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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 beievle sthi semt yma eb rnifnegir EMN 1 nsmodery - sbispleo nrasmtiaog pit(cep lcuer eidessa ,d)x rprdyaiaoth amo,dnae nda iirtyatpu daneoam (uniascg )I.SHDA ,utB yuo 'dnto deen to neev wnok hits to egt tsih hitgr - ustj asgnki the fetcef fo high TPH no eth stsmey - esaucs adsienrec sstatocelo cyatitvi as ellw sa arto.aimutn

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fatboyslim  hTe tpmmsyos of siht iptaent aer deu ot phmleraecyaci ,os(ntse ,ensob nrs,goa HTONRES dcnr[eesia ruisesd,i} dan riyihccaspt r)tsove.eno iempaecHlyrca anc olsa ecsau etpcip ecrul e.disesa oS hte pryamir olhtpygao is dahortyiapr npaaipledyo/msarhae agusnci hte herclaaepmiyc +6
beetbox  esDo neyano onkw s'awht up wiht het o'n ntmbsioeiaalr ni humures iX'rDad?y thye ujst hwrto htta ni for on on?srae I ogt ekhood on ,it I uohtght tereh was on disaeencr ctassotelo a.vy.itict. twseoeirh eth tcoiarlc nosbe wludo avhe eben odydl thin or thoignsem +4
topgunber  MNE 1 - P P P . hPatdir,aory pcasna(esirrgtna in htis s)c,ea tiaryptiu .lnoesi not key to irnwnasge htsi e.siutp tonq ceoms tiwh pstysomm fo el,ahrmpciacey maosn, snrgoa, thrsnoe e)(,ipgen hycsp okt svroe.neoLo at hpt and cmclu.ia ew ese hihg ac nda ihhg hp.t eW wonk atht hihg uicmlca owdul olwer h.its.htp. anesm hte hhig iucmacl saw ude to het hgih htp i(.e. paryahridto mead)stnQaoueno i si aautllyc ksiag:n hwta rae hte fsecfte fo ?PTH ,a c, stpopeio of HT PD and E i edvlebie n'etar laderte to ndusBT-SoH P emgoinsht eikl het itseapgheson of epha-iirdtporapoyudms syheF ew eiedftliny onwk atth HPT sersnciea aC , os by gicersainn oststeoacl mtnoi/riytcituaaatv uoy arlebtie aumcicl toin teh blod.o tshi si eht sbet ar.nesw +3


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 +4  upvote downvote
submitted by ∗laminin(18)
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nac emosone xpenlia yhw it yass eh hsa an antic''t TPH ..e.noiccriotsnatn it to etl us nwko ttah hte PHT erotiactnconn is a tresul of t opad?nyolgha htsw'a sih dx? hk!atsn

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yotsubato  I warse tyeh kmea up omes of tish .uffst eLik sawht up wthi teh tshrti, nitriu,aon dna itppce lceur ees.dassi +9
redvelvet  lahcaeicpmeyr nac eacsu ieenpocrngh beasited p;diunsis os ,trsith ia.noniurt cahacylpimere can oals ecasu pciept rucel deiass.e His opstmmys rea lla tbuoa cyleracahpime eud to ympiatripy.ahhdsrore +4
namira  ciprmaalcye"He nac usaec realn incdufnoyts uhsc sa gcehinpeonr besdtiea puidiissn (I)DN, btu eth messaicnhm ldryiungne ceiey-dlcecnmiupdahar DNI are nto wlle oent.su"d odr/.1/60p9/3kdi3h(at-.t-0lyinf:4S-tswr//)wleoetu0tn5aairier520g8on8ltcltnew7x +2
dulxy071  Why a'tnc eth ecrtocr ewsran be C) hhwci tiopns wrosdat larne ,uliefar ihwhc yam dela ot dnyeascor rhhpyadimaepsiryort ghavni the mase rtssleu I eeebivl +2
pmofmalasia  The dysrnaoce seidhrapmioytrayhpr ni rnael riafuel si eud ot lsso of lcuicma in eth no-ongiunintnfc y.dneki In sthi isequton hte ccliuam aws dl,vaetee os uoy anc reul uot renal f.ierual +1
sars  -mlicaaeHyecpr caessu essotn (aulccmi s,oenst) nsorag co,oas)ptinnt(i eshtorn dase(inecr o)iur,aintn bnsoe cn(saiered scotsatelo oniaivta,c)t adn aiiypsrchct noerotves seri(.ensd)po +1
epiglotitties  to@ustbyoa losa sa eonsoem onmdeniet ni oarhtne eonmtc,m i nihtk e'ytrhe tgnhnii htat het px ihtmg ahve E1M.N rtyohaardiP hs-payalirpe ceymarlphe,iac iaurtpyti domaa-ne IHDSA stoinhritn(artu),+i nda aciectapnr umrt-o ratnasmoig (tippce eurcl es)aised +


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 +2  upvote downvote
submitted by killme(14)
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Teh teccnpo bgnei steted is aw"ht sdoe THP do ttha dsela ot e"mhaaycr cilep.p/p/KmsPohia/c.b:isVt/tgde3njb.gi

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yotsubato  hgu, lthulsib. I saw rnigyt to ufgrei uto an cltaau eiesdsa pssreco h.ree +7
rio19111  sti ymprari hrotrieayayipmhsrdp cuseda yb ratihopdayr m.ndeaao atoddini fo hte ecppti leucr gtsesgu gloenirZl g-&-t-; EM1N tbu nnoe fo tath is imp basceeu tat'sh ont twah etyh rae .naisgk lAl teyh era iagskn fro si eht ocfuitnn fo .PTH +3
topgunber  ENM 1 - P P P . P,rdrhtayaio tcrssarnea(pinag ni siht a)sc,e pittuyria o.insel tno key to nsrinwaeg sith qsnu.oiet pt eosmc iwth yostmspm fo cra,lyimcehape sn,aom ,ngarso onetshr p(in,e)ge cyphs orvoeoLosek. tn at pht adn iamul.cc ew see hhig ca nda ihhg h.pt We nkwo ttah high lcucaim odwlu orlwe hp..hitt.s mesna hte ihhg lumciac aws ude ot het ghhi htp .(i.e hyairadptro eeonmsoauntQd)ai is ltalcuya nkag:is athw rae eht cseftef of HP?T a, c, poitsoep fo P HTD dna E i eibevlde er'tan deeartl to n H-TPsBoSdu moistgenh iekl the aneetogihpss fo piymuopep-rod aytdsFeiahshr we fildeyiten nowk ttah HPT nssiceera aC , os by eiicannsgr oottscslae ytuvaiit/mnirtatcoa yuo balitere uclimca onit the doobl. siht is the steb n.ewars +1


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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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nI didonita ot PTH = sstolatceo yiiavtct = erdeisacn lcc,aumi isht rpeosn loudc lsoa eb ngehiiibtx ytsmpsom fo N1EM.

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topgunber  ENM 1 - P P P . airotrad,hPy pnranaastrs(iceg ni isht se)ac, rpiautity eosi.ln ton kye to sanigwenr thsi tet ionqu.ps oscem twhi stpmsmoy of ,mlyeecaphcair ,anmso rsao,gn serthon g(ien)pe, cphsy onvsertokLoo e. ta htp nad umical.c ew see hgih ac dna hghi hp.t We oknw htat hihg caumilc uwldo owlre pts..h.tih asenm hte hihg lciamuc wsa deu to eht hhig pth ie..( iatrodayrph ueoe)ad Qiotsnanm is allacuyt agin:ks wtah ear teh tefcesf fo H?PT ,a c, piseotop of TPDH dan E i edvbeeli ar'nte earetld ot oBnHPsdu- ST mthsngioe keli hte itgaespehnos of dppio-yeusyo Fmrdsahhapriet ew inedtfelyi owkn thta PHT rnaseicse Ca , so by inignaserc osoctlsate at/irutoyvaicitmnat yuo teibarel mluaicc ntoi het obol.d hsti si het tbse snr.wea +1


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 +1  upvote downvote
submitted by rio19111(16)
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ist rymarpi ophhyadeyrmrstripia ecsdau yb ryhirpoaadt oed.nama tdnidiao fo eth epptic lceru gsuegst lingerZlo &-t-g;- NE1M

btu onen fo that is imp ebcueas 'thats ton hwat hyet aer kgsina. lAl ythe rae aniksg rfo is eht iucfnnot of PTH.

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rio19111  stSo,ne nasrgo, rsetn,ho trcyschiaip onoevrtes t-g--&; smsomytp +1
topgunber  EMN 1 - P P P . ,adyrPaoihrt aninrcsar(esaptg ni iths ec,s)a triatiypu sli.eon not yek to agnisnwre shti n oiutps.teq esocm iwth msopmyts of ymliaearpceh,c ,nmaos ogsa,rn ehotrsn ep)(gi,en csyph orskoonLvee.t o ta pht adn u.cimcla we ese gihh ca dna ghih .pth We wokn htta ihgh cicmula wluod lrweo ph.st..hti aenms hte hgih mlucaic was deu to teh ghhi htp e.i(. royiatphdra deQoa)noainmuset si yatlclau aigk:sn tahw are hte tfcfsee fo HPT? ,a ,c pooeptsi of PTD H and E i eivlebed nar'et eldaret ot n PBdSTosHu- msgineoht ekil the eeipsontaghs of apspdhypyadieoFs rrut-oeimh ew ieleytfnid kwno ttha HPT nrscieaes aC , so yb nagecsrnii ostsaceotl yvcnirmut/aittoatia uyo aeeitbrl camulci tnoi eth obd.ol this si hte best .rnweas +1


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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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sDoe nyenao nokw teh igneifnciasc of ytemonoc i?ltymtoi

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 +0  upvote downvote
submitted by arthur_albuquerque(1)
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htaW dheepl em ot awnser htis oen iteuq saeily saw teh logfniolw al:areinot

rmeciHyacalpe + gihh PTH ;-t&g p"yriamr adshyitmpy"iarporreh

owH od ihgh TPH dale ot ciapah?rlecyem Inesignacr lcsoaottes civai!tty

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 +0  upvote downvote
submitted by ∗topgunber(68)
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NME 1 - P P P . aart,hPrdyoi gnaecsatsaprnr(i ni stih )sca,e ryuiatpti en.liso not yek ot nwgsnaeir hist tuiseoqn.

tp mecso ihtw mompysts of mrphiaylca,cee ,namos s,argno hsneort ),ein(gpe spych oo.resenvt

Look at thp dna l.uccmia we ese hghi ac dna hihg .htp eW nowk atth hhgi auclimc ulodw woelr i..tsp.thh asnme eth high lmccuai asw ude ot het gihh htp ei..( porraatydih eaandmo)

isueQnto is atuyclla kin:sag ahtw are hte ftfscee fo H?TP a, c, epsoiopt of HTP

D dan E i veielbed nt'rae leetrad ot TPH

dBnu-Sso htoisegnm ikle het eoagptshiens fo sdipyportasmperohahyiude

F- we teyieilfnd nwko atht TPH aessnerci Ca , os by rigaicnesn eocstosalt tariynmtoaci/ivtuat oyu leitbrae lccmaui onti teh oolb.d ihts si eht sebt swrne.a

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