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Retired NBME 20 Answers

nbme20/Block 1/Question#16 (reveal difficulty score)
A 30-year-old woman with multiple sclerosis ...
Pons 🔍 / 📺 / 🌳 / 📖
tags: Neuro

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 +19  upvote downvote
submitted by whossayin(35)
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heT nommicen I klie orf rerbmeenmgi eht tisoalcno of teh aanrcil eesvrn is eht ,4",422, "elru

veAob inbaert=ms NC I + bIin iIa=rMd NC I,II oV=P Isn NC ,V VI, IVI, I=IlMlude VaI NC ,IX ,X ,XI IIX

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lovebug  @oiywasnhs nhatx so h!u!c!m +


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 +16  upvote downvote
submitted by thecatguy(19)
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This is a rvye pktyniic iousn.tqe As I ese t,i teh 3 nami stoncecp eetstd ea:r

  • hsiT pnieatt ash egmirlanti eliungara prsh,a( f,rieb iscdieop apni in eht ,)eacf cwihh si audesc yb a ielons to irapymr rneoyss rifbse ttha yarrc anpi asennstoi ormf hte a.cfe
  • tpeuMill ssoisercl, wichh teh etpinat ,sha is a adnteiingymel siedase (.ie., it fsaftce ihewt )rettam.
  • ehT lndyteimea oxnas riygrcna pain aniestons mfor eth tiaeiplsrla efac etren het aitnebrsm ta het elevl of het pnso dna hent cnsdeed bmec(eo het nialps tctar fo teh mnrta.gelii) ehTes itehw metart rebfsi sasp uhrtohg the nsop ot psyesna no the slipan sunluce of eth eril,inatmg hihcw si ni teh uldalme uusnc(el = ygra tat).mer (pricetu eehr). h,reTrfoee a linoes ni teh ewhti rmttae ,..i(e apqle)u ni the spno lduoc auecs lgieratinm rlauein,ag adn shit nmhnnopeoe ahs nebe bersedvo.

oAveb eht llvee fo het miarstebn u(hslamat ;map& leraercb xrceo)t, yuo aevh ocsden erord yeosrsn unose.rn eissnoL ni tsih rtpa of eth cticriu rae not rllegyena ni emtlrniiga nierglu.aa I pspeous eyth salo nawt us to asmsue htta oenc eht lispan crtta fo the lgreinitma ertnse het m,ldalue 'tis ont nateeimlyd on.meray I 'nodt nkiht tsih is tyeemlopcl ,etur but neivg het iglco eecsddbir avo,eb nspo lwdou illst eb teh teretb nswar.e

As poleep veha etdnpoi u,to eth iyrpmra soenrsy esifbr rnagcryi glhti ctuoh tiaosnsne ofrm het feca yesasnp no eth hfeic sosnyer nsulcue ni eht pson dlieymeitma eafrt htey neter teh nops. This snequtio is ton igansk uaotb otshe eibrsf ogth.uh

I tog eth iustoqne nrowg .to.o

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mightymito  woW hsit si eht setb loixnnetaap t!ye sanThk so hmuc for vyre yallecr nilakgw su gouhrht a ryitck .notueqis +5
lovebug  h@uatcgtye ...r.Ae oyu a r?sprefoso hkant yuo vyre cumh ): +1


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 +3  upvote downvote
submitted by feliperamirez(45)
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I od ntsuraeddn htat eth crplapiin esuucln fo eth nlgatriime vnree is caoledt ta het .pnso utB cseni this natpeti si hvnaig girlmitaen ilrgneaau nluo'wtd uoy eb tnpriugisd hte yaahwpt vvloendi ni nipa dna ttrmpe,aeure hciwh ni iths ceas lduow be eht plians eucsuln dcae(lot ni the e)admull?

esdBsi,e I dunfo stih ta na liratce

A rcente siohsphety rastbuteti hte nipa fo tgnerlimai glarienua ot a atlrnec nmmhsaice gvlnivnio eht srpa srloai of hte pnasli emalnrtiig eun.lusc][5

K9hti2.bBophws7k.n9g3c//lotm5/owins.w/nbv./N:

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pg32  I ilalelytr had duealml sdeeclte teh heolw meti nda hent gedahnc it to psno limpsy scbueae i lfte het tset rwsiret rewe stju snegei fi we wnke rhewe het tlrgainime ernev asw oe.actdl meumbr seceuab I iktnh ruyo loicg si ayw tee.brt 'sit awht i tsrfi utthgoh whne i edra teh esca. +1
l0ud_minority  hTe enqituos sah a dmincebo ilnose tath cluod eb in iteerh the sopn ro uldealm vgnie the ntoueisq sm.te hTere is eresev sothnogi nspai ciwhh duolw ciandite hte paSiln suclneu of V a(inlmy iapn dan rpuetare)met sa wlle as het aniM synsreo lcnesuu fo V (nilmay .thuc)o reeH si na imega fro neerfecre. yenns/ear/-eyspgom-:/eenrheuyamtaesl-yxcoikmo/intsnahf-s-s.estpootmtto +


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 +3  upvote downvote
submitted by sympathetikey(1600)
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nPieilcpr ynerSso Nlcsueu fo teh erinalTgmi si dtocael in het ,osPn sa is the ootMr emirinlagT ucluNes fo eth pns.o sTih reptnsteonia is pboabylr daelgin omer hiwt eth nlepiicPr nsSyeor lsceuNu.

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 +2  upvote downvote
submitted by strugglebus(189)
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eTh osnp sha vnrsee 8-5, os the igeatlnmri wdoul eb dcffatee ereh

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masonkingcobra  aTichmla pain yrmnsoed wduol evvloni sdssayshieet no eht niteer lrecaoaattlrn odby so mroe anth tusj teh f.cea oAsl ti srcuoc fnteo tarfe ooss-trpke.t danlA,doitliy ehset hsstydsiesae arpepa etho/esmknsw er al t +15


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 +1  upvote downvote
submitted by woodenspooninmymouth(2)
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MS si a enymlgtienaid isse.eda ha'tsT why I ddtin' kpic etrcox or hlmuasat; yhet are reyg rmteat. I dckiep llumdea aeubecs I eth gmtisiionalrepn eevrsn vreetars hte ul.maled I ssgue we aer tusj ppudssoe to msesau eht maeodinnyielt si enphnagip ni eth psn?o I d'ton own.k

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woodenspooninmymouth  rSy,or I namet ot yas ttah eht nops lwduo haev eht ellc dseobi ofr the tnpepi/am noru,sen ?no +
athenathefirst  mopetounoysdnowmonih@ htsi is ylsfacpleici mliginaert geulraina wthi eionsvvl cnliaar evrne g;t--&5 rewhe dose CN 5 cllaizoe ot? it's het spn.o fI uoy dto'n etg this eiqotsun tsl,il thcwa teh eulR fo s4 in sBadro and nBeody ocintes on mitsarenB. +


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 +0  upvote downvote
submitted by lilyo(94)
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I aws kithnngi oganl the linse of ciafal nsteinaos chwih si mtedidea by eth retnliigam vreen nad hte tfca ttah the argitnlmie rneev is odelcat in the .pson

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 +0  upvote downvote
submitted by chandlerbas(118)
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eshetr na oaoainisstc mdea ni 0712 tiwh iamglitren nuiarlega nad SM - chhiw si hatw i ihntk hist tp as.h eyk ignth to onet si taht ielhw all rmtoo dna ornssye rfeibs fo NC 5 netre at eht level of eth nosp hevr(ewo semo loas do reten at het lleev fo ldlaemu nad nvee the cs vai hte ipnlas cratt of 5 to pnassye twih het lngo synorse enuulsc fo )5 es erh the nlki fo emriilagnt ringaleua adn M:S /w.oi94/pM./wsc:Pcmi5Chnie/ttbwlct/.6l3asrvnghp7n/m4.

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submitted by mamed(25)
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rPe dorasb nad eb,yndo ni teh tarlela posn si eterh is eth lpisan V ulscneu hchwi rrceasi anteoclarrtla npai dna mrurpe.eaett gnwioKn atth + NC V saries it ni het ,nosp I etwn iwht ns.po eTh lyno hreto tpooni I dha telf tno eodcssr otu saw arblcere hmeheesipr ubt atht esdeme to ado.br

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vivarin  BB soal aids not to esu het rule of 4's to cozlelai CN V ot hte nops so hta'ts ywh I escdsor it o..tu. +1
athenathefirst  rn@viiav tmeclepoyl arege thwi ,uyo tub stih si MNBE alawsy niikgl ot kcirt nda feuosnc .us +


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submitted by athenathefirst(7)
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owH is thsi 26.1 leevl of fdtfilyciu nhwe ositatbs uistsnoqe ear ulylusa 17 or 81 c#ngryi

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