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NBME 20 Answers

nbme20/Block 3/Question#26 (29.7 difficulty score)
A 3-month-old boy is brought to the physician ...
Mannose 6-phosphate🔍

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submitted by medbitch94(35),
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2019AF peag 47: lIelc- eidseas (insiocunl elcl sapouisescdeiomdisli/ tepy e)Irdtieinh—I lsooasmyl greatos ;dirsorde eectdf ni mlpaucsossehraNpiothynleeoar-l-y-ntsf1gac arrr&; alirufe fo the giGlo to aypohstephlro aonnmse sdesiure onmigrf( e-aot6ensmh-pa)spnoh no lygsnteopirco r;ar&r onritpes aer seertecd leucellyxlrtraa eathrr than rvedideel ot lssey.smoo euRsstl in asreoc acilaf eseufart, vniailgg ,aeaiyphlrps oeddlcu ,arnoces eiredttcsr itjon vtommeen,s alwc nadh edro,eitsifm yshsspoik,oilco and ihgh psalma lsvele fo lmoloyssa smz.eeyn fenOt atfal ni ildc.dhoho

submitted by andremosq(1),

I-cell trafficking disease: Failure Golgi to phosphorylate mannose residues so, decrease mannose 6 phosphate: coarse facial features, restricted joint movements, high plasma levels of lysosomal enzymes.