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NBME 21 Answers

nbme21/Block 2/Question#47 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Increased parathyroid hormone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +20 
submitted by โˆ—keycompany(351),
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geFuir it uto ferat regdian a r.ieewv B/UAUVV denur mroanl stcnramcesuci si crenisdoed zgioiinnnon. eHvre,wo het ylon eerefifndc eebtnwe nginiionozn adn nngiiioz aaidoitrn is hte nergstht fo eht itrnoaiad sayr. Baeesuc oitrindaa does tno tapidises ofmr teh ydbo, ngrlooped BVU exspeuro nac escua inioaatrd ot dibul pu ni the knis dan cseau an tnziiionoa ceteff. hiTs is teh aesm aorsne that rieetvepti sXRy-a dna TC Scsna can irscenea uoyr ksir rfo ccer,na enev ersya ndow eht line.


 +11 
submitted by โˆ—hayayah(1200),
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Srdoyacne rayeoaphtdmhiprsyir sluya(lu /td rcnihoc lrena .firaue)l

Lba gsnnfiid eldnuic โ†‘ PHT n(eoesrps ot low mc)auc,li โ†“ msuer mcaicul en(ral le),rfuai โ†‘ ruesm osapehthp la(nre )leriu,fa and โ†‘ lleankai tspphesaoah T(HP atiivngcta .essaB)lstoot

haliburton  laos ebrermme thta in ranle ulie,fra 1lyldpryoaha-hsxa-e itvtaicy is do,nw os heert lwli be essl intvoticaa of hircoallo5-ydocly2eherxfc ot r2y,o5cifyeorlal-1,cxhdechlo hcwih si a eyk cmehsiamn ugcanis .locmpicaaehy +4  
cr  wyh tno niecresda -fcyc5o2dyaor,rellx?chhloei itwh the same oligc nlabriuhot ilnapxe +  
nala_ula  Irnedeasc peohha,stp csnie het snkiyde nraet' okrwngi lw,el aesld ot eth aresele fo bafsibrlto whgrot actfro 32 ofrm no,be hhwci esscrdeea occalitirl dtupiroocn nda ederdaesc lcauimc asrpb.tonio eTh naeresic ni opheshpat nad the rseecaed in uccamli dlea ot rsydenaco yratposimeihrdphrya. +2  
privatejoker  bbyPrloa a ubmd nquoesit btu hwo od we dieitvnielfy oknw ahtt the PLA is lavetdee if etyh eigv us no eerfceenr egrna ni het alb uaselv ro Q stem? vnriyEtgeh sadtte beavo eeylntidfi esamk senes mfor a pyagilolishoc ntsaoidptn, I swa juts uisu.ocr +1  
fatboyslim  @rc eth unisotqe ksead eth" n'aipstet EBNO NPAI is stmo lkleiy dcusae by cwhhi of hte ?io"wolgnlf enrcIdsae lveles fo -ccllxyaey5dhioolrfrhoec2 gthmi teisx ni htat ,enpitat but ti odwtl'nu seuac ebon n.iap THP escaus nobe niap ebseacu of nebo ptnroories +3  
suckitnbme  @reokirvtpeaj APL is ldundcie in the sdanatdr bla uavlse +  
makinallkindzofgainz  kae@rorvjpiet LAP si dilste nreud soetPhshpa"a li)l(kn,aea eu"mrs ni teh bal saluve +1  
pg32  yWh esod kohlPsA eiarcnes ni renla ehosyp?dyotrsto ehT TPH wlduo be nyrtig to istuaemlt eobn risotoprne erniseca( toCAosLSTe ca)ii,tvty nto eobn mraftooin BLs(oAeotST ic)i.yttva +  
drzed  p32g@ the lyon ayw ot itmealtus an ettcoossal in iths acse ..(eg aiv )HTP is by gtmniaisult blstesstooa stifr h(urt LNRKRKNAA/ ec,rninaio)tt uhst PLA es.srciane +1  
skonys  FA 2910 143. hWta I ma fneocdus on is why hte Ca si ni the n-olwramlo nr?gae Why nto ihrceamylacpe iekl ni iarrymP pTyHHPer +  



 +4 
submitted by โˆ—lilmonkey(45),
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brRememe THP sa toahhepPs ganirhTs oe.ornHm

hPssoopโ†‘hur g;&-t PHTโ†‘ riseconte g-t;& bonโ†‘e noerrtpiso ;g&t- PLAโ†‘ dna ebno ai.np




 +1 
submitted by cr(5),
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hwy ton caseiredn 5orfioarohyycd2clcl,helex-? thwi het saem icglo oitbhuarln xnpilae +

usmle11a  i vlebeie rsaeceni 25aelrfllccoHcihoeO dietcinas eht reaotsg ciacptya fo vit ,D ichhw ontw eb fcetfdae in easc fo KDC. ti ogse kiel is,ht yindsek owtn nsoprde ot rguelar ,HTP eslos Ca nda tacn cereetex O4P, THP gets adem nad rties ot urbn beno to dcroupe aC, ruesgnlit in leteavde eleslv fo aC dan P,O4 Ca lwli bdin eth mcuical adn og to kndiyes, ety mase ostyr all vroe. a dd to atth het tcfa ttha 1 ho ldysyxrhaeo notw be albe ot futnconi ni a ddea yikd.en +1  



 +0 
submitted by โˆ—iwannabedonewiththis(1),
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stuj as a erglaen s,euqiotn dolwu rhete be low leslev of 1 HO252-() ?

sd22  eYs, iekdny ash hp1al-a ysaeohlyxrd iwchh cnsotvre CH5C-2 ot 5,C21HC.- DKC -t&;g olw --sea1aOH tcviiaty ;t&-g wol ,H2C5C-1 +  



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