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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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ihTs itsounqe si hdrsaep glstyaner, tbu tis' nlealsseyit ksgani hw"ta lduow hppaen if sith 'osawnm pohridoyhymtis emebac cenlornldout orev eht couers of rhe gnncp"?yare

lrytcreun ehr THS is oodg g-t-;& ollowl-lendcter iIhLoy sTiEtHAdpyYCPhorHTmO ghhi HTS >-- rhe tohipymdsrioyh umts ONT eb dw-oolnteelrcll eu(d to udtinorspi fo eth /4THTH/TS3/TR nceiordne isx)a

S,o own ahtt ew nesdturadn htta het tnqsueoi si isnagk thaw" uwldo naephp if hre toihprishyoymd asw ncueolntd"ro?l

An:eswr rstemnici

I hktin ahtt sthi qiteonsu is dparhse oyrsltiouac, utb fra be ti fmro em to rcietzcii the EUSML nnlsgeici do...bar

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yotsubato  I ntkhi thta iths enostqui si rehspad lascuiorot,y Js tu lkei eht sert of teh NEBM +26
b1ackcoffee  exyactl hwo sode trlnamea aoiomhhst anc acues mrteinic?s +1
notyasupreme  a@ffek1oce,bc t'si ont naeatmlr aiso,omhht calilybas uyo jtsu haev to srerddgai the RTENIE tnqeosui mtse nda teh tasl rpta of teh tnesence (fi eht om'ms HTS seog up) sanme atth 'htsere syhiihdytrpoom ogngi ,no which susaec isi.mncert +5
b1ackcoffee  Tahnks uyo y@osaneperm!tu +



 +12  upvote downvote
submitted by direwolf(12)
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Thsi ahs ot do wtih ndrianengtdus owt hnstgi, htta lnmatera syipdomryothhi si knlied to /eunimtClrrasnei odmpeeventl fo het tfs,eu nad oanmrl angerynpc oyhygio.pls In cgn,aeyrpn iarcenesd hsormeno ttemaiuls rielv pinocourtd fo oiurvas iopnestr elki Sex Honrmoe nBigdin ulnGolbi y,Bi)oxG(reSHTnh nBdigni uobllinG (BG)T, .etc More TBG ecrdpduo = omer 3T4T/ si .unodb ssLe T43/T uesasc eorm HTR ere,slea reom SHT leese,ra dan meor T4T3/ doptnircou ilntu reef 34T/T levsle era abkc ot rlmon.a nI a romlan rgy,pcnean this seapnhp no er.pbmlo In emoosne iwht ri-getxnipse roiyypmotihhsd ohh,gtu ylaadre ahs edparimi T4/3T ,rpodoicntu dan t'onw be aelb to eepk pu whit dneacreis eadnmd. rheiT 3T llwi e,isr but isth 'owtn elrust ni ecaidsren 3T/.T4 pT,acllyiy oewnm tiwh hsooHtasmi' iisengrd ot etg gtpeanrn wlil need to rcinaees ertih yvoeetiohrlnx oesd ni nicaaiotptni of stih cgpnenray acgnh.e

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 +4  upvote downvote
submitted by thotaak(5)
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ylamrNlo naarmelt /3T4 are dqrireue rfo lefat brnia mvtldnpeoee fobeer aftle ythdroi agndl si mefo.dr And tfera alfet odirhty dnlag si mdfr,oe ltaef 4T3/ hespl ni rabin otemvlndpe.e So eeaisrnc STH eansm dedrescae earatnlm /43T adn usht haev bna irban ovedpelemt.n nAd esy 3T4/ sosrces e.ancaplt

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thotaak  cndogirAc to snbRiob tghyooalp +1



 +4  upvote downvote
submitted by medschoollovin(14)
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einomtmAuu rittihosydi kaa( soh)Htimoa + enp-g-ttg&rn;a nTkih uabto poylbstiiis of aleft yidihprmotshoy due to oyatndib ideemadt rntlmeaa hyorohtispi.mdy desaL to nirCimets. gsFdinin in ntfani rae hte 'P6 (oPt lyle,b ealP, ufPfy fcae, dronrPugti uuli,mbsic unabtortePr oten,gu adn Poor inBar mvleo.etepnd

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neonem  I td'on asnnedutdr teh stla trpa of tshi oneitqsu tems otgh.u.h. if eht teh'orsm TSH aisrc*ese*n dringu cn?eaypgrn l'nudoWt siht trruehf inescera ehr rno(/da eht fsets'u) nordupcito of T4 and hust tcenrcatuo the ydrmoytioh?pihs +
poojaym  o@emnen no. metuunoAmi odsmhitophryyi si a uicsodtnetr fo eht troidhy dl,ang and a eeacreds in noucdiropt of /T34.T n A nreaiecs ni STH mesna atht eehtr si otn noeguh TT3/4 ot itbhnii R,TH dna so SHT si inegb eredlsae to siaettmlu eth doirhyt la.ngd +41
arezpr  ,HST ,3T T4 and boyunrltohgil tnacno roscs eht patleclna rabrri.e +1
chamaleo  rrpaze@ hghlotau ehots shneomro ncat' srs,co eth abisdutaitooen form sioohtm'asH acn +1
yotsubato  heT aybb has its nwo TSH uhotgh +
sbryant6  TSH moesc rfom eth yup,riiatt nad atc on eth yhr.toid eAdbiuotiatnso tctaka eht ytir,hod so SHT 'dotsne wor.k +
kimcharito  no retoig ?hetn +
lola915  I nihtk hteer is no ergoti aseebuc the bsbay' ytdrioh gadln sah not uyllf eepevdold dan sehet mnbgouiomiullnls rfmo eth mhoret odlcu tatack eth hiytrdo adgln inalged ot eussis hiwt 'ist eetnevlpmd.o +



 +2  upvote downvote
submitted by ∗apurva(101)
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hTe lera htgin is SH,T 3,T 4T and hlotyongluirb nntaoc sorsc .ntaacelp RTH, dIie,on ITS can csoI sr.f ermtoh has hhig STH nscigednroi( rmapryi ryohotydis)himp gt—&; oorP nriba dvpeflImte oen etomhr sah ITS mtohia(soH) ;g&—t rssco eht tplnlcaae rriaebr sec—naeIr ni yordith anldg (Mya esteprn whit triodsr ta btirh.

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demihesmisome  hhAhhh kTahn yuo. hsTi was ahtw I asw nygtir ot sddun.ertna +1
apurva  elaesp toen atth efer 4t nac ssroc hte teanlcap +3



 +1  upvote downvote
submitted by ∗b1ackcoffee(115)
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exatcyl owh deso lnratame shhotimao acn uscae nteci?smri

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lola915  tiaHhsoim si acesud by ineaodibst tgnasai oyitrhd exeiasdorp dna otiyrlnguobhl. Theso oateidbisn acn osrsc the plcntaea and afecft bbeais irdtohy lagdn aiscngu eincntolag yyrhpi.msdtohio +1



 +1  upvote downvote
submitted by ∗thisisfine (31)
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I hknit shit setg ta a ntccoep edatlre to dohtryi elvels dna /ensteyornegangrc.p

nresogEt anssercei the eevll of rnxioytbeign-ihnd glonuli,b hiwhc mltpryiroae eceesadrs erfe 4T dan 3T, adn nsreaiecs SHT lunit eht ialaodtdni BGT eemcbso asetrutd,a nda noarml elvsel ear ertdroes.

neciS tshi pntetia ash nomaiuuemt ityoi,tdhirs dan srerqiue rhixneoty, ehnw hre reef 4T sraesc,dee nad reh TSH seog p,u ehs ntow eamk trxae .T4 So ulnses seh isnraeesc her noeixrtyh ode,s ehs wlli eb ootyrhidpyh --tg;& rscintemi ni het tsufe

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 +0  upvote downvote
submitted by ∗unknown001(9)
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erhe is a cpoy dtpsae knli .

ftsir, hghi ths = ohtshrmyoidypi

oHw nac ypiothmrdshyio efactf me dan my a?bby tidhroy henosrom rea mrntipato to rouy ysb'ba bnari nda srenvuo etsysm vdpeleet,mon eutrtnead mri—hiipclyyeotyoeadsplsh riugnd eth ftsir rtt—naeceismr cusae wol IQ nad breplsmo wtih oarmln ldenpoevtm.e

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 +0  upvote downvote
submitted by ∗seagull(1933)
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/2w0e9tmistwa8c.lsmpC7n:v/wtr//gMbonnPl1c/ip.i2hch/..

ihsT tacrlie iafsl ot onienmt oopr bainr tneodpmvlee ni oiP.yhrYERistHmd heT huoatr muts have nemta sHOtYm.dihPriyo

hiTs siqoentu tuspse em ot on en.d

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aesalmon  I r,eaeg hte caitler uoy ekldin setast "ssgin fo tleaf rshroidymptieyh such sa icahytrcaad, ennerrttauii trgowh a,rrnetaotdi cadicra e,aifrul adn eht dopeemtvnel fo aleft erI "tio g shcoe erwasn E gidnru teh aexm - yr"idohT lngad eerl geS lntatmnli" ngyitr ot nusarndted how yeth lniekd msnictire to a ecsa weerh eth rmohe'ts hipstrhyidmoyo was llwe teonrcldol, dna then adkse fro eht sluqeeea if hre SHT arcesi.edn yeaMb seraicned STH si posdepus ot ctaniide rwniosgen yhpytodoirh - owl TT3/4 negdine to be mlttaueids yb SHT? +



 +0  upvote downvote
submitted by ∗tissue creep(133)
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yM hghtuto pcersos saw if het rhmote ash sienarecd ,SHT ds'he eb ignus eorm oednii ot rucdeop .T/34 egninMa elss odwlu eb elab ot get to eht bbya for arnbi vlme.etnopde

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 +0  upvote downvote
submitted by neolidone(2)
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hsiT is a vyre rickyt ueqintos ni rtesm fo npigashr it. ehTy kmae su itknh uaobt htwa etceff hhig TSH oeds no a utfes eihlw ti lyrlae tnaem htwa acn enphpa to eht bbay ni na metdyddoteiaa-ibn poyiihthyomsrd mo.reh toS askeny so so n.as.eyk.

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 +0  upvote downvote
submitted by varunmehru(5)
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ehT tmrheo sha uamimunoet rtydioitshi nda mttanreet si negiv fro hisyiohtyoprdm n.oly hwy deos ti mattre fi het orthmse' STH si ihhg or ol?w iuAbnaitosdeot oudwl itlsl be eprtesn adn they dwluo swalay cuase triensmic tveiersrcepi of emrtho oroenmhs lleve. tns'I ?ti

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 +0  upvote downvote
submitted by ∗hayayah(1212)
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sinteriCm cgatlineon( p)dhyyoistihrom si eth mtso ncmoom sucea fo trebaeatl ltmena .iiytisldab auesCs orpo bnair dotnelemve.p

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