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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 eeleibv hsti mset yma be gnireifrn NME 1 neyrmsod - iseobslp atmsognria ieptp(c erlcu iseeads ,dx) yirrhadptao mnd,eoaa and pyurittia adoeman sag(ncui IA).HSD B,tu yuo otnd' dnee to neev kown hsit to gte ihst hirtg - tusj skigna the tffcee fo ihhg PTH on eht emtsys - ausecs rdceesian colesostat ayticvti as ellw sa oaa.timrtnu

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fatboyslim  eTh tymosmsp fo tshi ittenpa aer ude ot ahiaerpyelccm st,oe(sn eobns, ,rogsan OERHNST eiecnsd[ar i,u}idsrse nad citascyriph o.sevotrne) ecmcyapHiearl cna oals saeuc ptecpi eurcl ei.dases So teh rmiarpy laoyhtpgo is rproyhadtai raan/paiepsmoyaldhe iangcus teh rplceeiyacham +6
beetbox  oDes yeoann kown wasth' pu htwi eht on' amarstlinioeb in useruhm Daid'ryX? yhet just hotwr that in fro on ?enorsa I otg keohod on ti, I uhtgtho eerth asw on dsernieac olectassto .ivcyitta.. rehowtsei the iacolcrt oenbs ulowd ahve nbee oydld niht ro gmethinos +4
topgunber  NEM 1 - P P P . todri,Phayar iarcgtsspa(rnnea ni htis c,sea) ttiruyaip s.oelni otn yke to gisanewrn tshi ostetupn.q i emosc ihwt msptomys of aechryimcap,le san,om ns,arog ersonht n,e)gip(e yphsc torn.sve ooeLko at pth adn c.imacul ew ese ihgh ac adn high .htp eW wokn tath hghi mulccai oudwl rlwoe h.ihts.tp. maens the ghih lmucaci was ude to eht gihh pth .i.e( adoipyhratr eotdo)uan msnQeai is tyaaucll sik:gan awht ear teh esftcfe of ?TPH a, c, topposei fo DHTP and E i leevebdi 'etnra eadterl to dBoSs HT-unP onhimtegs elki hte oihgaseeptsn fo i-dts ahorohmrdppspyeiyeuFa we eldiftnyei wkno ttah THP ensirceas Ca , os yb naicinserg aoctstlose itarmncvaiutyittoa/ you atlebrie almcuic into teh dbloo. tshi is eth esbt e.sawrn +3


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 +4  upvote downvote
submitted by ∗laminin(18)
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anc eonsoem eaxilnp wyh it says eh ahs na nic'a'tt PTH .sienctona.nit.rco it to etl us konw htta teh PHT oncrceonintta is a stluer of o?na lagdptyho was'th ihs ?dx satn!hk

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yotsubato  I waser htey aekm pu oesm fo isth fufts. eLki wsath pu hiwt the ,rishtt ioniuatrn, adn ceptip erclu diesases. +9
redvelvet  ehcacmlieryap can seauc cheienpgnro tabeesdi pi;snusdi so irt,hts on.auiirnt pacamychereli nac aslo aecsu ptpiec rucle eeiadss. siH stmpmyos rea all uatbo ericecyamhpal ued to atdoyeriahrp.yrihmps +4
namira  "ecrpayieaclmH cna easuc aernl ftouscinydn such sa cenniprgeoh diseetba siidsnipu ,DI)N( btu hte ihsaecmsmn dnunyerlgi ycarhiicelpameud-decn IDN rae tno lelw "rud.destoon S0i8nta/iwe/2-3.:0hxe8k()54w07nlergpo0il-.r/n1y-fte/t6/wdci9latrt3stnalotu5 +2
dulxy071  yWh nt'ac eth terocrc rwaesn eb )C hchwi sintpo swoardt rnela elaf,uri hwcih yma laed to reasyodcn oirmrhyyerhpdpaiats ivgnha het smae ulessrt I ibveeel +2
pmofmalasia  eTh ncyeordsa ohrhsrpairydtyimepa in raenl iaulrfe si deu to slos fo amclcui in hte cfig-uinntonnon ykine.d In sith uisntqoe eth amulicc asw vedaeel,t so uyo acn eurl tuo elarn riel.auf +1
sars  ycrem-lieaacpH sascue tnsseo (ccmuila osts),ne snorag nspnoa(,t)ictio stehorn ied(cesnra u)ianroint, esobn er(endsiac aclosoestt ovi,i)catatn nda yiprchcatsi ntvresooe .(snpoies)red +1
epiglotitties  otuaytbos@ losa as esooenm noneedtmi in neohrat nem,cotm i knith e'htyre hnigitn taht teh px gtmhi veah E1.MN yPhraotirad epiarps-yahl ey,achclmpraei rituayipt -aomnead HSAID iit,rtustrn)+nhaio( and erictapcan rmut-o osrganaitm tepp(ci ulcre seia)esd +


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 +2  upvote downvote
submitted by killme(14)
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hTe ecotcnp bneig steedt is ah"wt seod PTH od taht aesld ot m"lyihr aeapecco:/p/tsjVid.m/a.KpnP3tc/gehis.bigb

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yotsubato  g,hu bsl.lhuti I was tyring to irfgeu uot na cualta sdseeai erpsosc .eher +7
rio19111  ist prriyma rertyosyrihamhipapd aesudc yb adrapothiyr doaae.nm itonddai fo hte pipcet luerc gsutesg geilrnloZ &t-g;-- 1ENM but oenn of ttah si mpi bcaeeus st'tah ont atwh ethy era iak.ngs lAl etyh era ingska ofr si the ntfcuoni fo PT.H +3
topgunber  NEM 1 - P P P . raorad,Ptihy iaapsstagnrecnr( in htis c)sae, iuraittyp isoen.l otn eyk ot neniwsagr sith ptet .qisonu semco hwti tmsyomsp of erea,laphcycim nm,sao ga,rnos rnhotse ,(piegne) hypcs L.oorke noeovst ta pth and lc.umcia we see ihgh ac and high ph.t eW onwk tath ihgh cumlica uodlw roelw ..tstpi.hh ensma eht high iucmlca was ude ot eht ghhi htp .(ei. dprryoithaa no)eeaatQsm inodu is luycltaa gnkisa: htwa ear eht cetesff fo ?TPH a, c, poiespot of TPH D dna E i eeildvbe 'nerat ertadle ot sTn-SHu doPB semnitgoh leik het tesopasgiehn of dhaymhuriryaopppotes -seiFd ew dneiylieft kwno atht PHT eincresas Ca , os by neagsiirnc aoslceotst /uciariintaatmottyv oyu telberia imccual tnoi the bo.ldo htis si eht bste .erawsn +1


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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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In nidaitdo ot HPT = slsoctaeot yttcivia = ciasedern cimua,lc hsit rnpose cdlou asol eb iengtbixhi opystmms fo 1NM.E

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topgunber  MNE 1 - P P P . yarariPt,doh ecngasarpinrtsa( in htsi e)a,sc uyaititrp osienl. ton yke to nsirwegan stih t opnsiqe.tu cmseo thiw mtsmsypo of acepirl,acmyeh ao,nsm gr,anos estonrh ,i)pegne( shcyp eoen sootrLkvo. ta htp dan icc.ulam ew ese hhgi ca nad ihgh .tph eW wkno ttah ihhg cmcalui uowdl wlreo ht..it.phs msaen the ighh caluicm was ued ot het ihgh pth e(i.. dyapahrorti ndamste)i neouaQo is cauytlal niask:g wtha aer the cesffet of TP?H a, ,c pepiosot of HPD T adn E i ebeveidl rante' reltdae to PSsouBTHdn- inohtmges kile hte tssahienpgoe of ptmap-ehhidisdrprsFey oauoy we yitelenfid nkow ttah HTP seecsinra Ca , so by nagseriicn stlesoctao auivtt/acyraiontimt uyo tlieebar uclamci tnio hte l.obod thsi is the etbs nwr.sae +1


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 +1  upvote downvote
submitted by rio19111(16)
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tsi rrimapy raeodarsmhypyritihp ducsae yb ptahrdyroia .meaoand otddiina fo hte etppci rclue tgugses nlgreZiol -;g&-t- 1MEN

tbu noen of thta is mip aeuecbs tstah' ton thwa tyeh aer k.agnsi lAl yhet era sakngi rof is eht tinonufc fo HPT.

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rio19111  n,etoSs oarngs, neht,osr csipiratchy ovnseeort t;-&--g sommytsp +1
topgunber  NME 1 - P P P . irh,Padytora raecanagtsrnspi( in stih c,s)ea ttaiuripy .ioesnl ont key ot eangnswir tish oteisputq.n csoem hwti mpysomst of rhlceceam,iapy oman,s sgrn,oa snthero ,ien)ep(g cphsy seto.enrk oovLo ta hpt dna ccam.lui ew see hihg ca dna hghi .hpt We ownk tath hhig ulamcic ludwo lowre hp.hstt.i. asemn het hhgi auciclm saw deu to het gihh pth .e.(i rophiaatydr dmsnn Qoieu)oeata is aclyaltu :giknsa htaw aer eht tcfeefs of HPT? a, c, potoipse fo PTHD nda E i bvleedei taern' atdrlee to PnHsTB-uodS sthogenim like hte nsiaheotgesp of yirooames-hrypd dFpthaepius ew dytifeniel owkn hatt HPT ceerisans aC , os yb nnagiirces oecattlsso rmavitnc/atuttiioya you laebtrei iuclmac tnoi teh odlob. shti si eht ebts srwne.a +1


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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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Dsoe neoyan ownk het ncieniisgacf of moyetocn ?tliioymt

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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htWa hldpee me to erswan ihst eon eqitu ayseil swa eht wionollfg arnotei:la

aeHarypieccml + hihg PTH tg-;& mrr"iypa peihy"rtrrapamoidhys

oHw do hgih HTP edal ot limecaapchrye? aIrnsigcne ostaolecst vitta!yci

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 +0  upvote downvote
submitted by ∗topgunber(68)
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NEM 1 - P P P . raPa,yrthdio nipsacrnretgasa( ni sthi )a,ecs irtitaupy sioln.e otn yek to rsgweinan sthi enquisto.

pt csome ihtw mpystmso of c,rapayheelicm namso, agro,sn neothrs i,gee(pn) ysphc oo.neesvtr

kooL at thp dna .lumaicc ew ese ghih ca nad ihhg th.p We nwko htat ihhg icmulac uowdl orelw shtt.i.h.p nmeas eth ihhg lcuimca asw deu to hte ighh thp (.ei. roraatpdyhi dae)oman

sietuoQn is lctauyal :sngaki athw ear the etfcefs of T?HP ,a ,c sepotpoi of PTH

D adn E i dvelieeb retn'a rlaeted ot TPH

Sd-Bonsu ginmsoteh ilke teh hpasnesioget fo yhrodimdpareyasuhisepopt

F- ew ieenlfidyt wokn hatt HTP ercnesasi Ca , so yb ngcaisrien eotlsastco uinrvimtaytoaacti/t uyo tiareleb ciulmca tion eht l.obod hist si the btse srwa.en

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