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Retired NBME 24 Answers

nbme24/Block 2/Question#1 (reveal difficulty score)
A 73-year-old woman has had easy fatigability ...
Failure of conversion of N5-methyltetrahydrofolate to tetrahydrofolate 🔍 / 📺 / 🌳 / 📖
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 +16  upvote downvote
submitted by ∗syoung07(58)
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owldu hvea eebn erla eatno fi yhet trhew ni a prseeheedy-ntgm rpiolhentu

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 +11  upvote downvote
submitted by ∗yex(128)
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cdAnigocr to j:laonG "2B1 mniacl)ab(o ahs toblca ni ti. iautriCgcnl from fo ftoela is .athyteltodreaoleytfrmh rPepuso of lmbniaoca )B1(2 si ot kate teh hyteml prguo off fo adaeyltolthrhfmeyoter.t eTnh i’st cdleal aetalytrde.torofh If oyu to’dn get eht temhly uprog fof of teo,laf yuo lliw otn mkae DA.N ,oS fi oyu rea 2B1 ,dfe ouy tcn’a gte hte etlhym gropu ffo nda ctnona amke .AND If ouy era def ni oate,fl uoy acnt’ kmae "N.AD

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misterdoctor69  lmoa +

pic of the methionine/folate cycle: https://i.imgur.com/XXWXTT7.png

+2/- hungrybox(1277)

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 +7  upvote downvote
submitted by ∗lsmarshall(465)
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hlhguotA orhs'nC aym hvae ,crelus ,atfsiuls dna idbe;lneg ti alylsuu deso ton sueac noir ydfieinecc miaena dan ahs ssle lneidbeg ahnt .UC uattSlruc"r lireianbtsoam fo eth tnelriam ile,um hscu sa Cnohr esseiad nda cirslagu sitenrc,eo can eacsu desdaecer robstipoan fo miaitvn 1B.2" - ristF diA lraeGne riPlesncip

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 +3  upvote downvote
submitted by ∗lispectedwumbologist(122)
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hyW dlouw ti tno eb mianea of cchorin essdeai twih rsaecedde uresm rinersrtfan aon?cettonnrci

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lispectedwumbologist  rdmiNeenv m'I dtispu as kufc I ees ym kmaiets +2
drdoom  eb dkni ot ol,yfrues cd!o 'si(t a nglo rdao r'eew o!n) +21
step1forthewin  ,Hi acn emneoos naepxli eth lbodo mr?esa 'nsit it dosupsep ot wosh ethdgeempyners uiotnpselhr if ti swa B12 cneycfii?ed +1
loftybirdman  I nkhit teh bdool msaer is sigwohn a eoln tlpcymh,eoy chwhi hdlous eb the msae sezi as a rnolma R.CB ouY cna ees eht BCsR ni tsih masre rea egrigb anth atht i-moaytcc>cr >12B- ifieynedcc +25
seagull  ybmae mi' ewn to teh a.egm but tsin' eht wasern eaftlo ecyeiifndc dna ont 21B? Also, i hgtuho ti was inaaem fo ocrhcni ediessa sa lwe.l +
vshummy  bgmioespc,tiuslowtdLe lseepa naplixe uoyr iakste?m Llo aebcsue atth semes eilk a etipscleebr naswre ot . ..me +9
gonyyong  s'tI a B12 m le iIifceyunecd is eehwr 1B2 si ,radeobsber ftleoa si huT en juemj bdool amres si goshnwi lenadger iohn BCeteMsRni tsahensy oesd itsh coroeisnvn, signu acocfrto 1B2 +2
uslme123  Aaeinm of crichno eedsias is a cmcrytioci amneia -- I levebie iths si yhw heyt ptu a locymthyep no het eisd -- os we odlcu see atth ti wsa a tycicrcoma neima.a +4
yotsubato  Tnahsk MB,NE atht yalrle edpelh .m.e.. +1
keshvi  eth qneitsuo swa vtrlelayei y,sea utb eth tuicerp wsa os ismidniggu i !left i uhtgoth ti kleood elki tcomricyci CsR.B I gsesu het yek i,s htat tyhe elyrlac dmnenoiet ildsat muil.e nda that si HET eits rof B12 rpobsiaot.n +6
sahusema  I 'dntdi neve estrrige atht was a ymecohytp.l I thgthou I was ienegs reattg lcsel so I was ocuedsfn AF +
drschmoctor  eaLve it ot EBMN to fndi the tpeals tasycreomc no teh eltpn.a +5
zevvyt  so i eguss zise si orem mtrnoapti tanh corlo uaecs setho era chihmaportcyo sa fcuk +
yesa  Teh USULCEN fo a yymlchtepo hdsluo eb hte smae szei sa a lranom ,BCR hhciw si ont eth ecas er.he renUd lmoarn amiesccutnscr sCRB aer ont sa big sa ,loyshcytepm so tsih is ltuyr oexrrdrtynaia = iascotagellbm maneai. +1
weirdmed51  ayse@ uoy eamn amyo‘’i.rcctc orF it ot be mbgia‘e’slaolct hrtee adh ot be a gherseedymptne nhouitr.pel +


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 +1  upvote downvote
submitted by ∗krewfoo99(115)
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locif ciad ewhn it setrne the doby si ni hte mofr of meyrfatrlttohlaeotehdy (FTH ayl.)thetdme It stnodae tis hyltem rpogu to iimtvna 12B ot obcmee FHT (the aietcv mrfo iwhhc as a NAD u.rrer)opcs hTe atmviin 21B with sti mtlyhe rogpu sego on ot bocnemi itwh noeeyiohcmt ot ofrm i.nnmheitoe

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 +1  upvote downvote
submitted by ∗sunshinesweetheart(112)
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rctcyaoicm maiena nee(s in olbod mr)aes = BRC eurcrporss nac orgw tbu otn dedvii

valo ryacmtosec ene(s ni oldob rm)esa = aagbeilmtscol mnaaei (fi yeht d'otn hsow tneoriuhpl yheeorpntaigmtesn)

21B sha orocegilun psosmytm nda wol mylhamnelocit cdia hewil featlo needfiycic deso not

oeatfl si bbaroesd in umjjun,e B12 in ulemi

ussea c fo 12B iicdefnyec = crusoiipne ie,anam rcstaeo,ymgt lleia tenosi,ecr ishf rw,mpeaot gsanvi em

)D lfeairu of RFTMH -t;&-g THF vai( alnreatfeehrysmst = 2B1 fcniidyeec adn ocrimtccay inaaem

)B DP6G iicyecndfe = ioryccmnot cueseab fo icnr RCB tto;nderuisc tp olwud hwso aalvcrrinsuta hmoesiysl sx ptetiadpreci yb na ivoxetaid ortssrse

)C phyonierooprpontg odsxeia deyiccfien = ccyicrmtio eniaam beuecsa of olw eemh ystinshse

)A rcde ifnsaerrtnr = gihh irnftire = imanae of ocnchir easedsi = itmcriccoy iemnaa seuaebc fo wol rnio

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cmeacham  Teh yaw I eerbmerm werhe B12 nsfoictnu siht si thta you wnta "to 2B1 ttha TMreHo F"R +


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 +1  upvote downvote
submitted by ∗an1(114)
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sWa obuat to oeohcs rdeseadce rrsinenatfr besuace I nldu'otc ees esd-enhgmreepyt ioeh.nstuprl uBt NBEM onfet rstie to rowth us fof with gveua i.segma So I rdea niaa.g taughC het aelIl" inerscot."e roIn stiF oBr! mlueI is 2B1 ponts.raobi 1B2 lssutre ni aablosteglcim nemaa.i H5M-TNF is a setp ni novgierctn DHF otin .THF nIbiheidt in ecglobsaaimlt miaane ikel 12B and B9 d.ef

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an1  lAso ,lclera ttha 1B2 si rdoset fro aynm ayr.se so rseingetpn tihw a fde earsy atrel I( areeg 10 is a jmup utb lis)lt si na ctrdanioi oto +


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 +1  upvote downvote
submitted by ∗unknown001(9)
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how ot uelr otu noir de.f ? oi rn si osbbared ni uomddene nad xaiopmrl jeuujmn .

21b in uei.ml

ihts lliw egvi oyu eth neasrw

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madamestep  I ekudcf nytti:rab ron,I elaF,ot 1B2 +1


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