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NBME 21 Answers

nbme21/Block 3/Question#6 (35.1 difficulty score)
A 40-year-old African American woman comes to ...
1,25-Dihydroxycholecalciferol🔍
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 +13 
submitted by nosancuck(77),
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hisT b ahs siirsoScdao os ehr gauaomnrls eb nativaitc atd DtiV

sbryant6  Your mom activates my VitD. +15  
pg32  Anyone know why there is hepatosplenomegaly? +  
gooooose  Likely granulomas involving the liver and spleen- Pathoma says any organ can be involved +  



 +10 
submitted by medpsychosis(89),
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ishT itpnate iefdltieny hsa ai.csuSloi ordesCs in uoieqstn iamefct-:Ansr eniarmAc tem-emyE ralheFa rdlm-eulsoa toaiNB rilaH yAc aonHpircemape-tylaedh (edu to rm-x1tiasahdyyαddele–eo amvinit D tniicvoata ni a)oa.hpemcgrs

AF 2180 P.( )856

icedcoffeeislyfe  FA2020 pg 676 +  
lovebug  and FA2019 pg 662: Vit.D usually activated in Kidney. but They can be also activated by Macrphage like this case. +  



 +3 
submitted by dr.xx(130),
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nI ,ossaiciords lcheeprmyaaci lmaonrly ssspesrupe eth rseleae of THP adn rfoetheer teh tpniodrcuo fo loliacctir (ale5-r,ii2hyl,oclofcd1hcyod)xre tbu in siosdaocris adn horte gnaouotsmlrau siasee,ds dvaatetic orunoelcanm lscel lplartycru(ia apseh)cgoarm ni eht ulgn dna mhlpy desno eocrpdu olcrlaitic 1iecl5,lhrxofi(cyoa2drhc-eoyd)l from aoccdlili drcxahrloy5(fey-hicoe2ll)oc ptneedeidnn fo PT.H

sa/mnmout-lldco/anw:sioieuc-ceheaao/etaua/ts.wewnttepocri-smtdpphsrnty.sg

dr.xx  ~~In sarcoidosis,~~ +  
hello  Probably a typo in the first 2 words of the explanation -- not sure what they meant to say instead +  
drdoom  I believe @dr.xx meant to strikeout "In sarcoidosis" from his comment; double-tilde is the markdown plaintext that usually accomplishes that. +