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Retired NBME 24 Answers

nbme24/Block 4/Question#3 (reveal difficulty score)
A 23-year-old woman is brought to the ...
Renal tubular acidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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 +3  upvote downvote
submitted by โˆ—brethren_md(105)
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iResequr wnonikg hwo ot atlceluca an inaon apg - lkoo it pu. In ihts csea, ti is a mnarlo innao apg cobmeilat iicsdoas. Know the imnmuoencs LIDEUPSM and A.SSHRDA lRane bruaTlu csdosaii is the oynl aenrws ciceho atth si na lapxeem fo a anomlr naoin toicablme o.siicasd

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mousie  inoAn G:ap aN - C(l + OH3)C = nralylmo orunda 1-120 +5
seagull  dogo to .wnko I peek oinkgol pu eth nieru avlseu tub lal ti sadi asw "v",iesra hent I twerh my meocrtpu and eeyldl "sode atth aryv hoetMr r**.*seF* I do efle rtbeet nw.o +80
_yeetmasterflex  lgda I ant'sw hte olny eno hwo ogt vrey sipdse fof ta the rienu saulev +4
fulminant_life  lUlsuay het tifsr nghit I lkoo ta is tewhrhe or otn eht Cl- is .ghih rGneeally if het Cl- si high ist gngio to be a nalmro pga +9
henoch schonlein  i tkhni ehyt vgea you hte eriun luseav cb oyu anc culaetalc eht ENURI noani pag wchih si aN( + K - Cl). nI sith case hte irUne noiAn apG is vtipieso .(5) asrodB nda neodBy eninmsto atth a iopviets GAU si ued to Rlane arbulTu siodscAi Tpye 1 tin(bliayi of lhapa iateltardcne lslce to tsereec donegyhr osn)i. stuj nhrotea ahpopcar to awerns hist q +23
270onstep1  ulltyacA iheardra si eth "D" ni HnSSeasAorD"AR"( hwy I saw cktus teewneb nho'rCs dna )ATR. ndedE pu eggnitt it gthir htiw RA.T. +1
talha_s  oS the nsaeor tihs is tno shr'Con esdiaes si altyualc hwta BBn enalxpsi in lRean uTlubar doasscii v.oide teyAmni rethe is a cliteoMab oAcdisis wiht tnitac dniyke esitnrcoe of +H, het RRUNYIA nniAo pga (+CN)Kla- is GNE.AIVET hisT is ebaucse hte eesxsc NH4 that si tederces oint runie is dnbiemoc thwi l.-C fheoTr,ere ni oCrns'h edeaiss adn pyeT 2 lnRae uTblrau dAscis,oi eth narruyi nnioa pga is In.T EVGIEAN isth enqis,tou hte urayrin annoi gpa is IIEOSPVT so thsi olduw eb an xealmpe fo Tyep 1 RTA eaesbuc the eindyk can tno reextec +.HI tgo ti itghr by ,cheanc deliyfntie did ton enuntrdsda it ni tish umhc ailetd wehn I saw nerainwsg ti lol +11
ih8payingfordis  AF 9210 gp 850 - 185 +



 +1  upvote downvote
submitted by โˆ—medguru2295(64)
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uYo nitdd' yallre edne to atccauell ionnA g.pa heT bicabr saw PLXCATLIEOEYN .wlo thaT si rnlageeyl ATR. ntldoA,daliyi eht lC wsa eyvr gihh in eht snitegt of rheot anmrlo yte.eltcseorl .iyoat,ildnAld ti was a s low nseot ev(or 2 )ekwse gokciknn uot yman teorh hecoics y,S(laeailtc ticLca ic,Aidsso KD,A dan clAloioch coKdisesota.)i

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 +1  upvote downvote
submitted by โˆ—abhishek021196(119)
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rUnei noian apg = Uenir Na + K โˆ’ Cl

In a aelibmtco dciasosi uiottwh a murse nnaio :gap

A eisiopvt neriu ainon pag stsgsueg a low yarriun N4H+ (..ge elrna utarbul sisiodc).a

A aeivnegt rneiu ainon gpa esssggut a hghi anirryu NH+4 ..(ge aeidh.ar)r

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 +0  upvote downvote
submitted by โˆ—cocoxaurus(59)
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TBU hwy si het msreu pmsatuiso a?mnolr

I asw aebl to awrron it dnow to RAT, sbeueac enon fo the oreth arsewn soeccih aemd mhuc seens, tbu het ospustmai hda me oenscd gnsgsieu esly.mf nCa semeono plniexa that bla i?ingndf k!Tasnh

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subclaviansteele  My aetk is thta seh not rpsue ictacoid nad eht K is at eth wol .edn +
nwinkelmann  ees hte nmmcote by id@,rzb ihhwc snialexp that eht neriu niano agp si naiomrttp ciwh(h I took ot irnettrpe as mreo onrtaitmp hnat teh emrus K+ elle,v lo,l seuabce het nmolar K werht me off ).too +



 +0  upvote downvote
submitted by zbird(2)
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iTsh tntpiae ash yaspDetTli- I TAR hchiw si xiealpnde yb Nroalm Srume ionnA pag 8() Mtiaoeblc aosdiics with hre potieivs riayrun onani (+a)gp5.

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krewfoo99  hWy udwlo eht irneu Ptasmusio eb so hihg if ti is type 1 ? Sonthldu ti eb ytep 2? +
drpatinoire  @9ofwekro9 I ihntk t'is 2ATR oci(aFnn moy)de,rns he si goisln lla iksdn fo aN, ,K Cl hciwh usdohl eb eoerabsrdb in PCT. +1
misterdoctor69  pDnierao@r:it it n'cta be RA2T bueecsa the unier naino pag A(G)U is iespvtio (),+ hhicw speiilm thta the teapnit is abenlu ot tseerec H+ av(i H+,4N whihc losupce /w .-Cl) T2AR on het treho hdna hsa a geietnva ()- AUG cabsuee 2TRA fsfteca lyno hte oimlaxrp bu'selut ltaiiyb ot rbraesob ibencoarabt (..ie +H cestnoier iva 4NH+ ni teh lsdati cuolvdnoet utlube is t)f.naedcufe +



 +0  upvote downvote
submitted by yobo13(5)
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Cna meneoso ipalxen hwy ti acnt' be rC'snoh ensic ahtt wloud laos asuec a non GA?AM

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drpatinoire  If she ahs Cor,hn ehs ahs dlaeyar sotl a tlo fo K, HC,-O3 tneh the osnryoepmatc smetys tolnudw' let her peek slgino etyceloseltr in erh in.eru +1



 -1  upvote downvote
submitted by โˆ—sherry(35)
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ahrDarie ni SSDAHAR acn laed ot catbmleio ioiasdcs as .llew On sdeonc tthghou I dedicde ot aetk ocrhn aidesse zcu I drigufe hte lniclaci ieurpct si reom ntntemtietir htiw iatsmupso eibarcnsud.st I ssegu I sutj hetkrovni eud to the lkac of heotr ylpsihac e.oasrbatilinm

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daddyyikes  ohert nhat eht tteainp not hegniva yna xss of shnc'or i odnt ees any nsoear hwy tis not 'oscrh.n we fdfire rch'son nad tra by rineu oinna .gpa in rcconih rhadoriae it si giaenvet wilhe ni tar sti ve+ but ni oneistqu the ioann pag aws nmoarl +



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