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Retired 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 veeilbe ihts tsem yam eb gefrriinn NME 1 rmnseody - eisplsob atsiaomrng e(pcipt reucl sdeiase d)x, htydaporria ,denoaam dna iytiuarpt ndmaoae incsa(ug D.SI)HA uB,t uyo ont'd ened ot enve nwko tshi ot egt hits gtrih - ujst ngiask hte tfceef of ghih PHT on het essmyt - easucs niarcdese ctlsootase iicvatyt as ewll sa rmaiaut.not

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fatboyslim  The motmyssp of htsi ntaepit rea ude to raaciylmehcep (n,stoes b,oens ganros, STNOHRE eider[cnsa ss},iudeir dan aiyscrcphti oentve.sor) aalmeHecycirp nca osal sacue ceiptp eurlc asesie.d So teh raimyrp oghalotyp si oithrrypdaa isaeaplramopna/eyhd gcunsia teh malrycephceai +6
beetbox  esoD naneoy nkwo ats'wh pu ihtw het no' altimrasobine ni useuhmr y'iardX?D heyt sjtu tworh thta ni rfo no rnesa?o I otg okhdeo on ,it I thtohug heret saw on rdaincese cotastsleo ityct.avi.. oirewsteh hte oclacirt nsebo owudl eavh eben ylddo nhti ro oshmignte +4
topgunber  ENM 1 - P P P . Pitryadoahr, gnaa(peritcnsasr in shti asce), irytpuait ione.sl otn eky to awsgreinn hits tupose. tniq oecsm thiw ypmmosts fo ccelmhar,pyaei soma,n sagonr, hsterno )iepeg(n, yschp se Lnkoooero.vt ta hpt dan cm.uical we ees ghih ac dna high p.th eW wonk atth ghih ucalicm uowdl roewl .ths.tihp. mnsae hte ghih claiucm was due to teh high hpt .(ie. daotiarhrpy s nnQotemuiaad)oe is lytcaaul :sgkani thwa ear het feesfct of HT?P ,a ,c oeisoppt fo HPT D and E i bvieedel e'rnat aelredt ot noP- uSsHTBd eontsmhgi ielk teh sshtpoeigane of hidpts-Feiprrpyhyedsu omoaa we ynfiteilde wnko htat HTP ecinrsase Ca , os by aiinrncesg eltcaostso ot/inyiamvituacrtat uyo lierbeat auiclmc niot het bl.doo isth si het setb w.ensra +3


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 +4  upvote downvote
submitted by ∗laminin(18)
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cna smeoone penlxai ywh ti asys eh ash an tin'atc' THP o.nt.itrsncac.enio it ot etl us owkn thta hte HPT nnonattreocci si a rlsuet of lonth ogyaad?p ha'swt sih d?x nstka!h

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yotsubato  I sawre teyh ekam up seom fo this st.fuf Lkie whtsa pu ihwt eth rt,shit an,tiriuno and ppecit erclu asss.idee +9
redvelvet  eliamhearcpcy nca scaeu nrpgecieonh eiabsted idipnsus; os irt,tsh onunr.itia lacyapecmierh nac laso uecsa pcetip eculr .daseesi siH pystmsmo rae lla obtau erpcayhlcaeim edu to rohydiirsmyhrepaa.tp +4
namira  yr"lHmicpeacea can useca ralne cdfnounytsi schu sa nphceoirgen ebsedati dpussinii ,)(DNI utb teh scmaemnhis duylnrigen icdadhcnyerluac-pieem IDN aer ton wlle dt" eud.snroosttle/0-wwxgtor0y948rhol6.iit-pte/0(2d/ie7w-a8f./a)l1S5n/a3l:n0eutn53tkcrin +2
dulxy071  yhW n'atc het ertccor swrnea eb C) hwchi inotps twosdar elran aufire,l wihch amy dlea ot dryosncae eyhadmrphpiaorsytri hgvian het esam eurstsl I eeblvie +2
pmofmalasia  The yscdearno riarmoyyapdhiehstrp ni nreal uefairl is deu to lsso of mclauic ni the nnin-onofcigunt nydike. nI this nqisotue eht cmilauc was eeel,davt so ouy cna urle uot leanr lrai.ufe +1
sars  eaecym-lacpiHr ssecua enstso l(ciucam )nostse, osargn )cnoinstoat(pi, rhtenso ecrnie(ads iirnatnu,)o noebs (neciaesdr setoaltcos ai)tnctiav,o and hcratcypsii enrvootse iep()ords.nes +1
epiglotitties  b@sytaotou asol sa eomneos motineend in oearhnt omnctme, i tkhin rety'he itnignh ttha teh xp mihgt haev N1.EM aPdriohatry -rihleppsaya racacimhyple,e auitpitry edmoaan- HDISA +oh(stttiia)r,nnuri dan craiepctan uro-tm artoaigmns cptpei( erluc )aiedses +


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 +2  upvote downvote
submitted by killme(14)
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The ntccepo geinb deetts si hwta" oesd PTH od hatt ledsa ot ecrpiyl"cmeha aa./cVdhebo/i./s:pnPmts/igKp.ibtg3j

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yotsubato  ugh, luhbits.l I asw ringty ot gerfui otu na cltaua esdisea speorcs .reeh +7
rio19111  sit mriayrp oairyrshahtpdmepriy saudce yb tyidarrahpo an.odame odnidati fo the eiptpc urcle tugssge lergiolnZ ;-&--tg MEN1 t bu eonn of ahtt si imp bcuesae ha'stt ont thwa yeth ear .kingas llA ethy rae nkgais orf is teh uinnftco fo PTH. +3
topgunber  EMN 1 - P P P . tohry,aaidrP saentrigsanrpa(c in isht cs),ea irtayiutp leos.ni otn key to rennisgwa thsi tips onuq.te mscoe ihwt msmtoysp of eae,hclrimapcy aonms, rna,ogs nterhso e(pi)eng, hcspy Lntsoreko.evo o at pth nad .auiclmc we see ihgh ca nad hhgi .pht We wnok ttah hihg icmacul odwlu lorwe stihhp..t. msena hte high uamilcc asw ude ot the hihg thp .ie(. hrptrayadoi mdo oeinasnQae)ut si aylutcla nk:isag wath ear teh fftesce fo HTP? a, ,c oppeitso of PDH T dna E i leeevibd r'aent retdale to STodusP-nHB ihesogtmn keli het spnoeasitehg fo po-ahpethsrioydFm uaespyrid ew tidelefniy oknw htat HTP anceeriss Ca , so by anisrceing cttlossaoe trtnatvutiaimoyica/ uyo tlirabee acmculi onti eht ob.lod thsi is teh sbte rw.esan +1


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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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In ndoiiadt ot HPT = ooclsetast avcytiti = sceediarn icam,ulc shti enposr uldco laso eb xtigehinib osstymmp of .NEM1

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topgunber  NEM 1 - P P P . rPtyoraa,idh aaicptrs(erngsna in tsih esac), iurtytipa .lienso nto key to rewnsngia tish unto.tqpsei mseoc with mysptosm of hc,aeealmyrpci ,anoms gronas, nohrset i(enp,e)g hpscy nte okooLs.erov ta hpt adn ualiccm. ew ese ghhi ac dna hihg pth. eW owkn ttah hgih uacilcm udowl leorw thi.sht..p mensa hte gihh amlcicu wsa ude ot eht ghih pht ..(ie ayairtrhdop mod us)tnaiaeoQne is ctayllua kas:nig hawt are hte ectfefs fo HT?P a, c, ptopioes of THP D dan E i iedvleeb trena' artleed ot PudBoTSn-Hs mhsntgoei ikel eth hseatopgiesn of mrayrFissepiodoype-ph udhat we eidyntlfie knwo that PTH cesrsnaei aC , so yb nansiegirc teosaoctls acayvmtutita/iriton you taeelibr imclauc onti eht lood.b ihts is teh steb rsnawe. +1


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 +1  upvote downvote
submitted by rio19111(16)
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tis irayprm ohrpyapsyrrtemhdiia cusdea by yotaapdrhir dm.eoana toainddi of the tipecp uercl uggetss elrZoling t-;-g-& EMN1

utb onne of ahtt si pmi eesabcu 'httas ton wtha teyh aer n.gskai llA htye rea kgsani orf is the cioutnfn of HTP.

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rio19111  tos,nSe gnosa,r nstro,he acyhcirtisp rotoevens tg;---& mtpmosys +1
topgunber  NEM 1 - P P P . dtriPyr,aaho prist(nesaacnagr ni isth )c,sae yiutaiprt e.niols ton yke to nnsewirag sith t.equti snop cseom hitw smymopts of ihee,craclpyma ,nmaso agsro,n soetrnh (ni,egp)e yscph oser.onev Ltkoo ta pth dna ica.lmuc ew ees high ac and high .hpt We ownk thta high mciluca dwuol orewl iphs...tth masne eth ghih cmilauc swa edu ot het gihh pth (e..i rhitaodrpya Qamna)notesediou si uaalctly :ikgans wtha are the ffecets of PH?T ,a ,c optispoe fo TP DH dna E i edelevib ant'er eaedltr ot d usHoTS-BnP tnsmhoige kile the hsantepsegoi of ppuehsodi yesrtymaoihr-padF we tinyldiefe nwok atht TPH arcseines Ca , so yb gcieanrins tletocsosa attntrviuamaioicty/ uyo aeltberi cauicml nito eth dobo.l tish is hte bset wern.as +1


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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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eDos enonay nwko teh egcnsicaiinf of nmoetcyo moilit?yt

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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Wtah pedhel em to sreanw sith eno tqeui eiasly swa the nilwolgof olreina:ta

aplcrycmHaeie + hgih TPH gt&-; pyami"rr hmsaopehytpr"ayiirrd

oHw od hghi TPH lead ot heea?mpcalciyr rInegsaicn eolsscotat civtat!iy

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 +0  upvote downvote
submitted by ∗topgunber(68)
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ENM 1 - P P P . ,yrotiarPhad ig(rcaaasetrnpns ni htis ,cas)e pryuittai sl.neoi not key to rewanigns shit nio.qestu

tp oscem ihwt motysmsp of caricalymeh,ep ma,nso narsgo, enhosrt nipeeg(,) csyph .ovnsreoet

kooL at pht adn aimcuc.l we ese hgih ca dna ighh p.ht eW ownk thta hhig macclui uwdlo wolre s..pht.hti nmsea eth hhgi cluiamc swa eud ot eht hhig pht e.(i. yraiohatrdp oe)aanmd

euonQtis si clyaatlu kng:sai ahwt ear eth stcffee of H?TP a, ,c sppeooti of PTH

D dna E i iveledbe ae'nrt rtadeel to THP

donusBS- gnitmheso ilek teh egispnehatos fo ehhddupoppayrseiaoisrmty

F- ew efdeitniyl wkno htat HTP rssaiecen aC , os by ringcieans ttoscoslae /iotmtacrnaaiuvttyi yuo beetliar luamcci ntoi teh do.olb sthi si eht sbet rasw.en

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