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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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eTh noecmmni I ilke ofr erbreenmimg hte onoctisal of teh clairna nsevre is het ,2,244," "uler

Aoebv be=nitrmas CN I + MIaidrn=bI i NC II,I no=I sVP NC ,V ,VI IIV, ulVaI=I IMeld CN I,X ,X ,XI IXI

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lovebug  an@sosyhiw thnxa os mu!!h!c +



 +16  upvote downvote
submitted by thecatguy(19)
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isTh si a eryv ynipktic noiustq.e As I ees ti, teh 3 aimn tnposcce setdte r:ea

  • iThs entptia sha erlgiitanm lanugeair ,p(arhs r,fieb ceisdpio pnai ni eht aecf,) hwhic si dseuac by a lsnioe ot rriaypm esynrso frsibe ahtt yarcr ainp itensnaos omrf hte a.efc
  • pMlielut srse,olsci icwhh teh ttieanp sha, is a lmyaniidenegt esdiesa .i.(,e it actesff ihetw m)att.er
  • heT ideeamlnyt xosna arnyicrg apni ioasnestn romf het araiilltpes afec tnere eth atrmnbies at the lelev fo hte npso adn hent dcesned mboeec( eht pilasn cartt of hte )ant.igierml Teesh iweth armett eribsf spsa ogrhuht het npos to yassnep on teh snpali nueuscl of the grlmaeiitn, hhwic si in the ludmela (cusleun = argy maet.t)r (trucipe heer.) rTof,hreee a olnesi ni hte ehtwi amtret ..ei(, p)uaelq in the pson coldu sueac inriaetmlg g,uliaeanr nda thsi ennenmoohp sha nbee bsreeovd.

eoAbv eth ellev of the abirsnmte (lathmuas a&;pm erlberca coet),xr uoy heva scnoed deorr oneyssr u.nernso Linssoe in tsih atpr fo hte curiitc rea ont eenrayllg in rtmeginial iaulrna.eg I poepsus yteh aosl wtna su ot smusae thta oecn the laspni ctrta fo the lrniiegtam nrseet hte du,amell ti's nto eetyldnmai r.omyean I tno'd ithkn htsi is opylmecetl r,ute tub ignev teh ligoc beisceddr baveo, opsn uowdl tilsl eb het retbet .snrawe

sA popele hvea neopitd ,otu hte iymaprr yesorns ifrebs inyrrgca tihgl tchou itsnaneos omfr het acef psneasy on hte cifeh ersnosy suleunc ni eht npso mdimiteelay faert tyhe trene het snpo. hTsi quoensti si otn askgni butao oshet ibrsef g.hhout

I ogt teh sqeintuo gnwro .t.oo

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mightymito  Wow itsh si eth steb naapxinotel t!ye Tsanhk os mchu ofr yver cyllare gaknilw us ohtrhgu a kctryi uoetiqs.n +5
lovebug  hcga@utyte .er...A yuo a oofpsesr?r tkanh oyu yrve uchm :) +1



 +3  upvote downvote
submitted by feliperamirez(45)
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I od anursdentd thta het nlriacppi ueslcnu fo the tailrignme eernv si eltdaoc ta eht opns. uBt cnsie htsi naetpti is nvhiga iinlmgeatr uirgaenal luodwn't ouy eb iurgiptdsn the yhwapta ldevnivo in pian nad ,truremptaee ihchw in sthi ceas wduol eb the nlispa ulnecus eltdoca( in teh amel?ldu)

,dsseBei I odnuf hits at an ieclrat

A tneerc shhytiepso rttubteisa hte naip fo etimailrgn eaaruglni to a cenrlat mmansheci gonvinivl eth psar arilos fo hte apsinl nrgliimeat u.[lc]usn5e

omn3nbsp/v9swk2c.Ni.g/o.9b/tw7wiKt/hn.:/5lhoB

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pg32  I ytlalierl dah emaulld eestcled teh owleh mtei and ehtn gcnadeh it ot npos lpiyms beuseca i etlf teh ttse rtsewir eewr jsut egenis if we kewn erehw teh rnlamiietg vnree was .aclotde bummer eueacbs I nthik uyro logic si way eb.rtet 'tsi twah i frsit totughh newh i eard eht .eacs +1
l0ud_minority  eTh untoesiq ahs a mndbceoi elonis tath cduol be ni heiter the snop ro ludlmae eigvn teh eionustq me.ts erTeh si eevers ognhsito npisa wichh olwdu dieatcni eth lSnpia lueunsc fo V (iyalmn npia dan ureeeapttr)m sa llew as eht aMni yesnsor esuculn fo V (alynim ).thuco eHre is na meagi rfo recernf.ee -yo-en.sty/pohmmersoe/spita:/oysmaatfenan/mtsk-igteh-lrnceonssetxuy-eo +



 +3  upvote downvote
submitted by sympathetikey(1600)
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iicpPnlre esSyorn eNulucs fo the nlmegarTii si lceaotd in hte son,P as is hte otMro agiireTmnl uculseN fo hte .nosp ihsT osrtiaenpnet is lybaropb dilgaen eomr wiht het Perncipil nSseroy suNeclu.

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 +2  upvote downvote
submitted by strugglebus(189)
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eTh sopn ahs vsneer 8-5, so hte airteinglm oldwu eb fdeteafc erhe

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masonkingcobra  aTlchami pnia sdeomynr dlowu inelvvo esasysstdehi on eth erntie acnaorlltaetr obdy so emro ntah sujt het fe.ac oslA it oscurc nefot aefrt rpsoks-tteo. ,alAldodnityi ethse ssaydshestie rpaape msntwekho/se a t l re +15



 +1  upvote downvote
submitted by woodenspooninmymouth(2)
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SM is a eynatidegmiln edaei.ss 'atsTh wyh I 'nidtd ipck xcoert or sh;amtlua tehy rae ergy eamrt.t I cedpik lmaledu caseebu I teh eiinipomlasrntg eesvrn etresvra hte d.lluaem I segsu ew era tujs duspsope ot sasemu hte dnieinltaeomy is pgapnnihe ni the ?nosp I ond't nk.ow

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woodenspooninmymouth  Sor,yr I emant to ysa atht eht pons uowld hvae hte cell isdeob rof eth miepntpa/ sen,uonr ?no +
athenathefirst  oo@osehowpnuiodmmnnyt hist is elcafiylpics rigitlnmae anieuglar tihw seonvlvi airanlc evner 5--&tg; wrhee edos NC 5 cloaliez to? i'ts the .npso If oyu n'tod gte ihst eosntiqu ,siltl thacw het Rlue of s4 in roBdas dan eBndyo sictone no seatirm.Bn +



 +0  upvote downvote
submitted by lilyo(94)
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I aws hnitknig oangl hte sieln of fcalai noaisntes cwhhi si etmidade yb teh liritmgane never and het ctaf htat teh gltiemniar erenv si eolctda ni het np.so

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 +0  upvote downvote
submitted by chandlerbas(118)
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shtere na aisosncatio mdae ni 1702 iwht mgrieatinl aaeuirgln nad SM - whihc is ahtw i hintk shti tp .ash key hntig ot nteo si htta liewh lla oomtr dan rseoyns sriebf of NC 5 erent ta eth elelv of teh spno vwoeh(er oems slao do reetn ta eth llvee fo aldleum nda neev the cs iva het anipsl tcart fo 5 to psysane whit eht nlgo sorsyne suneclu fo )5 eehr s eth knli fo melarngiit nagelriau dan M:SbvPtwacn3Mg.6im7mrscw5l//o44n/:.i.9//etcnhwCti/sp.phl

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 +0  upvote downvote
submitted by mamed(25)
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erP drsoba dna o,ynbed in hte alrleta snpo si etrhe is hte inlaps V uucelns hhciw aierscr areantctlalor ianp dan eetrr.etpmua ingKown ttah + CN V asseir it in the ,snop I tewn hitw nops. The loyn oetrh otonpi I dha lfte nto srsocde uto swa abeercrl hseeipmerh but thta seedme ot dar.bo

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vivarin  BB laso iasd nto ot use eht rleu fo 's4 to coeazlli CN V to teh nops so ts'hat yhw I odssecr it ..tu.o +1
athenathefirst  r@nivvai mtclepeyol egera twih o,uy ubt tsih si EBNM asylwa nlikig to kctir dan nfoeucs us. +



 +0  upvote downvote
submitted by athenathefirst(7)
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oHw is htsi 621. veell fo lcfyfdiuit enwh biaotsst qsoustein era lusylau 17 or 18 gy#crni

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