a eumrs niona ag:p

A tsivopei uiern ioann agp tgesusgs a wol iuyrrna HN+4 e(g.. rlnea uaultbr .i)oisdsca

A avniegte niure innoa pag etsusggs a ghhi nruiayr N+H4 ..g(e )ieharrda.

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 +0  upvote downvote
submitted by โˆ—cocoxaurus(59)
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BTU yhw is eth rsuem umtpasois amlonr?

I asw able to rronaw ti donw to ATR, caesbeu neon of eht ehtor wsnear ccsoieh edam mhuc ,sesne btu the itaupsmos adh me oecnds sugesing sf.meyl Cna esomneo eailxpn ttha lab f?ndniig kh!Tsan

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subclaviansteele  My akte si atth esh ont rpesu cdoatiic and hte K is ta teh wlo e.nd +
nwinkelmann  ese teh nemtmco by ,rd@zbi cwihh ilnsxape htta het nireu aonni gpa si iattmronp h(cwhi I ookt to eirntertp as omer oniaptrmt hnat the usrme +K ele,lv o,ll uaesbec eht lonamr K terwh me off t)oo. +



 +0  upvote downvote
submitted by zbird(2)
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sihT aenptti sah laytTpiesD- I RTA wihhc is exliadepn by marolN mSure nnoAi gpa 8() coialMbte idcioass twih erh tepvsioi riyanur innao 5.apg)+(

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krewfoo99  Why lwudo the neriu Psmuiatos eb os ighh fi it is etpy 1 ? lhntdSou it eb eypt ?2 +
drpatinoire  w9ok@roef9 I ktnih ist' 2TRA ionnc(aF mrn,)sydeo eh si sonlig all niksd of Na, ,K lC wchhi lhdous eb boderreasb in .TPC +1
misterdoctor69  :aDenpiri@tor ti catn' be A2TR cbeeaus teh runei iaonn apg U)(AG is postviie ,)(+ hwihc mpelsii ahtt eht petnita is leunab ot teerces H+ iva( NH+,4 chwhi uceopsl /w Cl-). TAR2 on eth erhto ndha has a iegtvnae )(- GAU esubcae 2ART atfescf oyln het xmolpari but'eusl tbiylia ot bsorearb eatabcborin e..i( H+ enroseitc iav +NH4 ni hte tdials dnoeovltuc uubtel si cf)tfe.edaun +



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submitted by yobo13(5)
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Can eesonmo xlpniae hyw ti tanc' be rs'Cnho nesci hatt wudlo also eascu a onn MGA?A

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drpatinoire  If she sha nh,oCr hse hsa eayladr lsto a lto of K, 3CH-,O hent teh tapsyoroenmc tyssme wulotnd' elt ehr epke ilsogn lyeottrlcese in erh eiun.r +1



 -1  upvote downvote
submitted by โˆ—sherry(35)
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hrrDeaia ni AASHRDS cna edal to cleaobitm oadsisic as ell.w On nsecod houthgt I ecddeid to etak hcron isdeaes czu I erdiufg eth ilancicl tcrupie is omre ntrtntemitie twhi taismopus dieasbsrt.nuc I gseus I tjsu tknervohi deu ot the klac fo orthe cpisayhl aebrsotiaml.in

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daddyyikes  rteoh than het aeintpt ont ehnvgia nay sxs of cros'nh i dotn ees yan ensaor ywh tis tno nr.hos'c we iffdre 'chsron dan rat by uerni noian pag. in hocnicr diaearrho ti si vaeetgin lhiwe ni atr tis v+e but ni uqnisteo het ionan gpa asw moalnr +



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