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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 oigtolyhs si fo tspysrhoeec al(lsm hlcsarpie scell ow/ nlcatre )l.orlap tdiHerayre pyctoorseishs si deu to eftecd in itospern ateirtngcni hitw CBR eermnmab osektlen nda amplas reammenb aik,nyrn( andb 3, nipoert ,.42 cps)ernt.i Mtoysl soolatmau aodnnimt aethnciiern s(o tourhszeoyeg ntiuaomt ecnis you only ened neo atmntu llleae ot gte het )essaie.d

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wuagbe  oT dda ot shit: suzooyohmg HS rseeptsn whit liesyhsmo nvee in ceeabns fo rtsesossr. this teianpt is noly etgeninpsr ithw aelp insk, and ereth are on tssoisehycct no eht rrppeahiel e,rmsa os tis' a hsoygtreueoz iynaknr ion.mutat +9
pg32  I wnetda ot icpk tidyearerh hespyotocissr btu hte naem clarorpusuc cnoanointtcre aws nmrlao and I gtuhoth it swa eupospds to be edleea?vt Asol, why rae etrhe os amyn sBRC thta aer way ggberi athn het ehscpe?ryots +8
nephroguy  mI' sausimng hatt het CMC is oarmnl aeebscu teh piaentt si ruoozeytghes fro .SH tNo sreu fi itsh si ,retoccr tbu htta was my thuhgot csopsre +1
draykid  erA htere yna apreps atth anxepli het ernfcedeif ni xrseepison fo muzohosgoy sv egryotuezhos ?SH +25
waterloo  I 'nodt wonk fi that emsratt sa u,hmc elki het phtnpyeoe edicerffne fo oyzsmohguo or oezshgreutyo orf stih .ntiesoqu nSeic oyu nyol dnee eno eelall to ohws shi,t ylpa s.odd sI eh emor iylkel to ahev AA ro aA. aTht aws ym ottghuh .posecsr o slA if ouy ees oyeshcprste oud'y be iggno for ayrkinn gi,thr not -glnBobi bc taht sulhdo be tgerat lsecl - rsrgdaeels of CHMC. +1
alimd  as I eemrbmer AD ear saalyw ezs.oerhugyt esecBau ozhgyoosmu ear waylas l.elath +5



 +4  upvote downvote
submitted by xw1984(8)
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I otg this Q wo.rgn I swa eorgwnidn hwy isth pettnia “ahs no srleoanp or yiflam ”itoh.ysr areetriHdy ehpycsotroiss odhuls be a AD sei,esad o,s eyaglenrl sakepin,g tsih diz slouhd be nese in hcea ein,rnoetga gtr?hi

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step1soon  I swa tngiknih eth me!as +
wuagbe  evlareS enetgics eistsqonu no 0ENBM2 aprpea ot be ntigry ot rohtw su off by icahgngn eth sntroscipedi fo teie,irnchna evginla us to mussae lmepnetoci tne,eeapnrc sm.h +



 +3  upvote downvote
submitted by ∗dr_jan_itor(87)
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Can aynnoe awsern yhw shit eon 'ctna eb F. aBet iashletama j?maro I aws iikngnht bsecaue fo hsi enaiam dna eth eor"napue "teecdsn chihw slndiuec eth teneaiindmar sn.reaupeo slUsne BNME etisrwr nhikt that reoepuan only seman the osne iwht xreat twehi opleep llo

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dickass  nerEoupa ieimpls ntnehror eoupnera ehy(t vene dfipceesi eht ipaetnt wsa a soerpn of ol,plr)a eiatrmranened eedscnt is uysllua ldpimie by ytcnruo fo ginori or by thiustoar-tg nigritw an.m'r'deinrteae +
poisonivy  The MVC si nmr,alo tslisaesaham rae ioycitmrcc ma,seain taht htni eplhs ot rule uot hte slaheas.tasmi vH,wereo I otg ti rwg,on ton seur why ti aoncnt eb a gyzooousmh tnomtiua ni teh nnrkyia eegn +2
adong  oiiyv,sn@op ehrot mnmeotrec edonitp uto st'i luaatosom innaomtd os tsbe rnaswe uwdlo eb ueeoogthyszr +



 +2  upvote downvote
submitted by ∗victor_abdullatif(10)
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I khint eht kye to hits qisenotu is to seu inliiaemnto ofr sfcat tath we nwok ofr s.eru The srift si htat st'i a cnmtyocoir aeanm,i so lla saisstahmela aer elur tou ecnsi thal = cm.iyticrco

Thta svlaee A nad .D icenS het CMCH si lamrno w(chhi is ton ahwt ew wuodl petxec orf rehtieydra hsyotc)seprsoi adn eth a'epstitn pssmoytm rea ereves, tyhe umts aevh a i"d"erlm orsvnie fo hte saeseid eg..( ldrpnisoahcaao is salo altsomoau namtdino dna si lhtale if uoy egt hte yhoosgmozu .)omfr

obsivyuOl oems big pleas ni nrsigaone eher but thsa't eno ahpt ot het hrigt rawesn

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victor_abdullatif  eidt 1:# emda a ptyo. naetm ot ysa th"e pts'antei mtsopsym era NOT sryrr" esovee tabou a!tth +
l0ud_minority  eYs I nodt' ddrtunesan yhw hte HCCM si lrnaom thta is stlil ton atwh is cd.expeet I siwh EBMN prveoddi saenrw seyk dan cidet rthie serusco rof hitre aio.ratnle +



 +1  upvote downvote
submitted by sciguy(1)
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SH si tmaoolsau dotmnn,ia utb istbxhie ometpneilc eep.eanrntc oS eh ahd no deocrr of aselornp liayfm, utb litls lkeiyl uoyrehtzs.ge

)Wedipiak(i The lliiaccn seyvrite fo HS vasire rfmo oepf-mrytmse rerrcai ot eveser eoshymsil eaecusb hte riorddes tsexbihi temenpocil erceeptann ni ist xiro.snpsee

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ibestalkinyo  isTh si hwat rhwet me of;f I rideugf whti 2 efeduacntf nse,prta 'ist eomr yielkl he adh na lsuomaato esveeiscr .uoitnmta +1



 +0  upvote downvote
submitted by ∗strugglebus(189)
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outA omd daesies era asyluul gtoozeesurhy ro( os etyh nwat su ot aum)sse

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xxabi  Hwo od ouy ownk si aooltusma adtonm?in +3
scpomp  Hiydtrreae eryisoshopcst +1
fshowon  nsIt eth mane uoparrcsluc gelhboniom tcannoticnoer aedsirnce in spseshoiyor?tc Tthas hatw otghruh em f.fo +5
charcot_bouchard  ,yse wuold be inc in vrpe BMN.E tBu tish is sbttahi ebmn 20. U eahv ot nftdyiie cypseoethsr otuthwi rlnacte aorpll ni FPB +4
charcot_bouchard  yes, ouldw be inc in verp N.MBE uBt stih is ahtsbti mebn 0.2 U haev ot tfdyiine escysohtrpe htuitwo arnlect lloapr ni FBP +



 +0  upvote downvote
submitted by ∗sunnyside(2)
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anC anoyen fityujs ywh eyth did not dribcese an rseicedna CHM?C AF 9012 syas syieopostsrhc sha ghhi CCMH, dan yeth ddi nto enev veha it on teh upper end of oarm.ln

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