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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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eUar clyeC dsirrDeos ;&tg elstdIao esevre irmymmaepeahon &tg(; 1000; .,ei. no tohre eesver btoealicm esdrbnctiasu

iihrtenOn aaranssalmbctery yedciefinc t&g; ms(ot oncmmo urea celcy sid). iocotr ciuecaaria/diimad, aaeemmmrnpohyi

cgraOin isimcedAa &;tg Heymnmeimra,opa naioapg-n d,saoscii ostsiek fm(or gmphoc)liyyae

nMmde-ihcuai -olaACcy yroegadnhesed nidefceiyc ;tg& aemmoyani,premH ptiocyhokte yogacehylpim n(ees ni iiβotdn-xoa srseidr,do PXECTE dtsunoorpaheoel)rdkyy

iverL oftnusidnyc &t;g ,maanoerHmimpye LsFT eesdms up, elodr p.t

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lsmarshall  myuSarm fo caloiemtb sseius tegrinal ot nhamaymipeorem +9
seagull  m'i ilanneg wadrots Oinentihr aaelmrrncastsyab i.ycdfeince +3
notadoctor  otN rues why this 'tisn dceeorndis a onitdrolmciah orddeisr scnei teh suies is rOnniiteh rtscmyebaalarsna eefdciynic ni teh miitorhacdn?o +2
charcot_bouchard  if it was oinlhmracidto sdriredo no one dwluo cpeaes +3
wowo  greufi ni CTO fdnecieic,y hety ihgtm ehav ot eciyxtlpil itnenmo teh oiorct audiarci NDA cllyapyti rtpseens rlar,eie uoandr 4rh4s2-8 fo feli rtfae hyveet' fed (at sltea pre B )B+ osla rpe B,B oioprncpi imdciaae dna MM adeimiac aevh na teons of swkee ot msothn adn deal ot dlbiu up fo grcnoai iascd ;g-t&- aideiacm ni itndaiod to iaeyrehnpammmo (otn rseu ,wyh ubt erlseav aa rntee het CAT ycelc vai rynilppoo CoA t;-g&- mheyomlnltlay CoA tg-;&- ilnyccus Ao,C tbu nwo shit is dectunf dt/ mnzeye efiie.d.ei)c.s?cn. wnyAh,o riponocip dcamiaie erisbcedd no A1029F 58,p tbu onet'sd lits iemmhroyaanpme +2
artist90  i ihknt ti ocntna be rtOhneini eclsmntarraasayb nycicedfei bc ti is XR adei.sse thsi tp sha a etlhahy yr2 old hrtrebo cwihh rulse uto inklX-de eserecisv idessae torccre me if i m rowgn +7
artist90  ti si 00%1 iPpoonicr iiamdace Urowld d-:iQ 4310. it is an taxec yopc tiouensq of lu.wodr i tog it wgnor cb i fogtor eseth rae ogrinca daic.s tuB i am lltis sunedcfo no 2 ihow -hsgn1t soed sasiiocd csuae yycagpmoilHe nad yeh.ssw 2Ko-ti si minoaAm etevedla in thees stp bc uera ycecl wlil eb if?en +2
yb_26  )1 peyearoimmnamh si eesn ni lal uera yccle sdidsrero teexpc grsaneai ec2 ifdicyne) iagnocr idasc eldicytr iihbtin ruea clecy t&=;g npmamyhorieaem mf(ro l)drWoU +2
yex  ngrcAoicd to ,WU erthe is arehotn usonitqe # 413.1 siTh one rerfes ot ntclammholyei aicademi IOGARNC( ECM).AAIDI EALYOYPGHIMC rsetlus fmor elvrola ndreecsia lacimtoeb trea niegdal to ndraicese sulgeoc itutnlaoizi dan credit tcxio )-( fo nescelousoeingg yb nraoicg scid.a eTh erspeenc fo yehymoplicga ldsea ot iensrdcae eerf tytfa dcai msmioteabl that dscepruo KE,OSTEN sugnrtlie in a rhuefrt nnoia gpa tme aiisod.cc ylFia,ln irogcan scadi loas eltrdicy (-) eth reua lcey,c lgiande to I.AOAENRPMMMHEY +19
ih8payingfordis  I tihnk ehrte hsa enbe emos fuscsooinn eebsacu AF edso a oopr bjo gingettnira ehset ntopecsc hoetgetr tub hree ear oesm ersr:ecfeen F A 1092 pg 8:5 iPcpiorno mecaidAi (isht si one mleexap fo cogiran iadc iatmlesbmo ddroesr)i nI the yasmmru ieufrg no Pg ,47 olko at het eotirpn malboitmse de(colta btmoto rg.)hit iycBa,lsla you can have eidrrodss reewh oyu vaeh npoPAi-lorCoy iudlbup nleao RO loPionA-oCyr nad llhMy-lCAoatemony lpuuidb. Ad n stehe ciagnro scmiadeia are ltamoosua ersevesic in ehrti riceennathi teasprnt, whchi ift ihtw hte stem 'were eving ie( XX dnuidsilvia nca be aeeecf)ftOn d itngh atht WU attes that I od ton ahve na epoxantilan of:r eth ulpudbi fo gnaocir scdia tibhini hte raeu clcye enhce teh iceaesnr ni oiamman (ayonen nsowk how sith e)nhaspp? +
aaftabsethi1  naC mooeens llte me ywh otn AELMS ? +1
jaramaiha  aihbaea@tfst eabuces lal of the gbsislni wudol owhs mose myptmsos if ti erwe to eb a rhlmatcoidnoi eaiessd. iWchh shi rerobth si ,yehahlt nda iersts wsa mltle-rfu but dedi deu ot eipsncfieud aesc.su +
utap2001  yWh sidocisa seuca Hlmpcgeyioya nda sotKeis nad he?pmyiaronam In (hadscisuoics ccaitl ;ads&o-)iitscg iteiacdn yobd grenye iisrsc -;&tg n.ci olcilysy,gs mec&ptyl;iygH-oag .inc noeirpt kbnw,rdoae marmaeinHopy ;&-tg cde. CTA elccy, sstioKe +



 +8  upvote downvote
submitted by powerfulgarbage(17)
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stuJ ot add to hwta semo hterso heva ids,a htis is in Fsitr iAd as l.wel AF 0220 pgae :85

nigcarO aeasdmici msto mynoomlc trseenp in cafinny thiw orpo inede,gf i,vgnmoti ytnha,iopo a ihhg onina pag oicbtmael sioaics,d maheaplt,oeyg adn .irsuezes

hTe caringo cdai nucmtiluacao seod 2 n:ighst

  1. aigrncO scaid nbihiti eesnugegconolis, nlgiade ot gfnitsa peygocylamih ciwhh hnet easscu oastiodkeci,s nigcsau a gihh AG lmebcoait iosdiacs

  2. nircagO icsad nibihit the reua lcecy, dgealni ot merhnamapiymoe

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forkyeaa  tish incb ahtowcfrl owssh woh teh ccelys ear behiiidt.n igthm he.pl s6tghaunt3p.27Fropi/8nbilP/g/ci//c.wgm/vhtmf2cisCn1M.2r/l:wei.w/e +



 +2  upvote downvote
submitted by sattanki(82)
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Ca’nt hlep umch no the tecxa gnoeianrs w,hy but reeht aer a efw lorUWd osenqsuti no stih rewhe if a neentao ash ,plygoachmeyi tsesiko dan pmr,mnoahieamey a roacgin cida oiddserr ulhsdo be cspetedus ooipnpci(r ciad or mylhmoelatinc ica)d. eLss issiuuspco of an RTA acesu plhycgimoeya si ton cacireirtchast fo tta.h

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sweetmed  mI mgunasis eaecusb umeaaayttetltlNgc- si an ltaeisorlc rviaactot of PSC I deeden in uear elycc. dan -ANG si eadm fo taametlug and ecytla Ao.c So in ircnago iidas,mace lal eht acytle CoA si giben usde to kmae tneokes rof ynreeg cseni gslnooecesnueig si dmsese .pu oS rUea cycle esdtno rwok sa wlel and 3HN tmuclesaacu +4



 +1  upvote downvote
submitted by passispass(1)
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My iosarnneg no isth stieousqn wsa iprlems - I htkni ythe entwda us ot pick na ouotmalas iseecevsr sisadee bseda no atetprn of skid fedtefca hobt( lefeams rea acdftefe - 'natc eb tynnghia ;nlid)k-Xe oyb wsa eyhhlat - elru tuo itorilanmchod. hiWt tesr - leur uto bcsauee fo eiscndare aomnaim and nfianetil paeriot.nnest Oynl rgnaoci dica tembaoislm sroedird letf

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 +0  upvote downvote
submitted by forkyeaa(1)
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2wt:i/w/31tbehnct/gci.fcimClsan//.r/p.F7pgMi2egPi/8oshwm/r6lvu.n2

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 -2  upvote downvote
submitted by abhishek021196(120)
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Ohnterini lsnyrbaatacesamr difeny.s oitecMc conmom eura ecycl s.oirderd enk X-dil esrvceeis v(s oehrt arue ycelc zeeynm cinsf,eeceidi hchwi aer otmaousla veesrsci).e

eeterrIfns tihw het syd’ob tybaili to eimealtin .miamaon

tfneO tndveie in het strif ewf sady of l,efi but may ertsnpe rtela. cxsseE abcoamlyr tsaopephh is orvetndct oe otrico adic rpta( fo het idipyremni tssnishey ).atyhawp

dF:nigsni dcsrerInicaoeot  adic in dbool adn u,rnie e,U seeNdrBDca smopsytm of ayehmmeamrpno.i Ncbielamsto gola mnaeai sv( iorcot udia.ri)ac

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passispass  aCn it be na -lniedkX eessdai if hotb eemlfsa are detefcaf nad oby is to?n I khtni luknylei +



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