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NBME 24 Answers

clinical_trials medicine
Question#1 (reveal difficulty score)
A researcher hypothesizes that exposure to ...
Case-control study πŸ” / πŸ“Ί / 🌳

pharm beta_blockers
oncology metastasis lymph
Question#3 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Intercostal πŸ” / πŸ“Ί / 🌳

micro cryptococcus
Question#4 (reveal difficulty score)
A 28-year-old man with AIDS has fever, ...
Lungs πŸ” / πŸ“Ί / 🌳

genetics process_of_elimination
Question#5 (reveal difficulty score)
The 35-year-old woman indicated by the arrow ...
X-linked recessive πŸ” / πŸ“Ί / 🌳

respiratory transfusion transfusion_reactions
Question#6 (reveal difficulty score)
A 57-year-old woman requires intubation in ...
Acute lung injury πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 65-year-old woman comes to the physician ...
Cigarette smoking πŸ” / πŸ“Ί / 🌳

Question#8 (reveal difficulty score)
A 24-year-old woman at 28 weeks' gestation is ...
Tremor πŸ” / πŸ“Ί / 🌳

Question#9 (reveal difficulty score)
The graph shows expiratory pressure-volume ...
Diffuse pulmonary fibrosis πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
A 75-year-old man is brought unconscious to ...
Atherosclerosis πŸ” / πŸ“Ί / 🌳



renal nephropathy Renal

Question#15 (reveal difficulty score)
Results of a 5-year screening program for HIV ...
5% πŸ” / πŸ“Ί / 🌳


Question#17 (reveal difficulty score)
A 3-year-old boy is brought to the emergency ...
Annular pancreas πŸ” / πŸ“Ί / 🌳

Question#18 (reveal difficulty score)
A 34-year-old woman with a long history of ...
Tuberculous osteomyelitis πŸ” / πŸ“Ί / 🌳

Question#19 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Cluster headache πŸ” / πŸ“Ί / 🌳

free
Question#21 (reveal difficulty score)
A 35-year-old woman comes to the physician ...
Foramen cecum πŸ” / πŸ“Ί / 🌳

Question#22 (reveal difficulty score)
A 50-year-old man undergoes surgical ...
Adductor brevis πŸ” / πŸ“Ί / 🌳


Question#24 (reveal difficulty score)
A 6-year-old girl is brought to the office by ...
Pediculus humanus capitis πŸ” / πŸ“Ί / 🌳




immuno
Question#28 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Eosinophils πŸ” / πŸ“Ί / 🌳




Question#32 (reveal difficulty score)
A 24-year-old man receives an injection of ...
Increased lymph flow πŸ” / πŸ“Ί / 🌳


Question#34 (reveal difficulty score)
A 62-year-old man comes to the physician for ...
Sotalol πŸ” / πŸ“Ί / 🌳

newborn
Question#36 (reveal difficulty score)
A 4-year-old girl is brought to the physician ...
Villous atrophy πŸ” / πŸ“Ί / 🌳


Question#38 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Borderline πŸ” / πŸ“Ί / 🌳

Question#39 (reveal difficulty score)
A 40-year-old man with AIDS develops severe ...
Somatostatin πŸ” / πŸ“Ί / 🌳


Question#41 (reveal difficulty score)
A 32-year-old woman who is 20 weeks' pregnant ...
Misoprostol πŸ” / πŸ“Ί / 🌳


Question#43 (reveal difficulty score)
After completing 6 courses of chemotherapy ...
Doxorubicin πŸ” / πŸ“Ί / 🌳

Question#44 (reveal difficulty score)
A 24-year-old man is brought to the office ...
Alteration in DNA gyrase πŸ” / πŸ“Ί / 🌳


Question#46 (reveal difficulty score)
A 10-year-old girl is scheduled to undergo ...
Succinylcholine πŸ” / πŸ“Ί / 🌳



Question#49 (reveal difficulty score)
A 58-year-old man is brought to the emergency ...
Ruptured spleen πŸ” / πŸ“Ί / 🌳



Question#2 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Oxygen saturation πŸ” / πŸ“Ί / 🌳



Question#5 (reveal difficulty score)
A 55-year-old man is diagnosed with coronary ...
Decreased adherence πŸ” / πŸ“Ί / 🌳

Question#6 (reveal difficulty score)
A 50-year-old woman is admitted to the ...
Factitious disorder πŸ” / πŸ“Ί / 🌳

renal
Question#8 (reveal difficulty score)
A 17-year-old girl is brought to the hospital ...
Beneficence πŸ” / πŸ“Ί / 🌳

cell_bio
Question#9 (reveal difficulty score)
In which of the following stages of the cell ...
G2 πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
A 29-year-old man is brought to the emergency ...
Lateral pterygoid πŸ” / πŸ“Ί / 🌳

Question#11 (reveal difficulty score)
A public health consultant is contacted by a ...
Regular exercise πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
An 80-year-old man is admitted to the ...
20 πŸ” / πŸ“Ί / 🌳


Question#14 (reveal difficulty score)
A 25-year-old man comes to the emergency ...
Heroin πŸ” / πŸ“Ί / 🌳

Question#15 (reveal difficulty score)
An investigator is studying a new drug for ...
Free radical formation πŸ” / πŸ“Ί / 🌳

Question#16 (reveal difficulty score)
A 28-year-old man with chronic hepatitis C ...
HIV πŸ” / πŸ“Ί / 🌳

Question#17 (reveal difficulty score)
A 68-year-old man comes to the physician ...
Normal aging πŸ” / πŸ“Ί / 🌳

FA20p504

Question#20 (reveal difficulty score)
A 52-year-old man is admitted to the hospital ...
Granulation tissue πŸ” / πŸ“Ί / 🌳

Question#21 (reveal difficulty score)
A 50-year-old woman with HIV infection comes ...
Zidovudine πŸ” / πŸ“Ί / 🌳

Question#22 (reveal difficulty score)
A 3-month-old boy is brought to the physician ...
Peroxisomes πŸ” / πŸ“Ί / 🌳

Question#23 (reveal difficulty score)
A 9-year-old boy who was adopted from an ...
E πŸ” / πŸ“Ί / 🌳

Question#24 (reveal difficulty score)
A 59-year-old man has repeated episodes of ...
Probenecid πŸ” / πŸ“Ί / 🌳

Question#25 (reveal difficulty score)
A 35-year-old African American man comes to ...
Palms πŸ” / πŸ“Ί / 🌳

alcohol electrolytes
Question#27 (reveal difficulty score)
A 47-year-old man comes to the physician ...
Monosodium urate πŸ” / πŸ“Ί / 🌳

Question#28 (reveal difficulty score)
A 3-year-old boy with AIDS develops giant ...
Negative-stranded RNA πŸ” / πŸ“Ί / 🌳

Question#29 (reveal difficulty score)
A 65-year-old woman with well-controlled type ...
Atherosclerosis πŸ” / πŸ“Ί / 🌳

Question#30 (reveal difficulty score)
A 35-year-old man with small cell carcinoma ...
ACTH πŸ” / πŸ“Ί / 🌳


Question#32 (reveal difficulty score)
A 35-year-old woman undergoes a left ...
Ureter πŸ” / πŸ“Ί / 🌳

Question#33 (reveal difficulty score)
A 58-year-old man comes to the physician ...
Escherichia coli πŸ” / πŸ“Ί / 🌳

Question#34 (reveal difficulty score)
A 40-year-old man who goes horseback riding 3 ...
Myositis ossificans πŸ” / πŸ“Ί / 🌳

neuro
Question#35 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Lower motoneurons πŸ” / πŸ“Ί / 🌳



Question#38 (reveal difficulty score)
A 65-year-old man comes to the physician ...
Paroxetine πŸ” / πŸ“Ί / 🌳


Question#40 (reveal difficulty score)
A 4-year-old boy has a 1-cm round midline ...
Tongue πŸ” / πŸ“Ί / 🌳





Question#45 (reveal difficulty score)
A 2-year-old boy is brought to the physician ...
Peptide transporter (TAP) πŸ” / πŸ“Ί / 🌳

Question#46 (reveal difficulty score)
In a study of drug action on neoplastic cells ...
Vincristine πŸ” / πŸ“Ί / 🌳

Question#47 (reveal difficulty score)
A 73-year-old man has an incurable malignant ...
Both legal and ethical πŸ” / πŸ“Ί / 🌳

GI
Question#48 (reveal difficulty score)
The breakdown of dipeptides and tripeptides ...
Intestinal mucosa πŸ” / πŸ“Ί / 🌳



Question#1 (reveal difficulty score)
A 3-year-old girl has a history of recurrent ...
NADPH oxidase πŸ” / πŸ“Ί / 🌳

biochem metabolism acid_base blood_physiology
Question#2 (reveal difficulty score)
A 28-year-old man has a blood pressure cuff ...
Adenosine πŸ” / πŸ“Ί / 🌳

pharm HIV antivirals

Question#5 (reveal difficulty score)
A 37-year-old man is admitted to the hospital ...
Autoimmune adrenalitis πŸ” / πŸ“Ί / 🌳

Question#6 (reveal difficulty score)
A 43-year-old woman comes to the physician ...
Alkaline phosphatase πŸ” / πŸ“Ί / 🌳

clinical_trials
Question#7 (reveal difficulty score)
A 21-year-old woman with asthma comes to the ...
Phase 3 πŸ” / πŸ“Ί / 🌳

Question#8 (reveal difficulty score)
A 37-year-old man who is a farmworker comes ...
Synaptobrevin πŸ” / πŸ“Ί / 🌳

Question#9 (reveal difficulty score)
A 43-year-old woman comes to the physician ...
Metastatic carcinoma πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
Serum cholesterol concentrations are measured ...
16% πŸ” / πŸ“Ί / 🌳

Question#11 (reveal difficulty score)
The pedigrees of patients with schizophrenia ...
Diabetes mellitus, type 1 πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A 35-year-old woman with asthma comes to the ...
Thiabendazole πŸ” / πŸ“Ί / 🌳

syphilis ethics
Question#14 (reveal difficulty score)
A cohort study is done to evaluate the ...
0.05 < p < 1.0 πŸ” / πŸ“Ί / 🌳

biochem heme heme_synthesis
Question#15 (reveal difficulty score)
A 17-year-old girl has significant blood loss ...
Ξ΄-Aminolevulinate πŸ” / πŸ“Ί / 🌳



Question#18 (reveal difficulty score)
A 55-year-old man with alcoholism is brought ...
Competitive inhibitor πŸ” / πŸ“Ί / 🌳


mutation paroxysmal_nocturnal_hemoglobinuria


Question#23 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Buccinator πŸ” / πŸ“Ί / 🌳

Question#24 (reveal difficulty score)
A 3-month-old boy is brought to the emergency ...
Gluconeogenesis πŸ” / πŸ“Ί / 🌳

Question#25 (reveal difficulty score)
An investigator is studying a new virus ...
Coronavirus πŸ” / πŸ“Ί / 🌳


Question#27 (reveal difficulty score)
A 27-year-old man who works from home as a ...
Avoidant πŸ” / πŸ“Ί / 🌳



Question#30 (reveal difficulty score)
A 38-year-old woman comes to the physician ...
Intraductal papilloma πŸ” / πŸ“Ί / 🌳




Question#34 (reveal difficulty score)
An otherwise healthy 35-year-old man sustains ...
Decreased blood volume πŸ” / πŸ“Ί / 🌳

Question#35 (reveal difficulty score)
A 4-year-old girl has a history of multiple ...
Scar formation πŸ” / πŸ“Ί / 🌳

Question#36 (reveal difficulty score)
A 1-month-old male newborn is brought to the ...
Tyrosine πŸ” / πŸ“Ί / 🌳



MSK
Question#39 (reveal difficulty score)
A 34-year-old woman is brought to the ...
Lunate πŸ” / πŸ“Ί / 🌳

micro
Question#41 (reveal difficulty score)
A 30-year-old man develops tingling around ...
Sodium πŸ” / πŸ“Ί / 🌳

biochem cell_bio extracellular_matrix
Question#42 (reveal difficulty score)
Which of the following terms best describes ...
Lamins πŸ” / πŸ“Ί / 🌳


Question#44 (reveal difficulty score)
A 62-year-old man comes to the physician for ...
Serum gastrin πŸ” / πŸ“Ί / 🌳

Question#45 (reveal difficulty score)
A 59-year-old woman has a 10-year history of ...
Neural crest cells πŸ” / πŸ“Ί / 🌳

cell_bio cell_transport cell_trafficking protein_folding
Question#46 (reveal difficulty score)
A 15-year-old girl with cystic fibrosis has a ...
Endoplasmic reticulum πŸ” / πŸ“Ί / 🌳

Question#47 (reveal difficulty score)
A 22-year-old woman comes to the physician ...
Intrauterine device πŸ” / πŸ“Ί / 🌳

Question#48 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Phantom limb pain πŸ” / πŸ“Ί / 🌳


Question#50 (reveal difficulty score)
A group of physicians submits a report to a ...
Case series πŸ” / πŸ“Ί / 🌳

Question#1 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
Glycine and succinyl CoA πŸ” / πŸ“Ί / 🌳



Question#4 (reveal difficulty score)
A 63-year-old woman develops flank pain, ...
ABO incompatibility πŸ” / πŸ“Ί / 🌳

Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy πŸ” / πŸ“Ί / 🌳


Question#7 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Spontaneous regression πŸ” / πŸ“Ί / 🌳

artist90
Question#9 (reveal difficulty score)
A 10-year-old boy who was adopted from the ...
Black fly πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
A 60-year-old woman is receiving cisplatin ...
Hyporeflexia πŸ” / πŸ“Ί / 🌳




Question#14 (reveal difficulty score)
A new screening test for colon cancer is done ...
118/124 = 95% πŸ” / πŸ“Ί / 🌳

Question#15 (reveal difficulty score)
A 15-month-old boy is brought to the ...
Migration πŸ” / πŸ“Ί / 🌳




Question#19 (reveal difficulty score)
A 38-year-old woman, gravida 4, para 4, comes ...
Internal anal sphincter πŸ” / πŸ“Ί / 🌳

Question#20 (reveal difficulty score)
Forty of 100 attendees at a company Christmas ...
Vibrio parahaemolyticus πŸ” / πŸ“Ί / 🌳

Question#21 (reveal difficulty score)
An otherwise healthy 45-year-old man comes to ...
Aphthous ulcers πŸ” / πŸ“Ί / 🌳




Question#25 (reveal difficulty score)
A 26-year-old man is brought to the emergency ...
Pericardial tamponade πŸ” / πŸ“Ί / 🌳


Question#27 (reveal difficulty score)
A 19-year-old man has had weakness of the ...
Polyneuropathy πŸ” / πŸ“Ί / 🌳

Question#28 (reveal difficulty score)
A clinical study is designed to evaluate the ...
10% πŸ” / πŸ“Ί / 🌳

Question#29 (reveal difficulty score)
A 56-year-old man has a 3-year history of ...
Presenilin πŸ” / πŸ“Ί / 🌳


penile
Question#31 (reveal difficulty score)
In a study of antibiotic resistance, a strain ...
Conjugation πŸ” / πŸ“Ί / 🌳


Question#33 (reveal difficulty score)
A 12-year-old boy is brought to the physician ...
Inhalant abuse πŸ” / πŸ“Ί / 🌳

Question#34 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Neuroendocrine cell πŸ” / πŸ“Ί / 🌳


Question#36 (reveal difficulty score)
A 68-year-old woman comes to the emergency ...
Alendronate πŸ” / πŸ“Ί / 🌳


Question#38 (reveal difficulty score)
A 33-year-old woman at 34 weeks' gestation ...
Stroke volume πŸ” / πŸ“Ί / 🌳

cookies
jhkjh

Question#42 (reveal difficulty score)
A 40-year-old man who recently immigrated to ...
Adenine πŸ” / πŸ“Ί / 🌳

vascular
oncology
Question#44 (reveal difficulty score)
A 71-year-old woman with non-Hodgkin lymphoma ...
Leucovorin πŸ” / πŸ“Ί / 🌳

renal
anatomy neuroanatomy
Question#46 (reveal difficulty score)
A 22-year-old woman comes to the physician ...
Pineal gland πŸ” / πŸ“Ί / 🌳

oncogenes oncology
Question#47 (reveal difficulty score)
A 40-year-old man comes to the physician ...
HNPCC syndrome πŸ” / πŸ“Ί / 🌳

neurology
Question#48 (reveal difficulty score)
A 55-year-old woman is brought to the ...
Posterior cerebral πŸ” / πŸ“Ί / 🌳

neurology erections
Question#49 (reveal difficulty score)
A 27-year-old man sustains a spinal cord ...
Penile stimulation πŸ” / πŸ“Ί / 🌳

FA18p360 FA19p359
Question#50 (reveal difficulty score)
A 47-year-old man comes to the physician ...
Superior rectal vein πŸ” / πŸ“Ί / 🌳

Recent comments ...

... seagull made a comment on nbme24/block2/q#48 (The breakdown of dipeptides and tripeptides to free...)
 +352 
submitted by seagull(1789)
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heT ainestcsm of htsi eqtuonsi eadm em itmvo obd.ol

neO ayd a ntpaite lliw look me in eht seey dan ,ask W"ehre rea tpsirdeite nrbkoe ?"nowd I iwll lsime ta htme nda y,sa "eth aniitelnst aoucms nad tno eht eud"mud.no eh'Tlyl misle akcb and 'Ill aklw aayw and ntikh of shti neotmm as I pjmu mfro het .wdnwoi

sympathetikey  Too real. +5
mcl  how do i upvote multiple times +20
trichotillomaniac  I made an account solely so I could upvote this. +40
dragon3  ty for the chuckle +8
cinnapie  @trichotillomaniac Same +5
thedeadly96  XD made my day! +2
hardly43  RIP legend @seagull +2
seagull  A legend never die +4
... tissue creep made a comment on nbme24/block3/q#49 (A 20-year-old woman with asthma comes to the...)
 +100 
submitted by tissue creep(127)
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hTe ploeod si gloreeci,yaplnh adn a 1/100 dgoo yob.

medguru2295  For some reason, I can't upvote. But UPVOTEEEEE. Dogs are life! +1
unknown001  no man, smoking is life :-P +
... drdoom made a comment on nbme24/block3/q#2 (A 28-year-old man has a blood pressure cuff placed...)
 +93 
submitted by drdoom(1110)
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reftA the ucff si ited, eth clsel nad iustse tiadls ot hte cffu wlil tunecino nguicsnom PTA (PPDA&Tt;Ag-,) tbu on ehfsr olbod iwll eb idevderle to rcβ€œl”ae htaw lwli be na cuncgumalati moantu fo DPA nda thero .tmsloeeaibt DAP A=n(ed)iseno is fetsil a xpryo of nioontscump dna rsevid ioaiastdlvon of tersrea!i o(oilnutEv si !mrs)at rInicgaens se/DednoAPniA ni a aβ€œlcol reenminotn”v si a anislg ot het doyb atth a lto fo ntiocpnomsu si rnugicroc r;ethe t,hsu irsartee nda rirteolsea atnrually alietd ot eseacnri oolbd ofwl sarte dna peeswβ€œ ”yawa moibtcale .rtuospcybd

lispectedwumbologist  You're a good man. Thank you. +1
drdoom  So glad it helped! +1
seagull  very well put, thank you +2
aisel1787  gold. thank you! +
pediculushumanus  beautiful explanation! +2
rockodude  this explanation was on par with Dr. Sattar IMO +2
flvent2120  Just to add on to this: FA2020 pg. 297. CHALK (Calcium, H+, Adenosine, Lactate, K+) is known to vasodilate muscles during exercise as well as regulate sympathetic tone of arteries at rest +2
... seagull made a comment on nbme24/block2/q#49 (A 17-year-old girl comes to the physician because...)
 +76 
submitted by seagull(1789)
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at BMI 15 tno noyl sha esh rneev ahd a idrope utb ehs erevn had a la.me

sympathetikey  You're on fire man lol +2
monkey  How the fuck is it not related to anorexia nervosa is beyond me. +4
avarkey  the blind vaginal pouch points away from it being anorexia related +5
j44n  Its actually a man, there's no DHT to to dev the external genitals. +1
am4140  @monkey - with real anorexia, she wouldn’t necessarily have boobs either. If she’s got boobs she has the nutrition to develop boobs. That was my thought. +
freckles  the patient is actually what ever gender they want to identify as. If this was a 5 alpha reductase deficiency the patient would have experienced masculinization of external genitalia during puberty when testosterone levels increase significantly. The pt most likely has Androgen Insensitivity Syndrome. +3
weirdmed51  BLIND VAGINAL POUCH = never ever ever in anorexia nervosa! It is an anatomical defect, hence not psych prob. +
... atstillisafraud made a comment on nbme24/block3/q#42 (Which of the following terms best describes the...)
 +68 
submitted by atstillisafraud(214)
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I eilk thsi nqusieto abuseec it nmisdre me htat emaeinsxr htkin jbtoces anc sitex ni 2 .idomsensin

ghrelin  It's only a matter of time before we, too, lose our thickness and fall into their grid. +
... atstillisafraud made a comment on nbme24/block3/q#35 (A 4-year-old girl has a history of multiple bone...)
 +65 
submitted by atstillisafraud(214)
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hknaT you BENM rfo hte hghi qutlyai rtiuspc.e tI smkae etesh maxes ssestr eefr nda job.lnaeye

sympathetikey  Feels bad man. +3
zoggybiscuits  Those Sclera sure look blue. wow. +21
yotsubato  the same girl shows up on so many NBME exams its not even funny. Its just like that poor kidney that's cut in half that shows up in all kidney questions. +13
aneurysmclip  I turned my brightness up and down 2 times to make sure it wasn't my brightness messing with the sclera. I'm declaring it, NBME stands for "Naturally Bad at Making Exams" . +6
peqmd  $60 a pop and no competitors...That's what happen when there's a monopoly. +8
peqmd  Actually they used their best software to generate images. You might have heard it before, it's called MS Paint. Quite legendary. +8
feochromocytoma  It feels like they cranked up the contrast and saturation on a normal eye to make it look "blue"... +5
rockodude  everyone hates on nbme, but they're showing you a picture zoomed in of her eyes and she has a history of multiple fractures/bad wound healing at the age of 4, I feel like OI should at least be a consideration based on the overall clinical picture +1
feochromocytoma  Yeah I got it right, it's just funny that they don't use higher quality pictures for the exam +1
djeffs1  that is clearly a malar rash... oh wait nvm just pixellation +4
... niboonsh made a comment on nbme24/block4/q#30 (An investigator is studying an outbreak of...)
 +64 
submitted by niboonsh(394)
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sith isueqnot mesak me awtn ot eta na e lcoi oecoki nda eoph i eldeb tuo

caitlyncloy  pick C and move on was my strategy :P help lol +2
thegooddoctor2  lol good one +1
sparta  LOL thank you for this comment +
... lamhtu made a comment on nbme24/block2/q#5 (A 55-year-old man is diagnosed with coronary artery...)
 +61 
submitted by lamhtu(135)
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ltaePtel erdecnaeh nda lptelate roagngetiga rae teferidnf tignhs dna ihst denerifecr MAESTRT A L.TO kcFu uo,y ME.NB hseTe esifedcnrfe dupsyslpeo aetrtm no meso neqtussoi dna not on hteosr. rheeW is teh ocncty?ssnie e?lHlo

hungrybox  Agreed. This is so fucking stupid. +
hungrybox  "Aspirin inhibits platelet aggregation and produces a mild bleeding defect by inhibiting cyclooxygenase, a platelet enzyme that is required for TXA2 synthesis." literally straight from Big Robbins +1
susyars  Im gonna upvote this bc i love to be right +7
regularstudent  It's always a horrible, horrible feeling to pick the wrong answer that you know they think is right. Amazing job NBME... +5
j44n  yeah i thought adherence was the GP1B receptor that's already on the platelet +1
j44n  im also glad we're getting exposed to this horse shit now and now when I'm in a testing center about to put my fist through a screen. +2
jurrutia  GPiib/iiia receptor is not inhibited by aspirin. Aspirin prevents the upregulation of GPiib/iiia which is not the same as inhibiting the receptor itself. +1
jj375  @jurrutia I think you are thinking of Clopidogrel, prasugrel, and ticlopidine which downregulate GP2b3a expression. Aspirin inhibits COX therefore inhibiting TXA2 and platelet aggregation. +
jbrito718  This is whaat I call a FUCKBOY question +
... drachenx made a comment on nbme24/block2/q#13 (An 80-year-old woman, gravida 4, para 4, comes to...)
 +51 
submitted by drachenx(67)
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Tsehe snkid fo nouesistq aer eayrll hadr ubcesea Ie'v ervne esne fleeam turirovdecep userstrutc .irl c:

nbmehelp  Lmao +3
regularstudent  Lmao +1
mutteringly  Lmao +
rockodude  lmao +
abkapoor  Lmao +
dang90  LMao +
icrieeverytiem  lmao +
peteralamir  Lmaoo +
... drdoom made a comment on nbme24/block2/q#48 (The breakdown of dipeptides and tripeptides to free...)
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submitted by drdoom(1110)
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Teh neddoaul emlun a(nd ecatirpcna ssreeoatp ikel TCNRPHM)OIYSY si hte tsei weerh apccretian ymnesze ”pndesiβ€œsao)tepe(d cvaeel lerag elpisypdoetp oint slarlem sitb p,ipsesdpei)td(t.=eitdepri It is at teh RUBSH BREROD hrewe het esllasmt dsnki of psepitde epsiideetip,tedptdi(r)ps rae benokr nodw iotn theri moani dscia, whihc yialfnl cna be orptroscan-det whit Na+ oint hte nitenstlai .ellc

I khtin oabtu it stih ayw:

  • tmshcao cida denuaerts adn osnβ€œpe up” srepinot hiow(utt ipfcices cavel;)eag
  • accpetainr ensemzy neht cealve dadtnuere pseipeopldyt into lmarles tisb;
  • shrub rrdbeo nyseezm illyafn arkbe nodw tstniie ptedieps niot ebsolbarab oniam .sidca
regularstudent  Isn't the brush border still part of the intestinal lumen? Don't the amino acids enter into the intestinal cell (the "intestinal mucosa")? +1
drdoom  @regularstudent No, the lumen is literally the cavityβ€”the empty space. +2
jj375  Still annoyed about this question, but here is a schematic in case it helps anyone else: https://doctorlib.info/physiology/medical/medical.files/image1890.jpg +2
drdoom  @jj375 best schematic i’ve seen so far. superb. +1
... lsmarshall made a comment on nbme24/block1/q#20 (Immediately after a spontaneous vaginal delivery, a...)
 +44 
submitted by lsmarshall(452)
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tPtneai sha pnSai biiafd cclotua hihwc is a ueraln uetb tefdce e(rlaufi of soifnu fo teh uroeoer).snp moseeroctSl are teh rtap fo ceha tsimeo in a ebvrreetat rybmoe niggiv iers ot ebno or ehotr salktlee .itssue nicSe a rtap fo stih pttisn'ae aspin dfbiia uicndeld ecase"snb fo usopins poscsr"e neth a ocroeestml aws ldivoev.n oKinngw htat lrunea teub tedefcs are an eiuss iwht nsiofu loshdu be egonhu ot gte ot eth irhgt rsan.ew

If het dtohconor ifdale to opveled hent the ineret CSN ulwod otn edopvel as eht ordhocnto snciued mroatonfi fo uarenl elpt.a

fI the rlnuae eubt deifal to vodplee nhet eth ehwol CSN udlow ont hvae .deeedopvl

loYk sca is enrailetvr ot tshi enp.itat

nWeh relnua scter llce it hsa iendrtfef tocsomue in fefreintd usts.ies liauFer of aunrel srtce ot gametri in rathe nca ceasu nTnpossaitrio of tareg s,slesev egTrltaoy of oFlalt, or estrPinest nruutcs et.airrsous auFeirl of lneura ctessr ot aemirtg in IG nac aseuc iuHrphrgcnss seidsea aocln(gtnie meco.nga)lo heTarecr sllonCi omeSyndr cna cuorc hnew eaulrn rstce slcel lfia to mietrga toin 1st yreaanghlp ac.rh rNealu uteb fdeetcs ash inhgnto to od with urailfe fo arlenu tsrec rnagmoiti hhuotg.

sympathetikey  Exactly. I knew it had to due with fusion of the neuropores but had never heard of sclerotomes. Thanks for the explanation. +17
hungrybox  Fuck I picked "Formation of neural tube" but yea that makes sense... that would affect the whole CNS +5
ruready4this  I also never heard of sclerotomes and I chose that and then switched it to formation of the neural tube because I thought that was close enough ugh close enough is not the right answer +2
ih8payingfordis  FA 2019 Pg 479. They don't specifically mention sclerotomes but you can review the different neural tube defects here :) +
failingnbme  everyone who selected neural tube is basically me :P +
an1  I knew it was fusion, but didn't know what sclerotomes were. so I went for the option with neural tube in it... FML. +
... tea-cats-biscuits made a comment on nbme24/block1/q#28 (A 32-year-old woman comes to the physician because...)
 +44 
submitted by tea-cats-biscuits(265)
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staM llsec dglr,uneaaet dgrpnciuo eitamshni cihwh asttcart ossni.eplhio hTe ylera esgta of na egaclilr eorcaint is tasm elcl e,diadmte ubt eht aetl estag nc(ngliiud muusc to)dupnrioc si amdetedi yb nshsi.opileo

atstillisafraud  Thanks for a good answer. This question made me feel like I was taking T21 pills +18
medguru2295  Thank you- I was really thinking this question had 2 correct answers... of course my dumbass picked Mast cells. +5
ajss  where do i find this info?? +
paperbackwriter  @ajss pg 112 of first aid 2019, under type I hypersensitivity. Immediate --> mast cells releasing histamine and tryptase, late--> eosinophils and leukotrienes recruited via chemokines +3
graciewacie9  Wow, i missed the fact that the question is asking for the RESULT of the reaction, NOT the cause of the reaction. Mast cells cause the initial reaction, eosinophils would be the result of the eosinophils. *facepalm +9
greentea733  @graciewacie9 SAME UGH +
lba9587  Pathophys (as far as I understand it)...Mast cell degranulates, thus the phospholipid bilayer et. Al are left behind and needs to be degraded. Who comes in? Our good friend eosinophils, as they contain Major Basic Protein (responsible from breakdown of expired mast cell). Note, you can tie this in to the delayed Leukotriene effects of an allergic rxn, as the bilayer is also broken down by arach. Acid. (See this link to support my credibility https://images.app.goo.gl/3cUF3ZVc7qy8uxAi9) +
mutteringly  who else looked up what T21 pills were +6


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