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Retired 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  upvote downvote
submitted by seagull(1933)
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shTi is a tpey II lanRe Tluruab i.iocdAss yM edcaiMl holSco everN ahtugt ihts ot em. iDd yuo osal go ot vetrypo dem olcsh?o 'Im esdsuprir tyhe eenv agev su ltotei prpea.

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mousie  haah meni i'ndtd e.rhtei uBt teyh asylulu evlae out sotm gihh lyedi oinf ,so to eb ecxeepdt I se.ugs +12
yotsubato  I tidnd ahev oyygisolhp ni my cldmeai os.chlo no,eN ,izp ,roze onen. roN idd I vhae .ombheic ehTy aisd you" leraedn all tihs htsi in dedru,gnra louyl iomremze it iaang rof spte 1 nad ertogf ti po"lmytrp and ethn tsju deomv n.o +9
jcmed  nI the abrbeainC htast 1 ihtng we eerw vn.eg..i stol and tslo fo totlei rppae +5



 +20  upvote downvote
submitted by smc213(169)
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oT eb elylecmtpo are!cl

isTh ieantpt ash sCtisosyin a rare smataoulo sieerevsc yllsosaom ageotrs ddrroesi and otsm onocmm ecaus of nnicaoF oeymrdsn ni dhrcneil. iossCtisny si ysstimce nda deals to yentics rytcsal diopsste ni elslc adn siusste tuougthhor the yo.db

uhtgohAl noisWsl dseesia anc edal to ,FS the cysratls in het cernosa odes ont treeoaclr ithw iWslnos ssdaiee.
Moe r i:nof Cmegins:/t.c.v1//cnmop.nh8i/iPwrcwlh64.Ma/p1tlbwt0s/4

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highyieldboardswards  ahkTn !ouy You rea a negeld ofr inrufggi ihst !otu +
paulkarr  eipcArapte oy.u +
drzed  Adn enve if it wsa nsoilW siseeda, it uodlw aveh the etcxa asem ceuenenscqo danigle to ncoiFna dne.yrmos +3
abhishek021196  ncnioaF mrodnyes raeoeGsorbniea ztdineprl edfcte CinTP ec ns=ner atiIcedorxe ainof mo ida,cs gelC,ouOsHc 3 – , nda PO 4 3– d an, lla rctuebenbsrdeboaasss by aPe y hTMCt alde ebiaotmtolc acixo lipoas(idsmr TeppeAep t)o,hahyoaopeHhtir,moieainr syRtasd secf(d etg,e Wiolns nygteaen,i sosocdlgameieis ,ry ta,e)iasg seoedsr ele,amiml hptcsuii se rd(,ueo/rtpmny oim,osexgnhlag pe,ds omi)fa,lnitfsiaic .oopin dnlegasi iy,roPual renal utularb dissacio ptye ,II owghtr r,eu cleteeofltraiyl bcmailens,a hsceypohipphoamt rtiskec = nFanioc ysemondr umltpi(le mebdoinc dtynscifonu of a xpmirteloh lnodvecuot btuleu). +2



 +7  upvote downvote
submitted by lamhtu(139)
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oT eb nvee ree,crla sith udsnos elik anFcnio y,nesomdr hwcih sha dale to Tpey II TRA

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 +5  upvote downvote
submitted by sympathetikey(1600)
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syKe wree h:et

ruulosci-Ga

htpiah-rausoP

nAom-i iauicard

ohseT uolhds eb do-absrbeer yb eth T,CP so if rh'tyee nt,o eTpy 2 A.RT

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lamhtu  oT be evne erlrea,c hits udsson lkei oin*canF* seny,rmod hwchi sha eadl ot ypeT II **RAT +12
yb_26  oT eb vene eaecr:lr iWonsl desseai g&t;= cFinona esndrmyo g;&t= ypet II xmplo)r(ia RAT +
charcot_bouchard  oT eb veen rcrle,ea uoy all ehva ebne tpteyr racel +
charcot_bouchard  oT eb vene aerelrc, uoy lla evha been tyetpr ealcr +
yng  I dnot' tihn iths si islnWo ecrpp(o ni eecmdtse aleyr of n.e)oarc hTis si iistnyocss tarsl(yc in teh rnoace) -&-;gt nnFcaio mrnoeSyd &;t-g- ypeT II C()PT .ATR +



 +3  upvote downvote
submitted by nor16(70)
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tjsu wkon hweer eth ibg futsf / iptrnomat futsf si dobsre,er it is the T.CP No deen ot owkn ARsT hr..ee.

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 +1  upvote downvote
submitted by asharm10(37)
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pPtheasoh is wnod tath enmsa imgesonth is nrogw tihw P,CT enth nno onani apg oisdsiac htat msnea becnraiaotb is nto ngeib bbeodars, usgacuilor gniaa PTC so tjus seu oyru nriba adn oseohc crdeesea cabatenriob orosbpeatrni ni CTP

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 +0  upvote downvote
submitted by agraham416(5)
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I tdon' nkiht ouy nvee hda to nwko tawh sadiese stih swa, absueec I .t'iddn I otcdine ttah eht ikd saw ginlos a tlo fo tisghn in eht ui,nre os t'shree aylrbbop ehotnigms grwon htiw the knedy.i nOe fo the mina ftnsounci fo eth iydken is to ehreti basborer iabbcr dan sienc seh hsa a meolbrp beibgoarsrn a lto of herot ,sufft I juts dgifure alkc fo bcbari areooptbrins meda eth osmt sn.ese

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 +0  upvote downvote
submitted by titanesxvi(106)
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ywh otn daecrsee AC ytiiatcv in het xpirlmao ebu?tlu isth asol udclo adel ot eciotmbal sadosii.c

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ergogenic22  biancocr ayahesndr oithirinsb nac ueacs eypT 2 uAT bRt it si ton teh uasce heer st(sincy)iso +
doublethinker  hYea, I asid AC .oto bPlemro is hatt CA dneyeiifcc untw'lod eadl ot alkc fo rinropoaetsb of all hte osin sld.iet +1



 +0  upvote downvote
submitted by charcot_bouchard(574)
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A case fo oniancF drnsoe.my fI it wsa aidseotl epTy 2 TRA opotni B lwuod eb eht r.wanes

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 -1  upvote downvote
submitted by yb_26(316)
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ionlWs dsiseae tg=;& Fconani ornyesdm t;=&g amebcilot diisacos y(ept II lxa)iom(rp T)AR

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