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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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eTh ieessda eher is fcrsuoet tapsbhsosaheip fcy.iceeind nI it, VI rcolygle or oeucsrft se’dont hple ucaseeb btoh retne het necgugenssoeiol ayphtwa welbo ucrotesf ato.apeshhsbpi lGoetscaa on the terho dnha snetre abeov .it I ’dnot nkhti yuo allery edne ot wnok stih ot hosceo teh ctoecrr rewsan ncsei teh lcnciila eptrciu of gtasifn ylhygomiceap hatt si ecdrectro /w msoe stor fo sruag htat nac ertne eth ososuegnngielce awpthya dhlsou eucl ouy nito teh gtihr w.nresa

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neonem  I n'tdo kihnt you oclud vaeh tly**otal dlrue uto hte hoter srnwaes - I epdcik cegoygln abenwkdro escaueb it nsddoeu nidk of like oVn ieerkG asidese p6)-lgssa(eoscoehhua-tp ot :em rrtizdaceeahc yb natigsf aoy,cylehimgp ctailc ao,icsisd dan tmahelpyegoa necsi eo'yru tno eabl to tge hatt fnila spte of pexiotrng gcesulo into het .obdlo orwe,vHe I gsuse ni hsti scae you dl'owutn see htta blmpeor of e/rfgecultlroyosc fnnioius otn gnsecriian bdloo csu.elgo eNci th.cca +28
vshummy  I nitkh uyo erew preus trams ot cahct onV Gerk!ie tsJu to erfeni oyur swrena cb/ I adh to loko tsih pu refta dgeanri ryuo laxineoa,tnp nvo gkeier ahs a lprmobe wiht gungiesonesceol sa well as ysygiclsl.oegon So h’eydt eavh a orelpbm thiw lloecyrg adn fusrteco utb saol ogaaslcet scnie tehy lla dfee inot seooeeigslnucgn eebfor 6poeh--egss.uhtapsaclo Gerta htgotuh psoer!sc +24
drmomo  ecrgolyl nad truoscef othb tnree eht awaythp utrh HDAP adn 3rdehap.hl-eegdclyy- Gltaceaos setren uhrt -pG1-hla to --uhgl1p oneoirvcsn +3
linwanrun1357  In tish caesu eufcrso(t shpoaiestpshba s.nu,fcrd,yito)ecfeice uodlsh leph to arcsieen ruesm uesg,clo zcb it anc ceomeb niot Pcs6ol-eu-g yb ho,eeeh nkeaTexfr.sior itsh qtsieuon ekmsa me ..fcdoeuns.. +
krewfoo99  gdccnroAi to o,wurdl oetfsucr snfioniu llwi not reinaces obold oesculg slevle in noV Gseierk saisDee sa lwel +
atbangura  I eevlieb onV iekreG is otn a uspallbie wnsear cohcie escaeub a toleasagc nsofiinu oluwd lstil ont ees an lentevaio ni scouleg .vleels emR,remeb eosgacatl uodlc eb onredcetv to goalaetsc 6 hhseoaptp, ubt in rerod to eploetcm gesogueilncsoen dan wallo guceols ot evale hte evriL fro an esrancei of sti tnccnrtaenoio in the bo,old hte taitpne ouldw lslit deen luoegcs 6 soapashehtp cwihh si lnamiteedi ni oVn k.reiGe +2
lilyo  oS wtah sdeeisa si ht??i?s I name loucntd we have jstu dnwesera eth utsioenq aebsd on hte fatc that the iattpne pneosdsr to tocsagela iegnb nesuidf adn we wokn that colgtaesa eefsd onit ??cnuoeslegngeois I ma os ou.ecsfnd +1
djtallahassee  sIt eyrdaierHt tFucrsoe enrnotlaeci ?irhtg gtse cisk efatr orsuftec and I gsesu rlylcgeo nac pmuj in iav saldoael B no htsi wphtaay iva eagp 47 of FA.9120 tI loeodk klie a tseurofc htngi ot em so I juts rademk out the trohe osen dna dovme on. +1
paperbackwriter  easaeladh@stlj I wsa ndwironeg sam,e ubt ehrdiaytre tuocserf atrniconele sloa lrstues in oihtinnibi fo nyllisogsygcoe :/ fnociugns suoe.tqni +
amt12d  A hmuc mrelpsi way ot hntik otuab hs,ti uotihtw irygtn ot efrgui uto a ,issoganid I kdloeo ta het imet fmaer rfo nweh het dhlic wsa enirep.gnst eH has neaet lrpyoo orf 3 ,sayd yb ,won hsi geglcyon knoradbwe is eg.no sHi dybo uwlod be ntgiry ot aekm sclug,eo ,ehroftree oseeucegngonsli si e,mridapi ont gcnoelgy kaeb.owdnr +7
tyrionwill  fi sfeucort naiesk is tno bveallaai socfetru( cenel,rnoeti) nhet mose ucsefort may og ot F-6-P yb koieensxh,a etnh gose to PG6 fi esneioncougsgel si ed.dnee erhovew tihs nait'pest uftcreos einask aws ti,ntac so no escfruot uwlod aevh og ot F6,P so ethre wuold be on boldo ecuolgs rimneetnc etarf ietniocnj fo sfr.eutco +1
shayokay  ouY had ot nokw thta ucoertfs nda lrogecyl ntere oiyllcygss ta P,DGHPA3/ dan latocsgae eretns ycilosgyls at P6G (tga≶- -l1apg- ;&g-t -l1p-ug t-;g& lgu-.)p-6 hTis saenm ttha neo of the 3 emznsye teebnew P6G adn GHP3APD/ is nto fonngintuic relypop.r Mots ielkly hist uwdlo eb osf-c6suish-b1tprephaeoas,t ecbaues teerh sdoe tno peaapr to be tnihagny nwogr thiw gcioasll"cyspiaossbteoyrhsu-Fp-.6 teh,s1 1BPF() ficdieycne si eadicrzhartec by ecoiipsd etacu crsise fo citcla iioacsds dna koticet ghyylpocea,im eiansgnmfti as npy,itvltiraeoenh icapen ,lsplse ,srseiuez arodn/ caom. cuteA iessrc ear smot omncmo in ayler o;dhchildo yaelnr flah fo eetcdffa ilnhecrd aevh echlymiyapog in the aaltenno direop eesc(lyaipl eth frsti 4 ydas) risegnlut fomr idfinecte eogycgln e.strso rctsaFo kwnno ot gtergir epesdosi niucdel vefr,e sgfatin, ecaedrdes oalr ekanti, o,gnvmtii necsionit,f adn tenonisgi of eglar amtsnou fo uetr "s.focK4o/hv/clnti.to.hbBs5n.nw:bNws05/ik/wg3pm/o.9 +1
shayokay  s,olA nvee though Vno eGreik is dtzrecogiae sa a oclggyen argteso isdeaes it si reayll a orpembl wiht ouegsenionceslg not nogeyclg bnakeorw.d oS enve if ouy htgthuo itsh asw VG, yuo ltsil lcduo ehav teontg eth rgthi .resawn In GV, yna cdnmehacirosao eohtr hnat elcsguo so,cr(teuf ose,lacatg legclyo,r .ec)t iwll ton aersi eth salapm olusecg eevll bueacse yeth lal uerirqe ecguninoegsleso to be certoedvn iotn coluges adn this octann ehpnap eucabse etrhe si no opss-heue-cg6.atspahlo iTsh is hyw eht tremettan ofr GV si eqrefunt ralo slcguoe in eht fmor of choracsrtn and civneadao of rotfeucs dna lgaec.tsao +



 +5  upvote downvote
submitted by usmle11a(102)
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ugys VG wudol srenow hiwt oatlagesc oi,nuinsf ebemrberm ethy tond veha PeGas6 cwihh nmsae yeht natc onverct itnngyah to guoscle

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tyrionwill  ,Yse GV kaems eth lrvie inot uslec,m ewerh lal srsuga xet(pce ul)cgseo cna olny eb ndbreu ot teaf(ylooccamlegrtl+r sg)iscoylly, TAP (fomr TAC mbsaioltme, ot gvei uirc c,)adi adn tfa psitoed rf(om evageplrtlycoy+ur gngio to +)ATGF to rweons eth saotntui.i Sguar anctno eb maed niot ceusogl ni lvier for rhoet .stisseu +



 +1  upvote downvote
submitted by cassdawg(1781)
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yM budm sas ouhthtg enmeakoti saw iekl maiane fo nsoeket or gehstnomi and hsut nteam low oeentks os I motsla tup aftyt cida ioaiontxd iphotyct(koe e)ioyclh.pmgya FIY omanietke si ighh k.eeotsn

feetcDs in ytaft acdi iiodtoaxn olduw also be rrccdteoe wtih teh ursag ainditdso os vnee fi yuo cksu at diemacl voacb yuo udlco erlu ti u.to

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j44n  fi ti wsa lyioysscgl etyh tolwnud be blea ot obliamteez hte sleocatag hrtee,i a fetdec in goneyclg nagiel/osswdnkorocyeblgy u'owtdl cfteef eth maeiimdte tmoeiamlbs of a irsdahaeoomnc it owldu eftefc teh gnol tmer esorgta fo t.i I t'don kthni we ewer upspeosd ot wokn whta sisadee hsit si I hknti we weer ustj osdeupsp to kihtn utboa teh miatmboles fo het erhet suagrs in snqet.oiu xHkesaneio oyln oevrtcns escrtfuo wenh it is eyemrxetl eedldravoo ithw rfos(ucteti hsa a lwo fyiiftan orf t..i. ylelht' nerev sya htat os setl yas i"hhg .mK") engGlcoy nsssihtye aepsnph over eitm dna eh adh ropo egenidf for 3 sday os his ogcngyle owuld aerlyad be ogne and eh udlwo eb dlymmieteai scmpyottaim het ndeosc ihs obold esclogu epprddo +



 +0  upvote downvote
submitted by adong(144)
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I sloa dha no diea twha teh oasiidgsn asw and epyurl twne fof meCoinaia nt:nit'l eb fytta ciad odxitnioa bc fo hte eakm,einto icwhh oyu utdon'wl eb laeb to rcoudep fi that wsa the .edeG ecnglocfyt n/tsbrekodyhsawines aer etaderl to ngycelgo gseoart seessia,d whihc the pontestirnea n'idtd lnei pu llew .hitw lsoA I asw nginikht of a ptyhaaw taht duolw aroirocntep ecyorl,lg rsuecfot nda aactelsgo hhiwc mseeed mreo ni lien iwth wtoyingseeBlc.neyosl eleoe/sigugnsc hte tasl ,owt I ntew hwit lfutya gognscouilnseee bc thta lowdu leda to ish miolpyagcy.eh I do'nt konw woh litge ro blaelacipp atht is to etohr issoqt,eun ubt ththuog 'Id at tleas srahe in esac eynnoa finds ti ep.ufllh

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