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NBME 21 Answers

nbme21/Block 2/Question#45 (reveal difficulty score)
A 3-year-old boy is brought to the emergency ...
Synthesis of factor X (Stuart factor) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

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 +15  upvote downvote
submitted by โˆ—mcl(670)
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otN usre fi sthi is eth tghir ywa to nitkh toaub ti, tbu if PT dan PTT are otbh ,goenrpldo sith msto kielly anmes ehtre is a oeprbml ihwt eth cnmoom hpwayat aa(k ctafor ).X

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temmy  tca.x.ilye. utjs thtoghu eht eprombl hsa ot eb rewhe hety meet or howmeeesr smlriai to eethn.ocb.h eth mocnom y2h1p P(atTaTw rpanie)H 7 (T,P )irr19aaW f n 1 01 5 2 1nI my d,eha otbh sised rea iknoogl rfo hte cpeetrf 01 +1

 +2  upvote downvote
submitted by msw(4)
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ehtres a ouwrdl euotisqn eikl this ... ,, rvaxnaaboir nda ohetr arctof aX iihsonrbti oprolgn tp and PaTT tub yhte otnd fatefc hbmrtino eitm ... wiehl citedr hbotmnri bitrhsonii prngloo TP TaTP dan oihTbnrm tmie , salo cietaaronndtfu pehinar rslgpoon TaTP adn nbhorTmi mieT ly(oileTrhactle ti lhodsu opnorgl PT oot ubt in the test hte TP artngee nnaictso rhanepi lazrtnersuei tath iimeznmi tshi fetfec ) . ysorr fi stih eeverd fof ceuosr a tltiel

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 +1  upvote downvote
submitted by โˆ—agurl1000(5)
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olCud smeooen lpiaxen to my hwy it is tFcoar ?X Like I nndretauds that TTP nad PT ear obht eeate.vdl I cpdeik Fotarc X and tenh enhcgad it to hosyyi"rdsl of.". ubcease I uottghh thiw a caroFt X ,feiecidync wl'odutn uoy ahev a gnrooldpe timhonrb mtei? I igtmh be minkga htsi more ptdc,maloeci btu st'edno ocatrF X paly a erlo ni britnomh atoctni,iav os aclk fo it uwlod adel ot a ogpenrlod omrthbin mtei?

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drdoom  a esonrp twhi FDX otrac(f x cnfceii)dey lliw evah nrg"dlepoo htmnriob te"mi seindi rtieh yodb i(n vv),io ,yse btu ireht TITHBMERIO_MN (hte lab )stte liwl eb locmeltpye lramno +1
drdoom  ewhn they nru het bla t,est athw hyte od is jtsu dda a bhunc fo -arbwglon n?inbrotca()me VEICADATT tbinmorh ot uryo saaplm dna neth noctu het dcessno ltuni a clto sf.mor tโ€™asth your TOR.MEBHIM_NTI etconi hwo fi ouy veha duekcf up Facrot ,X it d'oents mratet busecae eth lab gyu si dgandi AM,NLRO llffg/o-fne-ht-srabweho atactevdi ntirbomh ot yruo lpmaas sam.pel +1
drdoom  in ehtor ,wdsor yb dnaidg the lab hito,bnmr ew "m"viceutcrn any pmlrsobe ialedng pu ot NAD NLGUCNIDI eht cinorudpto fo flictuonna rtm.ibhno n(esic leeyftcrp uaofilcnnt tmohnbri is ahwโ€™st neibg epdsiulp yb het bla ).ugy STUH waht MTI_OHMRITENB hte( )ttse si layrle ksigna si, โ€œIs tereh tianygnh idseni stih eattinp ahtt is neenfitgirr ithw the civnoosenr fo etnf&giririob?;b-nfโ€ngi +1
drdoom  ,SO wtha eht tset hulods LALYRE be dlleca si not TTEIH_INRMMBO (hchiw si fcnunsgoi sa e)lhl ubt NNTDIMIB_E_EIAOBURGF_EEQFRIIERM_FOIKON_RMR_T +1
drdoom  โ˜บ๏ธ~โ˜บ๏ธ +
drdoom I idd a ittlle roem naedgir adn it msees klei rbmnoiht si eddveri rfom apsmal rsdoon n(to maed imorncabenytl ni a hdi๐Ÿ˜s r!rsoy) +

The thrombin_time evaluates that part of the hemostatic process where soluble fibrinogen is changed into fibrin threads. It measures the time required for a fibrin clot to form following the addition of a standard amount of thrombin to plasma.

(emphasis mine)

+3/- drdoom(1205)

 +0  upvote downvote
submitted by โˆ—usmle11a(102)
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i did tshi grhthou otiiie:almnn

ac, dan D innis;ictr TPTโ†‘ yoln

B) hcwih si cuyllaat eth ;2IPP ionvdelv ni qG insgligna

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