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Retired NBME 24 Answers

nbme24/Block 3/Question#18 (reveal difficulty score)
A 55-year-old man with alcoholism is brought ...
Competitive inhibitor ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by โˆ—m-ice(370)
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toeiitvCpme bsnhtriioi eenricas het mK of the tu.aetssrb eTh mK nreesesprt hwo lsayei a teubstasr anc ibnd eth tvcaie s,eti ihtw a eorwl Km gseeeptinrnr ayse bng,idin dan a rhhgei mK maengni meor dtcf.lfiui If ouy add a eititomvpce itn,orbiih kile tlehnoa in hsti aes,c it ksmea it emro tuidlciff for het atnhomel ot ndib the taeivc tse,i cebusae it must pemecot hwti eht elnatho.

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deathbystep1  but woh is onetlha a oi"tbin"ihr fo aolclho esndeo?edrahyg sint hte tcnepco htat ohtb noletha nad hlomante oemtcpe rof eth sema nbngidi etsi of hlaloco hsngdryoaeeed dna eecnh tlaneoh saeldpsic taemholn pgetievrnn tsi olamm?esbti if hnteloa ewer to be a botiiihrn it odwlu ahev to sthu ffo het emezy,n hichw si sdoe t.on +1
krewfoo99  hatdsp1tyeb@e etiepivomtC boiitrnhi mplyis esanm eingsriacn coarntoitecnn fo a arclautirp subttsrea lilw alowl erom inibgdn fo het ubstsater ot eth zn.eyme suTh eht ueststarb wthi het rhehgi antonitrnecoc lwil vmtpioectie hnibiti hte oehrt buttarsse by ninbdig ot the ezmye.n It sndeot eiryasncles hstu off eth emenyz +7



 +5  upvote downvote
submitted by โˆ—mcl(671)
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llloo so insdtae fo inusg mliopoeezf htye stju nnago egt ihm rlea nukdr

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johnson  ype - deo,luspsyp ntahole is eusd wneh a tciaolpiha/fysilt dos'net haev fozei.lemop +6
usmlecrasherss  kDnir vodka amn , eiethr yaw oruy'e yngdi +2
drschmoctor  rO fi ouy leyral anwna teg kdrun nda have a wram aepcl to leeps, nkdri a nhbcu of mhoealtn in eht niwigat oorm of eth E,D hetn let hmte pupm you fllu of ltneoha nda eepk uyo sf.ea +3
madamestep  ayeecdhaedlt is a tol tberte rfo you ahtn edlryfemdaoh +



 +1  upvote downvote
submitted by โˆ—j44n(141)
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I ahte ethes so mchu eseht tqesoiuns ievg me MTCA TPSD

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 +0  upvote downvote
submitted by โˆ—madojo(212)
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Teh mK si lnsyreevi tdeelar to eht nffiyait fo the enzyme for tis sersbtatu so ni thsi scae ew ntwa to eriaecsn mK so taht eht taifnyfi of tphiace olhaclo dreohydaeesng reescdesa fro hnetmloa nda het loaetnh cna thne act sa a ivopeciettm ibitrhoin yb rimcogeovn hte otoiatrncnecn fo mhatelno uhst nevrtgiepn xyoictit.

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 +0  upvote downvote
submitted by โˆ—an1(114)
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I leef iekl ovyreene si algtnki obtau lla heest itcaerons wehn I stju dwar uto eth gahrp. eW etadnw ot nereiacs het Km eo(vm ti no eth X ,i)sax htta lwudo dela to ti scnrosgi no hte y xias ().mxaV fi we kept eth mK ta teh asme s,tpo it nutod'wl pealrov eht poitn on eth xma seel dyet'h vaeh eebn het etaxc same el..is.n

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an1  ^^ if we tpke eth Km at eht saem ipt,no ti l'twunod arpvole the tonip no eht axmV and fi it d,id tey'hd ehva eth smae e*sli*n +



 -1  upvote downvote
submitted by โˆ—thesmexynevus(1)
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orcetrC me fi m'I nwgr,o tub I htikn het asnroe ohnltae is duse ot vpomleiitcety iihnbit oohclal shgnoeyddreae is cbeesau 'sit btalmetoei elcty)a(edahde is cmhu sesl cxiot hnta ayeomhdedfrl (waht oltemhna si ztaedoaibcl ot).

So uoy ettrbe heva a bd"a oti"naiuts ahtn a "woser "iu.tiatosn

sThi lowdu ,be fo sercu,o in eacs mefzlipeoo si not vblliaaae dan in occearadnc ot hte ius.indgele

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