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Retired NBME 21 Answers

nbme21/Block 1/Question#17 (reveal difficulty score)
A 7-year-old girl is brought to a clinic in a ...
Methionine 🔍 / 📺 / 🌳 / 📖
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 +28  upvote downvote
submitted by ∗usmleuser007(464)
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fI uyo clt'duon ebemmerr wchhi rwee tsin;seela hnet antveertlia ouwdl heva nebe to ilerzea thta wionggr ienrldhc ened lsecl ot edivid. iThs reurieqs ADN tliecrapoin and iastn.onlart Of wichh hte culneci adic imthye si .tpinratmo It seiqreur a ymelth .frnrteas

hTis si ewehr iitnhoenme mcose .ni ieohneitMn bcineosm wiht TPA to mofr SMA (a myleth dron)o

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whossayin  ’astTh a dnrgaeyle xaanpetonli. kahsnT d!deu +
makinallkindzofgainz  hTis si xclatye owh I ovsedl ti! I mebereemdr tath hnieeinoMt is seetslain for lmethy esrs,aftnr adn uyo uwldo eend ttah in ndgividi og)wrig(n .cslel But now l'Il tusj erembrme VPT TIM LLHa oot :) +2



 +15  upvote downvote
submitted by ∗nosancuck(102)
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Yo dgaw we all obtua VTP MIT HaLL

nnyaelelha,Pin l,ianVe ANKDorpTty, renTieh,on suoIecil,en nMiin,oethe ne,Hiiidst cLnueie yeLnsi

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meningitis  I tno'd adestundrn waht teh uqosinte si ns.kg.a.i can eoseomn laeesp niaelpx ti to ? att eim nPe sodnet aet nopet,ri eshs hbbyc.u taWh sode ihientmeno veah to od iwth tsi?h +4
charcot_bouchard  utsJ ballisacy kgisna wichh si isleensat amnio cai.sd +4
usmleuser007  sistnelEa aimno dcasi (getsomhin i ceam pu h) ti. 1 w "ehTer LAH ansf lliw ytr .mahet" oineTrneh = eheTr b. e;sndHtiii niAgein;r isenLy = .A LH c ePynaalnheiln = sa n .fd lieV;na o;uiIsenlec encieLu = .wll i e nrpytpaToh = t yr f. eteMihinon = emh t +4
nala_ula  hy'erTe yasgni htere si a kcal of doog ylaituq roinept t&-;g lihtgs nourtiintla c.ieydifnce Seh amy evah deuiqcra hegiwt utb ti's otn bsauece fo trepino. So et'erhy ycllepascifi sigakn htaw ioamn cida seh gimht eb miisgsn eud ot rhe abusrp edti. nceSi eiletnssa mnaoi sicad aer estho taht eth obyd nacnto ekam ltfeis, tuo off eohts is,edlt nheienitom is hte tensiasle omnai ciad. tsI' on eapg 18 of AF 2.901 +11
nala_ula  coertrc me fi mI' norwg eplsea ): +
hello  rFo nnaeoy ofsnceud grityn to lowolf s07l0seeu@u'rms ceommtn gihlt--s yl iiteldnEmsesdoafi namoi csida omnecinm "Ah, Teehr sfan ilwl try te"hm Ah = aignne,ri dhTsreiin ieeht = hrTnoeinFeasn sn)=p(ha hlny laVleeiiPnan (iWll -- rGname encatc rcnnonpiugo niElghs owrd 'l'i)lw = nvi,ela uiilec,enso ,ceiunel isenry yTl = trptapohhnety M = eieMnitonh +2
pg32  yhW esdo leoh@l nda 0r7elesums@0u cnnmimoe noatnci inangrie? Tath i'tsn in eht TVP MIT aLHL oiencmmn rof selseitna anoim .ai.d.cs +
paperbackwriter  3pg@2 airegnni si nl.ssse-aieeimt It is nlseitaes in rempert snftnia owh ontcna thnyiessez ti oi/3mnc70sid54%ieib39//Sc6isthicruDseacvtin:l0e/h2e./.cc00/pw1ei80?wc5attwe0pr +
ankigravity  sI't soal einselats ni stime fo voiipste grtnineo bnealac (.i.e, gwgoirn od)sdik +



 +9  upvote downvote
submitted by ∗usmleuser007(464)
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1. reehT" LHA fasn lwli ytr htem
"    .a ronTehein = eTehr 
    .b tiie;ndisH Agenrnii; yLsine = H
LA    .c hynaalneleiPn = saf
n    d. li;eVna eicoel;nIus nciLeeu = wl
il    .e yphnortpTa = 
ryt    .f neteMniiho = thm
e
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pparalpha  ahTsnk! oodG oicnenmm +1
b1ackcoffee  etbs eoimnnmc +



 +5  upvote downvote
submitted by ∗usmleuser007(464)
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ilnessaet oAinm acsdi A)A(

)1 Atduls eiqrrue 9 (AA) = eabl ot meak rgienna via urea ye2 lc)c dhlrnieC rurqeei 10 AA() = eyth rae sllti )p gelnodiev3 iWht UKP ntioesry eobmecs alsintsee in ohbt tdauls nda dlnhceri

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 +3  upvote downvote
submitted by ∗drzed(332)
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sL'te sya ouy ndt'id owkn imehnoeint was .stisenael

A() Aenainl -- uyo nca acteer eannlia rofm het zmnyee LAT a(ninlae asneret,sriafoamn) suth sith zyneem ncnota eb esitenals

B)( reataspAt -- yuo acn treeca eprtsataa mofr het yezemn AST arae(asttp et,nine)faaarrsoms hsut htsi enyzme ctonan be tansieels

()C lienyGc -- this one si wlo iedy,l btu ti is edma frmo nsiree neis(re + FHT ;tg-& 2OC + -TFHMe + n.ieglcy) fI ouy 'nddti wonk bouat s,thi uyo adh a 05/05 soht

E)( Teosynri -- you acn rcaete iyteosnr fomr ainlnnhelayep ssln(eu of securo uyo ahev oh)nleiykena,rptu adn uhst ihts anntco be .eselisnta

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 +0  upvote downvote
submitted by ∗hello(429)
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rFo aneony onfdescu itnygr to llwfoo lr07@ms0uesues' meotcmn

tliShlgy dfioeimd

assnteiEl moina dasci nincmome A",h rehTe asfn lilw rty t"ehehtm

Ah = nreiing,a idnehiist

reThe = hnoirTene

sFan (ph)n=sa ahayienPelnnl

Vlil liwl( -- reGnma cnctea ronnigpncou gsinElh drow l"i")wl = nvliea, luecnos,eii ueleic,n eyilsn

ryT = yttopnprah

Mhet = ntMeiieonh

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 +0  upvote downvote
submitted by ∗mrglass(47)
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hTe yaw I mberrmee the lsiesaten inmoa diacs is by eiergnnecfr hte imnoa aidsc ruospg I ealdayr .wnok oS eth nelisaest animo isadc :aer

  1. eTh rdehabnc ahnci imnao :caisd lueiesn,ocI Lice,uen dna eaVlni

  2. eTh edrnig amnio sadci CPTEEX riseyTon whhi(c eebmocs esesitaln ni ohest whti PKU): pnohpT,tyra niitd,sieH yPehanilennla

  3. Teh slrfuu aitcnnongi omani icdas: etnyieCs dan teHdsiiin u(Yo wlil ese eaedtb reov etwhreh isCeteyn afslieqiu sa isstaeeln ro o)nt

  4. Teh tow oyu tjus have ot imor:zeem nhTreonei nad ensiyL

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mrglass  I antem to say tyesenCi dna etoieMhn*in +



 +0  upvote downvote
submitted by ∗saqeer(6)
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a tlleit dneisgmlai ehr iceasenr in gihewt aedm it seem sa if hes dah wol hotyird rnhmooe dna siryotne si a orupesrrc.

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b1ackcoffee  but yohdishitmyopr wdolu eaderesc teh itehh.g +



 -3  upvote downvote
submitted by codyluvr95(6)
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2B1 emsoc form orinetp dna si a sesyercna coofactr orf eoinenmtih ahyts.nes Lwo B21 = olw nmei.eitohn

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 -3  upvote downvote
submitted by ∗mcl(671)
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oheiMnnite is na sieetnals nimoa .cadi lAl rstoeh idtsle rea ont.

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scalpelofthenorth  gP 81 eriysTno si stdeil sa an taesisnle A.A ouSlhd be rtpyahtpon fro etsho hwo tgo htis wgrno klie .em +
neonem  utB rnyseito nac cemo orfm ,apaehnliylnen so 'ist ont arylel laiesesnt irh?tg +1
gh889  ni 021,9FA ti is lidtes as Tprhpao,nyt tno eyT.oinrs aTth swa ct.edrocre +16
usmleuser007  t:eNo rsioyeTn si YNOL saliestne twhi PKU ni dnclirhe +
niboonsh  obr 2F08A1 slits rioeystn as an senesilta A.A heTy eadlyp us. +1



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