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Retired NBME 24 Answers

nbme24/Block 3/Question#24 (reveal difficulty score)
A 3-month-old boy is brought to the emergency ...
Gluconeogenesis 🔍 / 📺 / 🌳 / 📖
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 +24  upvote downvote
submitted by tea-cats-biscuits(273)
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The iesadse rehe si toscurfe saahipohpbetss idyfnccei.e nI it, VI olegylrc ro uorsftec t’oedsn lpeh sbeuaec both tener eht ggeinuonsoecsle pawyhat webol ocrtefus boeahat.isphsp eolcGaast on eht terho hand neerst vaobe .ti I t’nod ntkih oyu relyla need ot nwko shti ot ocshoe teh roctcre resnaw neisc the ccinlial icupter of snitagf cyyimhogeapl thta is todecrcre w/ semo stor fo grusa that nca erten eth genuionleesocsg hawatpy ldoshu lceu ouy tion het trhgi ranews.

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neonem  I ton'd hktin uyo odlcu ehva ytotl*la* duerl tuo teh toehr rnseaws - I kcipde gngyeocl aroeknbwd sbeuace it ndusdoe ikdn fo ilek Von eriGke iesdeas posoa6cepla(uh)hsstge-- to m:e ieazcecdarthr yb gtnsafi agiomce,phlyy actilc ssoiciad, nad oteeglamahpy iencs 'euyor ont aelb to teg atth flnai etsp fo nrpgxoiet ouelcgs iont het o.odbl vee,Hwro I esgsu in this csae oyu udtlown' ees ttha opremlb fo loo/lufccregytesr usfionin ont sirgiannce dbolo scgueol. Ncie c.acth +27
vshummy  I iknht ouy ewre speur rstma to cahct noV Ger!ike tsJu ot eirfne uory eswnar bc/ I had to kloo iths up aetrf ianrdge uryo netxlapin,oa vno egkier sha a mbolper thiw gsluegosocenein as lwel as ysgs.cyoeinollg So eydht’ ehva a lrbopem hwit cryoegll adn ofcesutr but sola tcaselago eicsn etyh all fede otin segseugnonlcoie befreo eahgoosletp.-as-hpuc6s Geart ohttugh eorss!pc +24
drmomo  eoyllgrc dna sotfcure tboh eetnr eht ahypawt uthr DPHA and pcalee.d-hegrlyh3-yd aoacetGsl renets uhrt -G-hpa1l ot g-plhu-1 icosneonvr +3
linwanrun1357  nI hsit csuae usfec(rot hbaotsphipseas fyfsc,e,.cnctdeoi)ueri suldho lphe ot cnseerai eumrs scle,gou zcb it acn bcmeeo onti lcuo6sPg--e by kheesohoeer,.ie Txafnr stih eusoitnq amkse em souc..end..f +
krewfoo99  gnrdAocic ot rul,owd rcutofes sifunino will ton nserciae doolb uslogec vllese ni onV eiGsker aDeiess as llwe +
atbangura  I ieveleb onV reGeki is nto a pllubaeis rwesan cicoeh aeescub a gectsaoal ofuinnsi lwduo llsit ont ese na veoanietl in ugseloc ellv.se emeR,berm egaaltosc uodlc eb oectrendv ot lagcosaet 6 psoheahtp, ubt in dorer to moelpcet ogeinoeguensscl nad lowla cseuogl to leave hte rivLe for na eenircsa fo ist cttonenrnaioc ni teh bold,o hte eptaitn oudlw tlisl nede cgseluo 6 tasaeohhpsp hihcw is etlmniadei ni noV ei.kreG +2
lilyo  So htwa sieseda si ??hits? I mena cndltou we veha tjsu rnweedsa het inutoeqs sbdea on the actf ttah eht pnetita depornss ot aeclgoats eibng nsfidue nad ew konw htat ltsgeoaca sfede ntoi inlse?cgs?oonegue I ma os csn.feoud +1
djtallahassee  tsI dyrreaiteH recusotF aceennrtiol ?hrigt tesg cisk etfar tcuorsef dna I ssueg lcolergy acn pumj in avi dllaoaes B no shti yatwhap vai agep 47 fo 9A.0F12 tI eodolk iekl a tsufrcoe hitng to me so I jstu kearmd otu the tehor seon dan oevmd .on +1
paperbackwriter  lladta@assehej I was igdnwrnoe me,as btu drityrehae trueoscf tcnreaeoinl slao sleusrt in iinhitbnoi of gencigylsyools :/ icnfsgnou siqn.etou +
amt12d  A cmuh esplmri ayw ot ktnhi utabo htis, uiothtw gntryi ot igerfu otu a idoags,nis I dookel at eht mite rfaem ofr hwne het idhcl was sn.eneprgti He ash ntaee rlyoop ofr 3 ayd,s yb ,now ish egcnloyg kodernawb is ne.go Hsi obyd dwulo eb griynt ot eamk ,loceusg ,trfheereo sleicgoneguseon si rm,deiaip not lggnecyo .narkdbeow +7
tyrionwill  fi srftuoec naseki si otn ealvaibal ecr(ousft enie)r,etconl tnhe eosm tuefoscr yma go to FP-6- by hknxsiaeo,e thne eogs to P6G if ocenoiegelgsnsu is ed.deen hvoerew sith iat'petns esoutcfr aeniks saw ani,tct so on fortcues wuldo vhea og ot F,P6 os eethr would be no bldoo guscole termnenic reatf inijtneco fo eftucso.r +1
shayokay  oYu ahd ot wonk atth rsucoetf dna elrgylco rneet slioyslcgy ta 3DAHPGP,/ adn ltacgeaos rsenet cysioslgyl at GP6 ag&lg-;t( -a1lp-g ;&tg- lgu-p1- &t-g; u)l-6.-gp hiTs samne ahtt oen fo eht 3 zmeeysn ebentew PG6 adn 3HGAD/PP is not nnoingutcfi rropep.yl sMto lkeyil shit wuldo be --sbhefssrauptoo1sapc,eti6h eueacsb ehter seod ont praape ot be agitnhyn gronw ithw sgyseio t6osoai,hsccyplp.Flaestb-1"usrh- B(F1P) cdciefinye is ehdrczaaricet by cdioesip catue ssreci fo lcaict ciisdaso dan ktotiec o,cepylgyahim aensfimtgin as ntei,apvyetilohnr pcinae leplss, ze,issuer rod/na ocm.a cAute ssicre era ostm mcnomo in rlyae ;odcidhohl laeynr hlfa fo eaefctdf nhdirlec eavh ilamogepychy in the tnleaano oderip ilps(lycaee hte fsrit 4 d)sya inrtleusg fmro fidentice yencgogl teos.sr csrtoFa woknn to rgegtir esospide nicelud rfeve, fgai,tsn eeceadrsd loar neiakt, iovgnmt,i nosntceiif, nda gnnoesiti of agrle aumosnt of r" fut.ecsocBml/wbnih9:gsN.o5iw.ntwo4.3ovs/K/tnbkp5/./h0 +1
shayokay  ,Aosl enve otghhu Vno rkGiee is rdozeigetca as a oygnecgl tosaerg seasdei it is elarly a mrpbelo whti eulsninggeesoco ton engogcly dko.ewabnr So even fi uyo uthohtg isht swa G,V you ltlis dcluo vahe ogetnt eth rtihg e.anrsw In ,VG any nadrhoccimsaoe trohe athn eucoslg usfoce,(tr ls,gatocae lcylge,or c).te wlil nto isrea the asmpal scgoeul elevl ecbaeus yhet lal rqierue ilocgoenuenegss ot eb dcernveto ntio ueclogs dan thsi tconna ehapnp absecue ehtre is on shpeoot-ha6ugpec.-lsas ihsT is why the tneramtte orf VG si qrefnteu raol goseulc in eht frmo of htcsrraonc dan vcainaedo of frotecus adn loagcesa.t +



 +5  upvote downvote
submitted by usmle11a(102)
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gsyu GV luwdo rseonw twih gocslteaa ofisi,unn brebeermm teyh todn have eP6sGa icwhh msane yteh tnca nvcrote gaihyntn to slugcoe

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tyrionwill  ,sYe VG eamsk eth lrvei tino ,selumc reehw all gsraus cxp(ete )ulsgcoe can ynol eb uderbn to tgm(llcyorlrceeaafo+t iy)solgy,cls PAT orfm( ACT ,eslbmamoit ot vige ciur cadi,) nda tfa tosepid (mfro peragylrcety+lvuo gigno ot G)FT+A ot enswro het titn.auiso Sruag cnntao be dmea oitn elcgous ni lierv fro hoert itss.use +



 +1  upvote downvote
submitted by cassdawg(1781)
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yM dmub sas utghoth iotemaenk asw ekli iaeman fo sotenke or htoinsemg nda tuhs etanm low eosnkte so I soatml put ttyaf iacd oitdionax hteoytk(iocp pohmg.eiycay)l IYF meoentaik si ghih tks.noee

tDsefce in atfty cdia axotiodni luwod lsoa be rocctrdee wtih the usarg idntsadoi os nvee if yuo cuks at leicamd bcvao oyu dlcou leur ti .tou

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j44n  fi it aws ssiygoclly hyte tdwlnou be leab ot mbeeaoztli eth gloesaact ieterh, a deeftc ni enlgcygo sigsoycb/relodnlanoyewgk dwult'o fcefte het imiemadte seltimboma fo a osemdianharoc ti dlouw cfefet teh gnlo mter eaotsgr of ti. I 'ndot tiknh ew rwee eopdpssu ot oknw htaw sadesie tish si I nkiht we weer ujts oupdspse to hinkt auotb het sbiomtlame of the treeh agussr ni nu.teqsio esnkoaHxie yonl vrnecots ecrotfus newh ti is yexrlemet lvdearoeod htiw utfs(oeirct hsa a wlo nftfiayi ofr i..t. et'lylh eervn sya that so selt sya hg"ih .Km") nGyceglo tysesnhis ephnpas evor ietm nad he hda oopr difeeng rfo 3 aysd so ish glyocgne luodw aaylrde eb egno and eh luwod eb damiimlyete psmmayiotct teh sdecon sih obldo gluocse ddropep +



 +0  upvote downvote
submitted by adong(144)
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I osal hda on idae wtah teh sdosnagii saw nad lryeup tenw ffo ioin: timatanC'eln be yatft cida xnoiaiotd bc fo the e,oemkinat hiwhc uoy wln'tdou be albe ot pcredou if ttha was eth cecng.dfoe Gtlye khs/oswnntyebiasrde ear dealret ot elgnygco grotase e,sdeiass hichw eth titneasnepor tni'dd niel up lwle h.wti Alos I wsa hkgntiin of a yatphaw taht wdolu ronariceopt glyoe,lrc fruscoet dna csletoaag hcwhi edesem more ni eiln ihtw cgonse.eylie sBowclonieunltg/gyesse eht satl otw, I newt thwi ylufat gnosueigseecnlo cb htta lwoud edal to his cyplahmioy.eg I 'ntod wnok owh tgile ro ipepaalcbl ttha is to heort ,utessoiqn ubt hthugto I'd at lsaet earsh in sace ayonen idnsf ti .huplfel

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