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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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heT thsoiylgo si of rcyeesstohp mas(ll prchesila slelc wo/ etlnacr ol.p)lra eerratdiyH seroopsytcihs si due to ftdeec ni sirpeont eiatcntgnri itwh BRC emnebamr ksetnelo adn pasmla remenbma nnyai(k,r badn ,3 iropnet 4,2. )etpin.csr yosltM omuoatsal oaimntdn cterhneiain (so tersoyogeuzh atnmtiuo csien you lyon ened neo auttmn eallle ot get hte dsase)i.e

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wuagbe  oT dda ot ih:st zmghyoosou HS rtsnepse wtih yishsemol even in neaebsc fo sess.trosr sthi tetaipn is nlyo gntneperis hitw epla sn,ik nad reeht aer no tsostsheicyc on het prihelpear sr,ema os si't a yruosoegthez ynnraik uon.ttmia +9
pg32  I deawtn ot kpci areeyhtird eprysstchsoio btu het eamn rlupsaocrcu iannoentccotr wsa lmnora and I hghttou it saw peuosspd ot be edt?velae lso,A ywh are htere so myan CsRB taht rea yaw ggireb htan eht sr?ostceyhep +8
nephroguy  'mI smansgiu that teh CMC is marnlo ucebsea the paentit si yueoztsrhoeg ofr SH. Nto reus if siht si eortr,cc btu that saw my uhhottg corseps +1
draykid  Are rteeh nay erpsap ttha xpenali eth fdecrnefei ni exnosirsep of oozghmsuyo sv uoehsoregzty S?H +25
waterloo  I n'tdo konw if atht mertsta as cmhu, iekl the teopynphe rnecffeide fo mhgoysoouz ro toueegyosrhz rfo itsh teso.niqu cnSei ouy yoln dnee eno ellela ot wsho shti, aply dd.so sI eh roem klieyl to heav AA ro a.A ahTt swa my tthhugo posrec.s Alos if yuo see oshtpsyeerc uyo'd eb giong rof ankyrin hrigt, not blgin-Bo cb ttah lshudo eb trtage clles - srasegrled fo HCMC. +1
alimd  sa I ererbemm AD are awsyla yrzguhtese.o asceuBe oosmgyouzh ear laywas eltlah. +5



 +4  upvote downvote
submitted by xw1984(8)
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I tog ihst Q gwro.n I was woigndern yhw isth tatipne s“ha on aenrsopl or mlfayi shorty”i. irdHrytaee tsessyocohipr hslduo eb a AD sdeeisa, s,o yaegllern g,iekpnas stih dzi suhlod eb nese in hcea tior,ganeen tghi?r

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step1soon  I was ngiinhtk eth sae!m +
wuagbe  arlSvee cistegen iqstunsoe no M0E2BN paerap ot eb ngiyrt ot otwrh us fof by nacghngi the pdrcniseosit of ,enhianreitc nevilga us ot eausms iectompnle paern,etnce mhs. +



 +3  upvote downvote
submitted by dr_jan_itor(87)
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anC nyaeon wsrnae hyw thsi one n'cta eb F. taeB satiamaleh amorj? I aws hignktin ceseuab of sih naiame and the "reunapoe s"ntdece cihwh senucdil eht imraindnetae eop.nersau essnUl MENB itrersw itnkh taht euoenpar noyl msean hte sneo itwh rexat ethwi poplee lol

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dickass  Erpuneoa spleiim nthorren pruneoae yt(he nvee dcefsipie the tpetian saw a sroenp fo laorpl,) enariaedertmn edctnes is ualuysl ilempdi yb couyrnt fo goinir or by otgsurthtia- nirwigt re'eaidn'.etamrn +
poisonivy  eTh CVM si m,aroln lsheasasamit rae cioycctmri inaamse, atht inht eplhs to erlu tuo eth athesliassam. reo,Hvwe I tgo ti wonrg, tno esur why ti tocnna be a msoozuyogh atiutomn in teh anykrin nege +2
adong  yopni@iovs, rhote rcomtenem ptdieon out 'its olsmatuao inntodma os tbes neawrs ludwo eb trogeuszhoey +



 +2  upvote downvote
submitted by victor_abdullatif(10)
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I ktinh het kye ot sith isnueqot is to seu iaiiolmnten ofr afsct thta we kwon rof .rsue The rftsi si htta ist' a yrcitncomo nemiaa, os lal stamhasailse are luer uot seicn tlah = m.cyciiotcr

atTh lsevae A dan .D Since teh HCCM si aonrlm ci(hhw is otn whta we dwuol ctxepe fro hdarreytei stop)soyhecsir and eht peantst'i spystmom ear eeesv,r tehy usmt heav a "rm"elid nserivo of hte aideess g..(e rpadasilhnooac is oals atuamolos miandtno nad si haetll if oyu egt teh zhgoosymou rm.o)f

Oovsyuilb semo big lsepa ni goserainn eher btu hst'ta eno atph to the tirgh easwnr

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victor_abdullatif  etid :1# made a opt.y neatm ot ays t"he e'tpasint symompts aer TON syrv" orreees tuoab atht! +
l0ud_minority  esY I t'odn adutdenrns wyh eht HCCM si nlmoar atht is ltlsi tno thaw is eedtpce.x I swhi BEMN deirpvdo ernwas keys and tiedc eriht orssuec orf hetir l.eniaatro +



 +1  upvote downvote
submitted by sciguy(1)
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SH si olutsaoam d,mnoniat tbu bhxsieti etciolpnme ecepnne.rta So he hda on erorcd fo ornsplea lyfi,am tbu iltsl ielykl uzgyheots.re

pi)dik(eaiW ehT naciillc ytiseerv fo HS verais from mmpye-fsorte arrrcei ot esrvee siyhelosm ceebsau eth sierdord ibhixets neiocmpetl nptrcaeeen ni its esersnx.pio

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ibestalkinyo  sTih is twha whtre me ;off I eirudfg ithw 2 facedeutnf ,nterpas it's rmeo liekyl he adh na omauoltsa eirecessv toaum.nti +1



 +0  upvote downvote
submitted by strugglebus(189)
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otuA dmo deeiass are luslauy soheyeugoztr or( so hyet nwta us to seumsa)

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xxabi  owH do yuo owkn is ulatsmoao on?mdtian +3
scpomp  trdrHieyea psthrcesyioos +1
fshowon  nsIt teh maen uuaocrcprls hlgimeonbo rceacontnntoi caerendsi in yhsis?opcresto athTs whta hgrohtu em off. +5
charcot_bouchard  esy, uldow eb cni in vrep NMEB. But shti si tbihsta mbne 20. U vhae to edniifty tcproeyshse uwottih aretlnc oaplrl in FPB +4
charcot_bouchard  y,se wdlou eb cin ni vpre MEBN. But sthi si stiahbt mneb 0.2 U veah ot yetdifin oseypcrthes twhtiuo acrnlte ralpol in PFB +



 +0  upvote downvote
submitted by sunnyside(2)
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aCn enoyan tuijsyf hyw tyhe ddi ton esridbce na eecndrisa MC?HC AF 0291 sysa ooitheprsyssc has ihhg MC,HC adn yteh idd otn nvee evha it no eth upepr end fo .rnolma

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