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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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You can oscrs tuo hte top there waresn o,chesci C,.,AB oYu wtno eb gesinabrorb nyhntagi in the CTP ni 'soiannfc oyn.remds oLkgnio ta iaeomhypakl, otahaempinyr, and otishpyaahppmoeh on.w amapkleioHy c'tna be eroctcr absuece neve tghouh saispmtou is lost ti llwi be bdarbrsoee ta het artel khtci cansndige olpo dna if ttha etsnod mkae ss,nee hte oybd llwi aujstd rfo olw esrmu suosmitpa tub taniacigvt eht /HK++ umpp no se.cll It n'tis homiytenraap cuebesa at hte loecigctnl dctu aipnpcilr sl,lec betnosioprar lilw ocr.uc ihsT selvae moyapihaothpspeh sa eth erctorc nda loyn rawnes ccoie.h

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imgdoc  by* +2
larascon  ntlleexcE ipaea,xnnlot nhtka ouy ! +2
waterloo  Ist' owthr tmoi,iegnnn taht 52% of Na si arebs ni hte ctcih nncgiaesd .lbmi %67 of rfleidte aN si erdebbaros in eht TCP, ehwersa 85% fo phstehoap radbeobesr ni het C.TP oS pt emor liylek ot wosh Hpyhso.op +4
coconut  ldorUW 67:2QID6 says lab estlsur ni eelpop ihtw Fnnaoci sermdoyn iwll ohws aemopklayih +
j44n  onutcco i ghuotth taht oto tbu nthe i edermerb ncafoin is aoaicsesdt wtih ophtpcaosyepihmh kc/ierts IVT D ritssnate trckesi nad tish itetll deud is gnoig to eb orggniw scabeeu 'hse 5 dan satht nagno iearcesn eth eamdnd ofr heapspoht in ihs doby +1
habs741  naMy escsrou ,dMps(ceae pte,aUoDT onmard olraunj altc)srei lal iesdrcbe iaconFn rinpesegtn wiht hoeyaimlak.p I vlibeee eth minmhassec si sols of CPT bernosorptai fo Na gseniacu rnisdeace Na eilyrved adtllsyi wrehe it esdne to eb seearbd.obr nI het itolglccen tcdu ttah iwll tlsreu in K in.sgtaw So imakhaepoyl dna pomhhotesiphaapy era tboh uret, chwih meask ihts a dba qtouesin IMO. But I lcoud see MNEB grunagi thta eopphhsotampaiyh is eth tb"es" weasrn ucbsaee it's reom detrlicy ldateer to het CTP ecedtf adn syawla tuer v(s ihaakleypom cwihh si ton eesrlcnysia strneep and si ricdltyien eatdrel ot hte TCP f.dce)et iltlS tkihn t'si a mael qsouinet g.htuoh +



 +5  upvote downvote
submitted by โˆ—celeste(96)
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iTsh uossdn keil icaFonn emnorsd.y ehT amrxpoli lturuab ileiealpht lcesl heva a dahr mite isreornagbb alir,ttef os loluy' see a ssol fo teo,hsapph anoim ,dcais ioca,enbrabt nda cegsu.ol

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medschul  Wd'ulont aFnoicn eroynsmd losa uesca olkaymiaehp htg?ouh +4
yotsubato  calsEleypi dncsrgnoeii hte tfac hatt hte TCD iwll eb wikgron ni oievrdvre ot spemcoenta ofr otls ?sloust?e? +1
nala_ula  sThi sunioqte did ont kmea seesn ot me ta .all I kewn ti aws oinFcna yesndrmo yet 'tdidn cteels the vosuobi rsaewn eecsbua it sdai floo"wl pu ixnaaitemon 1 eekw rfate io.ndis"ags I htthguo it wduol raeadly eb in .tmt.are.ten I arhsecde )(nwo nda ti yass hatt etratemnt si yasblclia griensnphiel wsa si stol in teh riu.en So yidifnetle hte ndiwgor si lkei tfw ot em +1
sugaplum  I saw iitnnghk enics it afeetdfc the PTC ttah Na reprintoos wloud be tecefdaf as ?elwl tBu I gsues eth otehr nemesgst llwi ipkc up eht laksc? +



 -7  upvote downvote
submitted by โˆ—mdmikek89(6)
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l'Yal oerv ectamlipco hits isth so h.ard ertheWh or ton tsi ,icnnFao ti syas raPxolmi uelbuT .ectfed %85 of shhatppoe is beabdrrose eh.re fI tsi ,fcivtedee phoaetshp ant-rrseoipob si .aerecesdd

hamitehyphpaspoo

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meddoc2023  seY nad uiosmd tpoinorbas dowlu be cfdetfae oto I leveebi bceuaes hte TCP is tdafeecf +



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