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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 ihktn the eadi reeh is isylpm ttha eon ouldsh hktni tuabo rwehe velcsesi ear gncimo mfro on ihtre way to the gilgo mlp.oecx

Tow" psest warfodr nad neo ptes kbac". Sfaecillcpy the tueonsiq yam be efiergrnr to a rrae fciilancoraa iroe.dsrd na eassasernw fo tath sadeise is otn y.nassrece Whta si yrsesneca si ddnegrnuisnta teh noigri orfm eerwh eslcsevi ear rcakitefd to eth lGigo .tapaauspr

ICOP ireotpn is eeeddn to aoct eessvlc rmof eht ERR ot send ot .oligg T,shu wtih a nmtaiotu in htat pi,rtneo teh capgkdae tirespno that hulosd blbe fof and eb esnt ot eth logi,g aentisd amceuaclut ni the RER dan edialt t.i Tshu teh wrsea.n

6l:c20t7.3ep.wp29-/h/.clm-d0h1d1/9/gwo4aSw0jpff/s0t22)(

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hayayah  gp. 47 on AF gto hte dgoo svs!uial +6
notadoctor  II*OCP nrpstoei era eddene ot tcao seiscelv rfom the RRE to goiGl. I(P)I"COTwo pstes ;roawrdf CoePOnI() etps t rgcAakdenar"ob e. esgo RER -> goGli >- sLreSyrt/oesoeocysm eilVscse >- aasPlm embmrnea +27
titanesxvi  yhw nto laslm osseos?myl +5
varunmehru  nad I hhttgou earlg omeysslso ude ot ackl fo zesymne ot dgeedar +1
samsam3711  eTh izes fo the eoslomsy is tno eafcdtfe by the esecnpre ro esanecb of e,noirpt ubt tsi ntinofuc si smpodiocmre (e.g irpoent si ignttge tkcsu ni het ER)R +2
fattyacid  I oeph hsit plesh ot ovrmeweh saw ltos leki uNm lel mnti:aotu A omintuta a( cneh)ga in a ngee htta edsla to its otn gebni cbtasdneirr inot RAN anro/d sndeaattrl toni a nlncuiotaf peinrot tprcud.o orF mepa,lxe a nlul tunomtia in a egne ttah uyaluls soecden a ifscciep yezemn ldase to eht dioprunoct fo a flnctnnoinuoa ymznee ro on yemzne ta ll.a +3
pingra  I ntihk oyu dema a y:pot POCII RR(E g;&-t l-o;gGisic) PCOI trango-(lsgi t-;&g osil-gcgi and -icgliosg ;t&-g ,)RER nacirhtl dsiyceon(tso dan g-iongsltar &-;gt osseoy)lm +2
kevin  oS my ouhtthg eoprcss was fi hrete si on PCO sanlgi hetn aiedstn of ogign ot goiGl it uwold eb tens atasry into ps,alyomct ikan to hwo ni -Ilcle Dx het znmesey teg tnse out fo teh llce nseic rehet is no ifnckaitrfg nlsiga tehere(rfo I edupmesr lerag ysoeosml ued ot ignaet eth ragateeggd nre)i.top erA ew gaiyns uwitoth CPO ro rnlhaCti thta eth ieslecv ilwl yilpms ytsa ptu rhwee it ?si fI I acn gte a ylrpe fbeore my axme (2 e)ewsk tahd't be much paepteridac +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(119)
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OPIIC se:eicvls RRE ot golCIiOPG evcesl:si lGiog ot nia tRrlChRE : Glgio ot llCe erMmebna

teGra rmdaiga ot eerfr - .tasp.6g:1l0e-6s1nme5Sm0//fx-8214o/.c0gari9snec7j6-ttcso./2n0p0-td0/h0

If yyonadb wnsta to see yolughr hte mnesa of sessadie CIOIP uimtnato cesasu

r:pe/?c7se1c/itvdltoisoritaapxe2a../ieg&tttuonepeei.mtt=tcvenc5caihecnil;nn./adstr=cbwogtm

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