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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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uoY cna ocrss out hte otp there aswnre e,shicoc BA,,C. oYu ontw be bigroresnab gyanitnh ni teh CTP in snifcna'o mr.yondes goinkoL at pala,ioemhyk iyhr,pmotnaae dan mtihyaeophaphpso wo.n lkaeHypmaoi ct'an be rcrcoet ecsuabe veen ghthou mauisopts si oslt ti llwi be aseorebrbd at eth atler ckthi signnecad lpoo nad fi htat setond kmea ,essne eht bdoy ilwl jtasud rof low mrues tomsuasip but aicgtinvta eth ++/KH mppu no .slelc It 'tnis emhontpiyaar bceaseu at hte nlgiceloct dtuc paclrpnii lels,c bonrtpoesria illw c.ucor ihsT easvel haeppsyhpoomhiat as teh crertco dan yoln wernas hc.ecio

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imgdoc  y*b +2
larascon  tcExlelen ienanpox,alt knaht oyu ! +2
waterloo  I'ts whtro t,nnignmeio atth 52% fo Na si rsbea ni eht ctich seacnngdi m.bli 7%6 of dieeltrf Na si brodsaebre ni eht CTP, esaerhw 58% fo tpeohsaph ebsdareobr ni het C.PT So pt rmeo yilelk ot hsow pHospyho. +4
coconut  rdolWU D76Q:I62 asys lba sustelr ni opplee iwht Fnaoicn ronsdyem will hwso pamkoealhiy +
j44n  oocncut i hotutgh atth oot but hent i rederemb infonca is adctesioas htwi emahhthposppyioc eriksc/t VTI D ssetnirta irtkcse nad sith ttlile dude si ggino to be oiwrgng uebaces eh's 5 nda thast onang ancereis eth adenmd ofr oseahtpph in ihs oydb +1
habs741  nayM sruesoc pe,eds(caM UaeDo,tTp nmdroa jlranuo riclt)sae lla seiercdb oFiannc niernepgst itwh ipomlkeya.ha I eleiebv hte mchniemsas si sosl of TCP inaotrobepsr fo Na ncesagiu nedsaicer aN vedlriey yasildtl hrwee it eensd to be rdesa.bbero nI the llcgeciton duct htta lilw erlstu ni K stwinag. oS piehlaoamyk and matasoihphhypoep ear tohb r,teu whhci ksmae thsi a abd itqsenuo OM.I utB I udclo see MNEB runggia taht ohahyeamphisptpo is teh et"bs" ewarns becusea is't mreo yricdlte dletaer to hte TCP eedtfc nad wasyal tuer s(v lyeimhpaoka ihwhc is ton saryelnsice nertesp adn si icdrtielyn edetral to hte PTC .etdcf)e Slilt tnikh it's a elam oiqsetun htohug. +



 +5  upvote downvote
submitted by โˆ—celeste(96)
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ishT udsnos liek iancnoF .oensmryd heT orlpxmai atuurlb heliiptale lcsle aehv a radh emit onrgabiersb t,arieftl os llo'uy see a ssol fo phhtps,eao niaom sidc,a ir,aocbebatn dan sg.euolc

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medschul  dtl'nouW ioanFnc rnydesmo sloa ecuas kaapohlmeiy ?thugho +4
yotsubato  lypasclEei nrociingdse the ctaf thta het TCD ilwl be rwogkin in vedrvoeir ot nospeemcat for tslo st?l?uoe?s +1
nala_ula  sTih eitsnquo did not mkea snsee to em at all. I newk it asw cFaonin moyerdns tey in'tdd selcet het osubvoi wnsrae sabuece it siad "flolwo up ieaxmationn 1 kwee tfrea dogin"asis. I ohughtt ti dluwo ldaeary eb ni e.n.mratett. I saderehc o)(wn dan it syas ttah tnrteteam is bcaiaylls niipnreehslg saw si lost ni hte iu.ern So fynetilide hte ondwirg si lkei twf ot em +1
sugaplum  I swa gtnihikn ncise ti deeafftc het CPT htat aN esoonrtrpi owldu be fecedfat sa wel?l But I esgsu the ohtre ensmstge llwi ikpc pu hte acslk? +



 -7  upvote downvote
submitted by โˆ—mdmikek89(6)
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lalY' eorv acipotelmc htis sith so .adhr Wtehehr or ont ist oFnn,cia ti ysas iPomraxl lTeubu c.tefde 8%5 of pphoeshat si oerdsbrabe h.eer If sit fvtiedec,e eptoaphhs a-rnrsptobioe si dseaeed.cr

eayotpmophsiphah

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meddoc2023  seY dan sdoium ainrbspoto wdlou be tdfeface oot I leeeivb uabeecs the PCT is fecafted +



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