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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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hisT tqusoien si ervy eya,kns tbu in ecenses this is twhsa .nphapngie

The ciendatlca arolmev fo the HPT lnsgad ndurgi oydeoyhmcttir ⇒ ↓ HTP

PHT -ylmnarnoi :-l o:ben ↑ oelvram of ²⁺Ca and Pphheota rofm onbi-e-n ykid:ens ↑ ²⁺aC eotorrasnibp nad ↓ ₄PO⁻³ ne sp-orrto-abi↑ eonscnvori fo ,52 amirivyxydHtno D ot 215, yiyHmavrdotixn D roltC(alici - eavcit ofmr) via ↑ tyivtiac fo -a1 Hdxlrosayey eccdyniefi

rehrofTee a ↓ TPH luwdo eadl :to

⇒ ↑ ₄OP³⁻ ⇒ ↓ a²C⁺ ⇒ ↓ 12,5 Haitxmrivodyny D

The tesinuoq si aknsye h(cum liek eht tsre fo shit x)mae bcsaeeu nmooese ohw tnis nfcsgoui rllyea dahr ro in a ursh gmhit kpic the ootinp C eewrh ptahopeh si ↑ and TPH is ↓ UTB ↓ 52 vhiayiynrdxotm D

hTis si rgnow as lyon 251, ymontvhidxriay D lwoud be reeeddc,sa eth ciessovnron efrbeo sith rea doen by teh skni gsulhi)tn( nad lv.ier

I leryal whsi yhte uwdol tosp aknmig het iustnoseq isocnugfn PURLYE for hte eask of ankigm thme .nnscfugoi sInt it geunho ttha ew heav ot wnok siht cirsilduou mnuato fo mifoi,atnnor uothwit nihagv ehmt tionnitynalel minkag ti rdrhea yb ignntipo yuo to 1 wsrane eochci utb chngagni a emniut iealtd ot kema you swnrea rgno.w rO signu a onadrm ass nucnteolmera rof a eiesdsa to daivo naigkm it oto mseilp N(PSG = orrpafeviitl"e )N"G

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tinydoc  I yiltllrae tog sith gnrwo cbseuae I hda eht fotn ozdmeo in dna smuasde eht 1 wsa no hte einl evoba eikl on wurdol when ti eitrs ot uhiqss het oehwl tliet in the emas scpae _Xx +1
hungrybox  yloH kfuc htye ogt eyme.Th obodme e.m ehT fkgunic NBME meobod .em +4
graciewacie9  mnAe ot the GSNP qios.tnue hyTe tog em on tath o.ne oll +
msw  eht pgns eqountsi si tgnniip to pylirda nfgaepiotrirl usemroiltgnriohepl bc/ het tp sah dpevleoed ateuc renal rfaielu witihn ayds fo het uitsln +
msw  nptoii*ng +
snoodle  YLHO GDO MY IRNBA LEDFIL NI ETH .1 i had to eadr stih aeipanxtnlo 4 mitse ot lniafly ese itamx2h-nryodvy5i D nad tno 21,.5 F U MBEN +3
avocadotoast  tihs bs is obrp why eht ueiosnqt isnt on spte 1 aemnory +
zevvyt  so sicne esocoinnvr of 52 g&-;-t -125 si sidptudre , oduwl 52 eb hg?hi I kwon tsi tno an awsren coe,ihc ustj endinogwr +2



 +1  upvote downvote
submitted by trazabone(16)
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iKyned maske ,21-5 hoxdyry matnvii .D d li5tocyro(cl)ahiy2rx- tvi D ldi)oicl(ac is edma in het irvl,e dna omisapdhpiyorartyh uowdl tno escerade sit vselle sa it asct to nacresei hap1la- sxlerdohyay in teh eydnki to areinecs lcclroitia osccieanotnntr &g;t-- /ohpahCpetsa tsnoibrpraeo rmof teh oneb adn amlls nnei.sitet

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queezyfish  'Im uefdcnso botau eht ohehapstp evlel in sstnequoi ikel eshet. aeDsecrde otrllcacii ldwuo caeersde pestohhpa artiospnob ihewl PTH acredees sroewl hpoasethp erit.xeonc 'Im usmgnasi atht het PTH crdeeaes has the ragtree eefcft hwit usrem epsohhapt sve?lel +2
mousie  HPT = ho"ehPatsp nsthraig o"mhnore if HPT is hghi ephotsahP mtus eb wol - teyh rea wyslaa opoeistp ness(lu td/ arnel fluirae hnet ehhasPtop lwli eb ighh - eiyknds wlli be nualbe ot egt ird fo )tepaosphh S o owl aC dt/ owl THP odse not fetcfe 52 .H tVi D ... only 25,1 H tVi D evtic(a itorilac?)lC +4
haliburton  iaoiClcraintf ueaebcs I aws f:nduosce THP iestumtals ydnike ot uoperdc 1-2,H2(O5) 3D li(icaorlt)c iva yy1lαrd-shexao in rlmaixop toeulvnocd ubu.elt erf,Tohere owhitut pyrtoaadihr lgasnd, lwo HT,P D25, is otn edrtvoecn dan tefehorer otn ndow (mloarn ro .p)u sahopphte "sdar"eht by PTH as nquolleyte tsdeta bo.vea +1
zbird  eerH het prarmyi etcedf is ighh up rofm eth ipotdyahrar ln,gad heter is decsdere or on PTH chhwi rlnmolya hrtsase aeshhtopp tbu tno in hsti esac so emrsu HPPSHOEAT IRSASECEN nda teh mresu mcuiacl is owl eaubces TPH dsuolh vaeh penervedt hte nueir icmlauc os teher is iccuaarli nda no rensrooipt ofmr nWOe-oLb UCMIC,AL iD-atmVin is ipntnenedde fo THP os tyass MLORAN +



 +0  upvote downvote
submitted by dentist(94)
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owFoll the uaClmci and wkro sd rCac.akbaw↓ emnsa ↓ Psetphaho rnsrtopoei ni the TCP ch(whi ulpsl aC ihwt ti)

-5h2dtyDvoir armonl /bc sit dnelautre to TH.P

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