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Retired NBME 21 Answers

nbme21/Block 4/Question#13 (reveal difficulty score)
A 4-month-old boy is diagnosed with a rare ...
Dilated rough endoplasmic reticulum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: biochem repeat

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 +5  upvote downvote
submitted by โˆ—sklawpirt(34)
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I nikht eth deai hree is plimys that neo olhusd iktnh atbuo wreeh sesvcile rea mciogn fomr no ehrti yaw to teh goigl xl.pocme

o"Tw spset wdarfro adn neo spet kabc". iaelypflcSc het itosuenq yam be refnrgeir to a arer acialiroacnf .rsredido an nsweersaas fo thta ieaesds is nto nasyseerc. taWh si neeascrsy si duanintsregnd eth giinor mrof hrewe ilscevse are takifrdce ot het gilGo appru.staa

OPCI rnipoet is endeed to otca sescvel form het ERR ot nsde ot g.oilg Th,us hiwt a antuomti in atht rte,npio teh pgecdaak eosnitpr hatt udlosh belb off nad be nset ot het l,ogig dntasie lccmateuau ni teh RER nda idalet ti. hsuT the srae.wn

h.9/tStws)ha//jp.(p/g4.-030fd/ow19cl6pl2:wc1f00em22d27-

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hayayah  p.g 74 no FA ogt het odog ssiuva!l +6
notadoctor  II*OPC tnopesir rae nedede ot acot lviscees mrfo eth RER to olGi.g CO"P()IoIwT petss ofw;rdra OPo)enI(C stpe ceara dogAk. rb"t e n sgeo ERR -> oigGl -> SrsoyessroeLm/ctoey eclsVsei >- msPlaa nareembm +27
titanesxvi  wyh otn laslm o?syelssmo +5
varunmehru  dan I tothhug agler osssomyel ude to cakl of yezsemn ot gaddere +1
samsam3711  The esiz fo het ysmloseo si nto tfefaecd by hte cpenerse ro cnesbae of ,itnerpo btu its ntnioufc si domsicpoerm (.ge prnioet is ngtgtie sktuc in het )ERR +2
fattyacid  I pohe iths slhep ot mweehrov aws solt lkei emuNll ttina:oum A animotut (a a)ecngh ni a geen tath seald to tsi tno beign beinarrcdst inot RAN /ondar rtealdsnta iont a cinltuafon ptirneo tpcourd. roF eex,mlpa a lnul mutiatno ni a nege ttha alusuyl decenos a cciipfes ynezme salde ot teh ipotcuonrd of a nlafnntnoicuo zeynme ro on enmezy at l.al +3
pingra  I thkin uyo dmae a y:otp OIPCI E(RR &t;-g ;)iGglsoic- IPCO ls(irtnao-gg &;-tg scigo-ilg adn igcolsig- ;g&-t )RE,R nrtcliah oiconedst(sy adn ioglgrnsta- g-t&; so)mslyeo +2
kevin  oS ym ouhtthg cseoprs asw fi herte si on COP sglnia hetn eitasdn of nogig ot lGgoi it dwolu eb estn arsaty tnio scpmyto,al iank ot hwo ni I-lcel Dx hte enyezms tge snet out fo the llce icens heert is no afirfgiknct ignals reeefroh(t I meupesrd elrga oyslsemo edu to tainge teh geedaatgrg te.n)orip rAe ew gniays hwioutt POC or rCtnhial that teh livcsee will sylpmi tsay upt ewhre ti i?s If I cna tge a eyplr beorfe my mxae (2 k)eesw atd'ht be hcum eiatdpparec +2

"Swelling of the ER" = Myocardial ischemia from cessation of coronary blood flow describes a stepwise process of cellular injury. One of the first manifestations of cardiomyocyte injury is swelling of the cell and its organelles, which occurs as the intracellular accumulation of sodium leads to an alteration in the osmotic gradient. If blood flow is not restored, apoptosis eventually occurs.


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 +0  upvote downvote
submitted by โˆ—abhishek021196(119)
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ICOIP esclevi:s RRE to CGoPIgOil :vsiclese ligoG to htRiERlanrC : Gogil ot ellC emMbenra

Gtare gmdaair ot ferer - 606e/1pnt:a//9ao0xd.f0sn2ss-l6-rj.t5et.c124cSnc00h-.0op8geit-sm71/m0g/

fI boydnya wsatn ot see yolughr eth eamns fo adeeisss PIOIC tmuoitna acsues

.igeucbvnsxt;=.ietwipdts.o7instt/heime&co?2aocdic/1.tecpt/ntalevtmelaa5ntpcnrgc=e:/eotrair

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