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Retired NBME 18 Answers

nbme18/Block 1/Question#17 (reveal difficulty score)
4 day old boy, vomited throughout night after ...
21-Hydroxylase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: CAH endo

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 +9  upvote downvote
submitted by t0pcheese(9)
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hwy si hte Na mroanl ni ihst ainttep? Etvriyenhg else amed ,snees hte gihh K nda 17 rdehx.rgpoeyyrstoeno

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aneurysmclip  lcdou be eud ot desraneci obold oleuvm nealgid to tecrensoi fo PNA adn uths itinresasru hhicw luwod nralizome seurm osumid t'le hasvelts? eht ylno resaon I ulcdo iknht of +
dysdiadochokinesia  yM sgsue is htat the osdmiu adn rawet lsso mofr laydroeh1ayx2-s eciyidfecn ludwo slutre in nirsedeca ASAR tionacatvi and ptruciodon fo gnteiAsnnoi II A)GII.( aleRlc ahtt GAII fscaetf het TCP yb iragnepugtul aHN+/ agecr,enhxs nowligal rof tereh /O2HaN ot be orre,edsb hstu airpalytl niceraocttugn the ctmiap of oanslotdree difenicecy at eht ilncogectl u.tcd vHweor,e mI' not esur fi teh eftcef fo IAIG no hte PCT si gerta hogenu to nyierlte ncbneaaoelrtuc eht ossl of oslaenredot ot sreenpt hiwt mnoalr dusmio vele.ls +



 +8  upvote downvote
submitted by โˆ—focus(45)
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So we yredlaa konw het raensw si rithee 1-1 ro -12 oyxselrtdBahe.ya oHw ot rneieedmt hwihc ?neo

isneutoQ mste scell dy"r suuocm .n"abrmsmee eH si rydtdeahde.

eW laerdya nwok ttha he atcn' akem edlsonotare isecn teh ackl fo trheie fo eseth zeseymn louwd kbocl atht hwyatap. Hoe,verw fi eh is blae to amek a eullmeoc htat ASTC eikl nootreseald, eh dluow ton avhe dry mcuus nsmbre.aem eH oculd evsa ewt.ar

oD we ehav chsu a ce?loeuml ESY! ooyoees1ctnxorrec.tdi1-

,woN fi eh ash 1-a1teb ryeyxolsdah ieciecfy,nd htree lwuod eb a ulidubp of -i1coetr1edoeyscooxn.tr ee,Hnc ti hsa ot be hte oterh intpo.o

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focus  tNo to t,enmnio lerxo2dsyy-a1h is hte orme momcno o!ne +2
boxboys  laos ierncsdea orh7ytrgeopo-se1reyndx is a remrak for e2ydyahlxo1-sr fnecdcieyi 0(2F02A p 35)3 +2
boxboys  aosl nesradiec hgynyoptrodere7or1-sex si a marrke orf -2l1dsyoreyhxa yfecedcini 0F2(A02 p )533 +



 +0  upvote downvote
submitted by โˆ—an1(114)
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H21O- si the msto commno f,de adn ti hsa 3 .besysptu

1) A sCiascl lats :wsinagt ta rh,ibt y,deaerddht wlo oonresAetld h(ihg ,K wlo ,H owl t,re)aw mubgiousa itinlagea

2) A slsccia nno stal snitg:wa ta ribt,h subuiogma tanai,igle flidu velel rnlmoa

)3 non sacislc ltea sutyebp hciwh is alybicsla SA/ dan utsj sah sgrli hitw ca,ne eohromgrlaieno adn ur.stmiish

High 17 intsciead ahtt hte efetdc mtus be 21.

11 eftecsd -t&g-; 21 wlil eb ighh ebceuas 11 mesco refat 21, oiheprtenyns lliw be eens

whtca Dr. dnayR eislN TuuobeY ivdoe no tih,s inagazm !job

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