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Retired NBME 18 Answers

nbme18/Block 3/Question#32 (reveal difficulty score)
X-Ray of a newborn shows ribs associated with ...
Expression of a HOX gene normally expressed only caudal to C-7 🔍 / 📺 / 🌳 / 📖
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submitted by regents(6)
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F,sirt I neoerasd ttah XHO sgeen deco for cisprnarttnio ctoasrf edened inrdug emerisnbegosy 19(2FA0, .p589).

tNx,e lirvceac sbir rae arnobam.l heT ribs rea ssdpeupo to rtsat at eht rhxt.ao So, OXH ee(dnde fro rnogigw shtgni udingr egoebn)yssmire udohsl eb esdpxrsee ta the catorhci elvel ei( lcaaud ot lraceivc e.lvl)e

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okokok1  ot dda tono aricvcel rsbi ibegn la,nomabr teyh era dnouf to be one of hte essuac fo hcatroic tteulo mdoysrne. +2
kcyanide101  i am sltli enducsfo eovr shit nra.ews Plesae eonsoem dlsohu lpeh wthi a rliiyngfac aenpano.lxti hWat mksea vroeeesxrposin of a XHO egne aolrlmyn dsersexep C-7 g??own?r +
drdoom  @k1ye1:acnid0 Yrou airvlcec areteerbv shuodl NOT vaeh !sbir hT(e kcne rrelaevtb iobeds aer mllayron sr”“ie)slb! heT htwogr of ibrs (sa lewl sa ehtro ”ts“smgeen fo eht dy)bo is eeogvndr by a vyer eaisplc mlyfai fo nsgee onkwn as teh XOH gse.ne ehT HOX geen soprlnsebie ofr bri ghtwor houdls yoln etg xdsrpesee ow”“(rk) FTRAE .7C If, fro esom iwedr r,asoen ti esgt utredn on ni teh deelntovmep of the e,nck uyo lilw gte tsnghi ngriwog wehre hyte d’thuolns b!e +3
drdoom  fI you earlyl twna to eavh oyur irah nlwob acbk, kecch out eosm asgime rfo anm“ttu XOH oi:”pxesners s;gaehoap/omwriup/rsn/bp:&isatw=t+mhe=ohcl?eqhcwn+otx.st.estomxcmg no!yjE );- +



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submitted by an1(114)
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I saw os otls enhw I aws its.h Btu I asw elba to earkb it down adn grfeui tou hast'w hapngipen.

XHO is ponantitrsric frmo edaH i)acan(rl ;tg&— eTo (ulac)ad

I knhti of htis as H“OB is eSx omrf deaH to :eo”T HBO hwsos ehav a olt fo udytni nda hawt ,nto teh xse sphel me kithn of OHb + Xes = HO;X 'sit for raagemnenrt fmro eht head ot the toe.

neO fo teh vliaccer ash ceombe a otachric ngokilo etgnm.es oS ew heav rledcape a icnrala smneget ricl()aecv tihw sgthomine leocrs ot the eef/t auladc rhc)cto(ai

So het oHx gene at hte pot si pgsnisexre lucaad nofi hewn ti ldsouh be caanlri at 7C

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drdoom  tayseien,lsl sith etisquno is idgrinsebc a nioutisat reewh hte grne“ao ”seegn gto tduern no ni hte leolwy aare +
drdoom  o,h ts'i nto tath ”teh Hxo egn”e is pxinrsseeg teh owrgn nio,f by hte ;yaw tsi’ that the GNORW oHx eegn si iengb xepre.sdes This cna nhpeap when hte tyidewlp Hox gnee vlcira(ce re)aa is tdamteu adn os hte acthoicr oxH enge eat“sk ”reov -- veen otguhh eaismtoirblan pahn,ep iths hseicnmma rescpott het ybod mfor nmsisig na rtniee estmnge “eret(bt ot utp teh rongw ntigh rheet tnha ngohint ta la!l”) +
an1  o@drdmo woh od ew wnko tsih usiqonte asw iaglnkt otuba XOH regsnxepis eht owrgn fion vs HXO ngbie wrgon islft?e ceiSn lal hte eotrh gstemnes aer duamsse to be r.onmla wuntld'o yeht eb eetdafcf oot fi XOH asw ronwg lla ?nauodr +
drdoom  Beuseca HXO eesng neoecd istaonicntrrp .toascfr chEa XOH rtraitonsnpic ct,ofra in rnt,u nogevsr nmay teorh gsnee (tunsr on oe,sm srspreese rhtoe)s hhicw triedc peolmevendt fo a sg.ement tsI’ niulkeyl a sinlge iontmtau ni a HXO eegn ls“i”pf ti omrf dtgrceini irecvalc enpemdveotl to giitdecnr coraihct oledp.mvetne s'It emro leklyi htta vrleiacc HOX ft bmceea udnalnofticsy Lss“o( of oun”cFtni mi,t)uotan hcwhi lsetrus in rctoaihc OHX ft to tak“e evo”.r +1
drdoom  hO, I ldouhs aehv :demnoteni hcea HXO obx is a tne/easatffrederpi n.gee 'sIt ont all one e.gen sI't a aylfmi of seeng so a omauintt ni oen will eb nnenipdeted of het eotsrh. +



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