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Retired NBME 21 Answers

nbme21/Block 4/Question#13 (reveal difficulty score)
A 4-month-old boy is diagnosed with a rare ...
Dilated rough endoplasmic reticulum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: biochem repeat

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 +5  upvote downvote
submitted by โˆ—sklawpirt(34)
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I htkin teh aide hree si pmsyil taht eno holdus khitn batou hewer evelssic era cogmni rofm on tierh ywa ot the liggo .exclopm

oTw" estsp rwafdro adn one pste ."kacb eicpallScyf het quontise mya be irnrerfge ot a rera clconiaarfai rosidrde. na esaaernssw of ttah eeisads is ton ncyss.eare thaW si ynascrsee is itngsnndauerd eht rinogi morf erhwe issceelv ear ketraficd ot the iGogl praustp.aa

IPCO rpetino is eedden to toca elvecss from eht RER ot dens to lgo.gi hu,Ts iwht a ntmiauot ni atth ,tnirepo teh akcagped enioprst atht uhdslo bebl fof nad eb tesn ot the oiggl, indates amaucteluc in teh ERR adn italde .ti hTsu the se.rwan

-h4wp/.amjdt9h-pt.)2cf02p/602Ss/e2lcdw13/lg7(fo09.w01/:

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hayayah  .pg 74 no AF tgo eht oogd aisuvs!l +6
notadoctor  *IPIOC pnrsitoe era ndeeed ot oact isevcsle form eht RRE ot gGi.lo Oo"(PC)wITI sptes arodwr;f C)nIeP(oO tsep rak ro."nbt ga eAce d oseg ERR >- loiGg >- L/syteroSsroyeecmos sielescV -> salmPa bmrmenae +27
titanesxvi  hyw nto sallm ms?oyeloss +5
varunmehru  adn I gthotuh eralg olsymssoe eud to lcka fo nmzseey ot ardeegd +1
samsam3711  heT zeis of eht osolymse is ton taffdece yb teh cepeenrs ro ebseanc fo ,niropet utb ist fncotiun is cmosemdpoir .(eg ioertnp si egtntig kscut ni het ERR) +2
fattyacid  I ophe hist eplhs to ehvrmewo asw sotl like Nluelm tto:niuma A inutotma a( ha)genc in a gene that esadl ot sit tno giben rainbdtsecr tnoi NAR rn/dao aenltasdtr tnio a cuoanitnlf pretoni .ctudpor Fro mpleexa, a llun nutmioat ni a nege tath lyualus eoedcns a cpeicsfi ezymen adlse to het iudtroncop fo a tcnoinufnlnao zemeny or no mezyen ta l.al +3
pingra  I htikn yuo dmea a y:pot ICIPO RR(E ;t&g- -lG)igios;c IPCO il-rnaog(gts t-g;& ii-ggsolc nad lgco-gsii t;&-g R),ER nlichatr ontyc(sisdeo nda gstaglio-rn -;t&g seoyolsm) +2
kevin  oS ym toguhth opsescr was if htree is no OCP slaing ehnt teadins of inggo to Ggoil ti wuldo be tsen astayr tnio lp,mtosacy iakn to who ni lc-lIe Dx the semzyen etg ents out fo teh clle senic eetrh si no iagtnrcfifk giasln e(etrrhofe I ermspdue lager seylomso eud to netgia teh egdgarateg )enopr.it rAe we aygisn wuhiott CPO or ahitrlnC atht the lvcseei lwil lyimps tsya put weerh ti is? fI I can tge a pyrel eforeb ym mxae 2( eswe)k hda'tt be mcuh tracdaeeipp +2

"Swelling of the ER" = Myocardial ischemia from cessation of coronary blood flow describes a stepwise process of cellular injury. One of the first manifestations of cardiomyocyte injury is swelling of the cell and its organelles, which occurs as the intracellular accumulation of sodium leads to an alteration in the osmotic gradient. If blood flow is not restored, apoptosis eventually occurs.


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 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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CPIIO eecslsi:v ERR to IGOPigCol :lcesveis giloG to ClREhitr Ran : gloGi ot lleC mMebanre

areGt irmaagd ot efrer - x0/tha./120em40t06cs./5-nSj/0pd2tr7mseon00lc1giso8.6--g-en:c1pf.t9sa6/

fI odabyny awnts ot ees oyghrul het nmsea of sseiedsa IOICP utmtoina secasu

wivte:lottapd5dtm=te&/n/res;.1cco?itrc/stans.epoiacccp2e=.x/vieettrelibhcntmiggeaotniau7n.

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