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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 elivebe ihts mtes yam eb nfgirenir NME 1 oesrymdn - iepsosbl tirsomaagn pite(cp leucr deisesa x),d rpotiyadhra domn,aea and iturptiya eoamdna ic(ganus A)HDSI. uBt, ouy dtn'o need to nvee onwk hsti ot get ihst higtr - sjtu sgnaki het fetfec of ihgh PTH on hte semtsy - scesau anridesce tetooslacs itityvac as lwel sa ituat.mnaor

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fatboyslim  heT msmtposy fo iths niaptet ear deu to aecpchmlyeari seno(s,t eo,snb saong,r NHETSOR ee[naisdcr risu,e}dsi dna cycsapihtir eeovnos).tr paeiryaemcclH acn sola saeuc etpcip rcelu s.deeasi oS eht rpimrya ylpgahoto si rydpiratoha lyaraa/eihmpdnpeaso ugnsiac teh rieeaamphcylc +6
beetbox  oDse onaney nwko 'sahwt up whit teh on' ilaaiteobrmns ni uurmseh yriad'DX? hyte sjtu orhtw htat ni ofr no roanes? I tgo oedohk on t,i I uhohttg theer swa on esrinacde lcotoasste ..ttciiyva. rohietswe het ccarloti snbeo ulwdo avhe bene yodld tnih or thnmieogs +4
topgunber  NEM 1 - P P P . oarPt,ryahid sctaap(nsangrrie ni shit )cae,s iiatyuprt il.nose nto yek ot wgnasinre htis insqp.t utoe scmoe tihw mpmtsyos fo imeyael,rhapcc asn,mo osr,ang ntsrhoe ,(npi)eeg syhcp oeo .onrvsLktoe at hpt dna clam.iuc we ese ighh ca dan ghih p.ht We kwon taht ihgh ccliuam odluw orlwe p..tti.hhs smane het high ciculma aws ued ot eth ihgh thp e..(i iordpratyha so dnaaQotm)eeuin si ltyucala nka:sgi ahwt rae eht effsetc fo ?PTH a, ,c tosepipo fo DHTP nda E i blieeedv 'tnrea eetadlr ot n SP-ToBsHdu otmnigshe ielk hte seeotnshgapi fo p-ooypysa usipedaFhrtrimdeh ew deyfitilen nkow ttah HTP arsneseic aC , os yb rgcaisinne ttsolcaose itarttvc/oiuaiynmat oyu erailtbe lucciam toni the o.lodb sith is eth sebt wnr.eas +3


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 +4  upvote downvote
submitted by ∗laminin(18)
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acn mneeoos xpniale ywh it ssya eh ash na nt'ic'at THP coten.ntri.soinac. it to let us konw tath the TPH tnnconetoraic is a srulet of pthoyogd?aaln ahs'tw ihs ?dx hnas!tk

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yotsubato  I rwsea tyeh eamk pu mseo of hits tusff. Lkei sahtw up hiwt eht sirth,t uininora,t adn cptepi urelc .dsaisese +9
redvelvet  maeylachecipr cna sueac rongihpceen iestebda issind;pu so i,hrtts nrtnoi.iau acleaypicmreh can saol scaue petpci elruc sideesa. iHs ytsmomps are lla otbau eiaeacprhlcym ude to pmsyeyhp.airdorahrti +4
namira  Hpecieyaamrcl" anc escau ralen oytcudinfns chsu sa epcheonring ibeeatds sipiudnis ,)IND( tub hte msnmhaeisc dnliyenugr yecnieci-hledadcruamp DNI ear ton llew s"tr.uoodn edw41-9Ssiaonr0t3rei.tol-8ea)a/e0:nk3w0ig7niut8tcxdl5(.h/lypnt5l//0f2-trtew/6 +2
dulxy071  hWy 'acnt the etccorr wsraen eb C) whcih oistpn satwrdo lraen e,rfuial which may edla ot rcoyanesd aehirropmyyhtparsid ainghv hte esam sslrteu I ielebev +2
pmofmalasia  The cnsoready styiemdhrrrpaoipyah ni renla iulraef is due ot loss of amuilcc in eth noitgufnnocnn-i kyidne. nI sith iteusqon het mliucac was e,eatdvel so ouy anc uerl uto rlaen fla.iure +1
sars  Hc-yailerpmeac aeussc ossnte u(iacclm et,nsso) asrnog nniao,osptit)c( trosehn scnir(daee ntrniio)a,u sonbe enrcesai(d staetsloco aatnc,vo)iit dna cicisatphyr eovrnoset (s.noirdees)p +1
epiglotitties  aobut@yost soal as esnemoo modnteein ni ehtarno onm,mcet i ihknt tr'yhee ginihtn ttah het px hgmit have .1MNE traydPhaior erap-lphiyas miceypcahae,lr itapruiyt am-dneoa ADIHS a)(io,nustirit+trnh adn ctpancaeri mo-rut miograanst teipc(p erclu )seseida +


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 +2  upvote downvote
submitted by killme(14)
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The potcnce enigb etdset si twh"a sdeo THP od ttah asdle ot eaehcpaiyclrm"/Vchags/d./pigmotnKbtpPsej.3i/ib.:

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yotsubato  ,uhg hlblt.usi I saw igtynr ot euigfr tou na actaul easdies srepsco eerh. +7
rio19111  ist imyrarp asthioraihprrmyyedp sedcau yb priahdyotra aem.ndao itiaddno fo hte ppceit lcure ustsegg Zlioenlrg -t&-;-g ME1N tb u neno of ttah si mip suaecbe sth'ta ont hwta ethy ear sgiank. All ehty rae gaksin for is eth cfoitnun fo PH.T +3
topgunber  EMN 1 - P P P . Phrataryoid, np(egsscrrtaanai ni tsih ,e)acs ttapiiryu esn.oil ont yke ot rsnnegwia iths teptnqus.oi secmo hwti pomystsm fo pryeeilhca,acm ,omnsa oasgrn, othsner ,ipn)g(ee pshcy L.et konovosreo ta pth and mul.aicc ew ese ighh ac and hghi th.p eW onwk ahtt hgih aucciml uwold lrweo .h..ptitsh smane het ihgh imaclcu saw deu to the hgih thp ei..( iahdparotyr )ioeonaQeumstad n is auyltlca n:sagik htaw rae the sftcfee of P?TH ,a ,c speotpoi of TPHD dna E i bilevede rtea'n tleerad ot n uoHSP-sBTd mieotngsh klei eht etpsgsoaienh of Ftpiaohhys-doysadepuimprer ew ydtfeelnii ownk atht PHT ecasrnsei aC , so by ngcariisne oaotscetsl auom/iticyttavtarni oyu tlerebia alccium tino het dolob. tsih si eht tebs n.sawre +1


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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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In iadtinod ot PHT = ctoeosatsl ictyativ = diraeescn i,ucclma tish snpeor udocl lsao eb tgbhiixine ostmsmyp fo M1NE.

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topgunber  EMN 1 - P P P . adho,aPrryit caisrtsegar(anpn ni tshi se)c,a yaiittupr .linose not eky to ierwsngna hist iops.tutn eq meocs wiht tpsymmos fo ,cyelaahcerimp snmoa, r,anogs enhtsro i,ep)(gne ycpsh r.ooLvson oteek ta tph nad cui.acml we ese ihgh ca dan hhgi htp. eW nwok htat gihh cmucali lwuod relwo tt.phh..is manes het hghi mialcuc was edu to het ghhi htp .e(i. ahyrpioradt doeainmosna)Qeu t si ylutcala isna:kg thaw ear eht efctefs fo ?THP ,a c, pepoosti fo DPT H and E i bedviele aret'n dearetl to -BuSn sHPdoT mnegtihso klei het iesnghaetpos of ddtisr-phrymaesioFpapuoh ye ew elinftdiye wkno hatt PTH iesecsnar aC , so by cgsinreina teclsosoat uaicitmvttrtyi/onaa yuo erebtlai uclmaic ntio hte odolb. tish si eth bste .swerna +1


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 +1  upvote downvote
submitted by rio19111(16)
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its mrirypa ayymrirppehihaorstd uecasd by piryrdtoaha eoadman. adioitnd fo eht petcip ercul tuegssg oZginrlel -;g-&-t ENM1

ubt eonn of ttah si ipm eausebc h'tats tno twha yeth era aisk.ng lAl yhte aer isngak ofr si eht tfncnuio fo P.TH

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rio19111  eStn,os nsrg,oa s,torhne sriiycphtac teevoosrn -g-;&-t ymspmtso +1
topgunber  ENM 1 - P P P . oyah,rardPit nraaesgi(arpntsc in sthi ,ecas) ityriputa os.nlie nto key to asinnrwge this o.pn itsqteu oescm hwit tyommssp of aheclmayci,rep naosm, rnga,os seontrh ,)pegein( yscph vsr .noktLeoooe ta tph dan cuci.aml we ees high ac dna ihhg th.p We nwko htat hihg acucmil dolwu eorlw .h.tsi.pth nesma teh hhig clcmaui saw eud to eht hihg pht (.ie. tryoirhadap deuQaioea nmto)sn si atayucll sgka:in tahw are het fteecsf fo P?TH a, c, ipoepost fo TDPH nda E i ebeevidl a'etnr ateedrl ot Pd-SHBs nuTo hnmgostie leki hte sstgenpaheio fo aproa-hodidepspihemyy Fsrut ew teifyedlni owkn ahtt HPT ensrsceia Ca , so by ncgiienras satcoeostl itrtnatm/vtyaaocuii yuo eertlbia uccailm otni het .ooldb siht si eht steb awsner. +1


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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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esoD ynaeno nwok the isfagceninic fo neocmyto ?tiyotmil

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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tahW edelhp em to wrsena siht one teqiu ylsaei asw hte glofownli trae:nlioa

caeeycarpmHil + ghhi PTH -;tg& "aprmyri padyohtypsia"rirrhme

oHw od high TPH aeld to rylcempahaice? grenisIcna aotcsoslte iaicv!tyt

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 +0  upvote downvote
submitted by ∗topgunber(68)
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MNE 1 - P P P . ryairt,Pahdo rntspgairscen(aa ni shti ),scae tpiatruyi li.sneo ont eyk to iewsrnnga iths es.tinquo

pt ecsom whti pmosstym of al,emphyacrcei oansm, grsna,o tsrohne egien()p, pyhsc reeso.votn

ookL at hpt nad aic.umlc ew see hgih ca dan ihgh .htp We wkon ahtt ihhg uccialm dluwo wrleo hh.t.tpi.s mesna eth ighh cumacil swa ued to the ighh thp ..(ie rroaptadhyi aeao)mnd

nouQetis si yculaatl kasg:ni htwa era hte ecsffte of PH?T ,a ,c tsppoeoi of PHT

D dan E i belivdee r'aetn edaletr to THP

oBn-dSsu hitnomesg iekl the hsneotagpise fo isedahaiyephdspootrmupry

-F we eniieyftdl nkwo htat PHT sirncseea aC , os by enaringics osltcetaos yri/vuoiattatmcatni uyo aeritelb auccmil tion hte oolb.d tish si the estb wenr.sa

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