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Retired NBME 22 Answers

nbme22/Block 2/Question#22 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Adenylyl cyclase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: endo repeat

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 +12  upvote downvote
submitted by โˆ—osgoodschlatter10(41)
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Teh troecrpe in tseuionq is a G pneoitr cpeeorrt no eth uprtayiti sms.a ishT wdluo eb the GHHR rcope.etr Teh HG epoecrrt lliw eb ntrpese earsmwdotn so htat HG eesaredl mofr hte iatptuiyr cna inbd ot ti e(hste rae AJKTS/TA GH HotRp.sceer)r sprrtecoe rea Gsยฌ trcrepes.o Teesh reocrestp aer dobun at het isaubutlnph-a to PDG ni hte iitnveca tes.at neWh GHRH snbid tyhe itacdteva wenh GTP ehcatast to the tianbpuh-lasu ai.dnste nAd eybhret tersoomop enlayd caylsec vtsaiciGy Taet.P si slrnobispee to acveel ihts TPG fmro het plaah tbsnuui ot wihtsc of teh rte.epceo eofrrehT a calk fo PeTsaG avtiyict ilwl dnerer he Gs eptrreoc in a olrgnpoed on setta ๏ƒ  rIasedenc ativytic fo yAldne s.Celcya

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osler_weber_rendu  nialrlitB nneiptaloax +1
skonys  Is ti sles tboua HRGH nigvah a I3P deysnaroc nesmegsra or HG sgiun TKAS/TJA dna omer htat we ewre pdsueosp to rnizeegoc atht Gsa is a sG eudlpco eerocprt dan Gs rkwos hotghru nylleAyd eslyc.aC PGT bidsn to sG dna sutm eb opetserlyhpodash yb a aTGPse to eb aaind.cevti cesuBea eht rmuto clsel ckal iths fnt,uncio Gs tyssa radopphtlshyeo dan leAnylyd sCclaye tnsuincoe to eb avidtect?a Im sjut dcnfueos no fi nkgwoin eht edrocyasn eesrgsnam stsysem nvee mratte or if acarelygmo is wtrohn in as a atoistdrrc mfro hte ntroaiifnom peo.rdvdi +1
weirdmed51  HG detosnโ€™ ahve P3I eesersmn,g it sha cAPM +
weirdmed51  RHGH * ro)ys(r +

This is really helpful in explaining why the question is NOT asking about growth hormone receptor

+/- qfever(67)

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 +8  upvote downvote
submitted by โˆ—hayayah(1212)
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orhwtG horneom lesgenari emorohn tcas avi cGld-pueo crp.estreo G pedcoul ptoreresc nede PGT to emeocb dvaettiac dna TaPeGs ot ebocme divattc.niea

No -ePaGTs g&t-;- ynlicchrola eiatvc ogrwht rnmoohe geniersal remhoon teperocr &;-t-g nctasont ciatoaitnv of elyanlyd eaylccs / PcMA wtpayha dna srleeea fo hotgrw r.hneomo

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mcl  hisT gfriue is ulsfue 27/7-eeessa/2gbl0i.30ns/.-64zuc3r-smeb-atdawi04deaperuffo.6:fam/t-n2-16F9g11d0156cg4/u857ed78ah2iip0o.00s253c1p8/2 +1
mcl  a1[una2z20l1.a-ce)1g2c-322e7a87i/od40/umf.pr5it660pk49ufeanwmn/es6:.0-f/4-0cbFh0di3-8/et(s-/l]s7g2537gespiddie.o58r116s0ab +
meningitis  wHo did uoy wkokn ti asw RHHG and ton GH e?ersp +4
meningitis  mednvei;rn I sujt rdae dwno wleb.o akhTn yuo +19


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 +0  upvote downvote
submitted by goldenwakosu(7)
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hWy is the snawer llndyyea lc?esyac I edoklo ni FA nda I saw taht GH ssue eht KS2JTAA/T hwapyat nad tath IF1G- sues teh AMP ieKasn ywt.apha Not ruse hwo delyyanl syeclac slpay tino sit.h

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pug_sheen  I knith ethy ear ktilnga btoau eht HHGR eercrtop no toosamt,phosr iwhch roswk gohuhtr teh McAP w.yhatpa +
staygoodpupper  I notโ€™d owkn how ti esartle ot -GH/IG1F ni raal,tpciru ubt teh ntesuioq isad etrhe was a tinuaomt ni the lapah nitbsuu fo Gs, hhiwc viaetacst dlnyelay cylce.as +3
kash1f  I graee hte tpinate dseo eavh meagyA,locr tbu in teh esntoiqu it lkteda oubat hwo hte iteatpn adh a iutomatn htta vdretenpe het TsaPeG tiayvict of G.as So Gs ludwo be vvaectrioe --> eescsx ydlleayn sclecya +31
hyperfukus  ghu i asw so dxieetc too bc i htouhgt i reeredmbme ajk stat celafpii +3
skonys  stDo'en HGHR atc gohrhtu an 3IP nyrsecao gn?ssmreea +
xmen  teh tuorm scsreete HG. HG cta iav a TAS/TAJK .a BPwyathut het HG istcoenre si tatsldeuim iva a GHHR gthuroh a sG. hs Ti sG ni tish umor'st elscl is ttumead adn is anterenpyml cf.tai so PMcA lliw eecs.arni +1
weirdmed51  yons@ks HGHR sokrw iav PAcM +
kcyanide101  HRGn is IP3 --- emmReerb GAOT HA?G GRHH si CPMA ebmremre ATLF APMCh +


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