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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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rUea ylCec Dosdirsre &t;g eadlsotI eeesvr omrmypenaahmei g;&(t 0;010 i..,e no trhoe rvesee toclbeaim rsndcsetbiau

nrthiiOne rslbcsytnrmaaaae finiycedec t;g& (omts omnocm auer ccyel d)si. croiot /rcuaadidiiaimeca, anmmperyeahiom

agcirnO maAiedcsi t;g& emHayo,mmpniera nioana-pg isoa,cdis tiseosk rm(fo )lygcemaiphyo

heiMdm-ciuan ocyaC-Al dsrndegoeahye eyfncieicd g&;t ymreoeniam,apHm koyohtcteip aglhypomyeci (eesn ni βixd-ntooai iesrdds,ro XPETCE dplsoa)uorerdeyhoktyn

iLver niyfstodunc gt&; amnaympe,reiomH FTLs edmses up, elodr pt.

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lsmarshall  mSayrum fo aomlecitb ssuies letganri to pyeeaimmrmohna +9
seagull  im' iagnenl roawdts hrentOiin saaynrbaltmerasc ifei.yndecc +3
notadoctor  Nto esur why shit itns' ciorsnddee a ainoriomclhdt ddroesri csien eht iessu si einOhrint tysenaslbaamcrra eicnfidcye in eht coorihmnat?di +2
charcot_bouchard  fi ti aws niomlhirctoda rddoeris on eon dluow eecaps +3
wowo  uriefg ni OCT fceni,eycdi hyet mgith veha to yitpixellc imtnoen eth orcito iucadair DNA yyiapltlc snpeetrs ralrie,e aounrd h24-84rs of iefl areft 'yethev edf a(t setla per )B +B soal epr B,B nocppiori cemdiiaa nad MM aimdcaie have an otnes of eskwe to stmhon dan elda ot udilb pu fo icornga cdsia t-;&-g icaeadmi in itioandd ot rpamnyemmeiaoh to(n ersu wy,h ubt earsvel aa nreet teh ACT ycecl aiv poplirnyo AoC g-&;t- lylalntmyehmo oCA -;g&t- lucyscin ,CAo tub now sthi si cueftnd td/ meezyn .d.c?ees)enif.iic. A,nyhow rcpiniopo imaiadce sdeecdbri on F219A0 ,5p8 tbu so'ndet sitl oirhammepneaym +2
artist90  i tkinh ti aocnnt be Oinnither atacybrsrsnlmeaa yifcineecd bc ti si RX as.eisde thsi pt sah a hethyla ry2 odl rheobtr hhcwi lrues uot kin-Xlde esvecreis dsesiea eoccrrt em if i m wngro +7
artist90  it si %100 pocrPnoii cdiieama rUolwd d:-Qi 0431. ti is an xctea pocy uotnisqe fo ld.ruow i otg ti norwg bc i orgotf etesh are icoanrg acds.i tBu i am ltils dcuesnof on 2 -iohw 1sngth odes ascisiod suace aymHigclpoye and ess t2hio.yK-w is ammoAin tlvdeeae in ethse stp bc uear yeccl llwi be eif?n +2
yb_26  1) onhmmpreaameiy is snee in lal aeur cycle seddsroir xctepe saaernig id icefcn2ey) iacorgn cdisa ylcdiert btihiin uaer eyccl &t=g; imrpnhemyeaamo (mfro )rdUoWl +2
yex  giccnAodr ot ,UW erthe is onhtrea eoqtsinu # 1.341 This noe refers to iycmllonhtaem deiaiacm IOCGRN(A ICADI.A)ME PYIMCYELAHOG rsletus orfm eollrav rseandcie btioamlec erat geailnd to radncisee egsluco atiloiuntzi dna idcetr xicot -() fo gnoeoilnuscseeg yb gncoari s.aicd Teh seerepnc of lhompiaygcye salde to icseanedr reef ftayt idca omeistabml ahtt opdcresu ESONKTE, tienrugsl ni a ruhfret nonai agp tem isocai.dc ynFilal, rancogi cisda aosl edtrlicy ()- the reau clcye, ldieagn to IAYHMREMMO.EAPN +19
ih8payingfordis  I nkthi ereth hsa eebn esmo innsocofus bseecua FA edos a orpo obj renttgiagni hseet ntoescpc hoeettrg but erhe ear omes reer:enecsf F A 9012 pg 85: nrPcipioo emdiciAa ish(t is oen lxempae fo nraciog dcai tabmlmesoi iddeorr)s nI teh ysmaurm igrefu no gP 4,7 okol ta the rtnopie iabtlmomes lctade(o bomott ithr).g laBlaiyc,s uyo nca aehv dersodsir eewhr uoy aevh nrPClipAo-yoo ibuudpl eloan RO -AlyoooiPCrn nad tohMoymnleyla-ACl .ulbudip d An eshet ionagrc aaidecsmi era laomsouta eiervcses in htire nirinteecha ,atretspn hwchi fti iwht eth tems wer'e gvein (ei XX alidnsdiviu nac eb nd effa)Oetec tingh ttah WU atest atth I do tno aveh na paeanoiltxn :fro het ulbipud fo aircnog dicsa tibhini eht ruea cycle heenc eth secraien in manmoai (nnyoea noskw hwo tihs hap)nsep? +
aaftabsethi1  anC enooesm letl me yhw tno LMEAS ? +1
jaramaiha  febaahats@it eueacbs lal of eth sigblsni dlowu swho omes mmystpso fi it were ot be a noimlahrtoidc s.edeias cihWh hsi rhtbreo is hlyateh, nda isster asw rlu-fetml but dide edu to cipdeiusfen ussace. +
utap2001  Why aicsidso cuaes Hmyicoylagpe dna tKsesio and a?ymnepamihro In ssc(sichduoia aclitc dos;giatis&-c) indectai body reygen iscris tg-;& .nic s,olscgilyy p-le&cmHyyiag;got in.c poniret bndaewrko, yemaHnrpmaio tg-;& ecd. CTA ccyel, Ksietso +



 +8  upvote downvote
submitted by powerfulgarbage(17)
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suJt to dad to hawt emos erstho aevh dsa,i ihts is ni stiFr Adi sa l.ewl FA 0022 apge 58:

cnigarO madscaiei ostm omcmynlo spneret in cyfinan whti proo denfi,eg ivm,ntoig ohiona,tpy a hghi aonni gap toibelmca c,aosidsi ,ogemaaelhpty dan zser.iseu

hTe aincrog cadi canuaoitlcmu odse 2 sig:htn

  1. niagcOr scdai itbhini neisulgenocogse, delnaig to fansitg eihlyogpaycm hhicw tehn csuase dieak,ctoisos ungscai a ihhg GA bimeaotcl sacsdioi

  2. gicOarn sdica ihtinbi eth raue ylcec, dealngi ot mohemierpnaamy

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forkyeaa  this inbc fochlwrat hswos who het scycel era bdnh.tiiei timhg l.ehp //csg6nfrsii2tch/Mi.mnpi8.22e//tgi:ew7.P3r/lghpol1.Cuwbc/avwn/mtF +



 +2  upvote downvote
submitted by sattanki(82)
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’ntaC lpeh mhcu no eht tcxae sigeonanr wy,h btu eerht era a ewf dlUrWo qistsuneo no siht ehrew fi a eoeantn ash plogyeayim,ch ssoteki dan nmma,amioheepry a orgcina daic oddsreri sdluho be etudscpes n(oioripcp icad ro oilenmhtmyalc d).cai Lsse issicsuoup fo na ART aeusc eygcyahlompi is nto achctearisctri fo thta.

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sweetmed  Im msasnuig absuece utc-taaetallNmgtey si na rlscetiloa taaovritc of SCP I eededn ni ruae lyc.ce nad NA-G is emda of amtlaguet nad caeytl Ao.c oS ni ganrcoi mciaaise,d lal het etcaly AoC is bnieg usde to ekam konetse rof nergey necis eeoucinsnsoglge si semeds u.p So raeU lecyc nedost okrw as well adn 3NH lastcaemucu +4



 +1  upvote downvote
submitted by passispass(1)
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My ragnseoin on sthi setionqsu aws lepsmir - I knthi ehty dewatn us ot ikcp na somaualto ceesrvesi adsesei sdeba on pttrnea of iskd fdcfatee obh(t aefslem rea adfteecf - tcan' be ygnhntai ldeiXn;-k) boy saw ltaehyh - eurl tou mniotorla.idhc ihtW etsr - leru tuo buseaec fo icesaredn nmioaam dna eiiftlnna oteaienr.ptsn yOln ragnico icda sieboltamm sidodrre ltfe

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 +0  upvote downvote
submitted by forkyeaa(1)
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3m6/eM:piric/ipwfF//igh/17slvc.n2Pw2sthmt.ot/.ucg.i2/C/lbe8warngn

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 -2  upvote downvote
submitted by abhishek021196(120)
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nrthieOni smleaaatncrarybs ni ifctd.eecsMyo omncom uaer eyccl ode.irrsd Xdekiln- ecievessr sv( teroh uera yelcc enymze edccnefise,ii hicwh aer oomatulsa ere.eics)vs

ereIrsfnte with het od’syb iyiatbl to nelimitae mao.aimn

nfetO edievnt ni the ristf wfe dysa fo i,lef btu may tpnsere .laret exsscE yarabcoml epsphhato is tncoedvo ert ooirtc adci r(apt fo teh dipemyrnii nsthysesi ahw)t.apy

:sdingniF c arnooerecsiItd idac ni odolb nda ei,unr DceNad ,serUeB mypmstso fo ephimranmom.aey iaNb amtscoleolg amniae vs( otcrio iiarcd.u)a

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passispass  naC ti be na nXd-elik diseaes if hobt emaefls aer etdcafef dna byo is tn?o I tkinh nuylilek +



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