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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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uYo anc osrsc tuo het tpo heetr rsewna i,csehco ,BCA,. You wnto be nrisabbgore nyghtina ni eht TPC ni safcin'on .ynsdroem ooikngL ta ohpeaylk,mai myarhneta,opi nda saiapomehophyhpt nw.o poyaeimakHl n'cta be rcorect bauesec enev tgouhh tuspasoim si olst it liwl eb bsorabrdee at eht tlrea kthic ndascinge oplo dna if atht etnosd kmae sne,es hte doyb illw dtuasj fro low mseur usmptsaoi tub ativagnitc hte ++K/H upmp no lls.ce It n'tsi hoanteymirap ubeseca at hte ctilgecnlo duct iprilncap lselc, rpoosrneabti llwi ocucr. Tshi eaevls oheayiphhsopmtpa as eht troecrc dan onyl esanwr ho.ecic

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imgdoc  yb* +2
larascon  nteEllecx eaolnia,npxt tankh you ! +2
waterloo  tI's rwhot nnim,togine hatt 2%5 of Na is abrse ni teh tcich egsnndcai .ilbm 7% 6 of derlfeit Na si ebodasbrer ni het ,PCT rwheesa 58% fo thoapesph rbaesroebd ni eth .CPT oS tp eorm lelyik to show Hophoy.sp +4
coconut  dWlrUo :I2Q76D6 ysas lab ltessru in plpoee iwth Fnoicna dnosreym llwi show ylpeakoiahm +
j44n  ccoonut i gthuhto ahtt too tbu ethn i rreebdem cnonifa si sdsoataeci with omphtoipeachphys tecisk/r TVI D tsnsateri irecskt dan hist lttile dued is gniog ot be rngigow becaseu eh's 5 nda staht ngnao cnseaeir eth dmadne rof poesphhat in hsi odby +1
habs741  yMan ceosusr e(a,dsepMc eDpTUot,a rmonad ujlonar r)tscilae all scbriede niaoncF geietrnspn twhi .imahyekpaol I vibelee eth mesnmahsic is lsso of TPC psoniaeortbr of aN niuacges dsecnirae Na vlryeedi tildaysl wereh it endse to eb oaseedb.rbr nI eth clentcolig ctdu tath ilwl elrust ni K .gswitan oS kpheialmayo and heiyphopasamopht aer htob eur,t chhwi kamse shti a bda oeqitnus .MIO uBt I cloud ese ENMB ignrgua taht yopmaohtippeshha si hte ""btse waensr bsceaue 'its omre icldtyer retldae to the PTC cfedte nda walyas uter (vs milhekyapao hcwhi is not ayeicsnrles psreent nda si idyelircnt edlatre ot teh TPC ced)t.fe llSit nkthi st'i a eaml tqioensu .othugh +



 +5  upvote downvote
submitted by โˆ—celeste(96)
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sihT dsosun keil ncaFnio srmoney.d The mxilpaor tubaurl allteiepih clesl veah a dhar etmi sbernaorbgi aetfirt,l os lo'uly ees a slos fo saeohpthp, ianom ia,cds ai,nebtocbra nad cg.leosu

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medschul  Wun'dolt inaFnco nsodyrme salo uacse iaeymopkalh ?huthgo +4
yotsubato  aelcysEilp neigrnicsod eht ctaf hatt het DCT liwl be ignwork in rvodvriee ot aepctseomn orf solt uo?stel?s? +1
nala_ula  hTsi uisnteqo did tno aemk neses ot em at l.al I kenw it was ncaFoni nrmsoyde tey itnd'd eseclt eth ovoubsi esnarw absecue it idsa ol"olwf up ieontimaaxn 1 kwee aeftr d"sgiinoa.s I gouthth ti ouldw ldearay eb in .te.tnmeta.r I dscehare (now) nda ti yssa htat tteneramt is alcbisyal esnhriiegnlp saw is tols in eth eniu.r So yfleedniit the rdwogni is lkei ftw ot me +1
sugaplum  I swa tnkihngi eicns it fecefdta eth CPT tath Na sroneoritp ulodw eb faetfdec as lle?w uBt I esgsu the rehto seenmtgs lwli kcip pu hte sl?cka +



 -7  upvote downvote
submitted by โˆ—mdmikek89(6)
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lYla' orev lipcmoecat tish itsh os .rdah ehhWetr or ont sti nn,aFcio it yass Pmaxirlo ueluTb tce.def 5%8 of photapshe si obaserrbed her.e If its eeifvtc,de oahhpepst oap-sioenrrtb is eardce.sde

yseaomtppohpihha

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meddoc2023  eYs nad usdoim biootpnsra dwluo be acedetff oot I eiebevl ascueeb eth PTC si adefcetf +



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