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Retired NBME Free 120 Answers

free120/Block 3/Question#18 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
The patient's DMD carrier status is uncertain because of random X inactivation 🔍 / 📺 / 🌳 / 📖
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 +4  upvote downvote
submitted by ∗bwdc(697)
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DMD si ldeik-X.n eW nkwo hre mmo is a acrreir sebad on amfiyl hiorty,s otspdrupe yb lba in.tsteg tBu rhe mom sah 2 X esoromscmoh, ynlo noe of iwhch is ttd.aeum reThe is no wya ot kown chwih ehr gaehturd vtuyaneell eveeircs nda speesxers yb rhe yenopteph i(e. fi hes is a rearcri or on).t tJus ueebsac her KC is mrlnao ’nsodte naem esh isnt’ a crarhier–te ehoytpnpe fo eth kXl-idne aercrir desedpn on tiainvto-aX.cni

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em_goldman  Is -cnoanittvXiai not dylaromn smcaio uhturhgoto ?ssetsiu My gnihntki is ttha ma,dnro r-dybetidvtlesienu X acvtaiotin luodw esacu btuoa f~ahl mspotsmy (xe tRte srnemoyd, lndXkie- itndoman tfaal ni euotr in lsema ubt buvaslievr in femaels eud ot t)n.Xtaonviciai- oS oyu see hre mom wtih eurd(p)esm sltoaied isndcerae K,C hicwh uyo ulowd eptxce in hre if she saw loas a erirc.ra Mbaey enntepirota is bilarvea os oud'y nede ntceegi ignttse ot irmcnfo ofr rsue g-t;& teh sanroe hes dosnte' haev mspoystm is aiain-cntx.vtio +3


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 +3  upvote downvote
submitted by ∗claptain(25)
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I ondt' edsnntaurd shit ons.qteiu Thye aeetqu ur-srcattresia to mena ceftdefa by het elel.al eW nkwo ehr mhtore si a cairrre easecub she sah dteelave K.C tTha amnse the iatntpe ahs a 50% cheanc ot eb a aiecrrr cenis s'seh elm.aef admnRo cvtaiiin-tXnoa n'odets aerttm nweh knagitl abtuo ircearr sttsua ecbesua ohbt lelleas have a echcan to get psedas on. aonmRd X innatcvotiai is noyl otrnmipat fro negditmnire htrwhee hes ilwl ldepove tsmypo.ms

I geuss htsi si why het oustneiq aws otnhrw t?ou sseUnl m'I imisnsg gmse.ntiho

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claptain  Nm,v thsi qiesunot edypal .em I rleizae tath E is het onyl lsspbieo cce.hoi oBht A dan B dwuol eb 2%5 neahcsc, not 50% cenach,s nad oyu actnon smaeus erehtwh ehs is or si tno a rrieacr ituowht gnetice asyanlis ehcio(sc C dan D). tTha aeevsl yonl E. +6
beansbeansbeans  taWi I ageer whti ryuo trsfi ,menoctm nac yuo eipxnal hawt mead oyu cgneha yuro idnm dna nnsaddurte tish? +
yerpderp  ehyT aer errignfer ot x vtotnianiaic in het dureahgt hwhci wdluo mane esh odulc be a errriac tbu ew tanc .eltl +1
cbreland  os her mom is a aricrer beeusca hse tesndo' aehv omctlpee oyssmpmt kiel the hrtrboe dna ??cueln I ssegu I hthtguo it swa lla of ingnhot tihw ehucnedn +
cbreland  D,nam hre mmo is 5.0 eneuhDnc eatsiptn n'odt liev htat g.l..no vnm mudb no my t,rap ludsho eahv eamd eth otcnnconie +
j44n  hre mmo actn aevh the llfu onwbl seiaesd bcuesae its an RLX aieds.es I hntik ew dha to anrrwo itsh odnw yb cosspre of aiitnmiolen +


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 +1  upvote downvote
submitted by rohan225(1)
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hWy is eth aswrne rrearic suatst nw?nokun yhW 'antc teh oehtrm be z?oooymsghu eehDnucsn is X kednli see.sivcre

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dkhan123  tno suer btu ehre si my llcoieMa-g: lisbgin of aenptit has ddei ofmr nc,nhDeeu onigifnmcr heromt SUTM BE reeiht actdeffe or a hrMot-rcaeirer. osde NTO aevh eht cheuDenn eypot,nphe ubt sha adlteeev esemyn,z gigutegssn ehs is a r.cerrai ehT hnnDceeu eearagv lefi cncateyxpe is 26. Asol hte eitquosn is nrwttei uchs thta ti elpsimi the mrohte eosd tno vhae eth eucenhDn eetponhyp dna eth develaet nzyeme velle is deu ot teh arrerci sattsu fo nDuceenh nda otn an eentuarld ts ye-.lnalsilL,s the eahrdgtu sha aormln eynmze es.lvle Tshi lduoc be eud to wto ossbepli res,nsoica ehitre esh hntideier eht nncDheeu eegn nad sha aeicatdtnvi it, or seh veern inteidreh the nege ot nibeg ith.w +5


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 +0  upvote downvote
submitted by ∗netsirk2023(1)
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iTsh bblyapor hsa ot od hitw raBr eiBsdo F(A 212,0 gp 1).6 oT rpaahpaser ,FA nernpeteac adn vesyitre fo ieeasdss in XX aiudilsvnid cna be daimtp.ce MDD is ceudnldi in rhite slit.

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 +0  upvote downvote
submitted by ∗madamestep(17)
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rHe omm hsa high CK ceeasub ehr X avtiicantino si lkyeli baincealdm ot vhae oerm eudmtat X .erdesxspe Btu onte taht a gihh CK osde not alqeu -ullwolbnf .ecnnsDheu st'I rmislia ot nhpeloHaomm-i-wei can veah incaesrde iendlgeb tub ont lflu maleihhiop ecebaus fo hsit enpemo.nnho

Her tohemr ahs emos nDeecuhn opnyhpeet, ubt ew cudlo sjtu as yseali ees no opphenety in a .irarrec

etF,hrru if tihs oanmw is a recairr, erh ldcih ahs a 25% ceachn of elvegnopid DDM 5%(0 acchne fo a byo, 05% of eth abd )X.

Tihs nmawo lyklei ash a 5%0 aehccn of engbi a rreari,c ehs n'tseod vhae DMD eabds on erh CK adn eag nda e.egnrd

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