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Retired NBME 20 Answers

nbme20/Block 3/Question#11 (reveal difficulty score)
A 3-year-old boy is brought to the physician ...
Heterozygous mutation in the ankyrin gene 🔍 / 📺 / 🌳 / 📖
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 +14  upvote downvote
submitted by ∗nala_ula(127)
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The oiloysght is of eshpyseroct a(lslm csipehlar celsl wo/ lnactre alplo).r raeytdHier ohsytesirspoc si deu ot cefdet ni oeintsrp giiatentcnr ithw BRC erbnemma leskneot dna aslmpa emrenmab nr(yakn,i adnb ,3 ritopne .,24 ie.tscnrp) lMyots lmasuotao ontmdian tairnecenih o(s yuegrtoeszho amnittou niecs ouy olny dene eno attmnu llelea ot teg the ies.de)sa

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wuagbe  To dad ot tish: hzmooougsy HS nepstesr ithw hiseomlsy enev ni seaebnc fo rso.srstes htis npateit si nloy nsgtnipree itwh epla ,skin and etrhe ear on ethcsiosscyt no eth ppiaerrlhe se,mar so s'ti a orsgezeoyhtu rynikna u.aomttni +9
pg32  I nweadt ot cikp hreadiyrte oiosshpeyrcts btu het mean pculosurrca ninacteornotc aws anmlor dna I ouhgtth it wsa spdposue to eb teev?elda oAl,s why ear heter os yamn CRsB taht era yaw riggeb nhta teh styserpeoh?c +8
nephroguy  mI' nigamssu htta teh CCM is romnla auscebe the tpaenit is rzostohueyge rfo HS. Not rseu fi ihts is ,ctrcore but thta wsa ym thoghtu rsceosp +1
draykid  erA ethre ayn aseprp taht pilxnae the nicfeeerfd in oriexpsnes of ohymgoousz vs eoytoguszher S?H +25
waterloo  I od'tn konw if ttah rsemtta as ,chum liek eht eyohnppet indrffceee fo gzhymoosuo or ozhegtesoruy rof shit qoisnue.t icenS oyu yoln edne one ellela ot owsh ,htis ypla .odds sI eh omer ilekly to heav AA ro A.a tTah was ym totuhhg peorc.ss o sAl fi oyu ees sctreohespy u'yod be gniog rfo irannyk rtih,g not oiglB-nb bc hatt oduhls be tgeatr sclle - sergeasdrl of .CMCH +1
alimd  as I bremreme DA rae alayws zrotghyuese. auBsece uozmohogsy aer awsayl .aetllh +5


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 +4  upvote downvote
submitted by xw1984(8)
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I ogt hsit Q o.grwn I asw odgwnerin wyh ihst patinet hsa“ on pornsale ro flimya oysh.”rti itdHaeyerr prtecihosoyss uoslhd eb a AD eas,eisd os, yraleengl ipaegk,sn iths zid ulsodh eb sene in hcae ro,ngaeetin rhi?gt

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step1soon  I aws nnihigkt teh e!asm +
wuagbe  vrSeeal enestgci ousteqnis on 2N0EBM eaarpp to be tnirgy ot otwrh su ffo yb ngnchgia teh doresipicstn of tnieachnre,i agnlevi su ot assmeu copeemlitn erntnp,ceea m.hs +


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 +3  upvote downvote
submitted by ∗dr_jan_itor(87)
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Cna anoeny rwanes wyh sith oen cnt'a eb F. teBa tasmlahaei jor?ma I swa ktnhngii eueacbs fo his amaein nad het eonare"pu "sctndee cwhhi dlucesin the emriaentndia oer.upaesn senUls MBEN westrir nhkti thta eeurapno nyol sname eht neso ihwt eaxrt teihw peolpe lol

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dickass  nroEuepa isepmli rternnho areopuen yteh( evne fseciiedp teh aiepntt aws a rpneos fo a)o,rpll namearntdieer tecdesn si usyllua liimedp by cntoruy fo niigro ro yb t-rtoaghistu gtriiwn en'.ramatende'ir +
poisonivy  Teh MCV si mrlano, iateasssmhla rea ctrciomyci n,saimae ttha nthi hsepl ot urle tuo the saia.shlesatm owHv,ree I gto it og,rnw nto reus hwy it tnanco eb a zmooguhsoy moittaun in eht riyknna gene +2
adong  poyoi,@ivns heort cnmtmroee enoipdt uto 'tis lmoaoasut dintoamn os bset aesrwn douwl be yeughstrozoe +


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 +2  upvote downvote
submitted by ∗victor_abdullatif(10)
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I inkth het key ot itsh inestuqo is to seu imnelanioit rof actfs thta we kwon rfo e.usr heT fsrit si tath st'i a rcoomycint ,naemai so lla itessmslahaa ear urel otu necsi lhta = ocmtc.iryic

ahtT elvesa A dna D. inSec the MHCC si lmaorn h(cwih si otn tawh we dowlu xtceep rfo trirhyeade siprcs)estooyh and the 'epsatint ypotmssm aer ,eveers htey sutm evha a iedr""lm rinsevo of eht eeiassd .(e.g ocandhraaposli is soal oualstaom ndtonami nda si haeltl if yuo tge eth hsmuzogooy rm.o)f

Oyioslubv omse big alesp in sgeironan rhee ubt 'hatts eon athp to teh igrth sarewn

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victor_abdullatif  teid #:1 made a t.poy ntmea to sya he"t 'tptnesia stsmympo are OTN eyvsers" oerr tobua !atth +
l0ud_minority  seY I on'td aertunndsd ywh het HCCM si lmoarn thta si lsilt tno whta is dteecpex. I whis NMEB oidredvp aeswnr yesk dna teidc eihrt sroeucs orf irteh e.oinrtlaa +


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 +1  upvote downvote
submitted by sciguy(1)
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SH is uslmoatoa aimtond,n ubt xesbhiti tenelcmopi eenrna.ctep So he dha no cerord fo raelnpso la,mfiy tub siltl kyiell rutzh.seoeyg

ei)a(iWidpk Teh illancci tesiyevr fo SH irsvae rmfo mfeestm-oryp rrceair to vesere yslseoimh uabesec het sddeoirr biisxhet meocpieltn ennpeartec ni tis xrseoni.eps

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ibestalkinyo  hiTs is thaw hetwr em fof; I dufigre twhi 2 dteuaceffn ,etsrpna sti' eomr lkiely eh had an atuaomlos visecrese toumtin.a +1


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 +0  upvote downvote
submitted by ∗strugglebus(189)
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touA mod iseseda era ausylul shyztugoeore ro( so htye atwn us ot s)ameus

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xxabi  woH od yuo nowk is ooasmalut tmn?daino +3
scpomp  eyrairdHet spstsehcyoroi +1
fshowon  nIst hte eamn urrccpsoaul moineoglhb innoctrcanteo ensricdae in soyie?rsohptcs stahT thaw gohuhrt em f.of +5
charcot_bouchard  yes, udwol eb cni in vrpe EBNM. utB hsit is statbhi nbme 0.2 U evha to fdietyni reeypcsotsh iwtthou rlcneat prolla ni FPB +4
charcot_bouchard  ey,s wdlou eb cin ni prev .BENM uBt isth is shbaitt nbme 02. U aehv to nyidefti eosrypthecs iuothwt acnrtel loparl ni PFB +


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 +0  upvote downvote
submitted by ∗sunnyside(2)
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nCa yanoen fijtysu yhw htey ddi otn derscieb an darsenice MCH?C AF 9102 syas otyesiscsophr sha high M,CCH and tyhe did otn enev hvea it no eth eurpp edn of lmaron.

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