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Retired NBME 20 Answers

nbme20/Block 4/Question#20 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Hypophosphatemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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 +30  upvote downvote
submitted by โˆ—imgdoc(183)
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Yuo can cossr tou hte top tehre snwear ioes,hcc ,,BC.A uYo notw be nogirsrbbae itnhnyga ni eht CTP ni nfnsi'oca dyes.omnr koionLg at l,ykoepmaiha iemyhr,ptaona and pmohpyheohaaptsi .nwo lkpiemoyaHa nt'ac be treorcc baeusce vnee ohtghu tsuisopma is ostl it iwll eb rbebseraod at teh rteal ckhit sadcenngi ploo dna if tath stodne kame ens,es teh oydb will dutjas fro lwo erusm ssuoimtap but taaitgnvic eht K+H+/ pmpu on clse.l It 'itsn ienayrmahotp suaeceb ta teh ogientclcl dtuc cpliarnpi cesll, atprrnesioob lwli o.ucrc Tshi savele ipopymtohhhpesaa sa eth rtccoer nda ylno awnres hoeicc.

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imgdoc  *yb +2
larascon  xeellnctE ,tonnlpeiaxa thkan uyo ! +2
waterloo  Ist' hwtro meoinnitg,n ahtt 25% of aN si bsrae in het chict nsidenagc .bmil 7%6 of eeditrfl Na si bbosedaerr in the CT,P wraeehs 5%8 fo ethhospap brdberasoe in teh .TCP oS pt orme ylkeli ot hsow .hHopypso +4
coconut  lroWUd I26:67DQ ssya bla elursts in poepel htwi anFicno rnmysoed iwll whos hmyolakapie +
j44n  ctounco i uhttohg thta oot utb nhte i edmerebr oannfic is aatesoidsc hwti smotpyphiohcapeh /rstekic ITV D isesnttra iscrtek nad siht tlitel uded si oggni to be wgriong uecsabe ehs' 5 nad tthas nango crinease eht ddnaem rof atphposeh in his dbyo +1
habs741  ayMn suscoer sepcM(d,ea tpo,UTDea namrdo onulraj lra)ictse lal redciesb Fnaicon eenntpsrig wtih pmoiaaeylhk. I eiveble eht mneiaschms si sosl fo PCT aobperrnosti fo Na ncsigeau irnedaesc Na irdyevle ylsltida wereh ti sdene ot be raedr.ebbos nI eht teinoccllg utcd taht illw eurlst in K igntw.sa oS akyaioemphl adn yoeiohphhsapmapt rae tobh ,retu hchwi kesam isht a dab eusoqnti OI.M Btu I lucod ese ENMB nrigagu atht yomsthihaphopeap si eth t"e"sb snarwe cseubae t'si meor cdityrle deralet to eht CPT fedtec nda alayws rute sv( loykiheapma ihcwh is nto anscrlyisee petrsne nda si rylneiitcd draltee to the PCT tfee.)cd ltilS tnhki it's a alme qisounte ot.hhgu +



 +5  upvote downvote
submitted by โˆ—celeste(96)
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ihsT nodsus like onFnaic rmn.seyod Teh imrxlopa tlbuaur ialtipeehl lcesl aehv a rdah tmei gnbrrsbioae ilftetar, os luly'o ees a sols fo he,pstphao moani ,asicd ibnraebtao,c and sleu.cog

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medschul  'tdWolnu cFainno sondemyr sloa secau epaalmohkyi hg?tohu +4
yotsubato  Eelispyalc sriconiegdn the caft atht the CDT llwi eb nkwgori ni ereiovvrd ot aneseoptmc fro solt s?sol?te?u +1
nala_ula  sThi eutisonq ddi nto emka ssene to me at al.l I kenw it wsa nFcnaio demnsryo yet itd'nd eseclt the ovbsuoi erwnas abecsue ti disa ow"llfo pu natonmiiaex 1 kewe rafte ioigas.nsd" I hhgutot it olduw rladeya eb in rna.t.m.teet I dshcerae n)w(o nad ti yssa taht eamtttern si lyacaslbi iphlreisngne wsa is slot in the n.ueri So yftnieedil eth dogwnri si klei wtf to me +1
sugaplum  I asw nnhkiigt ceins ti cetdaeff teh TPC atht Na poetsinrro wuold be tdfafece sa well? Btu I sgues eth toehr snegsmet lwil kcip up the l?kasc +



 -7  upvote downvote
submitted by โˆ—mdmikek89(6)
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llYa' roev clemitpcoa itsh shti so ahr.d terehhW ro otn sit ,iFocnna ti says oriamxlP ebuTul ed.fetc 85% fo sptheoaph si obadserrbe .erhe If sti ,etvefdeic tsappoheh tob-rsianoerp is ee.ecardsd

mpyahsthooeiphap

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meddoc2023  Yes nad simudo ibarnsootp lowdu eb edcfafte oto I leieebv saeebuc hte TCP si fcafedet +



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