NBME 23 Decreased sodium bicarbonate reabsorption in the proximal tubule (NBME Answers)

NBME 23 Answers

nbme23/Block 4/Question#28 (reveal difficulty score)
An 18-month-old girl is brought to the ...
Decreased sodium bicarbonate reabsorption in the proximal tubule 🔍 / 📺 / 🌳
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+28
submitted by ∗seagull(1929)

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shTi is a yetp II aRnle raulubT osdsAi.ic yM ladMiec holoSc eNerv tuthga tshi ot e.m Ddi oyu laso og ot epryotv emd lco?sho Im' rerdssupi hyet neve gave su oettil ppa.er

mousie ahha imne ddn'it et.ehir tBu ehyt aulsylu levae otu tsmo ighh yedli inof ,so ot eb xdeectep I .gsues +12

yotsubato I itddn vhae yhylgopsoi in my mclaide hscool. No,en z,pi ezo,r n.eon Nro idd I vhea iochemb. eyhT aisd "yuo dlernea all hits hsti in edgru,danr ulyol eomrezmi it ginaa ofr tesp 1 nda trgfeo it ym"pltrop adn neth sjut edvom .on +9

jcmed nI eht Cerniaabb httas 1 ghtin ew weer .evgn..i sotl nad slot of iotelt parpe +5

For those who are wondering why not decreased H+ secretion = H+ is just looping back and forth to make H2Co3, only HCO3- is absorbed

+2/- apurva(101)

+20
submitted by ∗smc213(169)

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To be yemtlcolep l!reac

sThi aeitnpt has iisoCsytsn a aerr staaumool escvrsiee amyloolss trsegoa oseddirr dna otms omcmno scuea of iaoFncn yodenrms ni herld.inc nyiCoissst si eycismts nad dales ot nytiesc acltsyr setodpsi ni elcls dan iseusst uhuttrhoog the oyb.d

tlhguohA losiWns ieasesd nac elda to FS, eth stsrlcay ni the ocasnre edso tno erocaetrl ihtw onslWis e.iedass
ro Me oinf: cgi.4.b./pe6t8/rp:/1isslwvh4l//n.1PtwCaMoi0whmm/nccnt

highyieldboardswards nahTk yu!o You aer a gnldee fro ugfnrigi hsit !otu +

paulkarr Acptepraie yu.o +

drzed dnA evne if ti saw siWnol esad,eis it dowlu heva teh atecx smea nseecocqune aigledn to conniFa synremo.d +3

abhishek021196 naiocnF srmnoyde zrtseobeialnpaidrGn eroe ctfede niP TC adcrenec=exsrIn to ie o inomaf as,cdi euC ,OHoglcs 3 – , dan PO 4 3– n a,d lla aeos sndsrutaceberbbs yb C heyatTPM elad aoe bittclom so(s acmlaroipxiid eadirtHpespoe,T,sm iraap i )aypohhnttAeohoRey defes(etgc , olsiWn y etyrgnicoemeed,og,aaisi lssn rtdes)sisoa geae, iuthlascm e,ilipme unex, tgmaegpo/nrs yr,lhsmodo(ie fs pdcfatm)s,niaiilioe, oeapl insiongd. riPya, oul enalr labtuur csiosiad pyet ,II twrgho reciyt,lolef eartuel nmiaaslbc,e mosophyppthaiche ircktse = F nainco ynesmodr p(ueitlml oicbendm otudinynsfc of tpl heroxami utnolvcdoe .ultb)eu +2

+7
submitted by ∗lamhtu(139)

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To be enev larcr,ee tshi ssudon like nonciaF noer,myds chwih sah lade ot pTye II RAT

+5
submitted by ∗sympathetikey(1597)

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eKys ewer :eht

rucuoailsG-

p-hhiaruPasto

-imnAo cadiraiu

oeshT hosldu be edsa-rebbro by het C,PT os if rehe'yt n,ot pyeT 2 RTA.

lamhtu To eb enev acrr,eel ihst nssdou keil oc**iFnna esmonryd, whcih sha lead to pyeT II *TRA* +12

yb_26 To be vene ce:rrela solWin ieaseds ;=&tg nciFano endmsroy &t=;g epty II pm)i(loarx TAR +

charcot_bouchard oT eb neev rleearc, ouy lla hvea eneb pteryt crela +

charcot_bouchard To be evne el,recra yuo all have ebne pytret lrcae +

yng I o'tnd htin itsh is osnWil o(pecpr ni ctedeems lyaer of acnro.)e hisT si sisnysiotc (tsycalr in eth ro)ecna -&g-;t oanciFn dnomeSry t;g&-- Tepy II (CPT) .TAR +

+3
submitted by ∗nor16(69)

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tujs kwon ewerh teh bgi fustf / naiomtprt fufts is b,erroeds ti is het TP.C oN ende to nkwo RTAs h.ee.r.

+1
submitted by ∗asharm10(37)

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hpaPheost si odnw ttah senma mhentisgo is wgnor wiht CTP, then non ionna pag oiisacsd htta nmsea arcnebbaoit si nto egbni b,soreabd losguruiac aiagn TPC os tusj ues uroy arnbi dna soceho eredsace cbbteoanria nrptbsoriaeo ni CPT

+0
submitted by ∗agraham416(5)

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I 'dton nkith uyo eenv dha ot wnok hawt eeadsis isht s,aw ecsbeua I i.dd'tn I dctoien atht eht kid aws ngsloi a tol of ihtgns ni the r,unie os rh'etes rbylpoba monigesht wrong hwti the in.ekyd One fo teh amin nitnfocus fo hte idkeyn is to erehti errobsba acbbri nda scine esh has a rlmpobe erisngoabrb a olt fo terho suft,f I tsuj ufiredg alck fo bcrbai brornitoeasp emad hte stom seens.

+0
submitted by ∗titanesxvi(106)

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ywh not easrcede CA iticvyta ni eht xirpamol tb?uule hits oasl clodu aled ot oetmcbail isacsd.io

ergogenic22 boiracnc nashdayer itbsiihnor nca useac yTpe 2 bRA tuT ti si tno eht eucsa eerh ss(ticsoy)ni +

doublethinker ae,Yh I isda CA too. olePbmr is ttah CA eeidficnyc lnd'tuwo dlea to ackl of naoiebstrpro of lal the sion ite.sdl +1

+0
submitted by ∗charcot_bouchard(569)

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A asec fo aioFnnc nros.medy If it saw odelstia Teyp 2 ART npioto B wdulo be teh nwe.rsa

-1
submitted by ∗yb_26(311)

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nsWlio dsiesea t&g;= Fncnoia mnyrdseo ;t&g= tbimaelco iscoasid e(tpy II i)oxrmlap( RAT)