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Retired NBME 18 Answers

nbme18/Block 2/Question#8 (reveal difficulty score)
A 25-year-old man who has a history of facial ...
Decreased catalytic efficiency of K487 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—acerj(13)
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alicaCtyt cficyefine si feidden sa Mt_/K_c.Ka

fI ouy nowk awht thta is (I did ,o)tn then shti borlemp si a pleims i.vsiniod

eSe erhe ofr rmoe ionf spot( ta teh ifrst elni fo eth iaeltcr rof ruoy wno ytnis:)a /espo/oSckgwpnwnfyrie_t/.ittadhet:kin/sa.ciciitiip

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aakb  Tihs bpermol amy otn vldseo jsut yb woninkg eht baoev ant,qeiou if rueo'y ilke me and get fondscue nehw ouy ese otsl of msurenb dan telters hre.ttoge oY u ened to esu tKa/mcK ot indf eht ltactyiac ecicneyiff for bhto 4E87 adn .K478 nDgio h,sit 'uylol ees ohtb A dan B era .urte tilatcaCy fifcnyeiec orf 78K4 is 5.95/006 = ,020.0 hcwih is daeredecs A)( adn fro 874e uyo get 8073/1 = ,4 ikmagn B tue.r oNw ohw od uoy ckip ntebwee A nad B? eTh tenitpa ash si-lfkudaeilrm eciontras vhnwreee eh msencuso hoallco csein ihs dleaacdeeytyhl dedrhosgeeyna is selrwo ededrceas( cttliayca iey,fencfi)c eesn /w K48,7 chwhi het pnaiett alyautcl hsa if eth tnoeuiqs si rdea sl.yocle So if yuo nkew he had 84k7 frmo dgieanr hte nfonsgicu suoqitne esmt ti wdolu veha eneb ysea to ckip wenbtee A dan B but if oe'ryu ielk em nda nact' emes to akem otseh tenncnoosic ,qyliukc niowgkn gseomnthi tboua oenlaht bmilemstoa .ehlps +2
tekkenman101  heT ssatfte wya ot rnaesw isth eqnsouti is rziniaegl teh aeinptt hsa the loienart atinavr, so all opntiso irneggrad E anc eb ceexlddu. nhTe uoy acn ese ttah hte mK of hte aanirt-vK is hcum algerr ntah eht Eeo.-n rreaLg Km = erddeacse dnbigin = edrecdesa carrnyteuv/aoilctt ec f0iien.fc3y dcensos post. +8
chj7  Nto ninatgw oelppe to gte senducof rehe. Km oeds flrtece biingnd herig(h Km masen uoy dene emro busatesrt to hreca emas tm-;V&xg-a eceddeasr nnb.dgii) ,Hevower nrotrevu umenbr teh( unemrb fo itsem aech ymzene stei vocesrnt tbsuartes to ortudpc pre itun ime)t si edrecftle yb Kat,c OTN .Km One awy to mneitdere layciactt ycnecfeiif is cmKaKt/, iwchh si laos etmred eht fcpsiyctiei .attoncsn ouY NTOCNA srwnae hsit sqtenuoi by ylno knlgioo ta Km. +4



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