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Retired NBME 25 Answers

nbme25/Block 1/Question#18 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Mitochondrial crystalline 🔍 / 📺 / 🌳 / 📖
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submitted by yogurt-dimple(3)
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Am I azyc,r or oesd eth insuqtoe etms pmyli ttah tshi saw hirentied le?anarytlp

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raspberry-muffin  nI sthi tsoniequ usonsd lkei etreinhid arnaelplty , ubt stih lcumes spbioy domerfnic dnotrcohalMii e.nihcearitn ueslMc oi:ybps ytiimhcnuIhsmteomosr lytilpacy ssohw egdarg der sir,fbe whcih ear cadesu by oamelc-lmsbsaru dna ollamrrtyi-ibfnier iacntluomuca fo eideevcft rihamcitnood in slumesc ocrhiniadomt( itans d)er. Payboblr ehotMr sha teh esam nticiondo .oto +
yogurt-dimple  oaGhtc. ,aheY eth edr aedrgg febris eitdpp me ffo ot hoinoiltdrcma yy,htamop ubt uabseec eht etms deipmil tpearaln ihicnaree,tn I rgiudef trhee swa utjs ornteah aeisdse I dha reottfgno touab htat enrtsspe htwi tme.h +
drdoom  ruye@sfmra-frpnib 'mI not nc.vdeinoc It is lhhiyg ueyinkll the NEMB lowud eitwr tshi isequton dan etcxpe uyo to umes""sa mmo ash iiontncod ihouttw knaimg nya mnitone fo mmo. ,lsPu it is islmyp hhyigl leairopbmb atth mopyyhat is reseptn ni ohtb mmo nda dda naeg.lie tahT esesm fof ot m.e +
drdoom  eiotgru,y@-ldmp I nktih tsih a eky nlie in the :nopxatinlae e“rwH,eov ehtre ear ldnaiatdio tusitonam thta fectaf oinidthramocl ARN nnlaso,trtia gtircifknaf and itrpircaoonon of iseyporratr nretopi pmxeo,slce dna ecanmtaeinn of het nnire cotdhlarmioni emabmenr thta nca laso lead to lnmdhtirooiac taom”.pyhy +
drdoom  s,Ye tyeh ,sya hlMirto"icdano easidess rae sliyrtct heitinedr tugrhoh het re"mhto but hsti si tno a aolrmtcohniid assdeie — tish si a "id-–n"ovhoernonedmrctidlai tcdormohilnai ayyomhp;t y,se oricndhoamti rae fedtcaef utb het imattoun si in iamctos (ecun)arl gnees atht gnvoer het nmeetninaac fo ea"hhlyt rhitnmodci.ao" This si esubaec teh tmntaiuo sffecat eth tfuatnocin/opernoi of ooimcdhitnar utb the ainmottu leifts is ni eth curalen ADN cwh(ih nlctoor shonmeigt oabtu het ql"tuya"i fo aonimrodhcti utb what elaxtcy is not eyt okn)nw. +



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submitted by drdoom(1206)
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sThi tiseuonq gitmh eb yictkr buecsea the intmauot of sieenttr eher si nritheeid mfro het dda sdie n(pta)ealr tub tsfacef hte otoaihi.ndrmc

ahTt i,s het iuottman si ton a nitmouta fo hte mocthraoilndi ADN; it is fo cnerula ADN hcwih atfcefs dtlrochoanmii futniocn nda uqtiy.al aMhmci(nes uwnnokn).

nI rihte tpaixon,nael teh EMBN s,asy “ioanihdtrcoMl sedseisa are ystclitr ehnrtiedi uhrhgto eth tmreo”h tub atth si crintecro; it uowld be rmoe etcorrc rfo hmet to avhe iasd: datolioihcrnM NAD ottsunima rea rltycsit nrteihedi rhhtgou eht or.emth

thTa is, ouy can vahe nhmitrclodaoi brolpmes ttha ecmo rmfo ouyr .dad ldithrinMaoco DAN ,amutositn no eht hrteo adh,n emco ylon omfr omm.

,oS teh tesm sseerbcid a “dcotnmaloiihr esidsea” btu it is otn a liihrmnatoocd easesdi iddreev ofrm a itamhrolocind NAD antot i.mu

eYs, oihodatnrimc aer caetdfef tbu het tuimaont si in rceulna NAD taht gnersov eht niaeemcntna fo hth"eyla ihcdoi.rnmao"t

Tsih ialnsxep ywh dda and d'das rrtebho hsow hte seam axopr“iml mculse skneswea fo het lowre irmt.set”ixee

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drdoom  ilCanrgyfi rt:hreuf ehT isdasee fo etrsneti si erbett bdseecidr as a tcdon"ihrnl-imanoo r–ie"DeAdvdN alntichrodimo .tyhyapmo 'Ist a ,fluhomut I nwko. eY,s mtndioochria rea fdatfece utb eht nuitaotm is in oimtcsa (launc)er neseg ttha engvro teh eeonofnunan/trinicpnaaitcotme/ fo hl"heaty cora"nhidtom.i hsTi si yhw ti is neibg entiirhde rhuoght het dad nad tey ntmeifsas in noihdrltaoimc nudcsoi.fnty +



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