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Retired NBME 24 Answers

nbme24/Block 4/Question#16 (reveal difficulty score)
A 24-year-old woman who has diffuse toxic ...
Phosphate: increased;
Parathyroid hormone: decreased;
25-hydroxyvitamin D: normal
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 +30  upvote downvote
submitted by tinydoc(276)
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Tish toqsuine is yver ,yankse btu ni sceense htis si awhst hneianp.gp

hTe alacniedtc elrmova fo eth HTP adglns idngru rithodmtycoey ⇒ ↓ TPH

PHT :-l-ionn maryl onbe: ↑ oarvlme of ²a⁺C nda ahtePhop orfm ben--on i :kydsnie ↑ ⁺C²a sotroniraebp dan ↓ ⁻₄OP³ nirreotp--obas↑ oinovrcesn fo 2,5 tnixHyayrmodvi D to 15,2 aHoynvixmiydtr D (cirllatoiC - tvceia m)orf aiv ↑ ityvatci fo a1- dlxeyoasrHy incdeficey

reehTrfoe a ↓ HPT dluwo edla t:o

⇒ ↑ ₄⁻³OP ⇒ ↓ ²a⁺C ⇒ ↓ 12,5 aynidxtHiymovr D

The toeuqisn is snaeyk umch( like het srte of this xam)e sbeceau meoenos ohw itsn ifuogncs ylelar rdha ro in a rshu htimg ckip hte onoipt C reehw ohapthep si ↑ adn PTH is ↓ UBT ↓ 25 xayriondivmhyt D

hiTs si gworn as olny ,521 idaryyvnihoxtm D wulod eb redcdsaee, eth snverisocno efbroe tish are dnoe by the iksn i)s(lhntug dan leriv.

I rlelay swhi teyh lowud ptso mgknia the tsuisoneq gnfcusino YERLUP rof hte seak fo gimank ehmt gc.ufnnios Inst it oeghnu thta ew eahv ot knwo sith uiiscdurlo mtanuo fo rtfmiiaon,on uowtith naihvg emth eniniotlyntla kangmi ti radehr yb tiniopng oyu to 1 ewnasr echcoi tub iagncngh a teinum tdlaei ot kmea uoy naswre rwno.g rO signu a omandr sas macutreolenn orf a seidsea to daivo amkgin ti oot pmlesi SPG(N = rer"lfvtiiepao )N"G

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tinydoc  I atilllyre otg htis wgnro beacues I ahd teh ontf dzemoo ni dna smesadu teh 1 saw no eth nile avobe elki on owrldu nwhe it eitsr ot ushsqi het ehwlo etilt ni hte sema aepsc X_x +1
hungrybox  yHol kfuc they tgo ey Te.hm omoedb .em heT kgfiunc ENBM mdoeob em. +4
graciewacie9  mnAe ot eth GNPS i.nsotueq eyTh otg me no hatt n.eo lol +
msw  teh pgns ioeutnqs si ntinipg to idarlyp eltnripfoiarg tiloeenrmhlrsipoug /bc the pt hsa evdploeed uceta arnle iufreal htwnii dsay of hte tlsinu +
msw  itnignp*o +
snoodle  LYOH GOD YM ABIRN LLEDIF IN TEH .1 i adh to eadr sthi talnoxiepna 4 imset ot alifnly see ii2nrdx-th5vyayom D dna tno .12,5 F U NBEM +3
avocadotoast  itsh sb is rpob ywh eth sneouqit inst no pets 1 rymaneo +
zevvyt  os sneic ninerosvco of 25 &-tg-; 512- is residudtp , lduwo 25 be h?igh I nkow tsi nto na awsner eo,chci sujt rdgninowe +2



 +1  upvote downvote
submitted by trazabone(16)
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ydKnei esamk 2-1,5 xdhyoyr intimva D. y)irli5lo2h c(tac-xydro vti D i(aoc)lcidl si emda in the eriv,l nda daypyhsmtiorairpho owlud ont rceaesde sit veelsl as ti astc to eanescri laah-1p soyeryxhald ni teh eidkny to neracise ctaillcori ncsiatcnroeotn --g;t& phC/htaspaeo boeitsrarpno fmor eth ebon and lmals sn.itiente

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queezyfish  'mI fcedsuon uabot the opthespah llvee ni uosqestin ekil e.esth scedeeraD loailtcirc uldwo aeseedcr pphshoaet pbroiaotns wehli PTH cadreese lwoesr phathspeo nxec.ieotr 'Im ngumiass atht teh HPT ersdeeca sha hte egretra eefcft iwth urmes shhpatope v?lsele +2
mousie  THP = Pahh"oespt gtainrsh "eronomh fi PHT is hhgi pthosPhae ustm be low - thye rae ysawal oepptois lus(ens t/d reanl iflraeu neth hPshoeapt lwil be hhgi - dnyikes llwi eb leubna to egt ird fo pa)oethphs o S wlo aC /td wlo TPH esdo ont eeftcf 52 H. Vti D ... olny 52,1 H itV D eia(cvt l)lictC?orai +4
haliburton  lctrCifinoiaa sabceue I asw usde:fnco HTP asetusmitl dinyke to crdoeup 1O,(2-2H)5 3D iclarclit(o) iav asoedhx-yyrl1α ni axprliom dntecluvoo u.butel ehTof,reer wiuthto atryrpahoid dnalg,s olw TH,P ,2D5 is ont veocndtre nad reehrotfe nto wond (olarmn or p)u. htpapsohe rsa"tdh"e by HPT as lntyqeolue ettasd o.vaeb +1
zbird  eHer teh miarypr ecdtfe si hihg pu fmor eht aaiyhdoptrr lag,nd erthe is ededrecs or on PHT hhiwc yronllma ethasrs shoeapthp btu ont ni tish ecsa os userm SPAEHTOHP EICSASNRE nda teh sremu cmulaic is low eacuseb PHT ouslhd eahv teepdnerv the nriue auccmli os tehre si cciuliara dna on troponiers rfom -LonbWOe C,MCALIU iVmD-ntai is iepdendnetn of THP so atssy MAOLNR +



 +0  upvote downvote
submitted by dentist(94)
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owlFol the aCmucli nad rkwo sa.C↓kabdawrc sanem ↓ tshPhopae ioserorptn ni hte PTC hhi(wc lupsl Ca ihwt ti)

vrotd-Di2y5h mlanro cb/ tis enruedlta ot .PTH

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