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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

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 +47  upvote downvote
submitted by lsmarshall(465)
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areU yleCc sredosirD ;&tg seIatdol eevres eimmopaynmaerh g&(t; 0001; e,.i. no erhto esveer biocleatm rnicebastusd

Ohnineirt bcmsysanlraaaetr dyeciincfe &g;t (msto oncomm uear eclcy is.)d tirooc ucricadmi/iadieaa, iaemyahmeompnr

agOicrn cdsmeaiiA &t;g nm,aaremieHmyop pingn-oaa sioadcis, sitkseo rmo(f aleioyyc)phmg

dMeaii-mhcnu cy-aolCA enrdhsgaedyoe edifcyienc ;gt& yHrpam,enmomaei htctkioeoyp yhipmlcgoaye e(esn ni βtxonoii-ad rer,sddsio EECPXT uydsrnrolephkta)oeody

rviLe nstydunoicf ;tg& eiammmenrpoyH,a LFsT eedmss u,p elodr .pt

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lsmarshall  Smmyura of itlbcaoem iuesss lintegar to eaomymepanrhmi +9
seagull  'im glninea wrdsoat inntirehO baatrmsrycnaaesl cd.fniyceie +3
notadoctor  oNt user wyh tsih 'nist neisderdco a ilmaiotchrond erodidsr senci het uiess si enihnrOti lastemncrsbaarya cindfyeice ni eht ihronamdo?tci +2
charcot_bouchard  if ti saw critilahdnoom oddesrir no neo doulw spceae +3
wowo  uerfig in OTC neciidy,cef yhet timhg evha ot explyiitcl nimeton teh torico caaiuidr DNA yllpcytai preetssn ea,rrile arodun 4shr-428 fo ielf tfrae e'yvthe fde at( tseal epr +BB) olsa rpe BB, ncopipori aemcdiai nad MM amieiadc ahev na tneos fo sekew ot hmtnso dan adle to lubid up fo inoacrg dcisa gt--;& damaiiec ni inaiotdd ot mnmemiyahrpaoe n(to erus wyh, utb aersvle aa rnete eth TAC ylecc avi rippnyolo CAo -g;-&t lolyenltmmyah AoC gt-;-& cncsiuyl ACo, but now itsh is uecntfd td/ zneyme ed.s.?i.ciin).ceef w,ohynA oincpopir cameiida rdicebsde on 12F90A ,8p5 tub 'ontdes ilts iayeommearnhpm +2
artist90  i tinhk ti nncaot be rOnitinhe nscyasaltaebmrar ycdnfciiee cb ti is RX esde.asi tish pt ahs a hlhteay y2r lod orbrthe ihchw rsule uto -ineXlkd vieseercs eassdie ceorctr em fi i m norwg +7
artist90  it si 0%10 npciiroPo maaiidce olrwUd -di:Q 31.04 it is an etxca cpyo stnueqio fo lwurod. i got it gnwor cb i tgoofr eeths are gcaorni icd.as Btu i am isltl fuscenod on 2 wti-h1sn gho esod coaidsis uesac pyHeigaclomy adn .oieh -w2tsysK si maAinmo aeletved in etehs stp bc raue lycce wlil eb fe?in +2
yb_26  1) emamnhoirpaeym is nsee ni lal uaer elycc srdoiders ctpxee rasnaieg dce i2cfe)nyi icgonra iscda tydclrie ntihibi aure eccly =&t;g riayaphommmene mor(f drWUol) +2
yex  odcgcAinr to W,U rehte si oanrthe tquensio # .1413 Tshi neo rersef ot moeycmllthian aiaidemc G(NROACI MECDAA).II EYCMAPYOGIHL sesrutl frmo lerloav easeidrcn iebolamtc trea dneglai to eesniardc ceglous tnailziuoti and eictdr ixcto (-) fo uglcsonenseieog yb agnoirc ds.cia The eprecnse fo ophlicgyaemy daesl ot eecnasidr feer yatft cdai ailemstobm hatt odeupscr ,SOEKNTE ilgnteusr in a frhteru innoa pga tme adccoiis. i,Flayln ingaroc iasdc lsao ryitdlec )(- the aeur lycc,e eglnida to MMY.MPAEHRAONIE +19
ih8payingfordis  I hntki ereth sha been moes fsicnuonos seaebuc AF deso a opor obj ggtnetaniir sehet entpsocc gttreohe btu reeh rae osem eerc:fsreen AF 9120 pg :85 onPoircpi iadcimAe iths( si noe xelpame of ornicga aidc tesmoialmb )rdiesrod In hte muyasrm greiuf no Pg 47, olok ta hte eprnito smboimetal oedtl(ca tootbm gti)hr. clBa,ilsya ouy acn ahve sdderrois ewerh uyo aehv ooroyPAnl-Cip ludpibu neola RO yAiClPonoor- nad ao-MelnyyhlCltAom bp.duliu ndA heets agirnco acidmiaes era atluaosmo iveesecsr in erith hticieernan ,tsenrpta ihwch itf htwi eth esmt er'ew gvein i(e XX iildduivnas cna eb eO c)fefdeatn ginht that UW tstae taht I do tno have na aonexpnitla o:rf eth lpuubid of icoganr acdis bhiiitn hte areu leccy cenhe eth riancsee ni iammnoa anyneo( sownk ohw shti ?)pnshape +
aaftabsethi1  anC noeeoms tell em hwy ont SMEAL ? +1
jaramaiha  @tbafshiaeta auesebc lla fo eth ignlsbis oulwd show eosm ytspsomm fi it eewr to be a aoimtnhrdocil eied.ass hihcW ihs oerrtbh si ,aeylhth adn ssteri aws umftl-rel ubt iedd due ot efcsnpiudei s.caeus +
utap2001  Why oiidacss uaecs ayiHcleymogp nda Kotssei nda ?mnrmoaayihpe nI soassihiducc( cictal d)ias-gci&ot;s niiecdat bdoy egyenr siicsr ;&t-g cn.i ilsc,ysyogl yctH;igegam-&plyo c.in ternpoi nbak,wroed apmmreaoHiyn t;-&g .edc TCA ec,lcy oteKsis +



 +8  upvote downvote
submitted by powerfulgarbage(17)
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tsJu to dad ot what mose strhoe aevh is,ad sith is ni Frtsi Aid as w.lle FA 2002 gpae :85

ncrOgia miaicseda msot omycolmn tneesrp ni finacny ithw oopr gedi,fen vngimtio, ,iaphootny a ighh oiann gpa mtebolcai sdoii,asc emhael,paogyt nda sze.usire

heT giocrna aicd muuiccaonlat osde 2 sthign:

  1. gnraiOc adics itiinhb ooingnsceeelgus, nlgiaed ot sgaifnt pamgylhceyio hcwhi enht ssceua etka,ossidico guasicn a ihgh AG boamticle aicdossi

  2. gOcnari dcisa nhitbii eth raue lecyc, aedginl to mphraanmeeoyim

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forkyeaa  shti bnci hltoarwcf whoss hwo the cclsye rae e.inhditib mhgti lh.ep Fo2/utnm1elwi/7.v.8fgps6Mc/:riitg/ht/e2hlCsp.gnw/aiPcm.2rwi/3/nbc +



 +2  upvote downvote
submitted by sattanki(82)
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t’anC plhe hcum no eth texca rgsenaion ,wyh but teehr rae a wfe loUdWr uoenqssti no ihts werhe fi a atnneoe ash eyopgilymc,ah steosik nda a,hirepnoymamem a nioacrg icda ordedsir lohdsu be dstupeecs croiip(opn diac ro htolmmcniaeyl .d)cia seLs osusisupic of na RTA sceua elyypaimchgo si not rtsehaccraiitc of ta.ht

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sweetmed  mI assniugm ebecaus cyNmettugaall-etat is na erlostlica arvtctaoi fo PSC I edneed ni erau cy.cel adn G-NA si aemd of ttmglauea adn ytecla A.co oS ni rgiocan ceiimdsa,a lal eth aycetl oCA is ibnge edsu to kmae seotnek rfo eeynrg sncei guoieongslensec is smeeds p.u oS reUa ecylc tendso kwro sa lewl nda 3NH slmcaceautu +4



 +1  upvote downvote
submitted by passispass(1)
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My onraigsne on hsti isqnsteou swa mselpri - I tkhin tehy dnwaet su ot ickp an ooalustma cesiervse eedsasi sdbae on rnaptte of iksd fedcafet obt(h fameesl are teedfafc - 'natc eb nangythi eklXdin;)- boy swa hethyla - lrue uot amhcndlooirit. hWit rets - relu otu buseeca fo rsendaiec amnimao and ifienlnat artn.tipneeos nylO cinogar daci oebmslmait resoidrd lfet

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 +0  upvote downvote
submitted by forkyeaa(1)
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7bn/sFv2wC68ei:a/Mcwrgr.hc2sh3lgtw/gui1/lnin.t/iop2P//mp.tcmf./ei

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 -2  upvote downvote
submitted by abhishek021196(119)
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hetinOrin acsaranybartlsme .tne cMcsifodyei oncmmo ruea ccley rde.osdir n-Xdel ik svesereic sv( ohrte ruea celcy zeynme ieiccnefd,eis ihwhc aer tolaosmua eiscvre)e.s

nfeeeIsrrt wiht teh soyd’b ibitlay ot minlaetie aomin.ma

enOft dentvie in het ristf ewf sday fo f,iel ubt amy retnspe tr.ael cxEses abalroymc hhpoeatsp is ede rottovcn ootcir icda ap(tr of hte nmidyreipi tinsessyh phtywa).a

:idgnsnFi ecsarIntoor eicd acdi in lbodo adn unier, raDd ,cBeUesNe ssmyptmo of hayrimmpm.eeona agNtl obescialom imanea (vs tricoo uacaid)ri.

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passispass  Can it be na Xdlien-k sdiease fi btoh seeaflm rae aeecdtff dna ybo is ?tno I hktin ekiynlul +



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