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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(19)
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eheTr are ehter mnia doicistonn dlteare to emhe tesnsyshi nad elda :isnnopiog

  • deaL onginspio - facsfet ceetelaforhrsa wh(chi mrerpfos eth rsonivceno fo pphoioronytprr ot eemh) and AAL haddarteyes hcw(ih srroefmp eht snooevincr of AAL ot nehblo)pgooniipr dan as uhsc usscea eth -ludubip fo pprooitroyprhn dan LA.A In aarcpiutr,l it ceuass rnucoloeilag smmtsyop al(etmn nreodraiatt in hreincdl and hesdhacea adn moyrem sslo ni a.tuds)l It acn aslo csuea tmriciycoc aeanmi icph(labosi silitnpgp ni hppiearrel srsaem and erdgin esiadbtlrsso in nlrcate ebno rwmrao esam.sr)

  • tceAu entrtitimten ypropirah - fstcfae lerpibpnohognoi miedeasna (ihhwc ospfmrre the inncosovre of olponpoinheibgr ot ydytryabhhixeeolmln) nda ueltssr ni a -ubdpliu fo ioeobpihnnpgorl adn AL.A otsM tpla,iroytmn tshi is fteon aeipiectprtd by drusg taht ear orhcmoeyct -450P en,srucid tub laos oethr grusd hscu as delmfnusisoa lie(k totuoprohzilsmithxlefmaameer- sa ni sthi itoneqs,)u eabut,rasibtr rola iopac,tesrcvten nad pfmin.ari shiT aisdsee si laso uaamstloo onnim,tad cddieanit yb hte rmetho adn amrnleat hagrtrefnda aighnv dha imisral psinoaen.retts Fnilyal, hbpogoniroeilpn si noreoxicut dan cna ausce balidomna inpa, shispcosy, adn narhyletuoppyo.

  • yairphoPr ntuaace rdtaa - caftesf hyoneiugprornpro loearbsedxcay hwich( rrefposm the vncnerioso fo onurnppyroighreo III to oroercnrphoipygpno I)II dna tsrlseu ni the -uldupib fo hpoyrrriopnu hwhic nca eb eoedsvbr ni erotod-leac .ruine isTh eeasdsi lapalcytuirr gsiev tpnaetis inrgtlesib actnsueuo tpiosntyviothesi dan nnrhpoegyiaimttep nad is hte most nocmom.

  • dknlei-X locbrdsaeiits iaeamn - feafcst ALA th.syneas iThs is remo oyprinlttam eesn ni 6B diiefneeiccs ro 6B eiciifsncdee cersnoyad to the use fo dzon,asIii na nihibtior of eht tiysehsns of iclocym adics in oabcmteyicrMu ousubitrcsle. It nac sloa eb nsee ni ilk-dnXe dfsteec ni AAL atsnhse.y

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