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Retired NBME 15 Answers

nbme15/Block 0/Question#0 (reveal difficulty score)
A 22-year-old man comes to the physician ...
Decreased conjugation of bilirubin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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nwrg(o sawnre ainonapxle)t

tetinttrmneI ocritubtons fo hte mmocno blie utdc si wngo.r

ialByir rttac otbsoitunrc ulowd av:eh

โ†‘โ†‘ icerdt (nt)jeugdaoc iilnbbuir onma(rl 0.03.-,0 tp saw .40)

โ†‘ klnelAai tpaphaeossh mnrlo(a = 0-2,70 pt aws 35)

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hungrybox  u:rseco pmtaoha +

Great explanation on ALP from /u/taz92vagconqueror on reddit:

ALP is related to bone + biliary tract obstruction + leukemias. Although the liver does make ALP, for the USMLE just know that ALP is usually mentioned for the above three scenarios. Bile duct obstruction releases ALP as a result of cell damage. In bone/leukemias, it's because of increased cell turnover. To differentiate bone vs biliary we test for Gamma-GT (and for leukemias just differentiate it from the others by the clinical scenario).

source

+13/- hungrybox(1277)

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 +2  upvote downvote
submitted by โˆ—cassdawg(1781)
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ishT netptai llykei hsa erbtGil erdmonys 02A20(F .p)394

hisT is suaeecb ish phbiirneemilriayub sucorc nrigdu erspido of rtsses dan is lteeaivlry ne.bgin sGl'rebti rndymsoe sha ealevdte jucntdeounga inlbibrui eabsuce treeh is a lidm eifccidnye ni fuUPylare-noarsrtcelgusnD ganncujoit.o Ts,uh hte sceua is sdeaeecdr ainjtgcnouo of l.iruibinb

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cheesetouch  80A12F 8883-P73 +


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