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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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Teh siaedes eerh is utofcres aiaspssptehbho eydi.cefnic In ti, VI rcgylleo or seoftucr t’enods ehlp aesceub obth neert eht eneoeusonsciglg atpwayh elbow rctosufe ehstbpa.sopaih lcaaotesG on teh heort hdna ertnes eobav ti. I d’ton ktihn oyu reyall ndee to konw sthi to oceosh eht recortc wsaner inces eth naiccill peuicrt fo sntfgia heimogcylpya thta si trecdrceo /w omes osrt fo usagr ttha cna reten hte eiencoolnsgugse yatawhp dlusoh ucel uoy iton eht htgri rwna.es

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neonem  I otn'd hintk you lduoc haev yl*altto* edulr uot het reoth rwesnas - I kpdiec necyoggl raewkondb bcesaue ti nudsdoe nkid fo keli noV ekeirG ssdaiee tp-pseahhs6-ooe)u(aclgs ot me: eacrtczirheda yb fsginat layomheygcip, iclcat icoia,dss dna gayoheemaptl csnei euyr'o nto elab ot etg taht nialf stpe of oengixrpt lseucog onit the oo.dbl ewHero,v I essug in ihst scae yuo t'wndlou ees ttah lmboper of steo/ufcrrycloegl fninsoiu tno iircsnenga oodlb .ogceusl eiNc atc.ch +28
vshummy  I kinht oyu rewe eursp rsamt to hcatc oVn eike!rG Jsut to iefner yuor wrnsae /bc I dah to kolo shti up rfate egindar uyor exipnl,naato vno gkieer hsa a erbmpol with ugglenoenoicess as lewl as s.scolyolegyign oS dtyhe’ eahv a pberolm ihwt lcgrleoy and srufoect ubt lsao acotsglae cnesi yteh all fede toin lgeeugscinnsoeo efrboe .cpgsss--aaeooulehhp6t ertGa utthhgo spr!eosc +24
drmomo  lygcelro adn uorftsec thob ntree eht atpwhya rhut PDHA dan .cddpe-y3hege-alylrh laacGeost reetns uhrt p-l-hG1a to p-g-h1ul ivnsecoron +3
linwanrun1357  nI ihst uceas ort(euscf iahtsospeasphb cie,nretf.)isoy,cdeufc sduohl hple ot reecsain umser cs,leoug zbc it cna oebmce into P-g-suel6oc yb shoxrenieaoeher .e,fkT thsi onquiest sekma em ocns.ef.u..d +
krewfoo99  rcgcoAdin to ,wulodr rceotusf uisnofin lliw ton ecaisner odobl oluesgc llvese ni Vno rGseeik sesDaei as wlel +
atbangura  I evebeli Von ikereG si nto a elilbaspu eswarn cechio aebsecu a aoselgatc niiunfso odwlu tisll ton ese na nleoaevit in eolsgcu slvel.e eemm,Rreb ctaalsgeo ldcou be rdecvtnoe to oatlecgas 6 ,atpohpshe tbu in rerdo to motepecl gieeonungclesos adn alowl gcelsou ot alvee hte rLeiv ofr na irsaenec of tsi arciconentton in teh oolb,d the pneitat ludwo slilt ende ocsuleg 6 tpsehsaapho wchih is eietldanim in Vno reeiGk. +2
lilyo  oS wtha sideeas si sh???ti I eanm cdutnlo we aveh jtus rsaweedn teh eiqnostu sedba no teh fact atth eht enpiatt roepnssd to gesactalo gbien esuifnd and we oknw thta lstcoaega efdes oint e??gceesgniolsuno I ma so odecunf.s +1
djtallahassee  tIs rdiyreetaH stcFreou oienaltnrce itg?rh tsge sick ertaf feurscto dna I egsus cglloyre acn upjm ni iva aloesadl B on shit yhaatwp aiv epga 74 of 921F0.A tI kdloeo liek a tsecfuor ntgih ot em so I tjsu kmrdea uto the oreht snoe nda ovedm .on +1
paperbackwriter  jlslta@asaeedh I wsa eingrnodw a,mse but tdeheairyr rfsecuto trionlcenae sola utrslse in ninihiboit of oiglsncloyegsy /: onfugcsin enitsqo.u +
amt12d  A much eilsrpm awy ot ntkhi utoba ith,s ohuwtit yrintg to gfrieu uot a nioagsid,s I ekoldo at the imet eamfr rof ehnw eth cidhl swa rpst.nngeei He sah eanet lorpyo rof 3 ,dsya by on,w shi longyegc wrnbaekdo si .nego His dybo luwod be igrytn ot make csolug,e ohtfreere, neeclgnoogusise si ,mdpiriea ont eclnyogg anrd.owkbe +7
tyrionwill  if oftcsrue asenki is nto aeibllaav sot(fcrue ,nntrlecee)io tehn soem fucorest aym go to -P6F- by es,ihakeoxn tneh gsoe to G6P fi neeiosnslgecoug si .ndeeed rhoewve hsti 'apnsteti urfocset iknsae saw t,naitc os on tsrfouce dowlu vhae og to P6F, os hteer luodw eb on oodlb eolscug entecnmir artef jitcinone of rofut.ecs +1
shayokay  ouY hda to konw atth rsecoftu and llgrceoy erten ygisocslyl at A/P3P,DHG and tcgaaseol eernts gllsyiycos ta G6P atl;&g(-g 1p-l-ag ;-t&g -u-1gpl g-;&t -gp6u).l- This asnme taht one fo het 3 ynzesem btneewe GP6 nda /PGPHDA3 is not tinucnfingo r.eylprpo oMts ilyelk isht woudl eb sshpotthai,uee-6afc1ssprb-o aesecbu htere sedo ont aerppa to be tgynniah gwonr whit tuhsysaaihps.c,reie"sl1y6t-psgcFobslo o- (FP)1B efciyedcin is dtrccraeaizhe by idpeisco aucte ircess fo tcailc iissdaco nad itkceto yhmiecyp,lgao tninasfmgei as tnnihtepyv,oraeil pacine ls,eslp ius,esezr ron/da .moac uetcA issecr rae msto mmcono in larye hcd;hloodi yarnle hlfa fo fetecfda hlndrcie veha elmcogiyayhp ni eht nelontaa odirpe el(spclyeai teh frtsi 4 adsy) gnrseuitl fmor iencedtfi cgogyeln ss.eort tsarocF wknno ot tggirre edeisspo inelcdu e,frve ganfst,i esacdedre alor nekt,ia niitv,gmo i,fsncetion dna oinitgnse of lreag ausnmto fo cr.ufote s"coo.issn./4h3iwn.b/BwN/5.//polkKvthnmgt:w90b5 +1
shayokay  Aosl, enve tgohuh onV eierkG si zreicdgoeta sa a ggcyelno segoatr iadssee ti is rlealy a obpelmr htwi noisnegoesluegc tno negylogc eo.kdbwanr So enve fi uoy uogtthh tshi swa GV, you lstil oducl vahe gtntoe the tirhg ewnra.s nI GV, nya cmadcsonrhaoie horte tahn goscelu serut(,foc eslo,cgaat gro,lecyl .cet) will ton risae eht slpaam ogculse ellev euasbec ythe all eqrruie ogonesgnslcuiee ot be eecnrtovd toni cugloes adn tihs ntacon nphpea caseeub rhtee si no -c-tug6soasesplhaph.oe hiTs is yhw eth tttnareme fro VG is neequftr laor locsegu in eth rfmo of crashcornt and aavdoecni of outsrfec nad lgs.ectaao +



 +5  upvote downvote
submitted by usmle11a(102)
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ugsy GV olwud enwsro wiht etslgacoa sufoiinn, rebemrbme yteh dtno ehva aPG6es hichw anems hyet catn ercvnto ghiannty ot eoulsgc

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tyrionwill  ,Yes VG aksme eth elvri nito uclmse, eehrw lla usgsar eptce(x oescg)ul nac lony be rduenb ot rlgt+oeacltraoelmfyc( yol),sysligc PTA omf(r ATC smei,ltmaob to ievg icur )caid, nad taf tsedipo fr(mo lereoyrcugv+pyatl ggoin to +GTAF) to snreow hte iiutota.sn gruaS tcaonn be deam onti guseolc in elirv rof hreot sst.uies +



 +1  upvote downvote
submitted by cassdawg(1781)
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My umdb ssa ttugohh kaionteme wsa lkei maeain of tesokne ro nemhgisto nad tuhs tmena wlo senoetk os I smalto tpu ftaty acid otxodniia ytc(heotkoip mygyhl)oia.ecp FIY ketneiaom si ighh ntokees.

scfteeD in afytt cadi nxtoiodia uwlod laso eb odecercrt htiw teh rsaug dntoiiasd os eevn if uyo csuk ta ilcmdae aobcv oyu locdu rule ti t.uo

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j44n  if ti aws yclsoyigls etyh nduwlot eb laeb to bieztlemoa eth otslegaac reeih,t a edetfc in lnygcego ryigdwknlnsbooa/ogsleyec owlt'ud ffecet eth temiaidem sliebtoamm fo a neidramohcoas it ldouw etfefc teh lngo mert gatrose fo .ti I odn't khnti we rewe uepssodp ot nowk atwh iedesas stih is I hiknt we eerw tusj ssuopedp to ikhnt toaub the tmeisoambl fo eth rhtee ursasg ni .snuoitqe oxHkeesani only otrcvens fsotcuer hwne it is emrltxyee dadorveoel whit eutro(csitf has a olw ffytiani rof i..t. t'lehyl erven asy hatt os lset say "ighh )."Km eGclgyno sehysntis hpsnpea erov eitm nda eh dah opor infedeg rfo 3 dasy os hsi nogeyclg luwdo aeldary be gneo nda eh louwd eb ediimalymte tmaictpoysm eht dncose ish lodbo ecslogu odeppdr +



 +0  upvote downvote
submitted by adong(144)
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I aosl ahd no ieda atwh het idnagoiss swa adn ueyplr tewn fof Coamintl aii:nten' be aftty icad daioiotxn cb fo hte niakotmee, hihwc oyu ndu'wlto eb leab ot dreucpo fi ttah asw teh tdclcyef.ne eogG /desynwntesihbrsoak era ldretae to ynclgeog groaets ess,aesdi icwhh the irtpnensotae dtdni' neli pu llew .tiwh sAol I was ikntnhig of a ahatwpy ttha dluwo toonprriaec olrycel,g seforctu nad asloetagc whhic seeemd erom in ilen iwth cwnennygigl/se.es sBtgcsoeooyuleile hte tsla ot,w I went htwi latuyf lengsncisoguoee bc hatt ulodw eald ot ihs iymgyeh.acpol I odn't wokn who teigl ro plelpaibca htat si ot hoter uose,snitq tbu thtuhgo Id' at etsal shaer ni easc eyanon ndifs it ulhlpef.

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