NBME 25 Mitochondrial crystalline (NBME Answers)

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 ,cayzr or edos the ensqiuto emst lpimy htta shti wsa inetdeirh ?atlplyaren

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raspberry-muffin nI this qenistou sudsno eilk ehrndieit ptlreynlaa , btu hist eulscm ibsopy rdefioncm hociMtlaronid rtnecn.heaii ucelsM spibo:y nmmoeIcuhitrsoshiymt yillpytca oshws drggea rde fr,iseb hhciw rea sdauce yb -saolbcerslamum and lmbiirf-eoltanryir umctoucialan of dcfetveei admnhioroitc ni escslmu rdh(tomniicao tansi e.)dr abolrybP rehMot ahs hte esam toinoicnd o.to +

yogurt-dimple oahc.tG ,Yhea het edr adregg srbife deppit me fof to cnlhomoitrdia yomyap,th ubt ebecsua hte semt dmepiil apltrnae an,eteciirnh I gireudf teher asw tujs ethoarn eeisdas I dah fngetorot tauob htat ssretpen tiwh thm.e +

drdoom f@rpiyrasu-nfmrbe mI' not evndicocn. It is yhhgli iklueyln het ENBM lwudo wietr shti eqinuost dna extecp uoy to sea"mu"s omm hsa todocniin utiohtw magnki nay onitmen fo .mom ul,sP ti is pylmis ilyghh alrbpoiebm ahtt oyymapth si rtenpse in tohb mmo and dad inlega.e hTat seems off to em. +

drdoom pmregd@ty-,iluo I ihtkn this a eky nlei in hte :ilnenpxotaa eewHvr,“o there rea tldadoiina stoamutin taht ffacte coanhoitmidlr NAR asttlrnonai, fcgtrkinaif nda rronaiocotnip fo yrertroiaps oenitrp cle,ospexm nad ceetnainman of eht eirnn nimdoriloahtc mbmaener thta nca laos edal ot cotihmdaronil oym.yptha” +

drdoom esY, heyt ,say roMatlihondc"i isdeaess aer tcisyrlt ndhitriee hgohurt hte mhr"ote ubt tshi si nto a hmrtaidcilnoo eidssea — hsit si a avii"r"–dnmrcennltiodeo-ohd tdonhialiormc hptamyy;o e,ys aitdooicnhrm ear faedtfce tub hte ntiuotma si in icotmas nralu(ec) neegs that eongvr eth tnaaencnmei of h"yathel .r"iahdoicmnto isTh si ebeuacs eht ianmttuo cfstefa het eoiptanicf/tnrooun fo dhimooiratcn utb eth umnatiot iltsfe si in het lceruan ADN ch(ihw rltnooc siegonthm aobut the "utalqiy" fo mthdoraniico but whta ylxceta is ont yet wnn)ok. +

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submitted by ∗drdoom(1206)

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Tihs unieqtso gihmt be cktiyr aeeucbs teh oaitntum fo neisrtte eher is ehidnrtei rmof hte add eisd tlnp)(eaar but fesactf hte inhmioctad.ro

Taht si, hte aiumtnto is not a utiantom fo hte rtmliocanhiod AND; ti is of rcnelau DNA hihwc efscfat lodchntmariio nntioufc nad aut.iylq imhMscn(ae kn)unown.

In erhti nei,npalaxto eht NBEM a,yss “nrdioilaochtM ssseadie are rsctilty etdinierh gtruhoh eth romhe”t tbu taht si ntrcercio; ti uwlod be mroe otrrcec rfo emth ot ehav idas: troolihadMnci NDA tmaostnui rae tcsitlyr dtihreine gohhurt teh hertom.

hatT s,i you anc vaeh diirlhatomnco brlomspe taht cmeo mrfo uory .dda ihoMaltcridon AND ut,isantom no eth etorh dn,ha ecmo oyln mrfo mmo.

,So het tesm cierbssde a “ocahntrdmlioi dseaeis” but ti is nto a nlordimcoiaht daseesi rdeived ofmr a ohdircnmailto ADN itoa .mutn

Ye,s cmodrhiitoan aer cetafefd ubt het nmttuioa is ni aeclrun DAN atht oesrgvn eth cnnntaeeaim fo heylth"a mnotri.dhoci"a

hisT slenixap yhw dda nad ad'ds terhrbo hwos hte esam “omilrxpa lcmuse snwaeeks fo hte lreow imstei.et”xer

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drdoom iiyCnfgral reuftrh: eTh eesadis of esenrtit si terteb ecbedsidr sa a ooildnnrtmhc"in-ao edrvND–"iedA ocdltmnarhoii .mtypahoy s'It a u,mltohfu I now.k ,esY ichomitornda rae tfdeafce tbu eth ttnoimua si in ioasmtc e)la(ncur eengs hatt ergvno hte nninrfico/teoaanetim/eotnnupca of leathy"h ihco.rdimon"at hsiT is hyw it is gbine iertiedhn hugthro eht dda nad yet ntfaimsse ni acdlmnoohiitr sni.onytucdf +

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