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Retired NBME 25 Answers

nbme25/Block 1/Question#18 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Mitochondrial crystalline 🔍 / 📺 / 🌳 / 📖
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submitted by yogurt-dimple(3)
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mA I az,ryc or sdoe eth nestquio smte plyim ttha shit wsa heineidtr eynlta?rlpa

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raspberry-muffin  In itsh enusoitq uosnsd kile rhtenieid anlparteyl , utb shti clemsu yopsbi miernfodc lMiahdronicto re.eaictnnhi ceulMs :syobip snosmtyoiheItcrhmmiu icaltyylp shosw redgga erd ebfirs, hhiwc aer dauecs by el-mbaoslsmucar nda rfibyriarliol-mnte ccnaulutamoi of dceivefte cniotirahmod in uscslem (oorhaicdnmit snita d)e.r brybloPa erohMt has het esam codtonnii oot. +
yogurt-dimple  ha.Goct a,heY het erd deragg fresib dippet em ffo to aicohlidtornm ah,oytpym ubt esuaebc eth mtse plidiem elantapr ceertihainn, I degriuf rehet wsa ustj raenhto seidsae I hda tergfoton abuto atht retspesn twhi .hetm +
drdoom  biyrr-fmpusr@naef 'Im otn dc.coninev tI si ihhlgy kiuenlly eht MENB uldow twrei htsi qinesuot nad xeptce oyu to as"e"msu mom sah dinintooc owhutti mnkiga ayn tniemon fo om.m ,lsuP it is plsimy yihlgh eablrpmbio htat ymoyahtp is spnteer in tboh mom dan add ge.eailn thaT mssee off ot em. +
drdoom  ,uemrigdoply-t@ I itnhk hsit a eky inel in het nxi:taeoplan oweH,rv“e ehter era itonddaali iatoustnm htta cfetfa ctiihanordlmo ARN ntsairltano, kctriaignff dna ioororapnitnc fo yeptrsiarro onptire xl,pecomse nad namniecante fo hte rnien dholnotiicmar eamremnb ahtt nac oals adel to trnhocimadlio oypa”hm.yt +
drdoom  seY, ehyt ,yas otca"drilhoMin essisdae rea ttslircy erieindht toguhrh teh hot"mre utb ihts is ont a omtcioidnrlha ssaedei — ihst si a diaimterh–onnddin"-cerlovo" lihnomicatodr yoa;mtyph e,sy niomhrodatic era dfaetcef tbu eht tnuiamto si in saiomtc ulc)nr(ea neegs tath gnvoer hte anetnaecmni fo "hatyhle c"hanodimotri. sThi si ucbesea hte tnmtouia fecstfa eth enuntnia/crofiootp fo ohdacmniotir btu hte mtiuntao eilsft si in het aercunl DNA hhwc(i ontlrco tegsnhoim utboa eht uat"y"ilq fo acohndtomrii but waht tleaycx si nto tye nnokw). +



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submitted by drdoom(1206)
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Tshi nsitoeuq thgim eb ktyicr cbeuase eht nutomait of nesttrie here si enithdier mrof eth dad edis r)e(aptnal ubt ectasff teh ichodiornat.m

haTt ,is the taumtoni si otn a aiotuntm of teh ointirlhaocmd D;AN ti is of aculnre NAD wihhc sceafft itricalmdohon cfontiun nad qta.yilu sa(nimcheM nk.uw)nno

In hitre aixaentnpl,o the NEMB ,ayss “tdhiMalrocino seisdsae ear tlstiycr eheritidn uotgrhh eht htmo”re ubt ttah si ictn;ercor it uldow eb moer eorctrc fro htme to have a:sid orcoMidnhailt NAD uimottans rae crlistyt neeihtird huhtogr the ot.rmeh

hatT ,si you acn heva hnirdoatmoilc plsrembo atht eomc omfr ruoy ad.d oiMtahrcldnoi NDA tums,atnoi on het terho and,h cmoe yoln rfmo omm.

S,o eht etsm rcdiebses a “mohaiitordlnc eeiassd” ubt ti si nto a aomohdinlrtci dasesie direvde fmor a toriahcminodl NDA .uati mtno

seY, inotmcrioahd ear etdaecff btu teh inmutota si ni ulnrcae DNA hatt rogsevn eht nantcnmeiae fo a"htleyh rtin.aiomo"cdh

ihsT selxipna yhw dad nda sd'ad troebrh whos the smea pli“omxar lmesuc enssawek of the olrew retmts”x.eeii

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drdoom  yflnigiarC thfurre: hTe esesadi fo sneetrit si berett rcieedsbd as a nmcir"ntdnoi-aohlo de–idD"ArNve oontihirmcdal aytpmo.yh st'I a to,muhufl I .kown Yse, dmthoicroina rea effacdet tbu eth nomitaut si ni sticamo )uacn(lre nesge ttah grnove het rannaecn//nttnonmipufaceeiotio fo "hteyhla rn.dooii"chtam shTi si ywh ti is begni entiidreh ughtroh teh add dna ety asnetfims ni dlrothoamicin tyodsnfunic. +



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