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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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ehT hsiyoogtl is of rshyeoptsec m(alls slaeprhci llsec ow/ racelnt l).praol ayiHertrde tshypossrcoei si deu ot ecfetd in rotenpis ieanrcgttni wtih CRB aremmben elsoetkn dna lamsap remeabnm knanyr(i, dnba ,3 erpntio 24., i.pncst)re ysoltM omsaotlau imontand tircneeanhi s(o othzeoesugry mtouaitn csine oyu ylon ndee oen mautnt lellae ot get eth aisd.s)ee

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wuagbe  To dda ot htsi: gyzuoomhso HS tsernsep twhi mylhioses even ni ancsbee fo trss.rseos stih apintte si olyn rnneegstpi tiwh pela sk,in adn ereht are no chisssttcyoe on the peplrhraei ,raems so ist' a guoehzryesto rkaiynn itoumn.ta +9
pg32  I nawdte to kpci rtreihaedy esirtspshoyoc utb eht naem paoccrlusur notreiannccot saw nrmloa nad I ouhtthg it aws ssupdoep to eb aeedt?evl ,oAsl why rae teerh os aymn RsBC taht era wya rbeggi nath hte erh?ptocsyse +8
nephroguy  'Im iamssngu thta the CCM si morlna bceseau the anpitte is ryugeszhoote rfo .SH otN urse if isht si rcctoe,r but ahtt was ym ogthuth pecsrso +1
draykid  Are eetrh ayn paeprs htat xanliep the ceefedfnri in rseopixens of guzmhoosyo sv syzruteegoho HS? +25
waterloo  I ndo't wkon fi tath rmesatt sa humc, keil eth yopenhpet idrceeefnf of ougsoyzmoh or sgyuteeozhro ofr hist nqutio.es iceSn you lyno dnee eno leaell to wohs ts,hi pyla .sdod sI he moer ekylli ot evha AA ro A.a haTt saw ym ttguhho rpsseco. ol sA if oyu ese cthrseoyesp yuod' be ggino ofr knyrani rhigt, otn lbogiBn- cb atht doslhu eb etargt lcsel - slrdasegre fo CM.CH +1
alimd  sa I erbmmree DA era aaswyl so.erughzeyt aesBeuc ohsyogzuom aer aswyla .latlhe +5



 +4  upvote downvote
submitted by xw1984(8)
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I tgo hsti Q n.ogrw I was rgendwion hyw iths petntia h“sa no asnlorpe or ylifam t”yhor.is yiretHreda pyrsctoeishos ulodhs be a AD sdiae,es s,o lnegeraly gpaeks,in this zdi ldusoh eb snee in ehac eitoe,nganr itg?rh

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step1soon  I swa gniktnhi eth msa!e +
wuagbe  reevaSl sienecgt onusisteq no BN20ME eppaar to be iytrng ot hotwr us ffo yb aigngchn het oinescripstd of ,nahrienetci ignalve us to usmesa tpmeniocel reecn,pante sm.h +



 +3  upvote downvote
submitted by dr_jan_itor(87)
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naC oenyan arwesn hwy tsih eon tc'na be .F aetB thsalemaia mjoar? I asw igintnhk escebau fo shi mieaan nda teh rnpe"uaoe sedtnce" hwhic icleduns hte eranmiiantde proaenu.se esnUsl NMEB retwirs nhtki atht eprouane only senam eht onse wthi trexa ethiw eoplpe lol

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dickass  oapnreEu lmpisei nhnrotre enpraoeu (etyh veen eidfipesc het ntepati wsa a ernsop fo pa),llor earrenneadimt dsecnet is usullya diemipl yb rnyocut of rngoii ro yb irtatgou-sht tiirgnw t'deea.enria'rnm +
poisonivy  heT MVC is lonrma, aisstehlaasm era iirctmccyo sana,ime htat niht ephls to uelr uot hte emtsa.laassih Ho,vwere I tgo ti ,gwrno tno sure wyh ti naocnt eb a ozoyghsmuo mitntauo ni teh ninrayk nege +2
adong  ioivspy@,no oehtr rmnetoecm nopedit uot ist' taouamslo oadimntn os sbet wreans ldowu be egrhotesuyoz +



 +2  upvote downvote
submitted by victor_abdullatif(10)
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I kthni hte yke ot tihs nqioeust si ot sue iltmiaonien rof fctas htat we onwk fro .uesr eTh srtif is atth tis' a otircncmoy ,imneaa so lal slmaeiasahts are rule tou cines tahl = or.iytmccci

atTh eevsal A nda D. eicnS eht HMCC is rlnamo wchh(i si ton whta we dwoul etpecx rfo rheedrtaiy trsp)eshyicsoo adn eht tap'esitn osytpsmm are eeevs,r they umst ahve a rimd"le" voenris of eth eadseis ..e(g olnaricoadspha is aslo aaoslmtou matdonin adn si eatlhl fi ouy get het uzohgomosy omf.)r

ubyOivols soem ibg speal ni sngriaoen eehr btu tahts' neo tpha ot eth grthi aesrwn

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victor_abdullatif  iedt :1# edma a op.yt nmtae ot asy "het 'ttsipane tmospyms rae OTN resyvero"ers uaobt th!at +
l0ud_minority  seY I dtno' tsuadendnr ywh eht HCCM is alromn htat is tlsli ont hwat is ede.pctxe I iswh BMEN pdovdeir aesrnw esyk nda iectd rieth ucosrse for hreti enl.ratioa +



 +1  upvote downvote
submitted by sciguy(1)
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HS si oatlasoum otidan,nm utb eiitsbxh tmeenocpil tc.eaernnep oS eh adh on rrdcoe of rnsaopel mya,fli tbu slilt likely ogehe.suytrz

pk)diiae(Wi Teh niccilla tyvseire fo SH arsiev fmro mpotr-emsyfe rrceari to servee hmoseyisl seucbae hte diderrso tihbsiex eceotpmnil eepannerct ni sti osesripnx.e

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ibestalkinyo  isTh si hwta ewhrt em ff;o I dieugrf tihw 2 faeftcnedu a,pstren i'st eorm kelliy he adh na tuaasooml ireeecsvs ttounmai. +1



 +0  upvote downvote
submitted by strugglebus(189)
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oAtu mod seadesi era ulsulay teyshregzuoo or( so etyh atwn su to s)umsae

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xxabi  How od uyo nokw si suotmalao odnitnm?a +3
scpomp  tieHreyadr ypoosessrhtci +1
fshowon  tnIs het nmea praulcsorcu lmboignheo icorottanncen niscerdea ni iys?stphseroco Thsta wtah hogtruh me ff.o +5
charcot_bouchard  e,ys wdlou eb cin in rvpe NBEM. tBu stih si bhsttai bmen 0.2 U ahve to fiyenitd sereythspoc hutwtio lrnctea lrpoal in PFB +4
charcot_bouchard  e,sy wdolu eb inc in evrp MN.EB tBu hits si hitatbs nmeb 02. U vhae ot nfidteiy choteyspesr iotwthu rnlaetc llorpa in BFP +



 +0  upvote downvote
submitted by sunnyside(2)
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aCn onnaey tfsjuiy yhw yhte did otn iecbedsr na scaridnee C?HCM AF 9201 assy oerchtyposiss hsa hhig CHM,C dan they idd otn enve avhe it on eht puepr end fo .alonmr

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