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Retired NBME 22 Answers

nbme22/Block 3/Question#12 (reveal difficulty score)
An 82-year-old woman has been bedridden since ...
Carboxylation of precursor proteins ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—humble_station(85)
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Wirraanf tiiihbsn Vti K edtnednep hysstiens of sfatocr &;apm nr.iseopt

Vit K si eeyncrsas rfo het anuoaimtrt of iltntcgo orstfac II, V,II ,XI X nad protnei C p;ma& S

So a udrg ahtt cna ihbinti eth otaaylrncxiob fo errrcpous ispernto or in reoth osrwd inthbii het uatotrnima fo het tcgiltno sfratoc liwl eaceresd eth isrk fo hromsistbo in stih taiep.tn

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Extra note: Thrombomodulin alpha (a recombinant drug) can increase thrombin degradation and Protein C activation, hence can also be used for anticoagulation. (But this question asked about decrease in which of the following)

+3/- apurva(101)

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 +2  upvote downvote
submitted by โˆ—haliburton(224)
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infraraw tnibhiis eth sieysnsht fo asfrotc ,II ,VII XI, X, C, dna S by lbcgnkio teciorudn of idoizxde nvimati .K heT nzyeme exodEip tueRcsdea is idetnhiib by a.frnrwia eTh udederc evi(t)ca mrfo fo tiv. K si a atrccofo orf aga-mymmlualgt rol.axbcaesy

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link981  oS rsafotc II, IV,I IX, nda X era srreupocr iponer?st GOTF +2


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 +0  upvote downvote
submitted by โˆ—humble_station(85)
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Wraairnf sihtinib tiV K pentdeend ytsnsseih fo stfcrao &pa;m ertnpsoi.

itV K si nersyscae for het nittauroma fo giltntco tcfaosr I,I VII, IX, X and nptorei C ap;m& S

So a grdu hatt anc hnbiiit eht xitnoolcrayab of rsrocrupe pornsite or ni thero rswod tbinihi hte taanomrtui of eht lctgonit aoscrft illw eerdcase teh rski fo tmibhoosrs ni ihst epan.tit

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ajss  ihts si hwy narwfari is gevin sa hapsplyoxir erfta itsh pety of usrregesi +


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submitted by โˆ—sup(31)
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yWh nto 2IGP yb ywa fo AS?A iypcaEsell gvien etroh wnsrea hoiscec of ntispreo C + S: es'ndot rfnaiwar aols pussepsr e?hest

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imnotarobotbut  oerintP C adn S rea TticmIothoAbNr-, so haglothu nfrraWai sode cadreese ,thme ythe nwulo'dt acseedre eth 'attpiesn kirs for osthomisbr +1
epr94  eht osenituq ask rpesosupisn"" of wchih neo will rdaecsee ikrs of stmsoroihb i f oyu psruseps C dna S chhiw nda aont-irbctmioht uoy etg itbrcomtho +3


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