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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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rsquieeR nkogwin woh ot ulcetaalc an nniao agp - look it up. nI htsi e,acs it is a lnmrao onina pag lcbmeoita soaisicd. nowK eht mimnunosce LDPUIMSE dna SHSARDA. leRna bulruTa ascidiso is teh oyln ewnsar hcoice htat si an xealemp fo a lmnaro naion bieoctlam so.adscii

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mousie  nioAn Gp:a aN - lC( + O)3HC = arlnmoly naudor 2110- +5
seagull  oodg ot .nwok I kpee lngkioo pu hte rineu uesalv but lal ti dsia aws vie,"ra"s tenh I wrteh ym utroepcm dna lelyed sd"eo htta yarv hMetor *F.*r*es* I od lefe ebrtte onw. +80
_yeetmasterflex  dalg I 'tasnw eht onyl one ohw tog yver ssedpi off ta eht eurin vualse +4
fulminant_life  yaullUs hte rsift thgni I kool at si twrheeh ro ton eth l-C si h.ghi aelnGryel if hte C-l is high sit ggoni ot eb a anlmro apg +9
henoch schonlein  i hnitk ehty agev yuo the nuier vauesl cb oyu nac accllueat eth UIENR ainno agp ihchw si aN( + K - C.l) nI tsih esca hte rnieU onniA apG si pstoivei ).5( sorBda nda neydBo smenniot thta a oietvisp UGA si ude to anRle ruTlabu iAidssco Tpey 1 naiitbliy( of paahl ndelerctaiat elslc ot retcese rhdgoney ino).s stju renohta pcarhopa ot rwneas shti q +23
270onstep1  ltyalAcu hradriea is het "D" in ASHR"(rAoDa"eSns hwy I saw sutkc wetnbee nshoC'r dna TR.A) eEddn up ntgietg it trihg tihw TA..R +1
talha_s  oS hte noreas shti si tno hCons'r aesedis si allcutay hwat BnB psnxiael ni aenRl bularTu sicodsia .voide yAetimn etehr si a ciltbeMao issodAci htiw itctan neydik ntceosire of ,+H eth YARUINR nonAi agp Nl)-Ka(C+ si AEEGIT.VN hsTi si euecabs the sxeces 4HN atht is reetdecs toin uenir si oicbmned tihw C-l. heeofreTr, ni rChs'on esaides dan epTy 2 lenaR urlauTb iss,cdAio eht aiyrrun noani apg is NInGETIA.V E tshi unqet,ois eth ryinrua onain agp is TEISOIPV so shit udwlo be an apmeelx fo peTy 1 ART aecsueb het kneydi cna ont cxeeetr IH +. tog it ithgr yb ,hncace itneeyifld idd ont srudndante ti ni siht cumh tedail ehnw I asw sneainrwg it llo +11
ih8payingfordis  FA 9012 pg 805 - 815 +



 +1  upvote downvote
submitted by โˆ—medguru2295(64)
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Yuo dt'nid yalerl deen to tlacuecal nnAio gp.a The iacbbr aws AITLENYXELCPO .lwo tTah si nlyaelrge R.TA lla,donytidiA teh Cl wsa evry hihg in hte tneisgt of ohrte aomnlr coyre.eslltte Ao,ntdildiy.la it aws a s lwo eotsn r(eov 2 sweke) noncikgk otu yman terho csoeihc alaceiyt,lS( acLcti dioAcssi, ,ADK adn chAoilclo sa.tisKoidceo)

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 +1  upvote downvote
submitted by โˆ—abhishek021196(120)
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rnUei nnoia agp = enUri aN + K โˆ’ lC

nI a teimoclab cdissioa wuhtito a rsuem nnoia pga:

A oiteipvs nrieu anion apg ssgsguet a wlo raynriu HN4+ .e.(g lnrae lrubaut ss.)iiadoc

A eitavgne inuer ioann pag gegsssut a high iuyarnr HN4+ .(ge. aariher.d)

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 +0  upvote downvote
submitted by โˆ—cocoxaurus(59)
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BTU why si the umsre aiotusspm mrl?aon

I wsa ebal to wrrnoa ti nwdo ot TR,A ecsuabe onen of eht hetor nrsaew icosche eamd ucmh sens,e btu the soipuamst adh em edcnso ssgugine y.feslm Can ooseemn ilenaxp ahtt bla ni?idfgn !aksThn

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subclaviansteele  yM ekta si htta she not pusre octidcia nda eht K si ta hte lwo d.ne +
nwinkelmann  see het mtceonm yb irzd@,b chihw pnexials htta eht nuier nnaio gap si itrtmonap wic(hh I otko ot rteetnrip as ermo niptoatmr tahn teh eusrm +K levl,e ,lol useaebc teh rmoaln K hetrw me fof t)oo. +



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submitted by zbird(2)
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iTsh itntaep has ie-tlsDyapT I ATR hciwh is neieadpxl yb roamlN rumSe iAnon pag ()8 eiboaltcM coiasids with hre votipsie yariunr aonni 5).p+(ga

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krewfoo99  Wyh wlduo teh einru usmoPitas eb os high fi it is yetp 1 ? tlSuhodn ti be yetp ?2 +
drpatinoire  wfooe@9rk9 I hntki st'i 2RAT anocn(Fi reody)ms,n eh si osginl lla insdk fo ,Na ,K Cl ihwhc uhsdlo be brbsreoead ni .CPT +1
misterdoctor69  iprar:in@Deto it 'tcan eb RA2T euseabc eth reiun anoni apg ()UAG is eitivpos +)(, ihhwc ipmiesl atth hte tpenati si lbuean to eeecsrt H+ vi(a NH+4, hwchi peuoslc w/ -.Cl) ART2 no eht ehrto hnad sah a anteevgi -() AUG sebcaeu RA2T cffeast onyl teh paxilorm lbutus'e ybaiitl to brosrabe tiaracbnboe ie.(. H+ otecrnise via H+N4 ni eht ildsta lcdtvuoone eutlbu si )eftfec.adun +



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submitted by yobo13(5)
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Can seoneom inlxpea why it ntac' be 'osrhnC csnie taht oudlw oals aecsu a onn A?GMA

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drpatinoire  If seh sah Crh,on hse has earyald ostl a otl fo K, -COH,3 hent eth mcpaorsteoyn etssym do'nulwt tle hre eekp niosgl ecelsltyrote in erh unie.r +1



 -1  upvote downvote
submitted by โˆ—sherry(35)
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rehaDair in SARSHDA acn dale to aceoitblm diassoci as ewll. On nedsoc ghtutho I eddcdie ot aetk ohrnc dasisee ucz I rgdifeu eht llcncaii peciutr si more rttnietienmt twhi paomuitss is.rbtaucdsen I esugs I sjtu tkvehnori ude ot eth cakl fo heotr yacsilhp nasm.ebiilraot

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daddyyikes  hrote than eht npttiea ont aieghnv nay xss fo c'rnsoh i tond ese nay eoasrn ywh sit ton cn.orhs' ew reffdi hrcso'n nad art by iernu noian a.pg ni oicrhcn rhaireoad ti si ngiateev lhiwe in rat ist +ev tub in qtsoneiu eht onani agp was naroml +



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