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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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erUa elcCy rDedosrsi ;> staIodel esrvee rhyemaeiommanp g(t&; 0001; e..,i on orteh veseer blmietcao uitcbsensard

nOeriitnh rbralsyamtanesca necidieyfc g;t& toms( nomcom arue yeclc s.i)d icorto /adaidcriuaiiacem, ophiaemmearymn

ngciarO aAiismcde &;tg p,amaienmeorHym ona-agnpi s,idcosai ksitsoe (mrof cyh)imealygop

-aeihMuidnmc Ayc-oCal roeeasygdnedh iicfdneeyc &t;g oimnemamyareH,p ootypehkict mgliyechpoya nes(e in txβnai-dioo d,dsrrseoi XCEETP )lrkyspyedandooohteru

irLve stofcuyndin t;&g rmamanHyo,pmiee LsFT sdseem pu, rdelo t.p

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lsmarshall  rmySmua of lbimecota isseus alrnietg ot pehaonimmeayrm +9
seagull  m'i neinlag dotsarw htrniOien erlanrataassbmcy eceyi.cifdn +3
notadoctor  toN reus why isth in'st irsedncedo a icrodaltihonm redrdiso escni eth siues is enhritOni rsetrlbaamyscana eyfdiecnci ni hte icrtidooah?nm +2
charcot_bouchard  if it asw iooachltdimnr idrerdos on eon dowlu epsaec +3
wowo  egiurf in TOC ce,cfndeiyi ythe itgmh vhae to itpilxlyec mnneoti teh orciot iaacurdi NAD cyialplyt erspsnte alreeri, anduro sr4-h248 of lfie rfaet yete'vh fde (ta taels epr B+) B aols per ,BB iorpnopci icaemadi adn MM eiadimac have na osnet of esekw to hotsnm adn adle ot dilbu up of airgonc icads g&;--t amdaicie ni dinaotid ot hmmmoeaaneyirp on(t urse h,yw btu lseevar aa rente teh TCA ceylc aiv ppilyrono oCA -gt;-& leoymmlthalny oAC &;-gt- uclincys AoC, utb wno tshi si dcfneut d/t ezeynm .ide)?...eniecsifc y,noAwh nipoipcro maicedia cdrseideb on 10F9A2 85p, but so'etnd tlis omieeympmaanrh +2
artist90  i tnkhi ti nnaoct be etinrhinO stnmlrrcbeaaasay cicenedyfi cb ti si XR .asseied tihs tp sah a leaythh 2ry ldo troerhb wcihh uelrs tou ekXnil-d isvseerce eadeiss oterrcc me fi i m wognr +7
artist90  it si %001 pPnoiocir amcaidie lUwodr :iQ-d .3014 ti si an teacx pyoc tioqsenu of .wrould i ogt ti gnrwo bc i orfotg ehest era ocargni asc.di uBt i ma lltsi nsduceof no 2 igwh1o nsh-t sode csioidsa cesua Hyoaymipcegl nad e Ktiys-.h2ows si Ainmoam avdletee ni teshe stp bc uera lccey illw eb ?enfi +2
yb_26  1) meeahyrpmanmoi si esne ni lla areu cclye rdssdeior ceetxp ernaasig n2cfieei)cyd rgoniac saicd idtlycer ibntiih uera ycecl ;g&=t ommpmnaeyaeirh (mrfo WrUdol) +2
yex  ccAgiodnr ot ,UW trhee si ntorahe ontieusq # 1.431 Tish neo seerfr ot mythnoallmcie diicemaa NRC(GOAI )AIACEMID. ICYLOAPMEYGH tlruses ofrm aorlvel icdrsaene lmetcboai aret edignal to eincresad cgusleo zanlutioiti dna dtcier ctxio (-) fo gsgnoeoenslueic by aoirncg icsad. The rsepncee of eichglmypayo laesd ot aseridcne eerf tatfy adci ebmostimal htat esrducop STE,NEOK lusgtneir in a efthurr onina gpa met c.sdicaio ni,Flayl gioarcn aicsd salo tirdycel -() hte urae c,lcey dnaglie to ROPMHYNAIEA.MEM +19
ih8payingfordis  I htkin eehtr ahs nbee smoe uosnnfosic bsecaeu AF esdo a oopr obj tarienniggt ehset ntcpoces othegret but heer aer esom rnecees:erf FA 0219 pg :58 rpoicionP dAamieic th(si si noe elmpexa fo oignacr dcai mlosmtibae ddroisre) In teh mmuyrsa fregiu on gP ,74 kloo at het nropite iaolebmsmt ladec(to bmoott tr.i)hg sBla,ylaic oyu nca aehv drrosised weerh oyu veha iP-prooAoCnly lbdpuui enoal OR PAriCooo-lny and oeanM-AlmyloCyhlt luduipb. ndA htees oiagnrc ciidasame era oaamultso eseivesrc ni hiret rennactheii npert,ats hihcw tif hwti hte stem wee'r einvg e(i XX diivulansdi acn be )Oenfdf ctaee inght that WU teast thta I do ont heva na tlonaapinxe :orf the idblupu fo nigrcoa cisda itibihn eht uaer yclec ncehe teh iecreans in immaaon yno(ane wonsk who shti eph)a?nsp +
aaftabsethi1  Can onmeoes tell me why ton MSLAE ? +1
jaramaiha  fateasihtba@ ueecbsa lal fo eht gbilnsis wludo wohs osem tompmsys fi it eerw to be a nitahmoorclid e.sasdei iWchh his obthrre is tya,lehh adn rstise swa rtflmlu-e btu dedi eud ot eipsdefcinu ausc.se +
utap2001  yhW csasiodi csuae ygpilmyocaHe dan sKtiseo dan aiypoe?mrnhma nI uischias(odcs ctliac )dt&ic-sia;sog deiacnti oybd ryeneg srscii -tg&; icn. liocyl,sgys eg;iymgylHta&poc- cin. rnpotie bkaw,ndore nampHeoyiamr ;&t-g .dce ACT yce,lc sosKeit +



 +8  upvote downvote
submitted by powerfulgarbage(17)
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tsuJ ot dda to wtha meos otersh avhe ,sadi shti si ni sirtF Aid as .elwl FA 2200 gpae :85

rignaOc cmaaidies toms ymlmonoc rpnsete in ycnfina hwti oorp ,ngieedf io,igtnmv a,hinptyoo a ihhg innao gpa eclitabom ,sodisica gphta,oeamyel and siezsreu.

hTe nicogar acdi acacimtlonuu does 2 istnhg:

  1. Ocnairg cidsa ihitnib uosgncgsnoeeeli, nagledi to tnasigf cpyoieayhgml chwhi ehtn uaessc ososaek,iditc aiscnug a hghi GA taomceibl asicdiso

  2. Ocringa aiscd thinibi teh areu lcecy, dlnigae to maapohinyremem

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forkyeaa  shti nicb fwtclohar shows who hte seccyl ear n.iidethib imthg plh.e /28/wa.mC6hnimeiPpsr.FsMngg3wtwip/er.ni:l./of2uv1c7//ttcbgh/2/lci +



 +2  upvote downvote
submitted by sattanki(82)
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Cnat’ hlpe mhuc no eth axcte rienongsa why, tub ehter ear a wef lWordU tneoqissu on isht eerwh fi a oatenen sha acheygimloyp, issktoe nda ypmnaarhmoei,em a gnicaro iacd ersodidr shudlo eb tseespcud opinic(por iacd or aohytnelmciml aic.d) esLs oisspciusu fo an ATR esuac goicyapmhely si otn etciasrhcatrci of tta.h

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sweetmed  Im usgmisna beuaecs uae-atytgtmltNecal is na tsarocliel taotrvaic of PCS I eneedd ni arue clc.ye and ANG- is edma fo ltgaatmeu dan lctyea oA.c oS in ogaicrn iimadc,esa lal hte telyac CoA is bigen desu to meak otesnke orf egnyer isecn eiseuognognecsl si sedmse up. So aeUr elccy sondet work as lelw adn NH3 actauumlecs +4



 +1  upvote downvote
submitted by passispass(1)
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yM iesrngaon on tish ssnoqueti saw elismrp - I kitnh tyeh waednt su to pikc an matuosloa viecssere ssdeaei aesdb no ttpaner of idks tdaeefcf tob(h smflaee rea dfctfeea - ncta' be hngniaty )dinleX;-k oby aws hyeahtl - luer otu .dhiiartconmlo With sert - elur tou seabeuc fo reiancesd onmaami dna lfinetnia atsi.reentnpo Only riganoc diac emmaolbsti dedriosr telf

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 +0  upvote downvote
submitted by forkyeaa(1)
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7mg/lvi8ib2c/2/copgmnp3./eti.winChwr.wsis1nac2F//eP:f/.thrtg6/ulM

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 -2  upvote downvote
submitted by abhishek021196(120)
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tOeinhinr naebratrssmaycal fe cctnyMdeso.ii oonmcm areu lcecy sodredr.i denl-ikX svcesiree v(s tehro reau ceylc nzeyem ,iesecfdeciin chihw rae uaomltoas )eeev.ssrci

reftensIer twih hte ’yobds yialtib ot lemeiniat ammnia.o

neftO enetvdi in hte rftis few ysda of fl,ei tbu yma trspene rlat.e csEsxe ablormayc aposhtehp is nd ovoertcet rictoo icda rta(p fo the riidneipym tyisssenh )yahpta.w

idngis:Fn tarorcnI eoiecsd daci in dbool dan nieur, Uae,DdrscBeNe  tsmsoymp fo imnrhemymeaapo. ameNoogac tllbsi iaenam (vs iotcor ura.icd)ia

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passispass  Can it eb na kdeXl-in iasseed if boht fmeales rea fedfaect dan ybo si ?tno I khtni knllyeui +



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