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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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Urae cyelC dioesrrDs &;tg ltIedoas eeresv hmeoemmapynrai (g;&t ;0001 .,e.i no ohetr ervese mobltecia tedbnssacrui

niehtinrO lamersrctsanayba dyneeiiccf gt;& s(otm nocomm ruea yeclc sd.i) iocrot aeddur/iiccmaiiaa, yoehremmnmaipa

Ocnragi ciademAsi > a,aeyemnmriompH a-nipnago socsiai,d ikoetss from( ayeyolghmp)ci

indmaiM-ecuh cl-oaACy dgynehaedrseo dcificnyee g;&t pymenaoaHimem,r eohottykcip ipgoayelhmcy e(sne ni xtoβ-aidion drsioesd,r CXTEEP nrdyr)oedotuyaploekhs

evriL yodfcnstuin ;g&t ,amnmpaiemeyrHo TsLF edmess up, reldo pt.

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lsmarshall  umSyram of aoctelmbi esssiu elrtiagn ot ahiaymronemepm +9
seagull  im' gaelnni sdaorwt eriOnnith yacmlaaerrtsbans i.fieenycdc +3
notadoctor  Not eurs why tshi ni'ts ncieddorse a aniroimctldoh isdrrdoe ncise hte uessi si ntinOehir lsraamarecsybant ccfnidyiee in hte d?iramocnihot +2
charcot_bouchard  fi it wsa rntiliohoacmd irseddro no eon wldou esapec +3
wowo  rifuge in OCT ccf,eyideni teyh hitgm vhea ot lxyiltceip enonmti teh orcito iiduraca DNA ltpyalyci tpesrsen l,iaerre nurdao 2-s44rh8 of lief trfea yv'hete def a(t sltea pre + BB) lsao erp ,BB pnoipirco eiaacimd nda MM eimacaid haev an tnose of sekew ot nomsth dna lade ot libud pu fo aroncgi icdsa ;tg-&- iidmceaa ni iainodtd ot yiehmraampemno (ont reus h,wy tbu lveears aa teenr het ATC cylec vai oriplynop CoA g;&--t lmhmnoylaeytl oCA ;&--tg suciclyn ,CAo but nwo tish is cdfneut d/t menyze cefidn.?.)esei..ic ywo,hAn ippioonrc maaedcii ceidsdber no F2A019 ,5p8 tbu dntos'e itls yhmmamopearien +2
artist90  i itkhn it catnon be iehrnOint slbrayensmrataac yfdceicein cb ti is RX sdie.ase ihts tp hsa a hlehyta y2r dol rhtoerb wihch sleru otu nie-Xdlk ecresveis sadseie rrtcoec em fi i m wgonr +7
artist90  it is 010% riPoconip mieadaic lUodrw iQd-: 104.3 it si na etaxc poyc isnqeuto fo .udwlor i otg it gnrow cb i foorgt teehs ear naiogrc .acdsi Btu i ma illst dcnuofes no 2 iwhnht1 g-os osde iiadsosc uesca iyeyogpcHmal and tios-w.K eysh2 is Aminmao aeetvedl in heset pst cb urea clcye wlil be en?if +2
yb_26  1) hmmeymiaaenpro is snee in all uare eyclc srsddoire xteecp geaarins if)d 2ycceein gcranio diacs rltdyeic hbtiiin erau yclce gt;&= enyiaahrmmoemp fo(mr olWdrU) +2
yex  cnrdocAig ot ,WU htere is harteno nestiuqo # 3.411 ihTs eon rfeser ot ohcleaylmimnt icmadiea NR(CIGOA AC)MIDIE.A CIAPMLYOYGEH eulsrst omrf elvrlao isadeecrn eoaitclmb arte dnliega to rcnseidae cgesluo aziutiloitn dna cdtrei tocxi -() fo gseneicolunesog by orcgina iacs.d heT esnepcre of epaoyhyilcmg asdle to sierencad reef ftyat adic lebmamosit tath pouedsrc ONS,EETK nelgisrut ni a thrfure oanin pga etm c.ocsdiai ynllaiF, anrciog dcsia soal yrietdlc -() teh earu ,clyec gndalei ot .EPAMAMMEIYORNH +19
ih8payingfordis  I inkht ehrte sah eenb esom cfosnounsi acuebes FA dose a orpo boj ttenginraig hstee cecotpsn rtteegho utb here ear omse reenercse:f A F 2901 gp 8:5 iorPiocpn Acadeimi sh(it si neo mexlpea of goraicn daic aetimbsmlo er)odisrd nI eth yumrsma feugir on gP 4,7 okol at teh tripeno lbosimemat d(aolcte ttmoob i.)hgrt lc,ayisalB you nca ahev dsrrsdieo ehewr uyo ehav npooryClAoiP- iudlpbu nleoa RO loy-rPAnoCoi dan -tCalynllMeyomoAh iuulp.db d nA eeths iocngra emicidasa rea oslamuoat sseviceer ni ehirt rineniachte ertn,spat iwhhc ift tihw the tems w'ere einvg i(e XX disinivlaud acn be td)eefnceaf O tgihn atth UW state ahtt I od ton ehav an nlpoeniaxta :ofr het plubdui fo cgianro iscda bniihit eht uaer ycecl ceenh het acereins ni immonaa oan(eyn swkon who hsti aspn?eh)p +
aaftabsethi1  nCa eomosne llet me why not EMLAS ? +1
jaramaiha  saaibfathe@t ecesbau all of hte iilssbng woudl hwos some stypmsom fi ti rwee ot eb a lathmniocrido sesid.ea ihcWh ish trorheb si yhlt,eah dan eitsrs wsa m-lfurlet tbu ddei edu to sieniupefcd a.scseu +
utap2001  yWh sacisdio saceu mceiaoyylpgH nad sKtoies adn h?aomriyeapmn In ccaidusssoh(i icltca ;&oicasi-)tsdg indceati body geenry ciisrs tg-;& nc.i slcsgyoly,i cyyt&Hm;pelg-oiag cn.i proeitn bednw,kora mpyeaHmaonir tg;&- .dec ACT cy,lce etsoKsi +
forkyeaa  nvgbmt./s/w.i31/lew7n/pu6r/cMsha2lmiC/.8h:ipgw/2cFof/2iintP.retcg +



 +8  upvote downvote
submitted by ∗powerfulgarbage(17)
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uJts ot dad ot hwat soem erhtso vahe das,i itsh is ni stirF Aid sa lwel. FA 0220 paeg :58

nrOgica aiasdmeic smto mlcnomyo npertse in ayncnfi with opro ndf,egie itonm,gvi pityo,hnoa a ghhi iaonn gap ocmielabt sii,csado mtoeagyhealp, and ie.esszru

ehT ncrgoai dica mtoanucliacu sedo 2 htg:sni

  1. aOngcri sicda iibntih sluogeonisgecen, nailgde to fitsnag mgoyahieylcp hhciw etnh ssueca tosid,aoskiec ngucais a ghih AG mcbaietlo odciassi

  2. caOgnri cadsi iibniht eth urea eccly, gdelnia to yirmmaapmenhoe

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forkyeaa  sith cbin alotfhwrc swohs who hte lecysc ear dhntiibi.e gmiht p.lhe w7/r.va/cei/wl8ig2Cthn/1t:bhipcfm./.3/cne2./mnsorig2uPFpli6g/wstM +



 +2  upvote downvote
submitted by ∗sattanki(82)
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t’naC pleh uhcm on het atxce sginraneo wyh, tub trehe rea a ewf oWdUrl qisnstuoe on hits ewher fi a eaontne ahs hmpyocliag,ye osteiks nda yoamnihmreem,ap a oargicn icda isrrddeo housld be eedtsspcu rcpiionp(o daci ro iocmtlnmeayhl d.aci) seLs oissucpsiu fo an TAR auesc aogepchymyil is ont aartirccscihet of tta.h

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sweetmed  Im agsminus bceaesu yaaNltta-meugttecl is an riatoclles tiarvctoa of SCP I eeeddn ni eaur .eccly dna ANG- is edam fo altteumga and elycat .Aoc So ni inorgca aidcmei,sa all eht tyleac AoC is ngebi seud ot emka nkoeste fro ryngee sienc eoslnuosecigegn si sdsmee up. oS reUa ylcec snoetd kwor as lelw nda H3N actseuuaclm +4



 +1  upvote downvote
submitted by passispass(1)
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My rgnniaeso no itsh utssiqneo asw rilsemp - I ikhnt eyht awetdn su to ikpc an atolauosm esesivcer ssedaie baesd no rntptae fo kdsi dctfefae to(hb fsmelea are atfedecf - an'ct be ahytngin )d;Xkeli-n yob wsa hethaly - eulr otu tmroioadl.ichn tihW estr - erlu out useaceb fo nrseedaic maoinam dan lantiifne etpais.oentnr ylnO iacgorn dcia mosimbtale dresdior ltfe

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 +0  upvote downvote
submitted by ∗forkyeaa(1)
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7nPsaw6//beth/grcu/hlwo2Cp/:ei/mm.c..Mpn2.wvfci/F/t2tg13rs8ilgini

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 -2  upvote downvote
submitted by ∗abhishek021196(120)
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hrtnniOie tayaealmnbasrrcs yeiie.ctdn scfMo nmmcoo urae yeccl .sroieddr lneiX-kd vseecrise vs( oreht earu yccle nezyme nfdeicecsi,ie hwich ear atsalmuoo .ers)cseeiv

senrfIeert whit hte bys’od iibtyal ot emtinliea .amoinam

eOfnt vietend in het srfit fwe dysa fo lfe,i utb yma esnerpt rale.t ecxEss lcramybao htepohpsa is oecrtnoe dvt irotco dcai pt(ar fo the irideiynmp syehtssin atyh).paw

:gnFisind cendsoictIrr oae daic ni bldoo adn ,iernu BeNDrs,eeUcda  msmoystp fo yeammairohpmne. ltiNlae gaobcsmo aaniem vs( rocito arcuaii.)d

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passispass  Can ti be an iXdenlk- ieesdsa fi htbo elmsefa era fdeacfet nda byo is ?otn I nthki nuiyekll +



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