NBME 25 Mitochondrial crystalline (NBME Answers)

NBME 25 Answers

nbme25/Block 1/Question#18 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Mitochondrial crystalline 🔍 / 📺 / 🌳 / 📖
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submitted by yogurt-dimple(3)

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mA I cy,azr ro dseo het eqoiustn esmt ilpmy hatt sthi wsa hdreiniet yartpllan?e

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raspberry-muffin nI this toiunsqe ssdonu leki hiiedntre yratalpnle , utb hsti eulscm bopiys roimdfecn onadrltihiocM hntrinaee.ic Mscelu iy:pbso tnohoueisyiIsrchmtmm lyltcyiap sohws gadreg rde b,iefrs chwih are sueacd by mmcuslseaa-lorb nad inorillrtai-ermyfb oaitclcmuuan fo eiecfvted iomndctaoirh in lmseusc oonaci(mhtidr ntsia re).d lbrPyoab htMero has teh eams itdcoinon ot.o +

yogurt-dimple Gcaho.t Yaeh, het dre adrgeg efsbir deippt em ffo ot mrclooidihatn tphm,yyao ubt eabcesu the tmes eplidim rpeltana aeeih,tcnnri I dgeifur teerh saw sjtu tnhroea asiedse I had goerfottn toaub htat stesrpen hwit emh.t +

drdoom reurnyim@f-rbfsap Im' otn nce.vncdoi tI si lyhghi lyeiuknl eth EMBN ulwdo tweri tshi snqetuio nda pectex oyu ot esum"sa" mom sah indocinot wotuith mnkgia nya noiment fo om.m uPs,l it si pmylis glihhy orbpiebmal ttha yamhpyto is pestrne in hobt omm nad dad anil.ege hTat smees fof ot m.e +

drdoom r-pdui,gytmo@le I tnikh tsih a yek nlei ni eth lipn:tanaoex Ho“v,wree hrete era tdladnoiia uitmoatns tath tfcfea iolimnrahocdt NAR inatrts,nola fntcrifkaig dan trncriaonopoi of rarrstoeypi tponeir ,lpxoemces dna nniatenmeca of het nrien lmdohoctniria bereammn tath nca lsoa ldea ot tniorhdiaomcl ”amp.yhyto +

drdoom Yse, yhet ysa, Mhno"oicrdtlia eessisda rea ircsytlt tndirehei othhurg eht "mrhteo ubt isth is ont a nothdriimloac dsesiea — hsit si a iotrihiavon–md"re"ldecdo-nn dtoioamhlcnir yym;ahpto e,sy amohctidoinr ear tffedace ubt eth oitnautm si in oaitsmc lrau)(ecn eegsn htta veogrn eht aneeatmcinn of tyl"haeh htm.iaroincod" sThi is escbuea the tnaomtui cffteas het itneino/crfuootnap fo odiratnciohm utb het noittamu tefisl si in the unaeclr DAN hhwi(c onrlcot tishgnoem buota het ayut"iql" of cmroanhitdoi but athw clyxate si ont eyt n.nwko) +

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submitted by ∗drdoom(1206)

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ihTs eqtusnio gtmhi be irkcyt bueasce teh mntituao fo ntietsre rhee is reedhitni fmro eth add deis ana)er(plt utb sceafft eht cr.iohodinmta

htaT i,s teh noittmau is nto a untmitao of teh htonocldrimia D;AN it is fo rucenla DAN hcwih ffsceta dichlrnaiotom iutncnof nda yuiaq.lt hncesM(ami .n)nkwoun

In hrtei onatxpnla,ie hte BNME assy, “diorlMaiocnth eesdisas ear ystlrtic neriteihd hhtrogu the ”rhteom btu ttha si r;oencctir ti duolw eb orme ccortre orf mhte ot veha s:aid ioniMoltdcrah NAD iusonatmt rae itcylrts hnrtdiiee gotruhh eth m.ohert

haTt si, ouy anc veha nmatliroodihc rpeomslb taht emoc omfr uryo dad. tdohliMrcoina DNA tuota,mnsi no the ohtre ndah, mceo olyn fomr mm.o

oS, eht semt ssbiceedr a “ncrtlhamodiio seiased” ubt ti si nto a omrcaihdniotl adiesse riddeve mfor a arnmldtcihoio NAD notum.ati

sYe, tcdnahoomrii ear cfdtafee btu eth aotimutn si ni lrceanu DAN hatt onevsgr hte ncamaenitne of hltaeyh" co.hmdrit"ioan

isTh selnixpa ywh add dan d'asd treborh show hte asme xpil“moar eslumc swesneka of het rwoel .tieetsex”imr

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drdoom ylnifCrgai t:rhrfue Teh siedaes fo nirteest is retbet idcseberd as a hitn"dai-nlroocomn dievAreNdD–" oiinhctmdraol hmotpyya. 'Its a uu,flomth I kwno. ,Yse drnmcoahotii rea fdaecfet utb the antmutio is in ioctmsa ean(rul)c gnese that nrgevo eht nininaonmrnett/ep/ufitocaenoac of ahhlye"t tnhaidrimcoo". Tish is hwy ti is bgine dtnheerii hourhgt eth dad nda ety anissfemt ni notloahcrmiid oncsfdni.yut +

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