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Retired NBME 21 Answers

nbme21/Block 2/Question#45 (reveal difficulty score)
A 3-year-old boy is brought to the emergency ...
Synthesis of factor X (Stuart factor) 🔍 / 📺 / 🌳 / 📖
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submitted by mcl(671)
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Nto resu fi iths is eht gitrh ywa to nhitk ouabt t,i tub if TP dan TPT ear tohb odernglop, htis mtso iklely nsame hrtee is a mlproeb hitw eth omnomc tywhapa (aak toacrf X.)

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temmy  cyia.l.x.et tjus toguhth het erpblmo sha ot be ehewr etyh mtee or rehsowmee miialrs to cbhn.heoet. eth ocommn aw2yPTT(ptha1 p)aHeinr 7 T(,P 11rir )aWa nf 9 10 5 2 In1 ym ,haed btoh esdis are lnoikgo orf het peetfrc 01 +2


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 +2  upvote downvote
submitted by msw(4)
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hesetr a oulrdw tniqesou eikl sith ... ,, bavronaairx nda toerh catorf aX rboiiinsht olpongr pt dan PTTa but thye nodt ffceta hrnobtim etmi ... elhiw trcied hrbomnit sbtinihior ognlrop PT aTPT dan onbimrhT mtei , soal eiofanndatturc iahrpen loonprsg TTPa nda omhTbrin Tmie itrlT(eohycella ti hulosd goporln TP too tbu ni the etts eth TP gentrae tnnacosi hrnpeai sezeurrltina taht zmmniiei ihts eftfce ) . oryrs if hits eerevd ffo eoscur a litlet

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 +1  upvote downvote
submitted by agurl1000(5)
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oulCd oeemson lapxein to my wyh it si oaFtrc ?X kieL I asuddetnnr that TTP dan TP ear htbo e.alvdete I edipck acoFrt X and nhte ehcnagd ti ot slyysiordh" f.o". ceuebsa I hgtothu hitw a trcaoF X ncfiiecey,d uwndol't yuo eahv a pdlgoeonr timobhrn tm?ei I gmhti be nkgmia shti more ipcld,matceo btu ots'den aocFrt X lypa a erlo ni rbhtiomn avaitotn,ci so kcal of it wdluo ldae to a odlonrepg mritobnh it?me

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drdoom  a enprso thwi DFX ftr(oca x yeineidccf) wlli vhea rnpdloge"o imhntobr teim" sdinie rheit boyd i(n ,iov)v eys, ubt heitr BTMOETIN_HIMR h(te bal ste)t ilwl be ellytpecom mlrona +1
drdoom  hnew htye run eth abl s,tte ahtw they do si ujts dad a hbnuc fo lwoa-gnrb crbo)ni?taen(m ECDATAVIT hnmtorbi to uryo aspalm dan hent ntouc hte esocsdn nutli a oltc .fsorm a’tsht royu T.NREI_HTBIOMM ceonit who fi uoy hvea keudcf up cFtora ,X it sd'eton etrtma eucaesb eth bla ygu si gddina RMLAO,N lfhole/rbthsge-o-an-wff cttaevida inorhtmb ot ruoy alpmsa .smalep +1
drdoom  ni rohte ,owsdr yb diandg eth bal t,imhrnob we rci""mucvnte yan rpleobsm lgdenai pu to ADN CLUGINIDN hte rtiocoupnd of lncoaufnti bot.rhmin is(nce fltcypeer tanocluinf mnhtroib si thws’a neibg ledisppu by hte lba y.g)u TSUH wtha IHETOTNM_MBIR t(eh t)ste is earlyl asgink ,is sI“ reeht tnahying seidni shti tnteipa ttha is fgiteenrnri hwti eht rnenviscoo of tfegi;fn-brgbo?nriii&n” +1
drdoom  ,OS tahw the etts ldoshu YLLARE be dlecal is nto TINHMEMTRB_IO ich(wh is gfiucnsno sa ll)eh ubt UORNIE_FINK__IRMOI_EBFBTORM_AGDI_FRNERIMQTEE +1
agurl1000  TKANH YUO OS HCU!M TISH SMAKE SO CHMU NS!ESE +
drdoom  ️~☺☺️ +
drdoom  .s.p I idd a ttllie eomr egniard dna ti essem ikle hnimobtr is divedre frmo psmaal rodson (nto deam bonacitenlyrm in a hs😁id ysor)r! +

https://www.google.com/search?q=what+does+thrombin+time+evaluate

The thrombin_time evaluates that part of the hemostatic process where soluble fibrinogen is changed into fibrin threads. It measures the time required for a fibrin clot to form following the addition of a standard amount of thrombin to plasma.

(emphasis mine)

+3/- drdoom(1206)

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 +0  upvote downvote
submitted by usmle11a(102)
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i idd hsti tgohhur tne:nmoialii

ac, and D rnitci;sin PTT↑ nloy

B) ihwhc is altluyac hte ;P2IP vdilnvoe in Gq nlsgagnii

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