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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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Am I azr,cy ro eosd eth toniesqu setm iyplm htta isth swa driteihen paneyrtla?l

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raspberry-muffin  In tshi equsitno nsosud klei eehdtniir letaaynlrp , but hits mlsceu bysipo rcemnfdoi Mtiarcnodloih aneien.thirc cseulM obiy:sp omihorscmeInhtsymitu yclpyliat whsos ragged erd e,rfsib hciwh aer easudc by c-saoblrmslaume dna ynirreaoibft-rmill mulaucitnoca of eveticedf cnihirtodaom ni slmcesu (ocdionamhrti naits re).d rablbPyo etroMh ash teh mesa ndncitooi too. +
yogurt-dimple  hoaGct. ,hYae the rde gardeg fbrsei peitdp me fof to icrmdtnloaioh ytmohp,ay ubt bcuesae eth estm ildipme eplraatn ,ircatiehnne I iugdefr hrete asw tjsu eonrtah eisesda I hda gtooenftr utoab taht tesenprs iwth mh.et +
drdoom  amrb@pufn-risyrfe 'mI tno nev.ncicdo It si lhiyhg likyunel het EBMN udwlo irtew hist tinqeosu adn pecetx yuo to ss"ema"u mom has nnooiictd hwittuo aingkm any tinnmoe of mo.m luP,s ti is ylipsm yhhlig bporimleab taht yhamotpy si rspteen in htbo mmo dan add .neelgai thTa sesem fof to em. +
drdoom  rgiy-etdlp@,oum I kihnt itsh a yke line ni eht xaanl:enotpi roHve“ew, ether ear idloniadat atuiotmns ahtt actfef rthiloniomcad RAN rnnlaoa,ttsi nifrcaitgkf nad tonacioronipr fo rpoeyrrtais toperin mxplcsoee, adn ancnenamtei of eth nneir cinoatmiohdlr ereammbn taht anc aols dale ot onctoliiamhdr y”.htmopay +
drdoom  seY, ehty yas, Mincohalt"oird eeisdssa ear sirylttc tdeniehir uhhortg hte hemotr" tbu ihts si not a doaclitihrnmo easieds — sthi is a -indm–tdonrloe"eaic"ivndohr aornmiidohltc pmto;hyya s,ye icmrootnihda rea feftaced utb het iamntuot is in ocmatsi anlc)ur(e gseen ahtt rnvgeo eht ecnemtniana fo he"thaly aoiocmh"irtnd. Thsi is asceueb eth imonttau eaffcts teh noiuorpeaonfnctt/i of oiatodrnhmic tbu teh uinttmao feislt si in the lcneaur DAN h(cwhi nlrootc mtehsongi btauo eth l"y"taiuq fo dooicmarntih tub hatw xacelyt si ont tye .n)oknw +



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submitted by drdoom(1206)
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hsTi squnetio htimg eb trikcy aceubes teh attouinm of eisntetr hree si iiendhrte mrfo hte add ieds et(pna)lar utb seacftf teh oioinhramt.dc

That ,is the anutiomt si ton a atmotuni of het hnridciotomla ;NAD it si fo arenucl AND whchi eatscff toodnmiliahrc tiuofncn dan tiuaylq. aim(Msnceh )ku.nwonn

nI rtehi lipa,nxotnae eth BMNE sa,ys “rtiahMocdlnio idaesess era ryltstic hrintidee uhrtgoh het m”etohr but atht is reicnro;ct ti owudl be mero otrecrc ofr emth to haev s:dai nloacMhtriido DNA sountitma rae iystctrl heinreitd huhogrt het rmteo.h

Ttha ,si yuo anc hvea inortlhicmoda beslpmor htta eomc mfro oyru dda. oldihMocaitnr NDA tiua,motsn on eth rheot d,han emoc ylno mfor omm.

So, teh emst sbcsieedr a “oaicoilrhdmtn sdeiaes” btu ti si ton a rcanmodohiilt edssiae eiervdd rmof a cmholonidriat DAN tmu a.onit

esY, trnmdiioahco are fedecfat tub eth mutanoit si in rlucnae DNA htta vrnsgeo eth nneanecaitm of ly"atheh "oocia.rnhitdm

hiTs eanxislp hyw dda nad sdda' hrboret oshw eht asme moraxp“li sclemu snaeswke of teh ewrol tmxr.e”itesei

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drdoom  iCalgnriyf rut:fehr ehT sadseie fo stetenri is trtebe srebdicde as a -odahootlnri"cnmin dvAri–eNe"dD doinlothrimca hoaytmyp. 'tIs a l,uufhtmo I o.wnk Yes, mnciadrohiot are fecfadte utb eth ttouamni si ni tacomis nareu)(lc eegns that orngve het mctaueripant/ioo/eaonnnnteicnf fo "lhhayet mo.ai"tnhdcroi sTih si why it si igenb nteiirehd tuhgroh het add dan ety emsntsfai in roialtdochnim sndto.fcunyi +



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