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Retired NBME 15 Answers

nbme15/Block 4/Question#5 (reveal difficulty score)
A 6-year-old girl is brought to the physician ...
Glutamine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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D;RT:L Enve ithw Teyp I ro II ralne ultrabu oiicadss het eisamnsonamgei morf tniglaemu si tno iedrimpa nad sthu is the mian eusocr fo om.nmiaa

eerH is my ekat: dBesa on ehr oryihts and seudmaer smlapa sae,vlu thsi rlgi keylli has noe fo het o"wl m"soipuats elarn aurbult iso,acdes itehre Type I or yTep II (ees isht cathr for garnnsioe abdes no seaudrem auslev ro isht emgai rof ufn lorufolc nearl uubrtal cdiosasi dan 0FA202 )9p53

,hneT we rea ltdo atht seh sah a fedetc in "amnmeseionag"si. nI the anerl lbe,utus iaaommn is adneerget ni two myrarpi :yswa aiv idetrc cenivoosnr fo iglamenut to maoamin in het marxopli lteuub hchwi is htne reesdcet ntio eth u,belut ro by NH3 comginnib hitw hitw H+ ni eth iclteloncg blusuet cihh(w I gesus yeth era cnniosgrdei a rapsetae iisgoasnamemne yathapw eevn uohgth tis lal kdain atrl)de?.e See htis rgaiadm ro thsi agramid

sinumAsg ruo lrig has pyeT I laner tbrualu d,aossiic hrete wlli eb ecaedserd laitiayalbiv of yrehdong onis in teh renal teulsub to inbemco htiw 3.HN hsu,T eth mirrayp ocurse fo imomaan ctnurodiop in hits niaettp lilw eb atmgeilun w(ihhc is het ojmar oceusr fo gsiianmnseemao ni a narmol nerpso aynw)ays.

rFerthu asnoernig - ypeT I si ipmriaed orcnteise fo ogydenhr niso otin teh l,nmeu os there lwli eb less noegrhdy nsoi ib.vlaalae hSe klilye sha pyte I uaceesb sthi is riamrlpyi eaterdt itwh mstupaiso ticetar h(bto ot frfbue nda to enevtrp rlaen oesnst hwihc ear a onocmm pm.nc)cltaoioi nevE if ehs dah Tepy II hte aencredis ecinextor fo arbcbi odulw lsoa ffuebr emro +H nivgeal elss for sseaaiinommeng in the H/H+N3 itbmoncnoai n.fhisoa

nyarr,itolC yTpe 4 lanre urlbaut scisoaid elchrmek(aipy) trussle in dcseedrea hssynites fo aonmmia ni the ilxrmpao b,luuets cihhw ew wkon hse sedo ton evah aeecusb of hre owl timpsasou.

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cheesetouch  sseaCi eyu'or a .uoipdpsgd/Slimet choprapa ot emka a godo uessg - if seh nctnao kmae amnmioa in eht i,yndke inam amnmaoi uesrco bpoarlyb fmro na xogenouse mfor klei inmoa sdica ;&g-t l!iGnumeta +3
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