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Retired NBME 27 Answers

nbme27/Block 1/Question#32 (reveal difficulty score)
A 30-year-old man is brought to the physician ...
Porphobilinogen deaminase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(23)
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ehreT rae hrete ianm cnitonodsi dlretae ot meeh snystiesh nad alde onp:sginio

  • eadL ioisgpnon - sfeftac efcelrroahaste cwhi(h frropesm het nrsnociove fo ootppirhyrporn to )emhe nad ALA saareyteddh wch(ih erorfpsm teh soivrneonc of LAA ot ln)gphoonirepibo nad as hscu eacsus het -ipduulb of otprophoirpyrn and LAA. In ,rluaiprtca it ecsusa lcglounioaer mptssmoy e(amtnl ienaaodrtrt in chlrndei dan esehacadh and rmoemy sols in ds.l)aut It acn laos ucesa iimcytrcoc enaaim ic(olhspbai sgpiipnlt ni liaprprehe marses nad rnigde sadtslebsroi ni cnaterl eobn wrmoar a).mssre

  • uectA neittntmtier ohairprpy - tfsefac nlirenhpobiopgo aeedanims (chhiw efmrpros eht neicnorvso of oehplboiioprngn ot imol)anxledbtyyhyerh dan ulestrs ni a bd-iuupl of pnobgeiilphonor nad AL.A tsoM ytitanoml,rp htsi si onetf atieptridecp yb rgusd thta are oryeochcmt 5P-04 rducisn,e utb losa ehrto rgdus cuhs as ufsiedolsnam i(ekl ootximftmaeluehehstzlori-arpm sa ni tshi ),etouiqns rstu,ibrabate orla ovaetrcctnp,ies dna aipm.nfir ishT dsaisee is sola tmaousoal n,taomidn atideincd yb teh remoht dna ermnalat terrdhgfaan iaghnv hda lsariim epint.ssaoentr Fanlily, ipgnorenbolipho is ouoxicnert and nac saecu dmbalaoni ipan, soihscpys, adn thleonyarupypo.

  • irhoyPapr aceaunt aadrt - ecfstfa noryhoipreprongu cxabsearoyeld (hwcih eosrprmf the norvscineo of phenrygoouponrir III to orrpooicpnhyprnego II)I dan esrtslu in eth ubdp-iul fo onuyrrhroppi hhciw nac eb dorsebve in o-receltdoa eun.ir sihT dieaess lcitlapuyarr gveis tsptenai irengbstil ustnueoac vtienoithypisots adn tpapoytgherinenmi and is eth ostm m.noomc

  • dinklX-e radeiibtscols naeima - ecfatsf ALA yatess.hn ihTs is emro yptraimntlo eesn in 6B iseieicfndce ro 6B eifiedeisncc csorneyad to hte seu fo d,znioasiI an brhotniii of eht snshteysi of ioycmlc dcsia in rbaeimocyuMtc teurobslicsu. It cna loas be esen in -kneidXl sedectf in LAA yhsa.tens

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