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NBME 24 Answers

nbme24/Block 4/Question#8 (reveal difficulty score)
A 1-week-old newborn is brought to the ...
Organic acid metabolism disorder 🔍 / 📺 / 🌳 / 📖
tags: biochem artist90

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 +47  upvote downvote
submitted by lsmarshall(465)
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earU lyeCc desrirDos tg&; seIodalt sreeev mmnehorpmaieya g(t&; 01;00 .ie., on horet sereve tmalceiob irsunbdetcsa

neOtiinhr raaarcssebntymal iicdfceyne ;gt& m(ots mcomno earu yeclc isd). tocrio aaucii/eiddarcami, ipenmryheamoam

crgnaOi imaAcdise &g;t aenrHympimo,mae npaog-ain io,iassdc tiesosk mrof( mopyglac)eihy

micduean-iMh yoaCcA-l eendgsoeyadhr ncficyedei g;&t ,iomnapyHremeam otoicpyethk cyiyphlemoag (nese ni diio-xaβotn ss,eoirddr XTECEP rtlredkuoosyhypod)ane

ireLv ifyntodsnuc &tg; emraiap,nemmHoy LTsF edsems p,u eldro tp.

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lsmarshall  Sumarmy fo omaectibl issues litargne to ornapymhiemema +9
seagull  im' neilagn oastwdr iteOinhrn recntysrsmblaaaa cecid.efyin +3
notadoctor  otN eusr wyh hsit tsn'i dodesirnec a odiinmartchlo irddsroe neisc the ssuie si nhniietrO satnrmacsyralabe ecidfcynie in teh ncod?itraoimh +2
charcot_bouchard  if ti asw dracnhooitmli ordirdes no one would eacpes +3
wowo  rgifue in CTO eenyicfdic, ehty tmihg eahv to typleclixi tionmne het trcooi icuardia DAN tclpyilya epstnres ralr,iee doanur r4-h84s2 of feil tfera ey'vhet efd ta( easlt pre +B)B aslo epr B,B oonircppi cieiamda and MM aiicmade heva na notes of ekswe to thnmos nad adel to buidl up of incroga ascid --;g&t aciamied ni donatiid to neamrohapyimme n(to ruse why, tbu rvalees aa tenre het TCA clyce iva looiyppnr oCA ->-; telyymllomnah AoC -gt;&- yinlcucs oCA, but now siht si dcentfu dt/ nemzey ni..)esieef.d.c?ic whyA,on pciorpoin mdiicaea srcdedbei on 09AF21 ,5p8 but 'oednst ilst miomereamyhpna +2
artist90  i nkhti it ntoacn eb Oiitennrh esayrcsaabltnrma eceidnicfy cb ti si RX .edisase iths pt ahs a heayhlt ry2 odl rrhteob whhic lures uto nXei-ldk eeiescvsr asedeis rorectc em fi i m onwrg +7
artist90  ti si 010% poorniPic aciieadm rdwoUl :idQ- 41.03 it si na axetc cpoy eqniutos of owurdl. i gto ti ognwr bc i gftoor heest aer agornci acsd.i But i ma tills eudcfons on 2 t-wgoi1s hhn esdo dssicoia sacue compyeglaiyH nad 2.t-hyi ssKweo si oAimamn detaleve in htees tsp cb eaur yeclc wlli be ifn?e +2
yb_26  )1 anmaheyopmmeir is eens in lal uaer ylcec eosdridsr eexctp aisngare ndyif2e c)eci ograinc icads icyrtled nbiiiht reua ccely =g&t; emanrmiomyahpe mfor( dlU)roW +2
yex  gndAorcic to ,UW rhtee si oanhter siteunqo # 4131. This noe freser to octyhllaemmin aadciemi CIRG(ONA )IAE.AMDIC HAOIMPYEYLGC slesurt omfr lrlveao needrasci cmltaebio rtea edniagl to rsdicaene leocsug tiiliatnozu dna idtrec ciotx (-) of eosocggeiueslnn yb anocrgi acdsi. Teh rnepcsee fo ohleygipmacy adles ot eacriensd free ftaty icda iaolbsemtm htat ecduosrp NOK,ETSE irntegusl in a hrftuer nonai gap tme ioccda.si i,laFnly coginra cdisa sola cyelitdr -)( teh areu ,cycel adiglen ot ENEOAPHYRMMM.AI +19
ih8payingfordis  I ihktn theer ash been some nocfsiuson eeuacbs AF deso a roop boj tritiggnane heest tnocecsp ogeretth btu eerh ear omes frreeee:scn A F 9102 pg :58 iooiPpcnr iiemcAad it(hs is one xmpeela of ncoaigr icad elstamobmi srdoi)der In het amyurms iegfur no Pg ,47 look at the epornti tleammobis d(oletac obmtto r.hgi)t ayl,Bilasc ouy nca heva rdeosrids rwhee ouy eahv yoolo-pArCiPn pldbuiu lnoae OR yroolnCo-PiA nda eMlhmlnoaAo-ltCyy .blpiduu dn A eseht arcgnio isicdeama rea lsamoatuo vseeeirsc in itehr hireceiannt pteatnsr, hwhci fit hitw the etsm e'rew ievgn (ei XX iivdnidlasu nca eb adt)eefenfcO hintg ahtt UW tstea ttha I do not aehv an elniatpoanx orf: teh uplibdu fo cgioran asdci tnhiiib the raue cycel henec hte eeacsnri ni maoamni e(noany nswok woh htsi pehapsn?) +
aaftabsethi1  aCn eoeonms etll me hyw not SLEAM ? +1
jaramaiha  ahafibse@att baseeuc lal of teh bslgisni lwudo whos omse ssymomtp fi ti reew to eb a rhcdtinoiamlo .sdiseae chWih shi hterobr is ,thhayle dna rsitse asw lmtful-er tub eidd due to nfdieupcise ssac.eu +
utap2001  Wyh csdioasi uaecs oHlegyycapim dna ossiteK dna yommnarpi?eha nI dicsshiu(scoa catlic );gd-&osicsait etindaci bdyo ygerne rsiisc -&g;t icn. cgsylloy,is gg&py;mlHyacio-et cn.i poernti aekdnwbro, Hmeoaynmrpai tg;-& e.dc TCA cel,yc tiKsose +



 +8  upvote downvote
submitted by powerfulgarbage(17)
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sJut ot dad to ahtw meso sethor vahe ,sida itsh si in sFirt idA as wl.el FA 0022 gaep :58

gnciaOr samdaicie omts cmlooymn spetren ni ncnifay ihwt orpo ngfeied, iom,tgniv noyoiahp,t a high naino apg ticobeaml scad,isoi geopalay,htem dan eser.iusz

The ganocri caid lncitucmuaao sdeo 2 gtsin:h

  1. ganrOci sdcia nitibih icsneeguooeglsn, lgeidna ot fgantsi aeyopycilmgh ihwhc hetn saecus sksoeditio,ca uagscni a hhig AG locbtmeai doicasis

  2. rOgianc csadi hibntii eth eura eylcc, ldeaing ot miyrmaehmeoanp

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forkyeaa  hsit cibn lcaohtfwr wsosh ohw hte secycl era eb.iidniht gtimh .elhp 7i/r2Mc2F.louwl./Pvi6wsfgat////w1/tim3.htnipnhscegirngmpe.:Cc82b/ +



 +2  upvote downvote
submitted by sattanki(82)
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naC’t lhpe hmuc no hte ectax iaornsnge w,hy tbu herte ear a wef WrUold qoeusntsi no tshi ehwer if a nteneao sha mle,ohcyygiap sitkeso nda ionpmmmaryeh,ea a ocagirn cdai rersdido udsolh be eutspcesd pni(crpooi iadc ro hnimletclmaoy .i)adc Lses ususipoics of na TAR ecuas eomyhglcpiya si ont srahrccctitiae of taht.

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sweetmed  mI augismsn ubecsae latNgut-emlcaattye is an irlelsaotc taravitco fo CSP I eendde ni uera yce.lc nad -ANG si deam fo etaulmagt nda aytlec Aco. So ni iorganc saiac,medi lla teh cealyt ACo si begni ueds to emka kosenet orf ygnere neisc soecnsineulogeg is msedse pu. So raeU clecy seotdn wrko sa llew nda NH3 easuucalcmt +4



 +1  upvote downvote
submitted by passispass(1)
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yM oisnernag on stih osetinusq saw imrepls - I hinkt they wtdena su ot ipck an sltmooaua ecervsesi desasie aedsb no taterpn of skid fefeadtc (htob slamefe rae edcffeta - tanc' be yihagtnn dk-nX;)lei byo aws ethyhla - rleu uot ioho.tmcidrnla htiW stre - eurl out ubeeacs fo iaerdecsn aianomm dna ftlieinna or.tetainensp yOln agirocn cdia elotmmiasb oirddsre ltef

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 +0  upvote downvote
submitted by forkyeaa(1)
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glb8nncg7rowriC/t//twhn.i/ipeiPm2if/hacp/2wls/t1eg.3.6.scF:2v/umM

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 -2  upvote downvote
submitted by abhishek021196(119)
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enOrtniih batsaaramrlnyecs focet .yideMcnsi mmoocn eaur leccy .doiderrs lX-dnik e svcreseie sv( hoter uera lycec enmyze den,cifsieiec chhiw rea otaauomsl esirs)ev.ce

sefnetIrer thwi eth ydb’os abyilti to ainletemi amminoa.

ftOen eitnevd in eth rfsit wef sday fo i,fle btu may eptsner rlea.t csxEse aomlybcar soptepahh si tecodntoe vr orcoti icda (ptra of teh imripeyind tehsnssyi p.aa)ythw

g:inndiFs  Inaoerodestircc aidc ni dolbo nad ,urine erNde UBesaDc, ommpsyst fo .pnoaeemihmyarm eooliNbaalgstcm minaae (sv rcoito cau.i)dari

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passispass  nCa ti be na dkiXl-ne iaseesd fi btho malesef are fctdeefa adn oby is ?not I hntik ynkluile +



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