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NBME 16 Answers

nbme16/Block 4/Question#48 (reveal difficulty score)
A 32-year-old woman, gravida 4, para 0, ...
Unbalanced chromosome rearrangement ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +4  upvote downvote
submitted by โˆ—utap2001(27)
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Three ear reteh petys fo wDno yeornmds: omristy 21 ,n)ntijuioodcs(nn tlnaaortncsoi adn amimsoics.

Toirmys 21, teh ostm momcno ptey fo Down eym,osrdn srucoc hnwe hrete are ,hteer ethrra anth w,ot bumren 21 ocomrmesosh rpntese ni yevre llec fo the o.ydb tednIsa fo het luuas 64 schrsemoomo, a orenps thwi oDwn oersnydm sah 7.4 It si tish tdlidaanoi centgei eilaratm ttha altesr eht cersuo fo mltdnpevoee and esasuc teh hisriectsatrcca oaatsidecs iwth eth sreoydnm. rTmioys 12 sctoncau rfo 59% fo sscae.

onrTsclaaiotn cstncaou rfo %4 of all sacse of Dwno ndo.yerms In ancrttnalisoo, artp of ohsrommeoc 12 aerbks fof ndigru cell ioiinsvd nad sattcahe to etaorhn cr,mhsoemoo yayltcpli hsomoocerm 14. leWih eht otlat nemurb of oschomoresm ni eht csell mernai 4,6 het eeecsnrp fo na aertx patr fo romsooemch 21 euascs eth cctsatriheacirs of wonD emsno.ydr

caimsosiM rcocus newh iindncotnjosun of oshmreomco 21 aestk leapc ni noe โ€“ ubt ont lla โ€“ fo hte nialiti ecll sdinsoivi teraf irhefianiznotW.tel isht rccs,ou hreet is a muxtrei of wto speyt of cslle, some aicitonngn eht lsauu 64 oroohsmescm dna hsetor cnnntogaii 47. maiMsisco csuantoc for oabtu %1 fo lla escas of Dnwo d.rsmyeon

dowlUr eitcneg isteonc sah alrisim qnesotui.

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 +3  upvote downvote
submitted by โˆ—feliperamirez(45)
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ptuScse cnuebaadnl cstaoinnratol whne rthee ear tlemupli hritb eossls nad oesm bthris seulrt ni mitsriseo.

erbememR it escasu 4 % of nwoD nydremos

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bingcentipede  "cnndaebUla moreocsomh anrnmreger"eat is soal a pntidsroeic fo mstiyor in nad of ltisfe +
bingcentipede  cnbea"ndalU msomrcoeho ae"ranrrgeemtn si osla a otiprsceidn of myostri ni nad fo tlifes +



 +2  upvote downvote
submitted by โˆ—notyasupreme(48)
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I was ihitgnnk ti cdolu be 21q21 dinemiotleocr euesabc that aslo ludwo have rbaomaln gnasor tehr(a, ytmu,hs )dparsayiorht nda laomanbr e.cfa S,o mI' tsuj iwnroengd owh r'ueoy spuepdos ot ldfeniitey kown it swa myioTrs 21. I dah teh rnloiiag snwear ,oot md!tian

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nbmeanswersownersucks  I nkiht its' eomr csebeau a sooasetunpn toecemriinlod dwlou otn yrlela elnipax hte oiuesvpr ltso sipanregnec esewarh na aalecndunb intnascoatrol in teh omm dcou.l dAn I nkiht ti doluc eb yan fo eth big tiisesomr ,13( 18, 1)2 tbu 21 si ostm oco.nmm +5
m0niagui  os, ti is the mhrtoe taht sah swoD'n ?Sd +
jj375  o,N eht rhemto ostend hvae dwno smr.oyden As arf sa I wn,ko hte meorth ash a NLCAEDAB sciolnoaarttn - for elxmpae al(oltty daem eht momohcrsoe # pu) hes yam vahe a ieecp of rmhoc 11 and mohcr 4 pwas clpa.es reveoHw yhet aer nlebacad nisce yhet ear othb erhet, on tengcie areitmla is ssnigmi os hse ksool yhheatl nda si fn.ei BUT whne ehr gseg era ma,ed smoe egsg aym tge teh mcrho 11 +( cepie of cmrho 4) dan thne ehr ralrgue pocy fo cmohr .N4w..o ttah ybab saol tseg a rommoehsoc 4 rfmo hte .dda The byba lwil end pu wiht 3 epoisc fo aprt fo hocrm 4 tub 1 ratp fo rocmh 11! So eht dki is abnedaculn nda yma ide ni utreo eontnpssu(oa .o)atbsrion I ehop thta asw lecra Here si a tooph ttha amy leph: ma_.h/cd/oeiskffehtf/c0.cedhaapn:d5/o2/i0gf60oecttn2ms/iscolmsmc0a.bfoph +2
chaosawaits  I ihknt the ipnto si atht no mrttae ihhcw adiesse ouy iknth it ,si eerhtwh msrytio ,31 ,18 12 or nvee nrurTe s,emrdoyn in lla eosth gneeitc ri,dosrsed teh smot monmoc acsue si na nndaeculba sehrmomoco naeerem.gtnrar I td'no tinhk yerou' ulcatayl pedsoups to nokw eht eid.esas +1
an1  sahwt@oiacsa heT MCC si ton aytcllua adnbaclnue moesohcmrso nn(obrrisetoa ~ .)4% hte stmo nmmooc si incoonninjtdsu .(~%9)5 olas a ntiop fmro WU was htat nnretorobias cfesdet iwll entof hvea a afylmi hx fo ureercntr gcimisaer.sar we tndo' eavh a fam xh fo tish noamw tub ehs ehflesr ash a hx hwich ocldu alos phle us dg.enaosi nad cold,seny odlanga csmmaoisi ulcod eahv eebn eldru out ayelsi secubae agadoln is afa,lt lyno ictoasm anc uerstl ni !rvalsuiv +



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