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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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Tihs etqsnoui is evyr ynsake, ubt ni esnecse tish si tashw nh.gaeipnp

hTe etianccadl levmaor of hte PTH lsngad nudrig hoettcodryymi ⇒ ↓ TPH

HPT a--orni myl:ln eo:bn ↑ rmevola fo aC²⁺ dna athehpoP from o ei-n-nb iydekn:s ↑ ⁺²aC rptosobinear nda ↓ ⁻PO₄³ rob ↑-in-rstopea ecnnorosiv fo 52, irHoytdxyniamv D ot 15,2 xaHidyroytminv D iilcC(rltoa - icetva frmo) aiv ↑ yivctati fo -1a xedsrylyHoa yfcniecedi

heTroefre a ↓ HTP ulwdo alde to:

⇒ ↑ ₄O⁻P³ ⇒ ↓ ²⁺aC ⇒ ↓ ,251 atrvyxnoHimdiy D

ehT ostniequ si eksnya uhc(m like het rtes fo htis ea)xm cebuaes eoesmon how snti oigfcnus ylalre dhar or in a hrus ihgtm icpk hte onipto C erehw pthpeaho is ↑ dan THP is ↓ UTB ↓ 52 rhnxyotmayvidi D

hTis si rgnwo as nyol 12,5 xnmavtyiiyrdoh D wluod eb resdacd,ee the nosreosvcni oebrfe stih are edon yb the kins n()htslgiu adn vleir.

I alrlye whis hety would otps nmgiak eht nqtesoisu nnoisgcuf YUPELR rfo eht ksae fo angkim mhte igcnn.ufos tsnI it neuhog atth ew vaeh to onkw sith lidruiuosc mutaon of ,tairofonnim uhwotit vangih tehm ntieltinlaony kiamgn it ahrdre yb iingnpot yuo to 1 raeswn ehicco ubt icgngahn a mtiuen tildea to kema yuo anerws no.rwg rO usgin a adrmno ass ercnnealutmo orf a aeseisd to dovia gkiman it oto implse P(GSN = taveipiolf"err "G)N

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tinydoc  I tlearilyl tgo sith grnow caesube I dah eth ntfo mzodoe in nda amsudes eht 1 swa on hte neil veoba iekl no dowulr nwhe ti etsri ot ushisq hte eholw ettil ni hte mesa acpes xX_ +1
hungrybox  Hyol cukf yhte gto Teey.h m omoebd me. ehT iunfkcg NEBM doembo .me +4
graciewacie9  mneA ot eth GNPS isue.ntoq Tehy ogt em on atht o.ne llo +
msw  eht sgnp ineutqso si ngpitni to pyradil rplfoiganiter orlopgtmriinhseuel /bc het pt ash evoddplee etcua arenl lrieufa hwitni dyas fo het sutnil +
msw  iptnog*ni +
snoodle  HOLY ODG MY AIRNB IEDLLF NI HTE .1 i adh ot eadr sith tnaonixelpa 4 miset ot ylalnif ees vadniy-o5rxt2hiym D adn nto ,12.5 F U MEBN +3
avocadotoast  ihst sb si bpor yhw eth iquontse snit on ptes 1 yroemna +
zevvyt  so sncei oveonrscin fo 25 t--g&; 5-21 is udtsirped , oldwu 52 be hihg? I nwok sti otn an nsewra ceio,ch jstu oinwedgrn +2



 +1  upvote downvote
submitted by trazabone(16)
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yKnedi emksa ,21-5 odxryhy mtiivna .D i5y-(o lyxlairrcdotc2h) vit D liccila)do( is mdea in the vi,erl dna oiyahsatymrdihppro udwol ont csederea tis vlsele as ti tcsa ot inascree -hpaal1 yrelyxaohds ni the nedkyi ot reeacisn lictlacoir nntctorsinecao --g&t; /phtCaeohspa rrosiapbnteo omfr the oneb nad lalsm ttiesni.ne

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queezyfish  Im' oscunedf ouatb teh phhsotepa vlele in itosensqu lkie he.est edresaecD iiarctlolc lodwu sercdaee hpethsoap btooasnipr iwlhe THP ceedsear lsrowe pphaehsto cerixno.te mI' nssgiaum htat het PTH sardceee ash het etagerr teecff ihtw surme aotsehhpp ?elelvs +2
mousie  PHT = "staphoePh ghinstar mo"ohern if TPH si hghi sphtoahPe sutm be olw - ehty are swalay pieposto (ssunel /dt leanr lriuefa htne atePsohph will eb gihh - yksedin ilwl be bnauel to egt dir of psptohea)h S o lwo Ca /td lwo PHT soed nto eetcff 25 H. tVi D ... yoln 215, H tiV D taecv(i Corltic?ila) +4
haliburton  fractiiColian cauesbe I was uc:fesodn HPT ilusamtste dynkei ot pcureod (HO25,-)12 3D c(ltaiclo)ri iav 1xeα-dlasyrohy in lraioxmp vuotdncoel teluub. ,hfreeerTo uhtoiwt topairyrdha san,dlg low TPH, ,D52 si nto rtenevdco dna roehfeter otn owdn n(omlra ro p.u) toepaphhs "the"rads by PTH sa equentlyol tdsate a.bevo +1
zbird  ereH the iymrpar cefdet si ighh up mrfo hte rdrythoapia ,gldan reeth is dreedcse ro on TPH wihhc yrnaollm sesarth haeshtopp utb ont in tihs eacs so mersu HOEPASHPT ENCRAEISS adn the mruse cliaumc si wlo aebsuec HPT dloshu ehav eedenrpvt teh eurin lacimuc os erteh is aliuricca adn on psitrneoro rmof beoWnL-O CALCU,MI n-tViiDam is ieenpneddnt of TPH os stasy ONLARM +



 +0  upvote downvote
submitted by dentist(94)
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woFllo het lauCimc adn okrw a.caadskwb↓C r nsmae ↓ staehphPo prsoeonitr ni eth CPT ich(hw supll Ca iwth it)

-ohrviD2ty5d mnroal c/b sti ldnuretae to .HPT

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