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Retired NBME 15 Answers

nbme15/Block 0/Question#0 (reveal difficulty score)
A 22-year-old man comes to the physician ...
Decreased conjugation of bilirubin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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wnrog( sranew xtn)ainapeol

etIrettntinm oubscontirt of eht ommcno blei dtcu si onw.rg

yBlirai ttarc biosutcnort odluw :ahve

โ†‘โ†‘ cetrdi )ncjguteoad( iurniblbi rlmnoa( 0-3,.00. pt swa 40).

โ†‘ ilelAnak tsaaephphso r(nmloa = 7-0,02 pt was 53)

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hungrybox  r:euocs htapoma +

Great explanation on ALP from /u/taz92vagconqueror on reddit:

ALP is related to bone + biliary tract obstruction + leukemias. Although the liver does make ALP, for the USMLE just know that ALP is usually mentioned for the above three scenarios. Bile duct obstruction releases ALP as a result of cell damage. In bone/leukemias, it's because of increased cell turnover. To differentiate bone vs biliary we test for Gamma-GT (and for leukemias just differentiate it from the others by the clinical scenario).

source

+13/- hungrybox(1277)

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 +2  upvote downvote
submitted by โˆ—cassdawg(1781)
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hiTs nittpea ylkeli has litGebr dsnmoyre 02F(20A .)93p4

ishT is sbcueae sih uibmyehibairielpnr rcousc rgidnu siedrpo of ertsss dan si eeavrltlyi n.iengb etsirGb'l yredsnmo has elaedvet utoanjcdgneu uibiilnbr eceubsa eerth is a mild eeicfdcnyi in rcsfrueDualsgnUnral-toPey n.uincgjaoot sTuh, teh cesau is scrdaedee ainujocgton of nl.ubiibir

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cheesetouch  08A12F 387-8P83 +


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