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Retired NBME 24 Answers

nbme24/Block 4/Question#8 (reveal difficulty score)
A 1-week-old newborn is brought to the ...
Organic acid metabolism disorder 🔍 / 📺 / 🌳 / 📖
tags: biochem artist90

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 +47  upvote downvote
submitted by ∗lsmarshall(465)
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eaUr Cycle oDerdriss > dtloeaIs eseevr yaopnmhmimeaer g;t(& 1;000 ,ie.. no teohr eeervs loaiemtbc sescnbairtdu

reithOnin rclbesmryaatnasa iedincfcye g;&t tm(os omcnom reua yeclc ds.)i iortco eaidia/dicmuacira, meirnmheoyampa

cignarO iesdacmiA gt;& o,epammrmaeiynH aoingp-na acodisis, toeissk r(mof hcpgl)aomyiye

adhuMmii-cne -AclaoCy soandgrheedye ecdncyeiif ;t&g aomeeHmnmi,ypra kthtcoepoiy hogiyeycmlpa esn(e in txnidoβio-a osrsid,red ETPXCE rytynoaurdlhkseeoopd)

irvLe youdcftsinn t&g; eenyrmi,aaompmH FLTs eedsms u,p rdeol pt.

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lsmarshall  mSuayrm fo teiaoblcm ussies erganlti ot mmyeheipaaonmr +9
seagull  m'i nlenagi tadorws Oeitrihnn seamnarbsatryacl y.cniceiefd +3
notadoctor  toN rues ywh this sni't ercsidoedn a itohcromidnal isoedrdr cisne the isuse is eninirhOt nmaayclesrbarsta icneiydfce ni eht cdintir?hamoo +2
charcot_bouchard  fi ti asw rilahdtmoinco odrerdsi on noe ulwod saepec +3
wowo  eigruf ni TOC yeccid,nife htey himtg vahe to elyctixlpi tienmno het oorcit criaduia NDA yylpctlia rsteepsn alrrei,e arduno 4-hs48r2 fo ilfe atfer e'evhyt fde at( elats epr B)+ B also rpe ,BB ipipconro idaeamci and MM eiamidac evah an seotn fo eswek ot mhnost dan adle ot udbil pu fo niagcor dicsa ;>-- amecidai in ndadoiit ot momrenapmayhie ot(n esur wh,y tub leavres aa eentr eht TCA ycecl via onporpyli ACo ;&-tg- olnhaylelmymt CoA --&;tg uncsiylc AoC, but onw iths is ctenfdu /td ezymen n...s)ifedc.?ciiee Aon,hwy oiopinprc dicimaae desdirebc no F0219A 85,p but odntse' ilts eyeanhammpromi +2
artist90  i nkthi ti nntoca be iithneOrn aacetlrsarysanmb ifnccdeeyi cb it si XR seesa.id hist pt ash a ealhhyt ry2 dlo erhbotr ciwhh usrle out di-Xlekn cesiersve eesaids tocrcer me fi i m gorwn +7
artist90  it si %010 Proiicopn aciideam lUdwor Q-di: .1304 ti is an txaec copy qsonuite fo luw.ord i got ti rwnog cb i ofrtog sthee rae icgraon dc.isa Btu i am sitll ednsuofc on 2 sonwth1i-hg edso saidosci seuac gyyocmpalHei adn -sKest i2yw.ho si maioAmn eaevtdel in stehe stp cb aeru cyelc lliw eb fne?i +2
yb_26  )1 merepnhmmaoyai is nsee in lla aeur lccye rdssoreid ctpexe rsageian eccnfy2e)di i goiracn cdisa cirtldye iitnhib raeu ycelc ;=t&g ormmyphaaemeni (fmro l)dUWro +2
yex  ocAgndicr to WU, eerht si trehona eiusqnot # 11.43 hTsi neo reesrf to clahinmmeylto iacidmea ORCA(GNI MD)EAC.IAI MOAEIYCPLYHG tsuerls omfr llvaero rdscaeien bcaetilmo etra gianled to cianrdees ueoscgl ilatotinuiz nda rcitde icxto )-( of nosecoeegignusl yb oanrgic ias.dc hTe secneerp of cygaeolhiymp sdael ot eecrnsdai rfee ttayf aicd timlbseaom hatt opuesrdc ,NKEESTO uiglernts in a rrhfeut nanoi gap emt dsacic.io anlyliF, ncoagri aidcs oals ecdrtyil -)( het aeur lcce,y dgaieln to RAMEYAOMENMIH.P +19
ih8payingfordis  I kinth reeth ahs eenb oesm cniusfoosn uceaebs FA edso a oorp ojb gniittragen sheet stoneccp eegohtrt tub eher rae omes efse:crrnee FA 2190 pg :58 nooiicPrp diacimAe this( is oen lpeaxme of roacgni adic mabtmoisel srded)rio nI eht yrsaumm uigerf on Pg 4,7 look ta hte eptonri mibslaotem (catledo obtotm ghr)it. iayalBlcs, ouy nca ahve sdorrdsie hewer uyo eahv ryoiPA-oolnCp ulpdbui lnaoe OR Pioo-nCAoylr dna MolyAlymtl-honeaC uidpubl. A dn ehtse niaocgr iidsaecma era samaotoul secvsieer in irhte rehntneiaic reptsna,t cwhhi tfi wiht eth setm e'ewr vigne (ei XX nidiadvlsiu can be )naeteeOdff c hntgi atth WU tsate htta I do otn ahve na tinnlaoaexp of:r teh uulbdip of orgicna icdas iiibhnt the eura ccley ceneh eht csanreie in aamnimo a(eyonn owsnk owh stih snea)hpp? +
aaftabsethi1  Can emneoso ltel em wyh nto ESMLA ? +1
jaramaiha  ib@htafaeast ucabsee lal of hte nssbligi wdolu show omes mmypsots fi it were to be a calhomnoitdri .esiedas cihhW sih bhreort si t,ahhely adn ietrss saw uremf-tll tub ided ued ot ipnicesdefu es.uasc +
utap2001  Wyh aosicdis scaeu alocemygyipH and eoKstsi nad ani?yhpmaerom In hocsis(udcais atilcc gsit;dio)s&ac- iietcdna bdyo gyrene issicr -;gt& .inc syc,oglliys lyg-tyipHoe&mgc;a .nic rtpione onkdraw,eb royHimnemaap ;gt&- e.dc ACT cl,ecy sioestK +
forkyeaa  Ca./ncwe:sir2/h/Mimmfpt/3w1l7uip/rcg/i.si/enb2gglP/ntc.6Fvowt.28h +



 +8  upvote downvote
submitted by ∗powerfulgarbage(17)
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stJu ot dda to ahwt seom ohrest ehva isd,a thsi si in rFsit Adi sa el.lw FA 0202 pega 5:8

cinOgar eicmdasai osmt ynomlmco renepst ni cniyafn hitw opro eginf,ed itig,novm p,nhtooyia a high naino gpa ictbaomle ciidaos,s meaoptgehla,y nda zsrsie.ue

eTh noarcgi cdia umutlaicacon eosd 2 ntis:hg

  1. naOigcr ascdi nitihib soeonulgnegseic, gdelnia to niatgfs gapmyioclhye cihhw etnh suseac iacsi,oodktes inusgac a ihhg GA ltmoabiec aidsiosc

  2. Ociragn dscai hnbitii teh uear eclyc, dngliea ot hinaermoaemypm

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forkyeaa  ihts bnic lrofchwta howss who teh eclcsy era tnihdebi.i itmgh leph. .3C/gfioir6nwc/1//tsptc8nsa2/b7:vgghi/ic2nr./.PmwliFm./eMt2lhuewp +



 +2  upvote downvote
submitted by ∗sattanki(82)
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Cant’ pelh muhc on eth ctxae irsgonane hwy, but erhte rea a wef WoUrld eistsnouq no hsit reehw fi a teonean has oc,apieyhlmgy soteisk and nrma,mapeimeyoh a gcairon cdai drorside ulodsh be updcstees ooi(ripnpc cida or heloaymcmtlin icda). sseL ssouiiucps fo an TAR ecsau cplieyyhgmoa si tno iiectcatascrhr of .tath

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sweetmed  mI guasnims sucebea tygltaecmatuta-eNl si an ltorceails rviaoactt of CSP I edneed in reau elycc. dna -GAN si edam of egultaatm dna elctay .Aoc So ni rgocnia a,mieadsic all eth ayclte oCA is ngibe usde to kmae ekntoes fro nyeegr cines eesliguosognnec is emsdse .pu oS Uaer cylce odntes wkor as lwle dna HN3 lcetasmaucu +4



 +1  upvote downvote
submitted by passispass(1)
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My gorasinen on ihst tssuoneqi was serpmli - I khnit htye teanwd su ot pkci na aoloaumst esescirev dessiea seabd on ptarnte of kids eeacftdf thbo( sleafem ear fdtceafe - tanc' eb iyhnnatg kni)dXl;-e ybo swa alehhyt - uelr uto imrcahloditno. thiW stre - rlue tuo eucesba fo csneeiard naimamo nda iatfeniln ottnreaepsn.i Onyl ignaroc adic imoalesbtm rrdisdeo ftle

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 +0  upvote downvote
submitted by ∗forkyeaa(1)
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w7/.p3iepmb2mMsulwgi..t//lvFiit/cs2grf/oC8/hncctne/h/warn:g2Pi1.6

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 -2  upvote downvote
submitted by ∗abhishek021196(120)
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ihnriOetn nacrlesysmaraatb oifny. escdeicMt nommoc ruea cyelc oie.ddrsr nX-kilde seceevirs vs( hrtoe eura celcy eyzenm fdieeenisc,ic chihw rea saooluatm vse.sceei)r

sfenIreetr iwht eth bodys’ liiybta to iimeateln naiammo.

eftnO iendvet in het fitrs wef sday fo ,fiel tub yam rnepset rea.tl sEscxe yclabamro pahtopesh si tcodnveor et ciootr caid ar(pt of eth iimrpdiney sesihtsyn pwaat.y)h

:isnniFgd seiecndrIoo cart cdai in olodb adn uri,ne Ur,NdBacee Des tspmsyom of m.ehapimeoryman lgmolaNtab cseoi maiane (sv rtoico r)aacid.iu

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passispass  aCn it be na -nXeldki dsiease if tbho alemfse aer fefedtac nad oyb si otn? I hiknt lkelyinu +



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