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Retired NBME 21 Answers

nbme21/Block 1/Question#37 (reveal difficulty score)
A 35-year-old man with diabetic ketoacidosis ...
Serum potassium concentration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—an_improved_me(91)
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eckf;aflbeco@

isulnIn does paly a lero ni nbigngir bcak K+ oitn selcl iav aiotoudnml of /+HK+ eca.enhxg hisT si cubeesa ti pslhe to arsdeds hte detktcioacoi atets fo eht nte.iatp By rnnggiib pH erclos ot ebaslni,e ethre si rnteur fo +K otni eht ,elcsl eihlw H+ cesmo bkac tou fo het lslc.e

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an_improved_me  w,eroevH uyo era ight,r in taht oto ym e,lodnekgw taht si otn eth aimn wya nlniuis ncinluefse +;K it si oemr via eth sPNATaae as uoy eavh dnetmeo.ni +1


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submitted by โˆ—nala_ula(127)
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In iteacibd ctekisi,odosa treeh si neeacirsd cdia ni het rxtaceralleul .pscea Aodrcignc ot AF erteh si a ucartrnlllase tshif eud to adedecres linnius that dlase ot erom H+ renniegt teh clel ni xganeech rfo .K+ ishT dlaes to pmaelieayrhk ihwt pdeeltde railrectlauln rotess of +K. Teher is sloa cismoot dusesiri htta eslad ot eecnrisad K+ sols in hte erniu dan talot oybd +K e.ldiepont eTh tnosuqei ssak hatt si otms killye to ersdceea itwh nlsiuni p:haeytr erusm tsuomapis otnceoaricnnt llwi sadreece as K+ is own cndxgheea for +H ideins het ll.ec

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cienfuegos  iaindodtlA WU ufn fstca ianedgrrg ismastPuo and KD:Au se uatnico gnivig uiilsnn dna VI ufsdil ot yhetadrdde mhepergliyycc sueabec i scorfe K in slcle csaungi ftsa deerseac fo reureclxlltaa oamt,usPis hsut eivg K snepipometlutna vnee hwen mrseu K leteveda +3
linwanrun1357  yhW irneu K+ dsoe ton areds?ece +3

This explanation is faulty. Insulin causes K to go inside via upregulating NaKATPase activity. Nothing to with H+ exchange as far as Insulin is concerned.

H and K exchange is separate from this.


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submitted by โˆ—peachespeaches(2)
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I eegra htat ruSme K sdcareee si the tbtree rsean,w but ntuwld'o erinU K oasl ceaersde cnoe lbodo agusr sgoe dnow hiwt nlniusi etnamettr .ie(. icmoots iusirsed lodwu ?nses)le

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