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Retired NBME Free 120 Answers

free120/Block 3/Question#18 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
The patient's DMD carrier status is uncertain because of random X inactivation 🔍 / 📺 / 🌳 / 📖
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submitted by bwdc(697)
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DMD is leXdni-k. We ownk reh mom is a iacrrer dsaeb no myflia roy,this rpesupdot yb lab .ngetits utB ehr omm hsa 2 X ohomssm,erco olyn eon fo hhwci si detma.tu ereTh si no ayw to nokw hciwh reh gutdaehr vueynlalte civreese dna epxssrsee by reh hetepoypn .ei( fi ehs si a ecrriar or o.)tn sJtu sebcuea her CK si alnorm n’esdot maen seh ’tisn a rt–earecrhi poetpnhey fo the nleXd-ki rirecar needpds no c.vtta-aiinnXoi

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em_goldman  sI aiXict-inotnva otn mlrynaod mascoi ttughoouhr sutss?ie My gtiinhkn si that oarmd,n vee-nrtdiieybtlusd X vnaiotctai uldwo uecas touba hfl~a ytsmsomp (xe etRt ndmyo,sre ked-niXl atnnmoid lataf in etour ni mlaes btu rblivasuev ni selefma due ot acaotiinn.)-tXiv So uyo see rhe mom htwi e)(pmduesr atosilde ercndieas CK, hhicw ouy wulod ptceex in reh fi she wsa saol a arce.rir bMeay nteaitporen si aabvlrie so oyud' eend nitcege tnitgse to ifonmrc fro user -&tg; eth snraeo ehs d'nseto eahv stymspmo si iixnvctoati-n.a +3



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submitted by claptain(25)
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I on'dt andsdturne shit s.uiqnote hyTe etaque saarurt-esticr ot maen fetefacd yb eht le.eall eW wnko ehr mtohre si a rciraer usebeac hes ahs tevdeela .KC Ttah aesmn eht tinptea hsa a 50% ehncca to be a ricerra scine 'sehs maf.eel oRnamd atit-vanincoiX 'donest remtta newh lktgani atubo icarrre ttssau cbesuea btoh llesael ahev a cacneh to teg sspdae no. daonmR X niaaiottvinc si lony nmiatoprt fro ntdniegreim ehewthr ehs wlil delopev pmtss.ymo

I sesug thsi si why teh esoniqut swa trnowh uto? lsesUn m'I ssimgin hegt.osmni

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claptain  Nm,v sith tuqenois pelyad em. I lrzeeia htat E is hte nyol eolbspis ihc.eoc thBo A dna B odwlu eb 2%5 ehsnc,ca nto 50% aneh,ccs dan oyu nacnto amssue wreehth ehs is ro is not a areirrc ttiuwoh igetcen nlaasyis csie(cho C dna ).D hTat elsave olyn .E +6
beansbeansbeans  tWai I geare ithw uoyr trsif ,motcemn anc you ilxanep hatw mdea you gehcna ruoy dmni dan rdtnneduas ihs?t +
yerpderp  Tehy era nrfirgeer ot x cntavoianiti in hte theadrug wcihh wolud nema she udolc eb a ircrera ubt we tcan llet. +1
cbreland  so erh omm si a irerrca ubseaec esh ndo'ste vahe tpleocem msmsoytp eikl teh hobtrre nda c?nu?le I sgseu I ohhgutt it was all of tgnihno wtih ndehecun +
cbreland  Dman, rhe mom is .50 cuhnDeen nisattep 'tond lvie htat n.ol.g. vnm udmb no ym prt,a hdlous ahve meda the ononitnecc +
j44n  rhe omm ctan eahv the lluf obnwl dieseas csueaeb tsi na LXR e.iseads I tiknh we dah ot nwrora hsit ndwo yb sceopsr fo iaoitlnnime +



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submitted by rohan225(1)
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hyW si hte reaswn iacrrer tustas nu?nkwno Why ac'nt het omtehr eb gmu?hozsyoo neDunechs si X ideknl eriseevc.s

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dkhan123  otn eurs utb rhee si ym ilg -Mcleo:a bsnlgii fo eittnpa has ddei romf uh,nDeenc nformigcin mtehor UTSM BE rihtee ftcafede or a rrhareMot.rc-ie eods NTO have eht nneuDhce ohyeeppnt, ubt sha vdeeaetl nmeyze,s igegngstus ehs is a .rcirrae ehT nceenuhD egrveaa lfei cxaeypcnet is 62. Alos the eiuqonst si werttni schu ttah it lmeiips eht moterh odes ont hvae eht ecDnhneu epytnheop nda the tdaeeevl ymezne llvee is ued ot eth rrecair tsstua fo ncnDuehe nda tno an rnatueled s y.,nLlse-asllti hte dhreuatg ash ramlon nyezem svelel. sThi duclo eb due to wot ssloipbe acersonsi, hirete ehs retiehind eht ehecnnuD eneg dan has aentdcitvia ,it ro ehs rvene heentirdi teh neeg to genib ht.wi +5



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submitted by netsirk2023(1)
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hTis lbrbaypo sah ot od whit rrBa Bidoes F(A 0,122 gp )61. oT asprhareap ,FA erpneetacn dan rvyeiste fo adsseise in XX idivnualdis cna eb m.capedti MDD is ndudeilc in rhiet slt.i

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 +0  upvote downvote
submitted by madamestep(17)
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reH mmo ahs ihgh CK uesaebc erh X incaiaittovn si kliley inmladbeac ot aveh remo tdtaemu X sseerxd.ep utB tone tath a high CK edso not uaqle u-nbolwlfl nneheDcu.s t'sI rilasim to i-enioh-mewpHamlo cna vhae saeirnced iedenlgb ubt ont ufll ahihileopm eesucba of tish hop.oenmnne

eHr tehrom ash eoms enenDhcu hptye,pneo utb ew uldco ujts sa eslaiy ese on htyepopen in a ariec.rr

rFht,eur if tish nwmao is a icare,rr hre dlchi sha a 5%2 cchnae of indovpegle MDD (%05 ceahnc fo a oyb, 0%5 fo eht adb X.)

hisT mawon ylklei sha a 05% hnaecc of beign a erarrc,i she ne'odts evha MDD sadeb on her CK dan ega nad gnerd.e

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