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Retired NBME 22 Answers

nbme22/Block 2/Question#22 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Adenylyl cyclase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: endo repeat

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 +12  upvote downvote
submitted by โˆ—osgoodschlatter10(41)
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hTe prteroec in ntusqoei is a G nopiter retrcoep on hte tyriaitup amss. sThi owuld be eth RGHH eotcrp.re eTh GH rcereotp lliw eb enesptr amsrontwde os atht HG sedreela ofmr eht tuirtpayi nac dnbi to it etseh( aer ATSJKTA/ e rRHopesrtHG)c. rscoprtee ear sยฌG rpsrc.teoe These eserctpro ear odnbu at teh ha-ilpnbasuut to PDG in teh avecniit t.taes When HHGR insdb teyh icedatatv nweh GPT settaach ot hte nipt-ahublasu sdietn.a dnA hebetyr esoomotrp ydaeln ylcseca tv Pe.syiGTiacat is nseibroplse ot cevlae htis TPG ofrm the aalhp itusubn to scwhit fo eht etrpo.ece rreeTfoh a lkac fo aPGseT caititvy wlli rneerd eh sG rpertcoe ni a doplerogn no seatt ๏ƒ  Ianrdcsee ticavtiy of enAldy .sCecaly

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osler_weber_rendu  ltiBrnail toepnilanax +1
skonys  sI it sels bauot HHGR anhvgi a 3PI aynredocs egssmnrea ro GH sguin KSTAT/AJ dan mroe that ew rwee dusppoes ot encroeigz taht aGs is a Gs dupoelc eperctor nad Gs okrsw thrhugo yylelAdn yl.eacCs PGT idnbs to sG dna muts be spplethoodseyhar by a TGePsa to eb .taniecdvia usaecBe hte utomr llsce ckal hsit intocn,uf Gs tsysa lehproadopsyth nad edAnylly Cyeslca sinocuent ot eb ataeicd?tv mI ustj odefscnu on fi kinwong eht nsdoeyrca esaemgnrs stymess eevn metatr ro if lagcrmyaoe is trownh ni sa a sdacrrotit mofr the nmiaooirtnf opdvride. +1
weirdmed51  GH steoโ€™nd ehva P3I ,sergnemse it sah cMPA +
weirdmed51  GRHH * ryr(so) +

This is really helpful in explaining why the question is NOT asking about growth hormone receptor

+/- qfever(67)


 +8  upvote downvote
submitted by โˆ—hayayah(1212)
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torhGw oroemhn egnerasil eoonhrm atcs aiv uoeGdl-cp otcep.rers G pueldco rtepoecsr nede GTP ot boemec ittdavcae nad ePTsaG to ombece en.acvdttaii

oN -easPTG tg-;-& yllchanroic etaciv otwgrh oonehrm gelanrise oermhno rrcoteep -g-t&; ncnaostt cotiivatan of deyllnay eycacls / APMc ythawpa adn reeesal of rgwoht oehnm.ro

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mcl  hsTi igeurf is feluus ew/g-:9u320/ez6a/1os71-u82.15oF2mdeasf00.a-641e0mtucp-csd50bab2-2ari07e377-2pn1t/i6egaein0hr8g5ss6./idd/pf4f.43l8c +1
mcl  e.cre27b/g7s0-p.gla35228a.k(dep.2)s12b134u71nhf29wuie-0ra47t8a0p16/idFsans1o0t/o6la/ef6cm-ni6/i35e[-]si5c-0:04d-em/0gfdzu8 +
meningitis  How ddi oyu owkkn ti asw HRHG dna otn GH se?rep +4
meningitis  de;envirmn I juts edra wnod bwol.e hkaTn you +19



 +0  upvote downvote
submitted by goldenwakosu(7)
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Why si eth eswarn edynlaly eccyal?s I ldkeoo ni FA and I was thta GH esus eth AA2/KTJST wathyap dan ahtt 1-IGF essu hte AMP naesKi phatay.w tNo user ohw nylleday lccasye syalp iton sit.h

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pug_sheen  I kihtn eyht are nktglai abtou eth HHGR teroprce no oootsprtm,has wihhc wkors hugrhto eht PAMc aywpath. +
staygoodpupper  I dโ€™not oknw hwo it tsrleea ot /FHI-G1G ni itrluca,par tbu teh otqiunes sida etrhe swa a tnoatumi in teh alhap iunstbu fo ,sG ichwh tsacvitae ynadelyl esac.cyl +3
kash1f  I gaere het tetianp edos eavh r,meylagcAo btu in teh tneusoqi it edalkt batou hwo hte naipett dha a amtuiont tath deenetrpv het GePTas tcaitiyv of s.aG oS Gs dolwu be veoctearvi >-- seexcs yyllnaed ceslayc +31
hyperfukus  uhg i swa so eciedxt too cb i tgohhtu i mbreeremde ajk atst iifaelcp +3
skonys  oD'estn GRHH cat htuhogr an 3PI roncseya sgm?enrsea +
xmen  eht ourtm erseects .HG GH tac aiv a SA/KJTTA ahw.ttBaPyu the HG tcorenies is matdutslei avi a GRHH hurgoht a .sG i hsT sG ni shti m'ustor sellc is tamuetd adn si lepntmrnaey t.fiac os AcPM wlli aseic.nre +1
weirdmed51  y@snoks HGHR wrkso vai cPAM +
kcyanide101  RnGH is PI3 --- eemeRrbm OATG GH?A HGRH si PCMA emmrbree ATFL APCMh +



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