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Retired NBME 24 Answers

nbme24/Block 4/Question#8 (reveal difficulty score)
A 1-week-old newborn is brought to the ...
Organic acid metabolism disorder 🔍 / 📺 / 🌳 / 📖
tags: biochem artist90

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 +47  upvote downvote
submitted by ∗lsmarshall(465)
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aUre Cleyc eDssriord gt;& adsltIeo sreeve mmroiahpaynmee t;&g( 10;00 i..,e on hoter vreees lmitocbae discubnresta

ntirieOhn eansaaacystlrbrm iefnicedyc ;g&t (stmo cmmoon euar leccy sdi.) icotor iuraia/daceiadcmi, heoinpeamyrmma

cnOgrai eisiadcAm ;&tg anrHmiy,momepea -ogiaapnn ciaosids, oiktsse o(rfm chgampyloyie)

Mcudiei-nmha Cy-lAaco deeohgesdyrna enccidyief &;gt nmaeHem,arpyiom pktyicheoot heoycaliymgp (sene in iβ-noadxito riosr,edds XCEPTE ot)snkheoyrdlroapuyde

ivLre utdfsincnoy &;gt mypa,moeneamirH LFsT desmse up, ordel pt.

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lsmarshall  mSuryam of ibaomctle isusse ielnartg to mommnihepeyaar +9
seagull  m'i gelnani trsdoaw intiOehnr acmbntaralysares nycf.iedcie +3
notadoctor  Not resu ywh tish ts'ni edinsodcre a imdnhlocoirat doreirsd ensic eht esusi si intihnOre smbaltsyrnrceaaa eeicnciyfd in eht t?adiiorcmhno +2
charcot_bouchard  if it was lmiditornaoch ddiesorr on neo dluow ascpee +3
wowo  ufrgie ni CTO ifyenidec,c yeht tgihm evah ot xlpicleyti ontenmi hte iocort aauiidrc DAN clatiyply srtsepen rr,ileea rdanou -84s2hr4 of ilfe freat eethyv' efd (at ltsea per B)+ B oals per B,B cpiropion iameiacd adn MM idieacma veah an ensot fo eewsk ot tmsohn nad aedl to bilud pu of gnarcoi acsdi -gt-&; iaadceim ni tdaioidn ot aeohpyarmminme ton( ersu y,wh tbu elveasr aa erten teh TAC eylcc avi nplypioor CAo ;g&-t- yoyenlhlmatlm CoA t--g&; iccynlsu CoA, but nwo htis si cdueftn t/d zeemyn ?.di)sii..eccfe.ne wo,yAnh ocppiiron eaiciamd ceisdberd on 012A9F 8,5p tub odse'nt list aememyiomahrnp +2
artist90  i ihntk it tcnano eb teihrniOn alyaamatscersbrn eccnyfedii cb it si XR sseeida. hsti pt hsa a halteyh ry2 dlo rhotreb cihhw uelrs uot k-eXlnid ieevcress deieass oetrrcc em if i m ogwrn +7
artist90  it si 0%01 oioprnicP aiecimda rUolwd -:iQd 4.013 it si na cxeta ocyp notesqui of o.dwurl i ogt it wrngo cb i gorotf seteh are coianrg ai.cds utB i ma slilt euodcnsf on 2 gs- h1oithwn eods cosiidsa ecusa ayygciopHmle and iwKs2ot.hye- s is Anmimao aedtvele ni eehts pts bc urea lccye wlil eb f?nie +2
yb_26  1) aormphyaemnmie si sene ni lal ruae ycelc eorsdrsid ceetpx insaareg yii 2)nceecfd arcgnio sdica dcyiterl iibihnt erua clcey =&g;t aoarnmmeihmype rmof( Ulor)Wd +2
yex  cnogcAdri ot UW, eehrt is aothenr senqtiuo # 131.4 sihT neo frsere ot olametnmcyihl amdiecai IAN(RCOG DA.IEAMCI) GLPHYCMAIEOY restslu ofmr evolral eadsernic eatlcbimo atre dlgneia ot irandcsee uegolsc utziloiiatn nda redcit coitx (-) of egcsngousoeieln yb noagcri icas.d heT eepnrsec fo lcgyyaimpheo sadel ot cnsdeaeri free ttafy daci mtmabioels taht usrcpdeo SKTENOE, eltniugsr in a erutrhf oinna apg emt csdoc.iia ln,liFya nargcio dcias salo ctdliery )-( het raue ly,ecc edilgna ot RYIMNPEHOAMEM.A +19
ih8payingfordis  I tihkn etrhe has been oesm oinocsunfs eacubse FA osde a ropo obj tnggnreiita tehse tneccosp eeohrtgt btu here rae emos erecesfer:n AF 9210 gp 58: icnrPopoi iecmAdai (htsi is oen xepelam of rcaogni aidc laosmembit sroi)eddr In the amsurym furieg no Pg ,74 oolk ta het ietnrpo siamtoelbm tcole(da toobtm gri.)ht ,laBaiylsc ouy cna ahve ssroeddir eewhr uyo have iCopol-rAoynP ldipuub eolna RO ClonPo-riyAo dna oyeMl-tlaClmAyhon bidpu.lu ndA ehets rogiacn aamieidsc rea lmsaoutao csveerise ni iehtr aechiinrtne ttrn,epsa ihhwc itf htwi het tmse ee'wr igevn i(e XX sdaniuildvi nac be tadOecee)f fn thgni taht UW aetts atht I do tno vahe an anloptiaxen fr:o eht publdiu fo icganro aisdc intbiih teh earu ccyel cehne eth neesrcai ni momaain oyne(na swnko woh htis pneh)as?p +
aaftabsethi1  naC onseemo llte em wyh nto EMALS ? +1
jaramaiha  hatisf@abate escaeub lla of the bgsnliis doluw hows esom mytpssmo fi ti reew to eb a ditorcoilanmh iesesda. iWhch his hetorrb si ,ehyltha adn etissr was etr-lmluf tub iedd ued ot ciuipenefsd ua.scse +
utap2001  Why osasciid csuae cmgiHopylaey dan iesoKst nad maaheyn?mpiro In ascusdioi(shc lciact i;t-)o&disgsac eidciant odby yreegn icsris &;g-t cin. ylgcys,losi pgo-yeatl;H&ymigc c.ni rotenpi oderk,banw rpmaamnyoHei g;t&- ec.d TAC ycl,ec eKsotis +
forkyeaa  /Ptlum.ewamnlwi/cMh/ig2/h/w1Ci/r.2rfgce8sp.i/cs/tvngnto6.3:ibF2p7 +



 +8  upvote downvote
submitted by ∗powerfulgarbage(17)
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stJu to add to twha some toehrs evha dis,a tish is ni rtFsi idA sa .lelw FA 2002 pgae 85:

gOanicr asicaidme sotm onylmcom esternp ni aynfinc iwth roop deiefgn, i,gomnitv ntohopy,ia a ighh nniao apg aeicolbmt osiid,cas pemohealtgy,a dan ussr.zeei

The gocnari ciad unimtcuacaol osde 2 s:inght

  1. cgOinar disca thibini neossegulgioenc, dligaen ot nasiftg pmlaeiyyochg hciwh nhte caeuss teiicdsks,oao uagincs a ighh GA aeilobtmc diacssio

  2. gnracOi dcias hintbii the areu lccye, iaenldg to phieroemynmama

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forkyeaa  tsih icbn ocrfhtlaw hssow who het lsyecc are tdiiin.ehb mghti p.ehl /.plwMmimr21iwc/ht.ge3/v6/riits2fpsFln2Poth/bnwcg://ga./iC.e8uc7n +



 +2  upvote downvote
submitted by ∗sattanki(82)
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n’Cat ehlp umhc on eth tecax osaegninr y,wh ubt eethr rae a wef lorUdW tonsuqeis no thsi erhwe if a nnoetea sah yp,ygialmhceo sieotsk dna mpeiamehon,army a aiocnrg daic rdsodire ldusoh be dsetuspce (cirppoion idac ro ciahmneylmolt ai.dc) esLs suuscisiop of na ART cuase ymgeylhaopic si otn atheicascrtrci of ht.at

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sweetmed  mI mnaisgus eaeuscb tmlatltNtu-eeyagca si na elstraclio viartcota fo SPC I eendde ni auer ylc.ec nda NGA- is dame of tagtmueal and tyeacl oA.c So ni cgiraon maci,sdeia all the ycltae CAo is bigen sedu to emak tsoeekn rfo gynere secni enigoelussogcen is msedse p.u oS aUer cleyc dteson rowk sa lewl adn 3NH tsuceaclmau +4



 +1  upvote downvote
submitted by passispass(1)
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yM aorsegnin no iths qisuensot saw mprlsei - I itnhk yeth tenawd su to pick na luastomoa seivceser ediasse edsab no tretapn fo ikds atfefedc htob( emfsale rea fedeatfc - 'antc eb agtnhiny nde-l)k;Xi boy asw thyheal - rleu tuo omoihida.rlctn iWth ster - rlue out uebscea fo nrieecads ainomma nad faeninlti nes.ionttreap lOny ignocra daci imbmloates deirdrso fetl

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 +0  upvote downvote
submitted by ∗forkyeaa(1)
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u/wn./2t8l6o/ift.cnc.:aitb2crivh/M3g/e2CmrmhFinl/pse/Pwg.7ipws1/g

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 -2  upvote downvote
submitted by ∗abhishek021196(120)
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rOheniitn mlarbneayatrssca idncf.tM eecysoi nmcmoo urea ccely e.rodirds Xdik n-el eercvssei vs( tehor areu cecyl yneezm i,iesinedecfc hhwic rae omtuaaols ecsri.eesv)

eetfnerrIs twih eht byd’os liyiatb to nmeilaiet aammoni.

ntOef tveiedn ni the sritf ewf dysa fo ,eilf ubt mya nsprtee atel.r scseEx caoymlrab heshatpop si cettnvo eodr riooct dcai (rpat of eth nidemyripi sseishtny tpahy).aw

Fisdi:ngn ocascerdo Iertni adic ni doolb and reinu, aDedrBec,N Use mssyopmt of amrmyepa.nomihe sa lgoNiabmlteco mineaa s(v rcitoo ua)c.rdiai

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passispass  Cna ti be an ndXki-el saedesi fi tbho asmlfee aer atefcefd and boy si ont? I hktni ylinulke +



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