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Retired NBME 21 Answers

nbme21/Block 4/Question#20 (reveal difficulty score)
A 7-month-old boy is brought to the physician ...
46,XY ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +19  upvote downvote
submitted by โˆ—hungrybox(1277)
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This ovedi sipaexnl ngaelti oyloyrgbem lereeyxmt lw.el

fI uyo ftel oltalyt slto leki ,me athcw het veiod rtsfi at x,2 hetn chkce uot het tomtob firegu on gp. 860 in FA 2910.

venaRtle ot iths en:isutqo

  1. SRY osnreipt tmsiuelat nelvdomeetp of ettess
  2. Tsih tp sah ststee ;g=&t he ustm haev hte RSY gene no the Y ehmsoocrmo
  3. MIF edgdsare the iMulerlan ,cudt hhiwc ludow wseroehit ecebmo hte tneilnra emaefl aniglaiet
  4. sThi tp has aitnnerl fmalee igaienatl g&=;t i'ddnt maek oenguh MFI

iQzu luoyfres rnessw(a ni a terpseaa :op)ts

  1. siTh ittnspa'e sierdrod cna be cadrte akbc to hwchi cels?l
  2. Tsih tteapin adh rmnoal na.taielig fI hist ntpatei adh relalms ieialngta tnah mlao,nr atht oludw be a cfeedt in athw ey?emzn
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ergogenic22  I elki ot rwok 1cak w.b)dars etptnia has loamrn tleeitssc on ly,sgoitoh lraomn gnarpepia niiph ests mtsu eman a Y ecrhsomomo is tesn,per as etisst nemringidte tfocar si no teh y rsoecmhmoo see( oeabv tspo intop .#2) I.e. yuo cna teinmelia eicohc A dna o.ltrei,Tyhc eBal 4YX7 nda YY47X cdluo soal renpste wthi faeelm alegiaint edu to ackl of IM,F btu mrlnoa XY64 si eorm onmcom +13



 +7  upvote downvote
submitted by โˆ—hungrybox(1277)
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zuiq roefylsu :resnswa

  1. toeiSlr eotrSl(i Shust nwdo, FMI si cerstede yb tSreoil lecls)
  2. ah-lap5 csraeeudt
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lovebug  aahpl-5 cduesrtae si due et tath THD is mntipraot rfo mlae exrtlean ?laatinieg +



 +5  upvote downvote
submitted by โˆ—d_holles(218)
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tish is a csilsac irincepsdto fo tirsstepen linrelauM dtuc nedmsoyr

reda/.tansdlpokirreiuciygMued_lon_miw

due to lkac fo MIF utoant(mi ni the eeng htta kmsae )FMI โ†’ isreepnects fo eth Meinlarul tudc โ†’ utuesr and liaoanpfl uteb eetnrsp ni a YX lmea w/ tstese cyytl(pial pic)ho.ytdrrc

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fatboyslim  I 'ontd htkin eht eorlmpb is eud to eeueddnncsd etsets cisne lesaux tifefdinteioanr rsccuo ialerre nhat rttculisea estndec (7 wseke seotngati v.s 33 sekwe ).gnietstoa +



 +4  upvote downvote
submitted by โˆ—drachenx(72)
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acBsuee ish cisetstel era dnnsce,uedde shi oltsier lclse ear bbplyora otn nkrogwi rryeplpo, dna efhreotre ont nhetnzsgsiyi MIF lorerc.yct hiWch si yhw sih ianerltn eafmle iaagtenli is olalewd ot deloveep in a ltuafed neit.stg

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 +3  upvote downvote
submitted by gabstep(15)
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I'm ntihngik sthi si aedrcesed veslle fo naieuar-lMlitn nooh?mre sThi si twah slluuya bihitisn eht enesmoarprpciha tucd iel(mutyalt vespodel itno itnnrlae famlee ag)inaleti ni sme.la A eantpti acn be XY adn litsl eahv rcseedade el.levs

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gabstep  FA 2019 pg 608 +



 +2  upvote downvote
submitted by โˆ—readit(18)
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idtdiAon to obns'xugyrH naiotpalx:ne

Wyh i'st ton 4Y7X,X:

iThs duowl eb rgnrefrie to e,lfnre'sKlite chhwi si ihedacczeatrr by amlsl, rolopy nfntuigonci ttl.eeciss

Howvere, istounqe ssteat ocglipoohrm" eusdits of a yiobsp ncspemei fo hte tssete hwos on mnbisltarai"oe

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readit  oMer c,isylpefiacl ni nfKletseei,'rl you lwoud ese ainel"yh ismieoeusnfr rluueeibts/slot scl"el on soiohltgy +3
pg32  !ahsTkn rWeeh idd uoy gte hte cloosiitgh tdrnsopecii rfmo? +1



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