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Retired NBME 21 Answers

nbme21/Block 2/Question#14 (reveal difficulty score)
A 30-year-old woman comes to the office ...
Abnormal brain development 🔍 / 📺 / 🌳 / 📖
tags:

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 +27  upvote downvote
submitted by ∗taway(35)
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hisT ontieusq is drepsha asteynl,gr tub tis' nesltasleiy nigska ahwt" wolud hnppea fi itsh wos'man opoyisrhiytdhm eabcem eodlnnrocltu vore eth esoruc of rhe yrcn?na"epg

uyltenrcr her TSH is odog g-&;-t cortlldeelw-nol HtoYEOrpC hTTAhLIPiysydimHo ihgh TSH -;&g-t rhe pritosiyyomdhh mstu NOT eb ewolelldolt-rcn e(du to puiosdirtn fo het RT3HTHTS/T//4 edncorien as)ix

oS, now htat ew drsdnetuan ahtt eht soqintue si niaksg tahw" wuold hneapp fi reh yhimysrdopitho asw l"cnre?udotlon

Asr:wne mscireint

I tkinh hatt stih qseoutni is apedsrh rutlioyoa,sc btu afr eb ti mrfo me to ierzctcii hte MUSEL eicsngiln b.o..ard

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yotsubato  I ihknt that hsti tiuqneso is sephdra srcoailtouy, t s uJ leik teh srte of teh BNEM +26
b1ackcoffee  lteycax how sdeo eralmtan hshmatooi acn uscae tcesmn?iir +1
notyasupreme  obec@,f1kfcae ti's ton atmlanre thao,oshim alisayclb oyu tjsu haev ot egidradsr eht NTREIE uiosnteq etsm dna teh slat atrp of hte ncetseen f(i hte 'omms THS egso u)p eamsn ttha reshe't oshdyyprmiitho gogni no, cihhw caeuss rnim.istce +5
b1ackcoffee  nahkTs yuo o!utsmar@peeny +



 +12  upvote downvote
submitted by direwolf(12)
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hTsi ash to do hiwt ugdtrnnisaedn otw sg,hnit ahtt meaantlr rodtophyihimsy is eildkn ot tsliuri/eCenmran mvenepoldte of eht fsut,e and lmraon ncrygapen yo.psiylhgo nI nayrp,engc cdesinera oohrsnem eslimtatu rliev rotcpdinuo fo uovasir spntreio ikel xSe oHronem nniBgdi loGublni )SHGThxn,ry(Bioe Bgnidin lbiounlG T,G(B) cet. rMeo GBT oeuddrpc = emor TT4/3 is .duobn sLse TT3/4 suaces erom RHT eel,rase rmeo STH lsee,era nda oemr T34/T odotrupcin ultin eref T/43T lleevs are ckba to l.onarm nI a nrloam ag,yepnnrc htsi peshpna on bmep.rol In moeeson ihwt g-pniitxsree isyoopmihtydrh gth,ouh eadyarl sah peadirim T43/T dpctoorniu, nad wotn' be able ot ekpe pu twih ednresica denmd.a heiTr T3 llwi ers,i but ihts ont'w suelrt ni rcsedinae TT/.34 lyla,cyTpi noewm iwht miHhsoa'ost sernigdi ot teg negpnatr lwli dene to isnceera erhti ilyooterxnehv soed ni ncataipoiitn fo htsi ygnnrcape hnecg.a

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 +4  upvote downvote
submitted by thotaak(5)
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ramlNylo artmanel T3/4 era ereqidru rfo faelt nrbai pmnoedevlte erbeof aftel dyitorh dganl is o.rdemf dAn fetra talef ithoydr gnlda si o,mfedr latfe 3/4T elhps ni inarb lodvtneep.me oS iecsnera TSH nsema daseederc rneatlma T/43 dan thsu avhe nab airnb emldnopevte. dAn yse 4/3T rcsssoe pentaa.cl

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thotaak  ocrcngidA ot bibnsoR aglhotoyp +1



 +4  upvote downvote
submitted by medschoollovin(14)
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mineuoumtA tosdirityih kaa( oohs)imaHt + na-grnp>te-; nhTki oatub ibyssiitopl fo eaflt dmohipoyhrsiyt deu to tanbdioy tmadieed eamrtnal d.mithsyyiohpro dLsae to rimCnie.st gdisnniF ni natnfi are hte P6' oPt( el,ylb aPle, yPfuf ce,fa oiPnugdtrr slmiiu,ucb otabtnruPre outn,eg adn ooPr aBnir lvtpeem.nedo

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neonem  I od'nt drnnaduets het satl rpat of shti eouqtsin smet tuhgo.h.. if eht esrot'mh HTS encsri**eas nidurg gcnrpeyna? dntol'uW tshi frureth eesrcnai reh /ra(ond the te'fu)ss cpuotdorni fo T4 nad utsh nccetutrao teh ?thodpiyimryhos +
poojaym  en@mnoe on. neomAimtuu ysdhihitrpomoy si a iuttocsrned fo het htoridy dga,nl dan a rasecede in ioptocdurn fo T3T/4. nA caenreis in THS neams htat etehr si not hnogue T34T/ to hibtnii THR, dna os SHT is ngbie alesdere ot teuailtsm het drihoyt a.glnd +41
arezpr  SH,T ,3T 4T nda tlrhnolougbiy nncaot sscor the alneclpat arri.rbe +1
chamaleo  ez@parr hotgalhu eosth oohmrnse a'tcn ,csosr teh ttondboaausiie rofm miahosHst'o anc +1
yotsubato  Teh aybb ash sit own STH oghuth +
sbryant6  THS comse rmfo eht a,iuptityr nda cat no eth ihyr.otd biAutnsoadoeti taktac eth rdihyo,t so HTS ste'odn wr.ok +
kimcharito  on toirge ?hten +
lola915  I tknih heret is on igrtoe auesbec the b'absy hrditoy andlg ahs ont lulyf ovldeeedp nda eeths miognilubmulslno ofrm hte etomrh dluco taactk the yothdri lgdna eadling ot usesis hiwt 'tis medtevloen.p +



 +2  upvote downvote
submitted by ∗apurva(101)
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hTe ealr hingt si ,SHT T,3 T4 dan lgroiuhnyblot ntnoca sorsc acapletn. T,HR eodniI, TIS anc Irfs .ocs rothme hsa hghi HST (icdoningres iamryrp mrihdh)ysotoypi t;g—& Proo inrab tlmIofvpeene d ehomtr hsa STI )mhsa(iootH ;g—&t rcoss hte elctlaanp eibrrra ee—Icrans in hridtyo ndlag May( tenserp ihtw dtrorsi at hb.rit

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demihesmisome  hAhhhh hnkTa .uoy sTih aws twha I wsa triyng ot nnse.aturdd +1
apurva  elpsea tneo htta reef 4t nac ossrc het tecplaan +3



 +1  upvote downvote
submitted by ∗b1ackcoffee(115)
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acylxet woh oesd antaelrm timsohoha nca sueca c?timisern

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lola915  Hiamhtiso is ucsade by sodietbian nagasit tihdroy rsiaxepode adn itulbhn.olrgoy Tsheo tnoeaibsdi anc ssorc eht nlatapec dan etfacf ibesba hdioryt ganld nausigc ntclanogie yhdiimopryhto.s +1



 +1  upvote downvote
submitted by ∗thisisfine (31)
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I nthki tshi etsg at a eopncct eelrdta to tdioryh sveell adn sa.ngptneoegry/recn

egnErtos enirsasec teh elvel of notynhi-reindixbg lublon,ig hchwi yopirrlatem arsesdeec feer 4T dan 3T, and snasecrie TSH uiltn hte iilatnodda GTB bmcoese radust,aet and lramon eslvel are rstree.do

Scnie tihs antietp hsa omimunetua ditsr,oiiyth nda uirqsere ,ixnhtyoer nhwe rhe free T4 resc,eaeds dan hre TSH egos pu, she ontw mkea rexta .T4 So snlseu ehs eniascrse reh toinyxerh es,od she lwli eb tyoyopirhhd -&-;gt rtmeinsic ni eth efust

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 +0  upvote downvote
submitted by ∗unknown001(9)
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hree si a pcyo dastpe knil .

sti,fr ghih ths = poyhmdrohsityi

owH nac miohhospyytird ffceat em dna ym bb?ya tdriyoh ornhsome are imntroatp to yrou 'ybabs nirab and orvesun stsemy nepdlot,veme teanedurt oey—elhpoymitcphilsyadsri rdigun the strif etrcaetnm—ris cesau wol IQ and lmebopsr ithw lamnro .tlpneeevodm

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 +0  upvote downvote
submitted by ∗seagull(1933)
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0lvp.7th/hi/.2.pewC1ni/.9bsl/2cccingswP/m:wttrnoamM8/

isTh eratcil flsia ot eiotnmn opor brina epnmoedetlv ni oHEYhsiP.Rdrtmyi ehT rahuto sutm eahv aetnm PitoshHOYdyi.rm

Tshi toneisuq pessut em to on nde.

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aesalmon  I a,rgee the iatrlce oyu ikdenl ettsas sgnsi" fo eatlf hiphytdiyrrmeos hcsu as aaahcrcy,dit aenuteitrnri ogwrth aaoe,rntridt iadcarc refi,lau nda eth vonedeplmet of afelt t o "griIe ehcos ewnsra E grdnui hte mxea - hyd"irTo ldagn S anlr tnmte"gillee iytrng to daudetnrns owh eyht nlekid sneitrcim to a acse rwhee eth hterso'm ihyomydihpstor asw lelw l,crlontedo adn neht asked rof teh eleauesq if hre THS adiseecnr. Myeab ideancrse TSH is pusoesdp to cietinad nrseignow tdryyophiho - low 34/TT dgineen to eb samdlteuit yb TH?S +



 +0  upvote downvote
submitted by ∗tissue creep(133)
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yM uthoght oepscsr aws fi hte termho ash sncdieear S,HT de'hs eb gunsi omer noedii to dpoeucr .T4/3 neigMna sels owlud eb ebal to etg to hte yabb rof bairn epd.mleenovt

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 +0  upvote downvote
submitted by neolidone(2)
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hiTs is a rvey rctkyi ieosnutq ni remts fo iprnhgas ti. yehT make su iktnh utabo hwat tffeec hgih SHT odes no a etufs ilweh ti lylare nmate hwta can pnheap ot teh bbya ni na mttdoaiei-deabydn tprihmhoyosidy or .hSmote ksynea os so ...anskye

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 +0  upvote downvote
submitted by varunmehru(5)
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ehT mhrtoe hsa oiammtnuue yiirdostthi dna emneattrt si evgin orf thhrdyiiomyops oln.y ywh eosd it eatrmt fi eth 'tohresm STH si ighh ro w?lo totoiAnduasebi odluw ltisl eb rnpsete nda yeht oldwu walasy caues itrmsienc ierticesverp of hmreto oosehmrn veel.l t'snI ti?

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 +0  upvote downvote
submitted by ∗hayayah(1212)
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smetCirni nntc(olagie yptyirmido)oshh si the smto onmocm aeusc fo taretable elmnat iiyt.bdilsa Cesusa oopr inrba vpnemdot.ele

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