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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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aUer eclCy rerdosisD &g;t ledItsao sveeer myemieroamnaph ;t&g( 0010; i.e,. on rhoet evrees oteimblac rtbdaicsusne

Onireniht maencasyasrarbtl ydiiefcecn ;tg& stom( moconm uera ccley i)ds. cirtoo iamaiau/aiddceric, rymneeomamhapi

rignOac Asidemcia &g;t ynpmoam,arieeHm p-iaonnag ,isdscaoi sostkei (fmro glp)moayyihce

mei-Mucdnhia -CAoacly gosrdaynehdee ceyiecidnf ;&tg m,reamynHmiapoe ipcteohkoyt ymygeochpila ne(se ni idntβo-aiox dirorss,de CEXTEP ododrraunoytp)hyeleks

erviL yondsfitcnu tg;& a,oymmmreHeiapn sTLF smeeds pu, rloed .pt

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lsmarshall  yurmmSa fo mocbaetil eusiss eriltgna ot emrnaoyimheamp +9
seagull  mi' egainnl watdros nOnhietir rarcneysmlatsaba fcedini.ecy +3
notadoctor  oNt uesr hyw sith nti's dirsednceo a alnodohirticm edrisdro nscei teh isues is nrtinehOi lsamaacstbnarrey ifcidyecen in het antimho?icrdo +2
charcot_bouchard  if ti asw hoioltmridanc sdiredor no noe wuodl cpseae +3
wowo  ireugf ni TCO nei,cdyicef hyte ighmt vhea ot tlieyxcilp tmneoin eth ioocrt araciidu AND talipycly esternps e,rleari dornua 4248-rhs of eifl eraft e'hvyet dfe a(t laset erp ) BB+ losa erp BB, ioinorpcp iicdeaam nad MM caemiiad veah an tseno fo kewes to sohmtn dan adle to dbuil up of nioragc acdsi ;&-t-g cdaiaeim in itaodndi ot eyemaamnhmorpi (not usre w,hy ubt lraeevs aa eenrt teh ACT eyclc iav opyinorlp oCA &t;g-- hlmyletmoalyn AoC ;t&--g uyncilsc ,oAC tbu onw tish is etncfud d/t eenmzy .n?.)cfeeeii..sicd hwA,nyo opnciopir aceimdia deierbsdc no 92A1F0 8p5, tbu 'sndteo itls aneeopmmymhria +2
artist90  i nikth ti coatnn be niOnrehit atnyaarselcsrbma yinccfdeei bc it si RX sese.aid tsih tp hsa a etlhyha 2ry old rehorbt iwchh usler out ndlX-ike isvcesree idaeses rcectro em if i m rngwo +7
artist90  it is 100% rciiopPno iaemcaid dlrUwo dQ:i- .0431 ti si an axetc ypoc qusiento of lu.dwor i ogt it wrgno cb i ogtfro teshe rea ranoigc dcasi. tBu i am tslli scnofeud on 2 ino1h-twg hs soed sadsicoi cuaes yolimHcyepag dan 2s.eyo ts-ihKw is aimonAm eveletda in tshee pts cb urea yccel ilwl be nif?e +2
yb_26  )1 ryohmenmmeipaa is snee ni lla auer eccly iddrrosse tpcxee ignerasa f c)2ydeencii gniarco sciad clyrtide hitiinb eura elcyc ;t&g= meomraaephimyn rmf(o rdUo)lW +2
yex  doAgnricc to ,WU reeth si ehatnor oitesnqu # 1431. shTi one rsrfee to yletolchaimnm aceimdia NAIRG(CO AADE)MI.CI PYCHAIEOLGMY uelsrts fomr lvroeal iaserendc mtbcaolie etar inldgea ot ireacdens cslogeu ltonziituai dna redtic itcxo )(- of oniosuceeglnsge yb caiorgn s.diac Teh ecpeners fo eolyphaigycm eslad ot ceandrise fere ytfat iacd aomlisemtb htat useoprdc OEK,TNSE lnsgeurit ni a rruthef aonin pga etm iciadso.c Fliynal, onracig ascid olas ldtireyc ()- eht aeur ,lcecy dgeinla ot RAENYIMHEMAOP.M +19
ih8payingfordis  I itnkh etreh ahs bnee semo ssunfcnioo ceuaebs FA dsoe a opro obj iagrittnnge ehest ecncospt gteheort btu rehe rae esmo f:neercesre FA 0192 gp :85 rnioPiocp iiacmedA this( si one xpeaeml fo gorncia cdai mmatiebols orrsded)i In hte mayrums rifgeu on Pg 74, olok at hte oinertp meislmatbo cdtaoel( mtbtoo grhi).t Baclasl,iy you can eavh sdeirosdr ewreh uyo hvea -oooCPrlpyAin ldiubpu onale RO AroCyPoon-il nda lyAae-CltlohmonMy .upidlbu And tseeh cgirnao siacmidea rae tmluaosao vseresiec in ehtri nhaiiencret esapntrt, hiwhc fti with teh mest ere'w niveg (ie XX sudiiivlnda acn be e fne)tdOfeca tihgn htta UW tstae atth I do otn vhae an atonpeanlxi or:f het iubpdlu of inrgaco daics tbnhiii het auer clcey echne eth rseanice ni amionam o(ennay wkson woh htsi )eahpsn?p +
aaftabsethi1  anC senmeoo llte em wyh ont ASMEL ? +1
jaramaiha  @btaiaesathf eeaubcs lla fo hte insisblg dlwou hosw omse pmmstoys fi ti ewre ot be a oilomcditrahn i.sedsae hWihc sih erobthr si hahly,et and rsetis wsa mterluf-l tbu iedd due to eefcnisiudp c.sesau +
utap2001  yWh ioscdasi aeucs yopHleyiacgm dan esoitKs and m?nryopahaemi In adsi(scuoisch tlacci t;iis-do)c&sga andiiect obyd eregyn crisis ;gt&- .nci yiosycll,sg ggye-iolyHpct;&ma ic.n ionrpet rnbdkwe,ao meornaympiaH t&g-; d.ec CAT lce,cy eiKssot +



 +8  upvote downvote
submitted by powerfulgarbage(17)
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Jsut ot dda ot athw moes sohtre ehav s,ida siht is in srtFi Aid sa lelw. FA 2002 eapg 58:

anrigOc acdiamies osmt nomcomly npstree in yicfann htiw poro ndge,ife ii,vmgont n,ahtyopoi a hgih inona pga lmcbiotae isoia,cds temaelyag,oph nda e.isruzse

Teh inrcaog iacd ctuimacluano sdoe 2 htgn:is

  1. ngcaOir acdis iitnhbi egiocssnenuoegl, eindalg to agtnfsi cmgphiaoylye cihhw hent scause eoio,dasitkcs nuagcis a hgih GA lctbioema oiasidcs

  2. ngrcOia acsdi ibitnih teh auer cleyc, eaigndl ot eeaahyirmmonpm

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forkyeaa  shit cnbi lctohrfwa sswho how eth ccsley aer d.nibiieth mtigh .pehl P/F2lng/C/iotmr2etw7:w.c13//lrs2Mifcngihhevnc/tagppi.mi8./bu6s/.w +



 +2  upvote downvote
submitted by sattanki(82)
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Ctn’a phel cuhm on het ctaex aeronigsn hy,w utb eetrh rae a ewf WrdUlo soneustiq on ihts herwe if a entaone ash h,ycyepagoilm teiskos adn yih,mrneaoammep a igcnoar icda iredsdor luohds be stuseepcd opriicp(no dcia ro lliycmtomenha .idac) Less scsiupious of na ART caues ghmioylcypea si nto cciaecthasrtir of t.hat

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sweetmed  mI mssginau cebseau lgtNtetcaltaamyu-e si na esilactrlo vticatroa fo CPS I edeedn in uare c.lyce nda -ANG is aedm fo muaatgetl dan ytceal o.Ac oS in cigonar saiid,acme lal teh teyalc CAo is ibneg ueds to amke tkenoes orf ynerge cines uleiggnosoencse is seedsm .pu oS eUra yclec osentd orkw sa lwel nad NH3 matlasucuec +4



 +1  upvote downvote
submitted by passispass(1)
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My roinnagse on iths uoqtinsse swa lmiepsr - I tnkih htye tndewa su to kicp na amuostola vesircsee essdiae bdase on renatpt of kdsi efdcafet bh(ot elaemsf rea ceffteda - tacn' be ainngyht nield;kX)- oyb wsa hyhltea - rule out .nchltiiormdao tihW rest - rule uto subcaee of ineecdsra iaomman and ntfiniael .asreniptnoet yOln ngcoira adic smibteomal orsdride eftl

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 +0  upvote downvote
submitted by forkyeaa(1)
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/wn/pwngF.b.//m/.fhs8te:2h//rncvi2g7irmeMoP3t1iptiaClgc26ulc.s/iw

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 -2  upvote downvote
submitted by abhishek021196(119)
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htriOnnei rlaasrtbcsmaenay eiyf.tseMo ndicc mncoom uare lccey e.sodrrid l ikXd-ne servceise s(v retho erau cycle mnyeez ieisednicf,ec chhwi aer otauoamsl .sr)eevices

Ifreeetsnr ihtw eth bsdoy’ liiybta to ieailemnt iaomma.n

tOfen tvndeei ni the rsift wfe sday fo ,flie tub aym enprets r.leta secsxE oraymalcb soahhtppe is coeetnr vdot troioc dcai pt(ar of het pidmnieyir syethsnsi w)pyh.ata

nnFig:isd niccortrede soaI caid in oobld dan uie,rn BrDN,sdeca eeU ymstomps fo pomrhiymmean.ea Nmealbcosgl atoi amiean sv( cotior iraiuac.d)

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passispass  nCa it eb na kXde-lni sesdiae if tbho saemelf aer dteeafcf dan oyb si n?ot I tnihk lyneukil +



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