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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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sihT oqiustne si yver yea,ksn utb in eesncse tihs si awhts pnhigpane.

Teh natlcicdae omvarle of hte HTP agldns durngi mydoocryethti ⇒ ↓ HPT

THP :m yll--naniro oneb: ↑ mavoerl of ²⁺aC dan hatpPeoh rmfo nbi--noe s:iyedkn ↑ aC²⁺ ntparseorboi and ↓ OP₄⁻³ spoo↑--btirnrea cviornoesn of ,52 aodvrntyimiHxy D to 1,25 atvyriionmHxdy D rlt(lCiaoic - ecativ mfr)o aiv ↑ tyciavit fo -a1 yelrHaodxsy ncicfdyeei

Teoehferr a ↓ THP dowlu aedl :to

⇒ ↑ P₄³⁻O ⇒ ↓ aC²⁺ ⇒ ↓ 52,1 nrvmdioiyaxHty D

eTh seoutinq si kynsea chum( lkei eht sert fo iths ea)xm bceeuas semeono who ntsi fgioucsn rlyeal rdah ro ni a rshu imght ckip hte otipon C ewhre papoheth is ↑ and PTH si ↓ UBT ↓ 52 rxyaivtdymnioh D

hiTs si gornw sa lyno 5,21 tnxmrhdivayiyo D oulwd eb easdeedcr, eht nsrecioovns ofrbee ihst rae oedn by eht knsi (ug)ithlns dan v.lier

I laerly hisw heyt dwuol ostp gniakm het onseiusqt uoginsncf YREULP ofr eht aske fo knmagi them .ifscngnou Itns ti ghneou that we aveh ot kwon hits ucsiidurlo nmauot fo oiomn,aniftr uitwoth haigvn htem ylileatinnton kignam ti hdrrae yb ingioptn ouy ot 1 saerwn heocci utb gncnaihg a umnite tiaeld to meka uoy nerwas .wgron Or gsuin a mdanor ssa nnlcaeeumtor orf a deasise ot oaivd mgaink ti oto lepmis SGP(N = rlpiifet"roeav G"N)

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tinydoc  I yrellital tgo stih wnorg ebcseau I adh hte fnto ozmeod ni nda eaudmss the 1 saw no eht nlie oeavb klei on duorlw wneh ti seirt to squhis eth eohwl tielt ni teh mesa cseap X_x +1
hungrybox  yolH kfuc tyeh ogt eemTyh. odeobm em. The ngkfuic MNBE bedomo e.m +4
graciewacie9  nmAe to het GNSP .iqseutno They got me no ahtt on.e llo +
msw  eth sngp uiesoqnt is gntnipi ot rpyaidl iatrrfnoipgle tsiipheengolulrorm bc/ het tp hsa depoeedvl utaec anlre ufrlaie ihntiw syad fo eht nstliu +
msw  gnp*tnioi +
snoodle  YHLO ODG YM BIANR EFDLLI IN HTE .1 i hda ot edra stih oilntaxneap 4 emtsi ot yinflla see nm5ivx2t-dayrioyh D nad tno 5,.21 F U EBMN +3
avocadotoast  htsi bs is ropb ywh eth nuiqotse ntsi on tpse 1 enormya +
zevvyt  os csnei scerivonno fo 25 g-&;t- 5-21 si srtipuedd , dwlou 25 eb h?hgi I ownk ist ton an aewnrs ci,heoc tsju rodinwneg +2



 +1  upvote downvote
submitted by trazabone(16)
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deKyni ameks 5-21, dyrxyoh mnivita D. 5ayhryo2l(co-lrcxti)di tiv D (acdco)iill si emda in eht rilev, dan rspyorhayipdmaoiht lodwu not ceaedsre tis lveles as ti stac ot cneeaisr ph-a1la ylhodrexyas in eht neikyd ot rseciena icclairlot snnteacicnotor t-g-&; Ctpaehhpoas/ aoosirtnpebr ofmr eht obne nad lasml ei.nittnes

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queezyfish  'Im ceufosnd otaub hte hphoatpse velle in ntseqiosu klie ethe.s csaerdDee catcoillir oudlw eedesrac pehhpoast rspbinatoo liewh THP ecrsdeea wreosl osthhpaep .etxreiocn 'Im mngsuais taht het THP readscee sah het ratreeg fcefte wiht mesru phtpasoeh ev?elsl +2
mousie  HTP = psePahto"h irnathgs neoo"rhm fi HPT si ghih Paheophts stum be wlo - ehty are alsawy positoep s(selun t/d arlne fuirlae nteh Pstaoheph iwll be hhig - idneksy lilw be unaebl ot etg rid fo )asphpohet S o wlo aC dt/ wol PTH does otn eeftfc 25 .H tiV D ... lyno 521, H Vit D aicvt(e loii)C?rctla +4
haliburton  tnaCiaoficrli aeesbcu I asw uosfn:dec HTP smulaseitt dkneyi to udoecrp 1H,2(O)-25 3D ac(ilrltoi)c iva eyy-ahrdxlo1sα in mprxoali lotdvcunoe b.eltuu r,oefeheTr iuhwott adotyrhipar ,lansdg wlo TPH, 2D,5 is not cdtenrvoe and eeforerth ont ndow arlmon( ro pu). hapophets sa"hdtre" by THP as onllquyete dattse vbo.ae +1
zbird  erHe the rpmryia defcte is hhgi up form teh apirdrathyo ,gdanl eehrt si eesdcerd ro no THP wchhi molyarln hressta seahtpoph tub not ni hsti aesc so ersum HEPTOAHPS CNAESSEIR and hte mseru licmcau si owl aeusebc HTP lsoduh ehva ndevtreep the neiur licamuc so reeht is cilarauci dna on noeprsroti omfr oWLn-bOe IMLUCA,C nmD-atiiV si dnteedneinp of PTH so sasty MLORAN +



 +0  upvote downvote
submitted by dentist(94)
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olwlFo hte icCluma nad okwr . dbcwkara↓Cas nesma ↓ tePhhospa ipetronosr in het CTP ihcwh( lsupl aC twih )ti

vD52-oirydht lranom b/c sit elnatrued ot TP.H

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