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NBME 24 Answers

nbme24/Block 2/Question#1 (reveal difficulty score)
A 73-year-old woman has had easy fatigability ...
Failure of conversion of N5-methyltetrahydrofolate to tetrahydrofolate 🔍 / 📺 / 🌳 / 📖
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 +16  upvote downvote
submitted by syoung07(58)
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luwdo ehav bene arel taoen if yeht rehtw in a mn-egehtpseryde nrlhopueit

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 +11  upvote downvote
submitted by yex(128)
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ocrcgnidA ot l:noGaj B"12 oac(ima)lnb ahs bctaol ni ti. irtigCaucnl mrof fo leofta is yttelelmttfrh.ryhoodaea spuroeP of mnoilcaba )(21B si to taek hte mltyeh ouprg ffo fo heyeytllotamtraetfor.hd hTen t’is aellcd rfeatlyt.ohrteaod If yuo ’otnd etg teh heytml pguro ffo of ,leafot yuo wlil nto kmea DNA. ,So if you era 2B1 f,ed uoy na’ct etg teh ylemth opgru off adn cotann eamk D.NA If oyu rea fde ni la,otef yuo t’acn mkea .NDA"

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misterdoctor69  mlao +

pic of the methionine/folate cycle: https://i.imgur.com/XXWXTT7.png

+2/- hungrybox(1277)


 +7  upvote downvote
submitted by lsmarshall(465)
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Aolhhutg rso'hCn may aehv r,elsuc tuasli,sf dna lgbdei;en it uyslula soed ton esuca nroi icceeidnfy iamena and sha less eegndibl tanh .UC tutacrr"ulS entilrsambiao of the altinmre ,liuem schu sa honCr aisdsee and ucigsral rseenoc,ti cna auces erdeeacsd praionbtso of mtinvia 12B." - striF diA Gleraen ilnpcirseP

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 +3  upvote downvote
submitted by lispectedwumbologist(122)
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yWh wdulo ti not eb nemaia fo roicchn asedise htiw dcdaresee musre fteirsrnnar ationton?rcnec

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lispectedwumbologist  Neervmndi 'Im sitdpu sa ufkc I ees my iekmast +2
drdoom  eb dnik to erosl,ufy odc! is('t a ogln adro r'ewe !)on +21
step1forthewin  iH, can senooem nlxpaie hte odblo r?same stn'i ti psdposeu to owsh hemnydeserepgt nsutelhpori if it aws 1B2 efnyc?ciedi +1
loftybirdman  I ihntk teh oobld rsmea is iswhngo a eoln ycpo,helytm whihc doulhs eb het aesm size as a roanml CBR. Yuo nac ese het CsBR in tsih searm rae ggerib ahnt htta iarmoctcy->c 1>2-B nycceiidfe +25
seagull  amyeb i'm wne ot teh mega. btu stin' eth earsnw eoflat enidcfieyc nad ont ?B21 As,ol i ouhtgh ti was manaei of irchonc dsaeise sa .ewll +
vshummy  pisbLoeceost,uwmdltgi eelpas ialnpxe oyru eksim?at Lol cseabeu thta eessm ielk a peslceertbi anresw ot .. .me +9
gonyyong  t'Is a 21B efiyeu c cnmldeIi is ewerh B12 is ,bosrrabede flateo si eehu m Tjnju oolbd aesrm is gnswioh ednlgera eo Cniins MtRhBe hsstyean odse tshi vs,ironneco insug coratfco 21B +2
uslme123  maneAi of hincocr iassdee is a cityrmcico eamnia -- I eevible ihst is wyh heyt put a omypeclhyt no het esdi -- os ew clduo ese thta it swa a iyrctcacom iea.amn +4
yotsubato  kThsan M,BEN ahtt lalyer hldpee ..e.m. +1
keshvi  eth osunteqi aws avleiyrtle ys,ae tbu the iptrceu was so dngisgmiui i !ftel i tgutohh ti oldoke ilek rccciomtyi sR.CB I essgu eth kye is, hatt they elaylrc enmtionde dalist eul.im dan ttah si THE ties fro 12B oi.osarnbtp +6
sahusema  I td'nid eevn eirerstg that swa a ymotelypc.h I ghthout I wsa geesin agrtet lcsle so I saw usodefnc AF +
drschmoctor  Leeva it to NEMB to idfn teh tspael ortyaccsem no the .plenta +5
zevvyt  so i ussge izes si moer praitonmt hant rcloo uaces thseo rae cthrociyphmoa sa kucf +
yesa  eTh SNUCEUL of a eytmcyphol hudlos be eth amse zesi sa a rmlnao RBC, hcwhi is otn het cesa .eher Urden naomrl anscccrmisetu RBsC aer tno as gib as lomchptesyy, os stih si ltury iaraxyerndrto = geslcblmioata aemnia. +1
weirdmed51  syae@ oyu nema ’tccrym.‘ocai Fro ti ot eb aogt‘’ieclasmbl hetre adh to eb a gtehpsneermyde phitlu.orne +



 +1  upvote downvote
submitted by krewfoo99(115)
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lifoc acid whne ti trnsee eth oybd si in hte fomr of fayloedreyttathrltomhe (FTH )eyeta.mhldt It odnaste tsi eylhtm pourg ot iivmnta 2B1 ot eoemcb FTH t(eh eivtca ofmr hwhci as a DAN s.uropecr)r ehT nvimait 21B hiwt its yhelmt rupog osge no ot cboinme hitw omncythoeei to rfmo tnei.oenimh

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 +1  upvote downvote
submitted by sunshinesweetheart(112)
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aoyicrtcmc anemia nse(e in oobld rsma)e = BRC roescspurr acn wgro utb ton ddeivi

lova rscymtcaeo ense( in ldobo es)mra = iosclleambgat aeamni (fi htye todn' ohsw tpurihleon msrenteyiegpt)hnoa

21B has eurgoiclno sstmypmo dan lwo oenaimhtmlcyl daci iwhle laofte fencdieiyc sdeo otn

tlfoea si orbeadbs ni umnej,ju 1B2 ni ilmeu

ssuce a fo 1B2 ndfeciicye = onriepcisu eam,ain ,tsycotergma eilla rnsio,tece ifsh mpto,wrae svmgniea

)D aefrlui fo TFHRM t&-;-g FTH ia(v stlaeheynftserrma = B21 ncydeifiec dna icomacctry amiaen

B) DG6P eyceiicfnd = ryioccnmto seauceb of cnir CBR ;inutedrosct tp luwdo shwo araustilacrvn shoslymei sx piidrptaecte by na dtoeaixvi strsoers

)C hnterprpnigoyooop osexida edycnfciei = coitccimry enaima ueabcse of wol eemh sehyntiss

A) ecrd iartsnrfern = hhgi niterrfi = eiaanm fo chicrno ieesdas = ycrtccoiim aamnei buecsea of low onir

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cmeacham  ehT wya I meebrmer eewrh 12B ocfsnintu htsi is ttah you tnwa to" 1B2 hatt HroTeM FR" +



 +1  upvote downvote
submitted by an1(114)
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Wsa abuto to oohecs eddceeasr nresrfnrtai caeusbe I ducon'tl ese eensr-dmtyegeph eiun.rhltspo tBu MEBN fnote esitr to wroht us fof thwi vaeug .meaisg So I dare gnaai. ghCuta teh "elalI i.rntesoce" onIr Ftis orB! lIume si 2B1 ipna.otorsb B21 lusrets in estaialcombgl .meinaa HN5F-MT is a epts in vinrocegtn DHF noti .TFH dhiIiebnt ni bgsmlioacaetl naieam leik 2B1 dan B9 e.df

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an1  solA lae,clr atth B12 is setord fro mnya .eayrs so ienngesrtp thiw a fed arsey ltera I( reeag 01 si a ujpm btu lsil)t is na tioidanrc too +



 +1  upvote downvote
submitted by unknown001(9)
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who to uerl out iorn de.f ? iorn si erbsadob ni undodeem dan oximrpal jnjueum .

b12 ni .lumie

isth wlil vieg oyu the nsewra

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madamestep  I udkcfe :tibarnyt oIn,r tel,Fao 1B2 +1



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