NBME 24 Organic acid metabolism disorder (NBME Answers)

Retired NBME 24 Answers

nbme24/Block 4/Question#8 (reveal difficulty score)
A 1-week-old newborn is brought to the ...
Organic acid metabolism disorder 🔍 / 📺 / 🌳 / 📖
tags: biochem artist90

+47 upvote downvote
submitted by ∗lsmarshall(465)

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areU eyClc iordDsrse &g;t tIdoales eeevsr enrmemomyaphia t&(g; 0001; ..ie, on ehrot rseeve bacitleom ctieadubrnss

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nigOrca cmiidAase t;g& yiaaoremnpem,mH op-ainagn osidc,ias sokesit (mfor hcylpoyeg)mia

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Lveir notsydicnfu &t;g mpnaearieoy,Hmm LsTF mdeess up, rolde p.t

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lsmarshall Smyaurm fo lbeitcoam suiess irtlneag to paanrmoehemmiy +9

seagull 'mi alnenig radwtos thiennirO ebactyaaalnmrrss cye.endciif +3

notadoctor Not ures hyw sith stin' esdnicroed a ontdcrhmoiial rdedrsio sncei eht sisue is rietiOnhn rtsylaaeraacnmsb iyiecnfecd ni eth tihno?iraocmd +2

charcot_bouchard fi it aws tidlnaocoirhm srddeori no eon owudl eesapc +3

wowo figeru in COT ynfdciiece, htye hgmit heav to yitxeillcp emntoni eth crtoio aaidcuri DAN cyalpitly rensestp iarlere, roadun 482sr4-h of elfi fetra veeyh't def ta( aetls rpe )BB + aols erp ,BB cpiinporo aicdeaim nad MM diecamai avhe an tnose fo wesek to notmhs dna lead to ulbdi pu fo rcogian scaid -;g&t- micadaei ni dniiodta to arhyipmeoeamnm tn(o rsue hwy, btu asvrele aa tnere hte ACT leccy aiv npopyirol CAo --t&g; ylalmnmtohely oAC tg&-;- sncilyuc ,AoC ubt now hits is ducentf dt/ mezeny d.nfc..isci.ee?)ie ,wyhAon icnrppoio miiecaad srieedcbd on 10FA92 p,85 utb 'ntdeos itsl iemmoehpamryan +2

artist90 i kthin ti annotc be Oneirhint ealyrasnamtrscba cieciefynd bc it si XR deesisa. hsit tp has a htehlya yr2 lod etrrobh icwhh lruse otu ieklndX- vscesreei esdesia ccortre me if i m gorwn +7

artist90 ti is 01%0 pProioinc ciemaadi ldwrUo d-i:Q 4.130 it si na aetxc ypco tuoqsnei of rwdu.ol i tog it rgown bc i orftog thees are ngiaorc idsc.a But i ma litls foednusc no 2 h-oighn1 wts osde siascdoi scaue lcyoiHgamype nda she.y w-oits2K si amioAmn vetealed in eesth pst bc areu ycelc wlli eb ?fnie +2

yb_26 )1 pranmayomeiemh is nsee in lal ruae ylecc doisrdres eecxtp aiasgrne 2ecey nfcdii) narcoig diacs lcietdry bniihti uare cylec t=g&; emaiohapmmyren ro(fm dW)orUl +2

yex cnorAgcdi ot ,UW etrhe is rnetaho iesutqno # 431.1 This noe erersf ot mlminlehctayo idacimae RCO(GINA .I)MICAAED LHAEOYYCIGMP ulstres ormf elvlroa snredcaie atlbemico erta dlgeian to eecsarind cogeslu lzioiitaunt nda dirtce xitoc -)( of ggsenonucoieels by ganciro sdc.ai ehT eesernpc fo liyogapmhcye dsale ot sdernciae fere tytaf icad mbetisolam htta rcspdeuo OS,TEENK tlrsuegni ni a rfrhute naion apg met c.csaioid i,ylnalF onagcri saicd slao ciderlyt -)( the raeu l,yecc glniade to NMEMAAHYEROP.IM +19

ih8payingfordis I kihnt there ash nebe some csnonsfuoi eecuasb FA eosd a oopr ojb gianitrentg teshe nsotpcec thgrteeo utb ehre era smeo ees:rcenefr F A 9021 gp :85 iinpoorcP dimiecAa st(hi si eno xemepla of noargci icda bmmsloatie doedirr)s In the myrmusa urefig no Pg 74, okol ta eth topiern mmtolbseia d(ceotal oomttb girht.) lais,Blyac ouy nca haev esdrsodri erehw yuo aevh nC-oyoApPlroi duilpbu nloae OR Ayi-lonCPoor dna CohMnlylAayemol-t dub.uilp Ad n etshe noigacr icdasiaem ear moolautas rcievesse ni trhei tirhniaenec etn,stapr ihhcw tfi hiwt eht mest ewer' ngvie e(i XX uinasidldvi acn eb de cne)ffaOet tghni atht UW tseta atth I od nto vhae an ioaxlnepnta :ofr hte ulibdup of grianco iscda niibtih het uera elccy enhec the einasrce in ommiaan e(ynnoa ownks who isth a?nphspe) +

aaftabsethi1 Cna ooeenms ltel em hwy ont SAMEL ? +1

jaramaiha tabfta@aihes ceseabu lal of teh libsisgn uolwd whos emos ymmpotss if ti eerw to be a caolnroihmdit as.iesde Whihc shi rbrhote si a,hhtely dna rtesis asw tuelfml-r tbu eidd eud to uspefnicdie esac.us +

utap2001 yhW cadossii csuea lcepmoygaHiy dan stKosie nda yrpnaah?momei In oidcacsihssu( taiccl so-)iadgc;si&t dniceati bdyo negrye csiirs t&g;- cni. syyliolgcs, -oy&ieplygcHtgm;a in.c epntior kd,nrbowea Hnypeoiaammr -t&g; dc.e TAC ,yeccl sstKeoi +

forkyeaa sp.8pgmh/lPiastMhr/b/o3cCeri//c.ifltniv6/gti22mcF/..uw:ew12n/g7wn +

+8 upvote downvote
submitted by ∗powerfulgarbage(17)

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suJt ot dda to what moes troshe vaeh da,is tish is ni iFsrt Aid as ll.ew FA 0220 gaep 5:8

Oarcign iscedmaai ostm cnlymoom eprsnte ni canifyn hitw opro e,inegfd tniovgi,m ,iaotonyhp a ghih ionan pga motceliba dscsoi,ai t,ohgayeepalm adn zussiee.r

hTe rigcoan daci ocauntciuaml does 2 isnt:hg

iOcarng ascid tniihib eugolsigncsoene, naeigdl ot asngift ialyeocyhmpg iwhhc nteh ucaess iiedoscask,to aucnsig a hihg GA olaecitmb sicoadsi
rcianOg sdaic ibhntii the urae elcyc, giealdn to mimaameperyhon

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forkyeaa tish cnib trwclhafo wossh who het clcesy rea tbii.eihdn mhgti .pehl mpoFhnhg2/2fc/6ggP3se..7/snerlct:/ciwaml1.w/upCb/t2ii/8/wti.inrvM +

+2 upvote downvote
submitted by ∗sattanki(82)

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Ctan’ lphe ucmh no eth exatc grisaonne y,wh tbu treeh rea a fwe WorldU uqtsoiens no tish ewehr fi a oetanen sha lycoimhpga,ye tkioses dan omanhai,rymepme a gnricao acdi rosddrei dushlo be dsescutpe (ipnocroip acid or eltcomihymnla cid.a) Lsse ospssicuiu of an ART eacsu gclymapheyio is ton ithcaicsatrecr of .htat

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sweetmed mI mingauss bucasee -yttalcttaNelgmuea is an itslcleaor rtvaoiact fo SCP I deedne in aeur clyc.e dna AN-G si edam of etmtagula and eltcay o.Ac So ni ocgrian masi,icdea lla the taylec oCA si enibg euds to meak koenste rof ryngee siecn selgncoeioungse is messed pu. So rUea cecly etsdno rwko sa ewll nad N3H mlaccaesutu +4

+1 upvote downvote
submitted by passispass(1)

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My irensnago no hsit qoteissnu aws spimrle - I tkhin they etwdan su to icpk an salaumtoo rviseesce deaiess dabes on raetpnt of sdki cffeedta oh(tb amefles aer dfefeatc - 'tcna eb ntiyhang d-)lX;enik oby was ylhteha - uelr uto hla.icntidomro htWi sert - uelr out uesecab of sicnadeer maimnoa nda entalnifi onarttseeipn. nlOy gioarnc iadc miemlotbas srdieodr tlfe

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+0 upvote downvote
submitted by ∗forkyeaa(1)

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b/mnPt.ltn.8:ee/rii/.rpvt/ilcm//3.u7/21wC2Fh2o6hiMgi/wsfcwggpacns

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-2 upvote downvote
submitted by ∗abhishek021196(119)

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nOenirtih saanrcstybrmeala ec cneysidtoifM. oncomm uera lccey osdrd.ire l Xkndie- seeecvsir sv( hotre aeru ccyle zeyenm cec,ifisniede hicwh are mtsooalau si)ecr.seev

fnrIesreet tihw eht bsdyo’ abityil to neimtiael amiao.nm

Oftne iveentd ni teh srfit fwe sayd fo e,fil tub amy eerspnt taer.l xceEss bmoaryalc aoehthspp is norvt etedco ocroti aidc rtpa( fo eht imipenryid ynssteshi pyh.awat)

:gFdnnisi cIiroadtconee sr icad in lodbo adn ,eurni e drBeUa,seDNc psmmsoyt of myaremi.ohpmean imegsaol caobNlt iamaen (sv roiotc ui.)riaadc

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passispass Can ti be na kiln-eXd idseaes if ohbt eflmase ear efaectfd nad boy is tn?o I kniht yikellun +

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