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NBME 20 Answers

nbme20/Block 4/Question#20 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Hypophosphatemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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 +30  upvote downvote
submitted by โˆ—imgdoc(183)
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ouY nac ssocr uto hte tpo ehrte neawsr esio,chc B,CA,. ouY tnow eb aergsbibron tainhygn ni the CTP in cf'ianson sdynerom. Lnoikgo ta ykhapim,aleo iaet,ompnyhar dan saetpipahhpyomho nw.o lkeipoaymaH ctn'a be ecotcrr seacbue enev tuoghh smouptsai si tslo ti lwli be arbodrseeb at eth ltaer ctikh snagdicne oopl dna if atth noetsd kaem en,sse het ybod wlli datjsu orf lwo reums tmusopais ubt gintcitvaa hte /+K+H mppu no s.lelc It 'tnis ihtaonarpyme abceeus at het oceclnglit tucd pcnipalir ,sellc eoroinrbaspt wlli .ruocc shTi eaevls haypoiphhstopmae sa eth rreotcc dna noly easwrn icch.eo

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imgdoc  y*b +2
larascon  tEelcnlex npne,iataxlo ktanh yuo ! +2
waterloo  s'tI ohtwr tnngimnie,o atth 5%2 fo Na si rebas ni teh ctich edgnscnia ilbm. %67 fo efdrleti aN is rrsbeobdae in eth PTC, rwahees 8%5 fo ehopstahp bedesbaror in eht TPC. oS tp oemr iklyel ot wsho Hpyhpo.so +4
coconut  WlodUr 6I62Q:7D yssa abl ltssreu ni poeelp thiw cainonF osrndyme lliw wsho paoelaimhky +
j44n  ouncoct i tuohthg ahtt oot ubt htne i rdembree nnacfoi si cadoetaiss htiw omhhhapseicpytpo scir/ekt TIV D nsterasit krsitce dna shti letilt dedu is gigon ot eb oiwgrng suaeebc 'hse 5 nad shtat anngo neascrie het dmndea rof pophehast in ihs dbyo +1
habs741  yanM csuoesr (psce,adeM T,teaDUpo donram nurjola aistlr)ce lal riesdceb oncniFa irnetgepsn wthi aloeh.aiympk I vilebee eht achsensmmi si lsso fo TPC ieotpaobsnrr of aN eiansugc csiedraen aN yerlidev ldyatlsi hweer ti esend ot be .rsboaeerdb In hte ecloilngtc ucdt ahtt lilw lreuts ni K asngt.iw So amplyeohiak and othpsophmaeihpay are thob etru, ciwhh maesk thsi a adb qsieuotn I.MO Btu I olucd ese MEBN airnggu ttha hitamoypephohsap si the bset"" enasrw saeucbe 'sti meor lrtceidy atredle to the CTP eedctf dna aywals utre vs( hmolkipyaae ichwh is tno syeaerclnsi entprse nda is itcrneyldi terdale to het CTP .fdece)t Sillt hknit ti's a lema uonsteqi gu.htoh +



 +5  upvote downvote
submitted by โˆ—celeste(96)
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sihT suosdn kile cnnioaF rs.domnye The orlipamx blrautu plhieealit llsec eahv a hdar eitm brngesobari e,rtliatf os yo'lul ese a lsso fo pasetpohh, ioamn csi,da tbeb,ancaior nad cgos.eul

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medschul  on'ltuWd conFain oynsdmer slao sceua liaympeakoh t?hhuog +4
yotsubato  cElyisplae dinginceosr het cfat ahtt eth CDT lilw eb krngwio in eioedvrrv to cotnesamep for stlo tseus?l??o +1
nala_ula  This eiunsotq ddi ont aemk nsese to me ta al.l I nwke it wsa nFncoai nsedyorm tye dtnd'i ecelst the osbuoiv wneras bcausee ti siad owllo"f pu nnieoxaamti 1 kwee erfat iais".sgdon I tohthgu it odwul aredlya be in rtnm.eetta.. I deshecra on)(w adn ti ayss ttha tnetmrate is yaablicls rlginispeenh swa si tsol in the i.rnue oS ydiifteenl het nrgdiwo si like wft to em +1
sugaplum  I wsa ntkiginh isnce it fecadeft het PTC htta Na oriseotrpn lwoud be tefdecaf sa e?llw Btu I eguss het oethr snseetmg iwll pkic pu eht k?acsl +



 -7  upvote downvote
submitted by โˆ—mdmikek89(6)
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Y'all erov ecapcimtlo tish tihs so rd.ha hrtheWe or otn sti F,aicnno ti sasy xrolimaP ublTue d.tfece 58% fo ahepotsph is boerdabsre .reeh fI ist ,vcdteieef heaposthp tneirroo-baps si e.aededrcs

hpitaahpoyoemhsp

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meddoc2023  Yse nda mudsoi spainrtoob wuldo eb eecftdfa too I iebvele aeceusb het CPT si eetafdfc +



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