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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 aisesed rehe si tsucfroe pssbsheaaohtip ee.yiicdnfc In ti, IV lyecgrol ro ctuosrfe t’sdone plhe ebeausc bhot rteen het nngoiesgosuecel hataywp bolew rusofetc bios.tasphehpa Glctaoaes on eth terho dnha etsern vabeo it. I ’todn hknti oyu alryle eedn to wonk iths to hoecso hte ercortc swrnea cisne the acillcin pcturie fo sntgaif apemyohilcgy htta is eredrccto /w esom trso fo agsru hatt cna ernet het csglioeegosenun yapthwa hdoslu cleu yuo into eth hitgr .naswer

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neonem  I t'nod hiktn you lduoc aveh to*tyll*a leudr tou eth rehot wsesanr - I peikcd gcloeygn oabnwedkr seeubac it unesodd ndik of klie noV ekieGr eaisdes e(htpu-6asscagehopso-)l to m:e ecdzhcaiarrte yb igafstn gyemlaciyp,oh lcaict saoi,csdi and moeealapgyth ncesi y'roue nto leab ot gte ahtt lfnia tpes fo epxtognri eosgcul ntoi eth obld.o ,rHeeowv I ugsse ni hsit seac ouy unolw'td ese htta lbmproe of ogsfretlole/yurcc oiniunfs otn eicsgnnrai olodb uslge.oc eNci catch. +28
vshummy  I knhit ouy wree upsre rtmas ot hactc onV eirke!G suJt to efrnie oyur anwser b/c I dha to loko sthi pu erfta endargi oyur aolnt,pneaxi onv kreige sah a eoprmlb tiwh gioosclngeseuen sa ellw as sglyosyeolc.nig So eh’dyt evha a pblomer thwi olrgyecl dan cefuorts ubt lsoa loscaagte iensc yhte lal edef oint neeoscgsloeingu foeber sgepohacol-h.6-taessup etGra ohtghtu srse!pco +24
drmomo  rylgleco dna rfuecost tohb etenr teh hytaawp tuhr PADH nda .d-3hehgrellpyaedc-y alGcestoa tesren urth hp-Ga1l- to p--h1glu osovcreinn +3
linwanrun1357  nI thsi uecas sourcte(f hpoasitebshasp d,crei,ffuts)iyeenc.oc douhls lhep to necaiser emrsu ,oceulsg zbc it cna beecom otin slu-Pecgo6- by Tooehrsh,e .nixeerfkea shit nsuitqeo mskea me dce..fno..su +
krewfoo99  cgiAnrcdo to orwdul, cftsuore uionfisn ilwl not nireesca bodol sogluec elvsel in onV ekGries asiseDe sa wlel +
atbangura  I vlebiee nVo rikeeG is ton a ublaeislp nsearw ciceoh ecbeaus a gstaoclae nisiunof dwlou tisll otn see an eoilantev in ucgoesl e.levsl e,mmbRere clasogaet cdluo be ovcdetren ot soaclaegt 6 ohtehp,psa tub ni rdore ot eltmocep celgsneuoengios and olwla slguceo ot eelav het irvLe fro na caireens fo ist ittenaccoronn ni eht lo,bod the tneiapt ldwuo ltsli nede csgoelu 6 tasshopaphe hwhic si etmniaeldi in noV kir.Gee +2
lilyo  oS tahw ediasse si sth???i I anem odnutlc ew hvae sujt wsedenra hte oqsnteui dseba on the caft taht eth paientt npsoders to aoecatlgs nebgi inefdus nad ew knwo hatt geolaastc defse itno n?eocnelsgu?osieg I ma so sdecno.uf +1
djtallahassee  stI iaertdyrHe Fetocrus oeerintcanl ?rtgih sget iskc aterf srctueof nda I ssueg gelrolcy anc upmj ni vai laolaeds B on this yahtwap iva geap 74 fo A.F0912 It ledoko like a fuscrteo ightn ot me so I utjs akerdm uot hte otehr osne adn dvome .no +1
paperbackwriter  e@dhaleltssaaj I was wnrigdnoe em,as btu ihdryartee ceftsuro lnrneetocia laso lsrsute in biiotihinn fo clnyeigyolsogs :/ nfusonigc eostqnui. +
amt12d  A uhcm lpemsir wya ot ntihk botua hst,i otthwui gtniry to furige uot a gnsiiaos,d I dooekl at hte ietm frema for hnwe het chlid saw itrpnsege.n He ash tneea yorpol rfo 3 a,ysd yb ,onw his ynoggelc dbowrknae is n.geo Hsi ybdo dlwou be nrgtyi ot kame csuelo,g err,eteofh elceugoingossen si aridi,epm ont ygnolecg noerwkd.ab +7
tyrionwill  if reocutfs asneik is nto alaivlbea r(cufesto r,ctlineo)nee nteh osme tusfceor yam og ot F-6-P by ,xknahesoie nthe oesg ot PG6 fi eocslsongeenuig si eeendd. vhoeewr isht pntitesa' frcouset aksnie asw at,inct so on ucresfto udowl heav go ot 6FP, os reeth dulow eb on oobdl elgcous ntnmicree trfae tnncieioj fo ro.etusfc +1
shayokay  uYo dha ot okwn taht tsfurcoe nda llyoregc trnee yollisgscy ta /DAGP3PH, nda atoscegla enerst yylgolciss ta PG6 al&-gt(;g ap1-lg- -&;tg 1-g-ulp &-g;t -p6u.l)g- This anmes hatt oen of hte 3 ezesmyn neteweb G6P nad P3/DHAGP is ton ginnfotnicu loer.yppr sMot yklile stih ouwld eb csa-ptsih6f,up1sethseaobor- ecseuba rthee edso ont eaaprp to be ynhntiag rgnow twih s.slyeoitpbuts6ys"h- ao-gc1eacr,pioshFsl )F(B1P ienfdiyecc si rdaztrahceeic yb spieciod uecat sicsre of lctaic sdaosici dan tekioct olygp,hcmayie ftnaseimnig as etyviarnonplt,hie npceai ,llspse reiseuzs, andr/o c.oma uectA rsscie are otsm mocnom ni eyalr cdoldhhio; earyln hfla fo cefetdaf drnihecl heva eoyichaglpym ni teh nntleaao deirpo elieaylc(sp the rsfit 4 ayds) gtiulners fmor icenftdei colygnge tersos. actrFos nknow to igtgrre dioepsse dclunei v,efre ,aigtsfn deeacreds olar ,ankeit tgvim,oin fc,sioinent adn nsgnteoii of grale usamton fo eoc rtsuf".bhcpl.w/n./tBiomw/hNv39sbiw/o5n.5/s04tgk:oKn. +1
shayokay  lA,so even tgohhu nVo rekiGe is zoaiergectd sa a lcoggyen aotgres diaeses it is ryalel a mlebrop whit uceelsisnneogog not yelngcgo eadwo.rnkb So nvee if uyo uhthtog ihst was V,G oyu llits lcuod evah teogtn eht ritgh anew.sr nI ,VG yan cdsemocairhaon teorh atnh lgseuco ouetfs,cr( galtesao,c ,locelrgy e).tc lilw not saeri eth sapmal ogsulce eevll eubaecs ythe lla urqeire nuogeoslegensic ot eb neodrectv itno ucgelso nda sith toacnn epanhp eabusce erthe is on lhoepctp-sg-uahs.aseo6 Tihs is hyw het emtaertnt orf GV si neqretfu arol uogcles in the omrf of arnctsrhco nad acondivae fo etfrscou adn .ogsaatecl +



 +5  upvote downvote
submitted by usmle11a(102)
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ugys VG oluwd wrnsoe tiwh soeclatag ns,nfiuio bemeerbmr tyeh ntod evha 6eGaPs ihhwc aensm yteh cant vecntor ihtgynna to gsceluo

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tyrionwill  ,seY GV kemas hte eirlv oint cml,sue erhwe all grusas pexce(t eoslucg) anc nylo be nrebud ot afecletgr(r+moolalyct lgo)issyly,c TAP (ofrm CAT tb,lmosmeia to gvie uric dcai,) dna fat pdioset (romf t+llecayrgyrvpoeu ggnio ot +FAT)G ot nweros eht tnuisati.o guraS cannto eb aedm onti lgeoucs ni vlier for treoh esstsui. +



 +1  upvote downvote
submitted by cassdawg(1781)
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yM ubdm sas tguhoht teaeniokm swa leki amnaie fo nekteos or mghsoetin adn htus manet wlo neeokst so I tlomas tpu yftta icad xtaiinood eitthcpkyoo( phyaoe)cyg.ilm IYF ikeamnteo is ihgh s.ektone

eetDcfs ni tfaty icda daxoiiont wludo slao eb drcotceer itwh teh gsaru sidiodnat so evne fi uoy sukc ta dmaicel aovbc yuo codlu erlu ti .tou

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j44n  if it swa sgycosylli teyh ntuoldw eb abel to almetioezb het gtselocaa ,etheri a edcfet in cgglneoy oli/gelyonybcgknsoewrdas wo'tdlu eeffct the maiemetid mbmlaotise fo a inhcameadoosr ti luowd tfeecf het ngol mter eragost of .it I odtn' tnkhi ew eerw susdppeo to wkon wtha eeiadss shti is I hntki ew were utjs duepspso to khnit tauob eth beliotamsm of eht etreh urgass in unesi.oqt Hsxnekiaeo ynol rtvoncse uftcreos enhw it si eyrxmltee edvdloeoar hwti otei(csurft ash a wol aiinfytf rfo t.i.. llyh'et vener sya atth so tlse ays g"ihh "m).K lconeGyg syisthens ahpsnep oevr etmi adn he had opor eeifngd rof 3 asyd os hsi olcnggye owudl yeraadl eb gone dan he uldow eb ltmaiemdyei tacpmsytomi eth dcsoen ish loobd lgoseuc podperd +



 +0  upvote downvote
submitted by adong(144)
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I osla ahd no eida twha eht osdaisgin swa nda relupy tnwe fof n emailC'tintoai:n be tfyta acid doianxoti cb of het ,kenmiaoet hihwc oyu unw'dlot be elba ot erodpcu fi htat wsa the Gfgcedn leetyo.c eadtiosyse/rhbkwnsn aer delraet ot nglgoyce gotsaer sei,sadse which eht rnneoaeittsp dtind' lnei up lwle ithw. lsoA I swa ghnitkin of a watphya atth udowl apierctrnoo l,roegycl urcestfo nda egalotcas wihhc demese erom in inel ithw ge. lgcoseysooeecwiseytuelglBnnnsi/ teh tasl wo,t I wtne ihtw tluyaf egcegoslsiuenon cb thta wodul lade ot his eaym.pilcgoyh I tdo'n nwko hwo tlegi or aiplceaplb atth is to eorht tsqonuesi, ubt tuhogth Id' at tseal reahs ni aecs neaony dnfis it plf.uhle

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