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Retired NBME 24 Answers

nbme24/Block 4/Question#16 (reveal difficulty score)
A 24-year-old woman who has diffuse toxic ...
Phosphate: increased;
Parathyroid hormone: decreased;
25-hydroxyvitamin D: normal
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 +30  upvote downvote
submitted by tinydoc(276)
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hsTi tuioqnse si vrey seay,kn tub in esnesec hsit is shtaw h.ieppngan

heT cnticaeadl moealrv fo teh PHT nsdlag rgundi mthidcryeytoo ⇒ ↓ PHT

PHT -oyalnm n:lri- e:bno ↑ lvremoa of ²⁺aC dan hpoaPhet rfmo n-e-b ino diknes:y ↑ ⁺Ca² praroibnsote and ↓ P⁻³O₄ ↑o-sai nrepo-btr iorvconnse of ,25 viamdotiHxyrny D ot ,152 oHnvaryxdmyiit D iaColil(rct - ativce mfor) aiv ↑ ctiviayt fo 1a- rlaesdoyxyH eicyedcfin

oeerreThf a ↓ THP oludw dela o:t

⇒ ↑ ₄³⁻PO ⇒ ↓ Ca⁺² ⇒ ↓ 5,21 nyaHivdtyromxi D

Teh tqeiusno si kenays (humc eikl eth esrt fo stih ma)xe esucbea omesneo who stin fisoungc llerya ardh or in a ushr hitmg ickp the opoint C ewher hpeohatp is ↑ nda TPH is ↓ BUT ↓ 25 iryhvaxmdtyoin D

Tish is gowrn as lony ,521 yotahdvxminyir D wuold eb d,eareedcs hte oissnvreocn oferbe htsi are odne by eht nksi tn)(lugshi nda ive.lr

I eyrall ihws teyh oludw stop mkanig the tsqnsieou fisncugno ULEPYR orf eth skea fo ikamgn hetm c.nfgoinus tIns it guoneh taht we vahe to owkn hist uiidrosucl oanmut fo nna,miorftio iwtothu ivgnah mhte tanetylolnini igmnak it rharde by pntiogni ouy to 1 wnsear ehicco ubt gchnnaig a emntui ialted ot kema uyo aenswr rwno.g Or nsuig a ronmda ssa ncoemaetnlru ofr a eisesda to vaiod kangmi ti oot msplei SNG(P = itl"oifavreepr "N)G

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tinydoc  I ertlylali gto shit rnwgo cubsaee I ahd the font eoomzd in nda smasdeu eht 1 aws no eth nlei eabov ielk no wrolud whne ti ersti to huqsis hte wohel tleti ni the aems apcse _Xx +1
hungrybox  oyHl kucf yhet tgo hyT.mee doebmo m.e eTh fknugic BNME oemobd m.e +4
graciewacie9  nAem ot teh NSPG en.oqsuit Teyh ogt me no ahtt ne.o lol +
msw  hte psgn tnuseoqi si nntpgii ot dlairpy ioitrfarlepng nihiolrsegeoutprlm bc/ hte tp ahs voeddelpe tecua rlnea leifuar wiihtn ysda fo the unsitl +
msw  tnnopiig* +
snoodle  YHOL OGD MY ABNRI LFELID NI THE 1. i ahd ot eadr hist tiaxlpnnoae 4 tsiem to nlyliaf ese iyytvon5ridha-2mx D dna otn 15,2. F U BMNE +3
avocadotoast  shti sb si brpo wyh teh nqiouset tins no epts 1 enrmoya +
zevvyt  os eicns isovecrnno of 25 &t;g-- -125 is tusdeiprd , dowlu 52 be hhgi? I nkow ist ont an wearns ciche,o sujt wnegodnir +2



 +1  upvote downvote
submitted by trazabone(16)
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ediKny kaesm -5,21 ydrhxyo miainvt .D cohr-ixd2 tloliyr(5)yca tvi D )oiccali(dl si dema in het eil,rv and yppiaiorroamyhstdh dwlou not eecseadr sti evesll as ti scat ot siaceenr h-apa1l reashoxlydy in the yikdne ot scenirea catillcior icrtnontcnoaes t--;&g sehCp/aohatp nboeiprrosat ofmr eth neob nda slalm etesin.tin

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queezyfish  mI' nouscdfe toabu eth osahpetph elevl in etuiqosns lkei hset.e daeeDresc laocrcitli ulowd drcaeese tehpashop oonbpitsar ilhwe THP seacered lsroew heahosppt encriexot. m'I migusans tath eth PTH sadreece sha eht raeertg tefcfe thiw muers tpaeshpoh levl?es +2
mousie  PHT = aPhoehstp" gahistrn noemr"oh fi HTP is hhig ehPhstoap muts be olw - eyht are lwsyaa ositeppo slnesu( td/ narle rleaufi hten etPhpohas liwl eb hghi - nkedysi ilwl be leuabn to egt rid of estpo)hahp o S wol Ca d/t olw HPT sode ont effect 52 .H tVi D ... lyon ,251 H iVt D veit(ac iCirco)at?ll +4
haliburton  niCfairoaltic sabucee I aws e:ndsoufc PTH mssatutile iendky to crupeod ()2-1HO,25 D3 ollact(r)iic iav xlradoyye-1sαh in morilapx vnectodolu .tulbue Thre,erofe ttowuhi aoatyhrridp nl,gdas wlo T,PH D25, is ton oencdrvte dna rroehefet ton dnwo am(olnr ro p.)u phsptoahe "t"drsahe by HTP sa qltenuyleo astted .eoavb +1
zbird  Heer teh yamrrpi eetcfd si hghi up morf the aoprdhryait glda,n ethre is sedrcede ro no THP wichh ollrnyma asherst tphesoaph btu ton ni ihst eacs so semur HAHPESOTP EARNCSIES dan eht smrue cumlcai si lwo ueceasb THP lohusd aehv rndeeptve eth uenri iluccam os etrhe si claucriai dna on onpserirto ofrm bWn-LOoe UCALICM, DitV-inma is nndeindetep fo TPH so ystsa LRONAM +



 +0  upvote downvote
submitted by dentist(94)
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ollowF eth umilCac and kowr aaCdkrb↓sa cw. asnem ↓ Peotpahsh etroosnpir in eth PTC (ichhw lsulp aC ithw t)i

hotvyr-5idD2 mlonra bc/ its adneulrte to PH.T

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