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Retired NBME 21 Answers

nbme21/Block 2/Question#47 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Increased parathyroid hormone 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by hayayah(1212)
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condrSaye amhoyretriadpphsryi sly(lauu d/t oincrch relan alur)ief.

Lab idgfinsn ndceuil ↑ HPT (erosenps ot olw ,amci)luc ↓ uemsr ilmaccu nae(lr aeurfi,)l ↑ mrsue ahhopetsp nlear( ai,l)refu and ↑ ellkaain eastaphhspo HT(P aginvittca ls)aBsteotso.

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haliburton  sloa rmeerbem hatt ni raeln rfuiael, lalpyey-s-hharad1xo tiyvcati is nwo,d so hrtee lwil eb sels vaniiotact of 2orlcyycee5fx-lrocholadhi to icoyrx-oyc2harlo1,l5h,fdeelc ihwch is a yek nmmehcisa gsaiunc plah.aomecyic +4
cr  hwy ont esedinarc loa2d,ye?hyifcclro5rclo-hex tiwh het same lcigo ltaobuihrn ixlpena +
nala_ula  naIersced hpaho,estp sienc het yidenks nte'ra grwnkio ell,w deals ot hte seleare fo bofibartls togwhr rtafco 32 from onb,e cwhhi edseserac alriticcol ciupnroodt adn aeddsreec luaccim o.psnirbtoa heT esnercai ni ahhosetpp and eht rsdeaeec ni ulcamci aedl ot aendsoryc md.isaphoyiprrahyert +2
privatejoker  rPlabybo a dbum tqieosun tbu how do we dtnilvefyiie nkwo ttah eth APL is evtadele if ehty iegv su no cnerefeer rgane in eht lab vlusea ro Q tems? enygrvtEhi staedt oavbe lyieeitfdn kesam ssnee omfr a olhsilacyipgo pdattons,in I wsa stju ui.ouscr +1
fatboyslim  c@r eth isoqnetu adkes eh"t ttspna'ie OEBN ANPI si mtos yillek csdeua by iwhch fo het glnf"l?iwoo enrcIeads lelevs of xfhac-2d5loeycrlyoicerhol mhtgi exsit in htta tnt,aiep tbu ti wtln'udo uaces nobe pani. HTP aessuc boen npai usacbee of enob orieprnsto +3
suckitnbme  rijoa@eekprtv ALP si dieunldc ni hte ddntsaar bal luasev +
makinallkindzofgainz  trioj@aeeprkv ALP si ilteds rneud Peshhspaoa"t (lik)na,lae sum"re ni the alb avusle +1
pg32  hyW esod APkolhs sariecne ni ernla rttoyheoysopsd? eTh TPH ouldw eb gnriyt ot teiulmsta nbeo roetosnirp (ranseice sALoCSTtoe tyi,itvca) nto eobn oofmnarti (toALBoSseT vtat)yci.i +
drzed  p32@g eht nlyo ywa to tlimetuas an oscsetaotl in hsit seca e.g(. avi P)HT is by mlitgtunsia saettsboosl sftri (rhut KNRNALA/RK )cntnai,oreti hsut APL s.escneari +1
skonys  FA 0291 43.1 tWah I am nsofecud on si hwy eth Ca is in the l-wnrmaolo ?gnaer hyW nto apcriaymhelec kile ni yPmrari HprTHyPe +



 +4  upvote downvote
submitted by lilmonkey(63)
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eemebRrm HPT as psohheaPt rshnTaig r.eonoHm

rsPhuh↑opso ;-tg& P↑TH rencsoiet t&-;g ↑oenb ipornetors -;t&g P↑LA nad bneo .pnai

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 +1  upvote downvote
submitted by cr(5)
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why nto ecrnaedis yrhllx?o,2a5ofcydehcrciel-o wiht eth msae lgioc rhatlibnou xlaeipn +

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usmle11a  i eleeibv niecsear ccaorc2liH5ellhoefO ndtaicise eht toagser tyipcaac fo vit ,D wcihh wotn be aceedfft in acse of KDC. i t egso ikle hi,ts isdkney otnw opredsn to larurge TPH, eloss aC dna tcan rcxeeete ,PO4 PHT gtse made adn ietsr to unrb oenb to udpreco ,Ca uetligrsn in eltdveae velesl fo Ca dna P4,O Ca wlli bdin eth aicmluc nad go to nysd,eik eyt msea stoyr lla ov.re add to that hte catf taht 1 oh xareydholsy wont be elba to icfnntou ni a deda ykid.en +1



 +0  upvote downvote
submitted by iwannabedonewiththis(1)
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stju sa a lrgaeen use,nqiot olwdu rheet eb lwo esellv of 1 H22(-5)O ?

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sd22  eYs, enydki ash 1ha-apl hoadelysrxy cwihh corsentv HC-5C2 to -25CC.1,H CKD ;-g&t owl aOsea--H1 yitvacti g-t;& low 1-C2,HC5 +



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