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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 hysligtoo si fo srtycehosep lml(as aprcehlis lsecl /wo ctenlra ).rollpa iradteHyer tsoirhossecyp is ued to fdceet ni ronestpi trnteaicign wiht RCB raenmmbe olktense and malpsa eemrmban nk,n(ariy badn ,3 tpeionr ,4.2 sntpier.)c Mlytso ustmaoaol ndiamnot ieraitennch (so eyotgzoesrhu aonmtiut isenc you only eden eon atmnut llelea to gte teh ieea).ssd

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wuagbe  To dda to itsh: oohzusogmy HS enrspste wthi lysshemio evne ni neabecs fo srssrose.t ihts inatept is only npnisegetr hwit apel ,inks and trehe are on sssteyothicc no the rhirpleaep rem,as so 'sti a tregsyhuoezo kaynnri t.naoumit +9
pg32  I eawndt to kipc tiearrdeyh eorcyshsisotp utb eth nmea pclcurruaso cncneottaorni saw marnol and I tuthhgo it asw ussdpope to eb deve?leta sl,oA ywh rae herte so aynm BCsR ttah rea ayw briegg tanh het oys?peershtc +8
nephroguy  mI' asmnsgui ttha het CCM is lroanm aeescub the ptietna is etzeyorgusho orf HS. tNo esru fi hsit si ctrre,co tbu tath wsa ym tthguho prossce +1
draykid  reA teerh nya srpepa ttha xpielna teh ffeeicnedr in eosnirpxes of hygsomuzoo vs rstgoueoehyz S?H +25
waterloo  I 'dnto nkow if ttah rseattm sa m,hcu like het yteopephn cifefreedn of syuohmozgo or ehguryoeotsz for sith .stoeuiqn cieSn oyu ynlo ende eon lalele ot whso ,tshi aypl dsod. Is he omre klyeil ot evah AA or aA. tTah was ym thgtohu reops.cs Asl o fi uyo ese tyescropesh duy'o be ingog for nkinyar ith,gr ton i-bBlgno bc hatt loushd eb graett eclsl - drraeslseg fo H.MCC +1
alimd  sa I bmeeermr DA era swlaya shgz.oeryuet saBuece omyszhoogu era ylasaw teal.lh +5



 +4  upvote downvote
submitted by xw1984(8)
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I gto this Q rgn.wo I was wnrednigo why shti tapeint as“h on paoresln ro alymfi ”yhosrti. eyiarteHdr eyoiohpssscrt hlodsu be a DA aisee,ds ,so elayelgrn naepg,iks thsi zdi udolsh eb seen ni heca g,nornaetie htrg?i

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step1soon  I swa ininhgtk eht !emas +
wuagbe  eSvreal tegceins questonsi on 2M0NEB paerap ot eb ytrgin ot tohwr us ffo by ggcahinn eht dspiecnotisr fo a,ecritihenn neilgav su to sseaum ecomnliept p,tnraceeen smh. +



 +3  upvote downvote
submitted by ∗dr_jan_itor(87)
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Can nanoye wresan yhw htis one nt'ac eb F. aBet lhasaeiatm or?maj I was ghtinkni ueeabcs of his iamaen adn eth epuoraen" ncese"dt wihhc lendcusi eht eniiremandta oresna.epu enUlss MBNE riteswr nthki atth aonpuree lyon aemns hte ones whti rtxea htewi epelop oll

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dickass  oEpaeunr iimeslp hnenrtor peauorne hyte( enev fiseeidcp teh tiapnet wsa a rspeon of ,)aollrp rnieeretaanmd escentd is ylslauu ipldiem by cynturo of irgion ro yb ustrtgiato-h tiigrwn neeadt'r.rnmae'i +
poisonivy  hTe CMV is lmnar,o aaeaishmtssl are irmotcicyc ,aesniam taht thni lheps ot leru tou the a.aalemsstshi w,rvoHee I gto it nwrgo, ont rues yhw it ontacn eb a yuozohmgso inamtotu in hte narnyki neeg +2
adong  viio@,ynosp erhot meertocnm toidenp tou 'sit otsmuolaa onmtiadn so ebts nrwesa odlwu eb utesgheorzyo +



 +2  upvote downvote
submitted by ∗victor_abdullatif(10)
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I ikthn the kye to hits eonqiuts si ot eus tliioenmani ofr fatcs thta we wkon rof resu. The trifs is htta ti's a inrymtoocc e,naaim so lal amsistahesla rae elru otu icsen hatl = orcymcci.ti

Taht avslee A and D. ecnSi hte CMHC is naorlm iwhh(c is ton htwa ew oulwd expect orf eirdhreyta tocssi)rhypseo and the it'esptna yotpmmss are rve,ese yhte tmsu eahv a "drmeil" iversno of het seeadis e(g.. onrcliaosapdah si asol muaolsaot itamdonn and si healtl if yuo gte teh mhouogysoz rmf).o

uobOslyiv meso gib lsaep ni earninsog rhee ubt tatsh' eon atph to hte htgri ranswe

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victor_abdullatif  ited #:1 daem a .pyot eantm ot asy et"h aisetnp't tmypssom era OTN syovr"seerer btoau a!htt +
l0ud_minority  sYe I 'otdn desrtdnaun wyh hte CMHC si ranmol thta si litls ton atwh si teecpd.xe I wshi ENMB eiopdvrd wsrean kesy dna etidc rthie escsour ofr htire .aeoraltin +



 +1  upvote downvote
submitted by sciguy(1)
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HS si loumaosat ,ntdaomni ubt esiitxbh teocnmlpie encpert.nea So eh dha on crdeor fo pnarloes mfyial, btu lstil ielkly zrhy.etegous

)eipd(iiakW eTh ciillnca stryivee fo SH reasiv from prme-feystmo irrrcea ot reeesv eliyshosm ceesbua hte rdsrdieo hbsieitx moeletcpni tnpeneerca ni sit .eipsnsrxoe

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ibestalkinyo  Thsi is wtha hwert me ;ffo I fuergdi wtih 2 fneadefuct tsnera,p 'sti rmeo lekily eh dah na mosauotal esevsrcei nuatoi.mt +1



 +0  upvote downvote
submitted by ∗strugglebus(189)
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otAu dom dsaeeis are lyuslua oegheortsuyz ro( os eyht tanw su ot s)esamu

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xxabi  woH do oyu nokw is aooustlma naodtn?mi +3
scpomp  edeatriyrH eotshiscrspyo +1
fshowon  Inst het naem ocpacsulrur nmlgobohie ooerncatcntni iadecsnre in tihss?ceosopyr tahTs what ohthgur me fof. +5
charcot_bouchard  es,y dlowu be inc in pver M.NEB uBt isht is tshtiab menb .02 U veha ot etiidfny rypstohesce httwiou cetrnal lporal ni PBF +4
charcot_bouchard  ,esy lduwo be nic in eprv .MNEB utB thsi is bthstia bmne .20 U aehv to tifeyidn stohcsyeepr wuohtti tnlrcea opllar ni FBP +



 +0  upvote downvote
submitted by ∗sunnyside(2)
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Can nnaoey iytfjus hwy yteh idd nto csdirebe na isenaedcr ?CMCH AF 1902 yssa opscotisryehs sha hgih ,CCMH and htey idd nto even eahv it no het uperp ned fo nram.lo

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