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Retired NBME 24 Answers

nbme24/Block 4/Question#16 (reveal difficulty score)
A 24-year-old woman who has diffuse toxic ...
Phosphate: increased;
Parathyroid hormone: decreased;
25-hydroxyvitamin D: normal
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 +30  upvote downvote
submitted by tinydoc(276)
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siTh qeosntui is revy knsey,a but ni eessecn sith si wahts panhgn.pie

The tlandcacei vlormae of eth PHT snadlg ungdir dthyreiytocom ⇒ ↓ PHT

PHT naoyrin-lml :- nb:eo ↑ rameolv of ⁺C²a adn tPohpahe mfor nione- b- iydsnke: ↑ C⁺²a tbioosrranep adn ↓ P⁻O³₄ noab itros↑-per- nroiocevns of ,25 iHyavdtnmorxiy D to 5,21 txidniyymoaHvr D (iiolcarltC - vtieac ro)mf via ↑ ivcaytit fo a1- sylyxoHedar nycicdefei

foerTereh a ↓ PTH udlwo ldae o:t

⇒ ↑ O³⁻₄P ⇒ ↓ ⁺C²a ⇒ ↓ ,125 mxridiovHtynay D

heT oiqnetus is sneyak h(cmu like hte etrs fo tihs )aemx seubaec eeoosnm woh tnis cugofnis llreya hrda or ni a uhrs gmhit ckpi the tpnooi C wehre teahophp is ↑ dna THP si ↓ BTU ↓ 52 rativhiyxmnydo D

Tish is grnwo sa lnyo 152, xirdyhmtynviao D dlouw eb radseeed,c hte noonvsiercs ereobf tihs rea enod by the nkis glnut()hsi nda evil.r

I lylrea hswi ythe udwlo sopt gmikan hte snstouieq gfsnocniu ERYLUP for eht ksae of anmikg hmte onsigcu.nf Isnt it guneoh htat ew have to know sthi ilisudrcou aonmut fo foiom,rnaitn wtuothi avhnig them liinoeaynltnt agimnk ti rdhrae yb ipointng you to 1 nerasw eochic ubt hngncaig a neumti eiltda to maek oyu esnawr rnwo.g rO siung a oranmd sas mnourelcaetn ofr a eesdsia to vdoia mkiagn ti oto melisp PNG(S = l"prvaeetrifoi )"GN

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tinydoc  I tlieyrall gto htsi gwnor auesbec I dah hte fotn emozod ni dan maudsse eth 1 swa on the einl veaob leki no wldrou henw ti reist ot uhqsis eth whloe ieltt in teh smea caeps Xx_ +1
hungrybox  yHlo kcuf teyh tog . meeyTh ebmdoo me. ehT uigfckn MBNE oobdme m.e +4
graciewacie9  nAme to hte NPSG niuseotq. Teyh tgo em no ttah eo.n oll +
msw  eth gnsp tqienuso si pgiitnn to daypilr arletoingprif srluptoorhienlegmi bc/ eth tp sah dedovplee teuac nrlea fluerai tiniwh dasy of hte tiusnl +
msw  potiinn*g +
snoodle  LHYO DGO YM IRNBA EIDFLL IN THE .1 i adh to aerd tish axlonapteni 4 eistm ot iafnyll see xhadr2ymyv5n-iito D dna otn ,2.15 F U MBNE +3
avocadotoast  isth bs is orbp yhw eht tuniseqo ntsi no pest 1 nyoamre +
zevvyt  so esinc nireoovscn of 52 g-t&-; 152- si dedustipr , uwldo 25 eb hhi?g I kwon its ont na nrewsa occ,ieh jstu dowgniern +2


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 +1  upvote downvote
submitted by trazabone(16)
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dKyine msaek -12,5 yoxhdry itimavn D. ticrly5oa ydx)-h2o(cilr tvi D lcidio)l(ca si aemd ni eht irel,v nad arypdpsihharioyomt oudlw tno eacrdsee sit eelslv as ti sact to iersecna p-1aahl laxdyeosyrh in the yeidnk to eaeicnrs tlcricialo oanticnentsrco -&;tg- Cahetpha/pso eoitpbnsrroa rfmo eth ebno nad llams nene.iitts

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queezyfish  I'm desfonuc batou eht ptohhseap eelvl in eoinqstus ielk the.se crdesDaee olicrilact odlwu sdrceeea poehpasth iotnasropb wehil PHT seredeca wlreso epatsophh xeotc.rien 'mI suangsmi thta teh PHT ecadrese ahs eht egrater ecftfe with rumse oahptheps lvel?se +2
mousie  TPH = epoathsP"h hairstgn o"ehnomr fi PHT si ihgh hsapPhteo tusm be olw - thye rea saylaw eiopptos (sselun d/t lrane ifleura nhet ptahosehP lliw be ihhg - enidyks iwll eb nlaueb ot tge idr of spaohphet) S o wol aC td/ lwo PHT odse not tfeefc 25 H. itV D ... ylon 5,21 H itV D ieact(v ci)?tCalorli +4
haliburton  arnoaicfltiiC seuabce I wsa o:fensucd HPT iesslttmau idnkey to droecup HO(1)-,225 D3 aiol(cc)ltir avi ylh1-dasoexryα in mraxoipl uelodnocvt .beuutl ehreeorf,T twuihot piaarotydhr nasdl,g wol PH,T 5D2, si ont cvdorteen nad rferetheo ton odwn n(maorl or .u)p eoahphstp hedt"asr" yb THP as lolentqeyu edtast obvae. +1
zbird  reeH eth myaiprr etdcef si gihh pu omrf the ariydahropt d,nlga ereht si ddcrseee or on HTP hciwh oamlrlyn thresas hatehopps tbu ton ni hist ecas os mreus OAPSTEPHH ISEARSCEN nad the mseur caculmi is wlo ebeascu PHT uhosdl aehv neeterpvd het rieun aiumccl os treeh is icauralic dan no istpreonro fmro enOW-bLo UICAM,CL mtVanDi-i is pedninendte of PHT os sasyt ONMALR +


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 +0  upvote downvote
submitted by dentist(94)
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Flolwo eth muCailc nda owkr k .arwdb↓caCsa masen ↓ etasPohhp osnrreptoi ni eht CTP (iwhch psull Ca ithw t)i

D2rov5tiydh- olanmr /bc tsi edutelnar to H.TP

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