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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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shiT oqsueint si eyvr kayns,e ubt in sseceen sthi si tawhs n.ngephpia

eTh acndicetal ovmaelr of eth HPT snadgl dgurin rooehtcytmydi ⇒ ↓ PTH

PHT -mna:oiynl-lr enb:o ↑ aovelmr of ²⁺Ca nad othaphPe mfro b-n o-ine esydn:ki ↑ aC⁺² atoorbipners dan ↓ PO³₄⁻ -o nobrprs-a↑ite evorniocns fo ,52 ytmioaxydnrivH D to 21,5 maodnrtyyvixiH D ltlaoirC(ci - ctavei )from iva ↑ ctytiiav fo -1a xeyoyHarlsd eccfdiniey

ofhreTeer a ↓ THP luodw dale :to

⇒ ↑ ₄O³P⁻ ⇒ ↓ Ca²⁺ ⇒ ↓ ,521 rtimoHyvynaxid D

The inuotseq is ykanse u(hcm ekil teh ters of tsih )axme sceueab emonose ohw ints uoicfsng rlaeyl hadr or in a hurs higtm ckip het ptiono C hewer htoheapp is ↑ adn THP si ↓ BUT ↓ 25 ythxdoinyraivm D

Thsi is owgrn sa noly 512, xytnaviiyhdmor D dlowu be eesd,caerd hte nocrssivone eferbo ihst rae eond yb hte ksni sug)(inhlt dan revli.

I eylral shiw ehyt ldouw opts nkigma teh qinoesstu usogncfni YPELUR rof teh eska of gknaim ehtm fgi.unosnc Istn it ghouen ahtt we vhea ot nkow sthi curlosiudi aotmnu of riofnnim,ota whitout ghnvai hmet tlatieonynlin gikamn it dharre by gpiniotn yuo to 1 aewrsn hieocc ubt agnnhcgi a utenim atleid ot meka ouy snware or.nwg Or nsiug a raodmn ass mentualercno rof a sesadie to oidva akgnim ti too elispm NG(SP = efoii"erprvlat "GN)

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tinydoc  I aetlyrill tgo tihs onwrg beuaesc I dah eht fnto omoedz ni dan masduse eht 1 was on teh elin veaob keil no wlduro wenh it ietrs ot uqihss hte ehwlo tilte ni hte sema capse x_X +1
hungrybox  yHlo cukf hety otg eh m.yeT ebomdo .em hTe infkcgu EMNB mdeobo e.m +4
graciewacie9  mnAe ot eht SNPG .nisqtuoe eThy tgo em on atht eon. oll +
msw  eth spng qiosntue si gitnpin to padriyl itierofalgnpr sieormlrhinltougpe bc/ eth pt has pleeddevo uatce anerl lreufia twinhi dyas fo teh tnsilu +
msw  iingptn*o +
snoodle  YHLO DOG YM NIBRA EDLLFI IN HTE .1 i hda ot erda ihts opielnnaaxt 4 setmi to niylafl ese xtdrinm5-ayiyh2ov D nad not 5,1.2 F U EMNB +3
avocadotoast  hits bs si bopr ywh the suoneqti itsn no espt 1 oyreamn +
zevvyt  so enisc ocsnrvenoi fo 52 -g;&t- 25-1 is udsdertip , dlouw 52 eb ?gihh I onwk ist ont an aewnrs ch,oice sjtu irgoedwnn +2



 +1  upvote downvote
submitted by trazabone(16)
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Kniyde emksa 51-,2 yxhodyr amvtnii .D d(5o)yyctx ohrla2c-rlii ivt D l)ccd(aloii si maed ni eth ,relvi dna ptrmashdayoipyiroh dwulo otn eaedrecs sti slelve sa it astc ot sreecnai aa-1hlp yyhodsrelax in eht yekidn ot raeciesn oicrilaclt narinoscnecott ;&-t-g popsataeh/hC etrsabnrpioo rfom eht ebon dna lmsla ensit.nite

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queezyfish  I'm enfusdco ubtao eth stpeahohp levle in sonquitse elik etseh. ceeedDars olccltairi olduw csederae thhpopaes obrntiaspo ehwil PHT seaederc lorsew thhppesao n.eteicrox 'Im ssuamnig atth the PHT ersedeac ash eht rraeetg fetecf wiht ersmu soahhppet ?eslvel +2
mousie  TPH = phoas"Phte isanrtgh hmronoe" fi TPH is ihgh htespPaho stum be owl - eyth rae alsayw ippeoots snleus( t/d erlna fureial neth aPshehpot iwll eb ghhi - esykidn lilw eb laeubn to teg dri fo eptoa)hsph S o wlo Ca /td wol THP edso ton ecffte 52 H. itV D ... only 51,2 H tVi D t(iveca raCli)i?oltc +4
haliburton  irtflconaiaCi ecbusea I asw :foecusdn TPH miauselstt ikdyne ot oudrcpe )2H,O(-215 D3 tlcoail(cri) vai αlohr-ey1xasyd in oarixlpm ulcvteondo beutl.u rf,ohTeree iotwtuh iaoraphydrt ,ldsnag olw HTP, 5D2, si tno ncredtove nda ertehfeor nto dnwo mr(lano or )up. hashtpope tarde"h"s by HTP sa tueqollyne astdet ebv.ao +1
zbird  Heer hte rrimayp edfect si ghih up rmfo eth idpahryator agn,dl tehre is ededscre or on HTP ihwhc lrymnola sesarht hpspaetho ubt not ni iths ecsa so erums AEHOPHSPT REIASNECS adn teh rumes mcaluic si olw sbuacee HPT dlusho evha vendperet hte urien uimaccl so ereht is ariclaciu dan on iopoesrntr ofmr e-LonWOb LICMUAC, VntiiD-am si nenddenpite of HPT os yasts RAOLMN +



 +0  upvote downvote
submitted by dentist(94)
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ooFwll teh mclaCui dan wrok saarwd↓a .kcCb anems ↓ poshPeaht orsotpenri in hte PCT (whchi upsll Ca wtih i)t

52hiyDvo-tdr maornl c/b sit utlreaned to H.PT

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