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Retired 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 c,yraz or eosd hte insuetqo tmse limyp atth tihs saw rdeiihnte pelytna?alr

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raspberry-muffin  In thsi qnuoetis oussnd lkei rdnieteih ltynaaeplr , utb htis luecsm ypoibs fidocnemr lhMiadotcinro ichnaetei.nr euslcM ibpys:o sIcsutmeymnhormiohti yltpyalic hssow eggdar der rfeis,b ihhwc aer edasuc by sblea-aclmrumos adn r-imornblfrilyeait onauulaiccmt fo teiefevcd radimticonoh in semlcus (nmiaihtrodco nitas red.) ayobPlrb thMoer sha eht mase ncoitdoin t.oo +
yogurt-dimple  .ctahGo Yh,ea eht der aedgrg befris dtpeip em fof to htlioincaomdr ,toympyah ubt ecesabu the mtse dmpiiel anrpelta reich,taenin I drgeuif three swa jtsu rnateho iaesesd I ahd ootrgeftn tbuao ttha stersenp wthi met.h +
drdoom  iyfs-uerfbrpna@mr 'Im ont v.niencdoc tI si yhlhgi nekiluly the EBNM udlwo twrei ihts eqnstiou adn cpteex uyo ot m"e"suas omm sah tnicidono totuwhi kagmin nay oinntme fo om.m ,Pusl it si lpymis ilyhhg bpabriemlo htta mothapyy si eetnprs ni bhto omm adn dad nali.ege Thta esesm fof ot .me +
drdoom  tmudrylpie@,-og I htnik hist a eky lien in eht loexannap:it eevHo,r“w terhe ear ilddatinoa stiunmaot thta tefacf haioditromlcn NRA ntn,otsalari gnicftrkaif and onrptioinoarc fo irtspyarero oneirpt smexclo,ep nda aencmtanien fo hte inrne aicrodtnoihml rbamenme htta nca sola edal to aiolcimnhodtr y”thyap.mo +
drdoom  ,eYs yhte sy,a at"lrnMcohioid esedasis rae lscttiyr hteinrdei rtoghhu het "rhomet btu this is nto a iaiohtcldrmon iassdee — hsit si a iri-iln–ct"nmr"vedeahdoondo dmlainohrcoti hymt;ayop ,yse icndhormtaoi era dfaeetfc utb hte otitmaun is in ismotca rn)(leacu neegs atht egvron teh tamacnninee of aye"htlh ot"nihcoima.dr This si sbeucae eth ntmuiaot aceffts the ninanp/otcruooftei of roaochmnitdi btu het tmniutoa sefilt is ni eht nlecuar NAD cihhw( crtlnoo mnihgseto atuob hte t"ilyuqa" fo naoiodctmhri tub htaw xylceta si otn tey kon.nw) +


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submitted by drdoom(1206)
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Tshi soquitne ihmtg be cktiyr cueebas teh tuoitanm fo ietsrent eehr si hriendeit mfor eht dda sedi ne()artapl utb ctesffa eht oihonrcatidm.

tTha s,i the imtoautn si tno a nmoaiutt fo the alnmctoidiohr ;AND it si fo elrncau NAD ihwhc fcfaste hoaniliomrdct tufncion dan ytilauq. Mmcsaei(nh nw.knu)no

In rehti iela,oantxpn teh BENM s,ysa “conirtdiloMah ideassse era lstyirtc hderiietn rgouthh eht hero”mt btu atth is cr;rintoec ti lowdu be meor orctcre ofr mteh ot avhe dias: ricMladoihont NDA aotsiumnt are ycsrltti erhdieint tughohr teh eorhtm.

haTt ,si ouy cna evha donahtlicimor persbmlo hatt come ofrm uroy .dda holiiodnrMatc ADN sonittmu,a no eth oreth d,ahn ecmo lyno form mo.m

,So the mste bercdssei a “clhordtonmaii saeedsi” but it si nto a litnramoidoch iseeasd eeidrvd frmo a iahtrmicdnloo NDA uotma i.tn

Yse, tohdanrioicm rea featfced tub the tmionaut si ni nraluec ADN atht sgrvnoe het ienncnaaetm fo hh"ayetl ohr"dami.ticno

hTsi ainsexlp hyw add nda 'dasd hertbro oshw het sema aomxp“ilr mlceus eakwssen fo hte orelw sierte.”ximte

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drdoom  nlCiifaygr f:eurrht ehT aseedsi fo seetrtin si bttere sbdcirede as a -oiadmin"tlroocnhn Dd–vN"eredAi iditomnrloahc yay.pthom tsI' a ,uofumlht I .wnko sY,e hdaionrctmoi rae afdfetce ubt teh mtaotuin si ni soictma (nca)lure sgene htta genvor eht accnm/nu/apnoeineafntetiitroon of "heltyah cdoi"tnam.rhoi siTh si hwy ti si egibn hieeditrn ruhtgho the add adn tye sfeaismtn in airotchdnoilm fnynsio.cdtu +


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