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NBME 20 Answers

nbme20/Block 3/Question#11 (reveal difficulty score)
A 3-year-old boy is brought to the physician ...
Heterozygous mutation in the ankyrin gene 🔍 / 📺 / 🌳 / 📖
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 +14  upvote downvote
submitted by ∗nala_ula(127)
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eTh lshigoyot is of phyeoctsesr lls(ma rhiapclse cslel wo/ altcren olrl)a.p ditrearyHe rocipsstoyesh is ude ot tfceed in itesnorp tnianirtgce with RCB rmaenmbe onlekest adn mplasa nerbaemm ynr,a(kin adnb ,3 netoipr 2.,4 .rt)ecsinp Moytls amutaools oatdmnin icaihertnen so( ooteszgeryuh ttiuamon csnie yuo nloy deen eon mnattu eleall ot gte eth aied)ss.e

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wuagbe  To dda ot :tihs suzoghoymo HS nspsreet hwti lmhsoiyes veen in esbncae of ssrsre.sto isht tpnaeit is oynl nenrepgist ihwt eapl is,kn dna htere aer no ttoysicessch on teh pilphrreea sa,erm so ti's a zoyorgesuteh arkinyn mtn.ouita +9
pg32  I awdent ot ikpc idyhreraet oisecpthyossr ubt het amen uscorrpcaul nttnoonicecra asw rlmnao nda I ghtouht ti asw dseppuso ot be ea?veedlt lso,A yhw aer ether os mnya CRBs tath rae ayw ebigrg than eht eyroh?pcests +8
nephroguy  m'I msasginu ttha het MCC si nlmaro bcuesae het ptineta si zhoysorueegt ofr HS. toN sreu fi thsi si o,errctc but htta saw my thothgu ocepssr +1
draykid  reA rtehe yan asperp atht pnlixae teh fdnfireeec in oxnsirspee of uhoooszmgy vs geyruhoztose ?SH +25
waterloo  I tod'n oknw fi atht rsetamt sa u,hmc elki het etoephpyn ffeerednic of zoosouhygm or erezyhtsouog ofr tihs etniosqu. cSein uyo lyno edne noe leella to shwo h,tis ypla sod.d Is he eomr lilkye to ehav AA ro .Aa hTta asw my htughot c.eossrp Ao sl fi uyo ese ortscspehye do'yu eb inogg fro nnkaiyr ,ihtgr otn Bnog-bil cb hatt uhdosl eb gtrate slelc - aereldrsgs of CHCM. +1
alimd  as I rembmeer DA aer slwaya oyzhsege.rut ecseBau hsoygmozou ear alasyw a.ehltl +5



 +4  upvote downvote
submitted by xw1984(8)
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I tog tihs Q ogr.nw I saw grdeonwni why tish pientat ahs“ no poalresn or afylmi .irhsoyt” ieerdytrHa ssorpcysothei udlhos eb a AD id,sasee ,os lgreaylen ngipke,as tsih dzi lhdsou be eens ni ceha tg,oeenrina hir?gt

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step1soon  I saw tgkinnhi eht msa!e +
wuagbe  aSerlev netcegsi unsesotiq no 2M0BEN aapepr ot be rnygit ot owhtr su fof by gacnginh hte tpocisesndir of hnetenciira, ielgvan us to ssameu toiepnclem prt,aneenec hs.m +



 +3  upvote downvote
submitted by ∗dr_jan_itor(87)
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Cna yennoa rwaens why sith one 'atnc be .F atBe ahmatsliae aormj? I aws itihngnk abseuec of his aeainm nda hte nroea"eup sedct"en ihcwh eulndics het ieetnamairnd resopeu.na Usnels NMEB rertwsi ithnk ahtt erpnaueo nylo senma eht nseo thiw earxt eiwht pleope llo

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dickass  poanrEeu ilmepsi orrntnhe oeearunp (hyte nvee fdicpeeis eth ipnatte wsa a eprnos of )lp,aolr rnmtdeeearain ndtseec is llusyau pldmeii by tuyorcn fo iniorg or by hgrsa-utoitt rwginit ireemara.'nt'dne +
poisonivy  eTh CMV is manrl,o tasasilesmah ear tiicrocycm s,namaie atht tihn hslep ot leru uto teh atieshmsaa.ls Hreow,ev I ogt it gr,nwo tno reus wyh ti oactnn be a umyzohsgoo umtnoita ni eht yrnnika nege +2
adong  ,v@soiiyonp reoth cemoerntm tnedoip uot sti' lmsauotoa nidnotma so tebs rwasen udlwo eb oeozhgruseyt +



 +2  upvote downvote
submitted by ∗victor_abdullatif(10)
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I tinkh hte eyk ot ihst eionquts si ot esu aietnlminoi for tcasf that ew kown rfo sr.ue eTh itrfs is htat st'i a iyrcomcnto mnaeai, os lla healaissatsm ear erlu otu eicns hlat = mtciyrcc.oi

tTha avesle A nda D. nSiec teh HCCM is narolm h(iwhc is ont wath ew wudlo eecxtp orf aeidehrryt iysorsocteh)ps nda eht 'pstaniet ysmpmtso rae svree,e ehyt smut avhe a i""elmdr ovnesri fo teh esidaes e.g.( hrcnisdolapaoa si oasl oumsotlaa nmtinoda nda si thalel fi ouy gte hte yosoozmhgu or.)mf

lvsiuobyO osem ibg lpsea ni onregasni eher utb h'ttsa one tpha ot het irthg rsewan

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victor_abdullatif  edti :#1 emad a toyp. metan to ysa "teh sttae'pni ytsmspom aer TNO rer"oesyse rv touab t!aht +
l0ud_minority  Yes I 'otdn ertaddunsn ywh hte MHCC si rmnalo thta is tlsil ton wtah si tede.xecp I wihs MBNE eirddvpo arwsne skey adn ecdti hetri srcseuo rof erhit aealinrto. +



 +1  upvote downvote
submitted by sciguy(1)
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SH is aloumstoa nntaimd,o ubt ixbtihse copinteeml earcet.epnn oS eh dah no rercdo of aeoplrns mya,ifl btu itlls yleikl erszu.tohgey

e(ikdapiWi) hTe ccinlali eetsrvyi of SH evairs ofrm -mesmyrftepo ciarrer to esever msliehsyo ceaesub the dsodrrie eiixshtb oecelpmnti traecennpe ni its .osixepsnre

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ibestalkinyo  iTsh si ahtw twhre me f;of I erudgfi ihtw 2 cndtfaeuef neptr,as ist' mero lyekil eh ahd an tlaomuaos eesvicres oiunt.amt +1



 +0  upvote downvote
submitted by ∗strugglebus(189)
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Atou mod deiessa era luysual yrtosuzoehge r(o so etyh tawn us ot umssae)

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xxabi  wHo do yuo oknw si toaomsalu domnati?n +3
scpomp  eraeyrHtid hsosrcopyesti +1
fshowon  nIst the neam auusrrcpolc lhnbimoeog enocntrticoan erdasicen in oyrecssho?ipst sthaT hwta trhghuo em of.f +5
charcot_bouchard  ye,s lduow eb cin ni rvep .MNBE uBt hsti is ittasbh nemb 02. U have ot fnyietdi syretpchseo ouiwtht trclean laorpl ni BFP +4
charcot_bouchard  ,sye dlowu be icn in vper EBN.M uBt sthi is bhttsai bnem 0.2 U evah to etdyiinf prossyeecth uowtthi cetlran aplorl in BFP +



 +0  upvote downvote
submitted by ∗sunnyside(2)
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nCa eoynna tufiysj hyw thye idd ont srcbdiee na reciaesnd CHMC? FA 0129 ayss csrpseshoioyt has hgih CMHC, and eyth idd ton veen ehav ti on het perup edn of olmar.n

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