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Retired NBME 21 Answers

nbme21/Block 4/Question#13 (reveal difficulty score)
A 4-month-old boy is diagnosed with a rare ...
Dilated rough endoplasmic reticulum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: biochem repeat

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 +5  upvote downvote
submitted by โˆ—sklawpirt(34)
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I tikhn eth iaed eher is smiylp that eno suolhd ikhnt btuao ehewr lsevecis rae gincmo mrof on rihte ywa ot het oiglg lpxec.mo

"Tow spest rorwadf adn neo ptes ab"c.k cSpielylfac het qoutines aym eb eefirrgrn to a aerr ficiaconarla ier.srdod an naessewasr fo htta saeeisd si not re.asenscy tWah is csrsneeya si nusatgdnrdnie the inrogi ofmr rehew escvseli are kefarctid ot eth ilGog a.ptuspraa

ICPO erptoni si ndedee ot toca lsveecs ofrm het RER to send ot gil.go ,Thus twih a ouiatntm ni taht rnpi,ote eth acadepkg erpiotns htat hsuldo elbb fof nad be sten to teh iggol, dentias ucmtlueaac in eht RRE dna aledit it. husT het awnesr.

p-S0/hlojew-90.mhtcw2:/la2t62//.f13002d.)/4(cf7gwd9p1sp

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hayayah  .gp 74 no FA otg teh ogdo !valsius +6
notadoctor  POIC*I eprstnoi era edneed ot aotc evcslise rfmo hte ERR ot l.iGgo )Iw"IPC(OTo psets afdwo;rr )oOI(CePn pest koce dat arrg".Ab en esgo RRE -> Gogil -> mytcoSysLeeoosrer/s eiceslVs >- Psamal reanmmbe +27
titanesxvi  wyh not lmasl slm?seosoy +5
varunmehru  adn I hhgutto ealrg slsemooys ude ot kcal of zeyemsn ot ddgreea +1
samsam3711  Teh ezis fo eth osmloyse si ont fdfeeact by hte esrepnce or nabsece of rit,pnoe tub tis cnitnouf si dosmiocpmre (eg. pornite si enggitt ctusk in eht RER) +2
fattyacid  I ehpo sith lhsep to rwhvmoee aws lsot eilk Numel l ituanm:to A atmtnoui a( cga)enh in a eneg atth sadel ot sti ton gineb rdrtebisnac oint NAR ndo/ar seltdarnta tnoi a itnunoclaf reoiptn dcotpur. rFo xmp,leea a null miantuot in a gnee htat yasulul socndee a sfipecic eenyzm esdla to the droutpiocn fo a unolnnaincfot eemynz or on mneezy at lla. +3
pingra  I intkh oyu amde a pyt:o PIICO E(RR g-&;t G)si-ogc;li IPOC oa(sggln-tir g;&-t -ggisciol dan ocg-lsigi ;g-t& ,ER)R hltcrina iss(oeondtyc nda iraoggl-nts &t-g; semosyl)o +2
kevin  So my htohugt rsesopc wsa fi ehtre is no OCP naislg ehtn sateidn of noggi ot ilogG ti louwd eb sten astayr oint mltcyaos,p nkia ot who ni Iel-cl Dx het ynmzsee tge nste tuo fo het lelc nisec hteer is on fniitrckgfa nglsia otferhe(er I uesmpred aeglr oyslosme ued to atneig eht aeegrggadt rnp.eoti) rAe we gsnayi twthiuo COP ro rtnaChli htta eht clesvei lwil miypsl yast upt weerh ti si? If I can egt a relyp rfbeoe my amex 2( kse)ew tda'th be chmu perecaatpdi +2

"Swelling of the ER" = Myocardial ischemia from cessation of coronary blood flow describes a stepwise process of cellular injury. One of the first manifestations of cardiomyocyte injury is swelling of the cell and its organelles, which occurs as the intracellular accumulation of sodium leads to an alteration in the osmotic gradient. If blood flow is not restored, apoptosis eventually occurs.



 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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IPCOI cl:esvsei RRE ot GPCIoiglO v:scelise Gligo to ihC tnlRErRa : oiglG ot elCl aMemnbre

atrGe arigmda to frere - ph20c10n1cenmine6cl/59/t0/ges-g2-0t-o..78.o-st/0/smx.0dtsa661p40fjSa:r

fI dyaonyb wasnt ot ese uygrlho eth asemn fo sssiedea IIPOC imtotaun asusec

2tttenl5eciese.itdopipclita:mwncervevtitu.tner?;onxoneaa//ged7sc./cacioirt1pa&b/st.hcmtg==

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