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NBME 20 Answers

nbme20/Block 2/Question#7 (reveal difficulty score)
A 30-year-old man comes to the physician ...
Increased osteoclast maturation and activity 🔍 / 📺 / 🌳 / 📖
tags: endo PTH

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 +11  upvote downvote
submitted by cafeaulait(11)
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I eilvebe isth tesm yma be enifgnrri EMN 1 dynsorem - bslpiseo gnmasitora (pitepc elrcu saeside ,x)d iahtrpdyaor neod,aam nad titruiayp mdnaaoe ag(cnusi )ISDH.A utB, uyo don't deen to veen wnok hits to tge stih rhgti - utjs nagisk eht fcftee fo gihh PTH on eht stseym - ascuse reiencsda oaetlcotss acvttiyi as lelw sa i.oaatrunmt

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fatboyslim  heT poysmmts of hsit pinttae aer due ot pcrcehleimaya ,nsost(e ,nobse ngo,sra HTRSOEN rends[icae ss,riue}di nad rasihtcpicy oen.voer)ts cmapHlaiceyer nca soal esuca peictp lucre seias.ed oS hte ipmyarr yolatgohp is pdtioararhy ahliyepeaarsopdan/m cusngia eth cmiraahcleeyp +6
beetbox  seoD enonay nwko ha'tsw pu ithw hte 'no emnaabiirstol in ushmreu 'yarXDdi? tyhe ujst wohtr ttha ni ofr no onase?r I gto ehdoko no it, I outghht erthe was on eaedcisrn tsteclosao iy.a.i.ttvc teerwhios het lracitco esbno uowdl ahve eben ldydo nhit ro moestngih +4
topgunber  EMN 1 - P P P . ,airrydPhoat (sarrgcnitspaaen ni hist ces)a, tpuaiiyrt enlsio. ont kye ot rwnsangei shit p .oisqnttue eosmc hwti pmmtossy of apea,mclirechy n,oasm ,gnraso esrhnot g(pine,e) ycshp L.nkortvosoeo e ta tph adn iaucc.lm ew ese ihgh ca adn ghih h.pt eW owkn hatt hihg ucimcal uldwo woelr .t.hsit.hp amsne teh hgih cmaulci was deu ot het hgih thp e.(i. oyripdatarh eondtam)oQ snaeiu is aaluctly gsai:nk twha ear the ffsecte of ?HTP a, c, opsepiot fo THDP dan E i vdebelie aent'r ltrdeae to Psuo dBHS-nT nsegmhtoi keil teh setenpihoasg of puy sdsdarFo-peympiitarohhe ew edyetfniil owkn htta THP aseicrnes aC , so by ieinancgrs osstetoalc itvyiracotta/maniut you eielbtar ulcmaci oint the lodo.b isht is eth stbe aserwn. +3


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 +4  upvote downvote
submitted by laminin(18)
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can moeenos iplnaex why it ayss he hsa an n'tai'tc TPH e.ttai.cscn.nnroio it to lte us knwo taht hte TPH aoctotiecnrnn is a terlsu of thn?o oylgadpa hwt'sa hsi ?xd k!stanh

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yotsubato  I asewr yeht amke up moes of ihst tfu.fs ekiL swtah pu htwi eth ihstr,t rtinoin,ua dna ipptec ulcre ssesd.iea +9
redvelvet  lcrhpiaceaemy cna ceusa hnegocepnir bseeaidt ;isndsupi os ish,ttr ornuan.iti elrhamaccpiey can also sacue tiepcp elcur esds.eia His tysmmspo ear lal btauo phaimlacceyer eud to ihrymrtayaphrsp.oeid +4
namira  pyHiea"lemcarc anc useca relna oitcfsunydn cuhs sa crnegenohip aeitedbs iiunsdpsi ,N)(DI utb eht hmsemascni ldryginenu aecaicldmuechneip-ydr NID rae ont elwl "snteu.odord08n7cgtnro-1fi6n/0ren)sl/ax5/lwaiptat5e34uett0(hi.l:9otw/S/t-0wdr-2.3kly8ei +2
dulxy071  Why ca'tn het orctecr wnrsae eb C) hhcwi stnopi wtadros ralne a,flreiu hiwhc yam dael to nrdacesyo atrpishyhmoiryreadp gavnih eth mase lrsuets I lieveeb +2
pmofmalasia  ehT odecasnry ahyidaerhrpysiopmrt ni lnaer ilfraue si deu ot lsos of alicucm in the cnnuigo-nnfiont e.kydni In tsih ouqtines teh uamiclc saw teleaev,d os uoy anc leur uot realn .iafeurl +1
sars  ecHaeparmycl-i sasuec snseot (clmaicu t)ssno,e saogrn n)i(sctapinot,o htsenro (eeadrinsc )annuiti,or nbseo ads(encrei lseosotatc tao,vicnai)t nda hcapisicrty esvoontre (pes)ndi.eors +1
epiglotitties  aoouybs@tt olsa sa eesnomo dnnoeetim in htanero cm,nmtoe i nihkt tyehr'e nighnit htta teh px gtmhi ehav MN1E. triyohParda rhsapi-lepay hlapcye,ciemra uttpyiira o-aedman HAISD s,tii+arinht()orntu nda piatarcecn tmu-or tnisgarmoa eppti(c eulcr aseds)ei +


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 +2  upvote downvote
submitted by killme(14)
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hTe tcnoepc genbi sdteet si hatw" eosd THP do atth sdale to aimlc"epeac ryh.Vg/Kha3pbPb.:ii/psmn./etdcjgts/oi

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yotsubato  gh,u slib.hutl I swa ingtry ot ieufrg tuo na ulacta saidees ossecpr e.hre +7
rio19111  ist airymrp hyohirdirsapemrtapy eauscd by yhraprdaoti ane.amdo oadidtin of eth etppci erulc sgugtes oZngrille g&--t;- ME1N btu neno of ttah is pmi eabuesc thats' ont tahw yeth rae k.gnias lAl eyht era siankg rof si teh ninocuft fo .PHT +3
topgunber  ENM 1 - P P P . rr,aioaythPd rintaessacgrnap( in hits e,acs) piruityat s.lieon ont key ot inwsgaren htis teu q.nosipt eomcs iwht moptsmys of clpc,ihmrayeae n,oams onsar,g nstehor ipne,g)e( cshyp veL rooneso.tko at pht dan icamu.cl ew ese high ac nad ighh tp.h We wonk htta hghi icmluca udlow erwol si.h.htt.p nmeas het hhig luimacc swa eud to teh gihh hpt (..ie haptaridyro msoonne)itae adQu si tacylaul g:anksi hwat ear het sefcetf of ?HPT a, ,c stooppei fo PTHD nda E i lieeedvb ntear' dtaelre to BuH-dTPno Ss thnomsieg ilke eth tagpesesihon fo pipohdmyissauyrdhpFoa eter- we eldeitynfi okwn htta HPT srecnsaie Ca , so yb ranigsince satslecoto ttari/umtnoytiiaacv you elareibt ciucmal noti het olod.b sith si eth steb ewna.rs +1


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 +2  upvote downvote
submitted by sympathetikey(1600)
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In taidndio ot TPH = cestloasto iitvycat = edriesacn umcila,c iths opesnr ocldu aols be hxtiiibnge ompystms of EM.N1

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topgunber  MEN 1 - P P P . tahoyirrPda, srei(atanracspng ni hits ce),as ypuaiittr sn.elio otn eky ot wernnaisg ihts unoqet.i pst ecmso wtih sosmpymt of pmcaichereya,l o,mnsa sgo,nar rshonte n,g)ieep( yhpcs nesoeovkotoL. r at hpt adn l.ccmiau we ese hhgi ca adn gihh h.tp We wkno ttah ihhg cmcailu udwlo eolwr th...pthsi snaem het ghhi ulcciam was due to teh ghih hpt e(..i rtoiapadhry msidtonno )aQeeua si aaylltcu kn:aigs thwa era hte fsfctee fo PH?T a, ,c pteoopsi of THDP dna E i dieevble n'reat rldaeet to T PBd-SnusHo thnoegsim ilke het panhtoseeisg fo hyspyFdouempie-aprts ahrdoi we eletydnfii wonk taht THP eraensisc Ca , os yb niagncersi esocatoslt tvuiantactaimi/yotr uoy tierleab mlccuai niot hte dolo.b hits is the tseb rwes.na +1


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 +1  upvote downvote
submitted by rio19111(16)
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its pmyarri ymshyepoaihrtaprird eucads by drtoarpiayh ednaa.om daiidtno of the tpcpei rluec suteggs lgirZlone ;-gt-&- EN1M

but enon of tath is imp eueasbc sha'tt otn awht etyh rae n.asgik All yhet are skanig ofr is hte ntfuncio of PTH.

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rio19111  ,Snoets onsgr,a ernohs,t ctschaypiir osoveentr &;--t-g smsytpom +1
topgunber  EMN 1 - P P P . ayrathdi,oPr sgepscranaa(intr ni hsit a,)ces tipyairut l.osein not yek ot iegrannsw tihs pt oniste.uq csome whit mysspmot fo raecm,ypelicha sa,nmo oa,sngr snhtroe ,ge(nip)e hypcs skn eootrvLoeo. at pht dna .lumccia ew see hgih ac and ghih pth. We nwok thta ihgh ualccmi odwul rweol sp.ih..tht anmse the ghhi imuccal asw edu to het hhgi thp (..ie iahprorydta inoutd)smonea aQe si aactyllu aigs:kn atwh ear eht feesfct of PTH? ,a ,c pisopoet of THDP nad E i bveleeid r'eant eedaltr to u-sBo PnTSHd ogeihtsnm like het heteasnsigop fo him-dpuapo Feryetssiophryda ew deilyefint kwon that HTP nessaecir Ca , os by egrinacnis oteocastsl arnu/itmytcvaaitito yuo lbaeriet clmiacu toni het boo.ld tsih si eth tbse .raenws +1


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 +0  upvote downvote
submitted by nwinkelmann(366)
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Deos aneyon ownk eht isaecgifnnic fo cnoyoetm ltm?iiyto

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submitted by arthur_albuquerque(1)
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haWt hdepel em to rnseaw shit noe ieqtu lesaiy aws the lfowilogn :nlaetoiar

imercyHpcaeal + hhgi THP -;&tg aip"mrry rtyryoiped"asmaprhih

How od gihh THP dlea ot acaehecpirmyl? gicesrInna ctlostosae ay!ittvci

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submitted by topgunber(67)
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MEN 1 - P P P . yaohdarPr,ti apiagaecrnst(nsr in tihs case,) ayiiruptt .osneli tno yek to asgrniwne sith isoqut.en

pt oemcs htiw ysmtospm of ,pciaycmeheral mnos,a ,ogrnsa rhoents pn,e()ieg yspch s.voreonet

kooL ta pht dna caimulc. we ees hghi ac adn hhgi .tph We kwno atth hghi cumilac loudw lewor tihtp.s.h. measn teh ihgh laicumc aws eud to eht ghih thp .ie.( yrdopatarih aadone)m

Qsnuoeit is taullyac kan:gsi waht rae eth cfseeft fo PHT? ,a ,c epsoiotp fo TPH

D and E i lebideve etanr' tredlea ot TPH

-dunSsoB htsgmnieo keli the apngieohsste fo udaorseppisytorypmhahedi

F- ew ediylfenit nowk atth HPT csaiersne aC , os yb eirnscniag slosectato yot/amtavircnatitiu ouy aebrilet laiuccm iont het lbo.od stih si eht bets wsraen.

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