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Retired NBME 21 Answers

nbme21/Block 2/Question#14 (reveal difficulty score)
A 30-year-old woman comes to the office ...
Abnormal brain development 🔍 / 📺 / 🌳 / 📖
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 +27  upvote downvote
submitted by taway(35)
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isTh tiosueqn is seardph ,ayretgsln ubt 'tsi syltsanelie asgkni ha"wt ulowd phapen fi itsh ams'won rdipyihmtoohys cmbeae utndroneollc orev eth oruecs fo her ?agycne"pnr

yrltnucer erh THS is dogo g;&t-- lelrclo-owndetl ImpLtTiPoOhEoy HThrYdCAiHsy ghih SHT -g-;&t rhe hrimdthyoysoip tums ONT be o-nltlreollcedw u(ed to psuoidnrit of hte SH3/T/TTT4/HR edenonric isxa)

,oS onw ttha we rasutedndn ttah hte eoqntius si skigan hwt"a owlud nehppa if rhe dmhpyyosotiirh asw dr"lecuoon?ltn

es:Arnw csnirmeti

I ihktn ahtt ihst uqinteos is rdpshea o,otrlicsuya but far eb it rfom me to tiriecicz het MESLU ilnngesci .o.ardb.

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yotsubato  I knith ttha tish nisteuqo si rsehpad otu,corylsai Jt us ielk eth ters of het EMBN +26
b1ackcoffee  etxylac how sdeo eramlatn mthsaohio anc cseau imnsi?tecr +1
notyasupreme  ,af1fe@okbcec sti' nto reltanma h,ohmitsao cylabilsa you jtus eavh ot gdrieadsr eth TERIEN nitusoeq etsm and teh tsal artp of the seetnenc if( hte smm'o THS sego up) emnas ttah ese'htr odytsrhioyphmi gnigo ,no whcih cussea iinecmt.sr +5
b1ackcoffee  skTanh yuo no!tayu@mserep +


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 +12  upvote downvote
submitted by direwolf(12)
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hiTs ash ot od tiwh igednrunnstad wot gish,tn ttha naletmar rmohsyiopdhity is deiknl ot mesrlna/itriuCne dlmnvepteeo fo hte fsteu, dan mranlo nerpgnyac hlypgsiyoo. In ,ncpyenarg icseraned oreonhms amlsuteti ilvre urdctopino fo ouvaisr snrepito klei exS oHronme Bnnigid nlolbuiG xSHo,Ty(r)ieBGnh dBniing obuliGln BT),(G tc.e eMro GTB recdpudo = more TT3/4 si uonbd. sLse 4T/3T secuas mero RHT elees,ar omer STH l,reesae and rmoe 4T3T/ cirotnuodp ilntu eefr 34TT/ vleles ear ackb ot .mlanro In a arnoml pygn,cearn isht esppnah no e.rpmblo nI mnoeeso twih xtsiir-gepen phrhosiiymyodt oguthh, lydreaa has iriempad /TT43 doopntcui,r dna ot'wn be blea ot keep pu tihw ardseecin .aemdnd hTrei 3T wlli eis,r but sthi 'tnow srlute in rencesadi .T/4T3 ylpayTlci, owmne ihtw Haish'omost erdinsig to egt prntenga illw dnee to nerieacs thrie oeelyhtivxonr does in tcantiiniopa fo stih ancrpgeyn .ancegh

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 +4  upvote downvote
submitted by thotaak(5)
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rNaomlyl amaetlnr 4/T3 rae drqriuee rof taelf ibarn vedtlmepeon ebrefo eftal dohtiry gland is rodemf. dnA areft flaet iyrdhto gldna si mer,ofd eftal 4/3T elphs in barin tdoeelpvmne. oS encsriae HST smean aeedecsrd altnmaer 3T4/ adn utsh veah bna abirn nvdp.eeeotml dAn eys T34/ rsesocs tean.alcp

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thotaak  idgrcnAoc to Rsionbb atylgohop +1


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 +4  upvote downvote
submitted by medschoollovin(14)
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tmnimeouuA strihoytiid (aak )Htmohoias + g-;ntn&pg-erat hnikT utbao stibyopiisl of latfe oirosthyyhpmid due to bitdoyna eamdited tlarneam .miorysptihhydo seaLd ot mrn.tisiCe ndnsiFgi in fitann ear teh 6'P t(Po ,elylb Plae, fPufy faec, onrirPtudg l,bmsiiucu rnbatPuetro etngo,u nda oroP Bianr emoetdv.npel

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neonem  I n'tod unstadrden the satl tarp fo hsit oniuetqs tesm tugoh...h fi eht thrme'so THS *csaeisenr* nuigrd enn?paygrc lduW'not sthi hrtufre rceniaes erh /(nroad eth t'fsu)es ucpindorto fo T4 dna tsuh tccnrtaeou eht isooi?mhpydtryh +
poojaym  oneenm@ .on mimunoAute hmoytyioprhsid si a uctendrtsoi fo teh rythdoi lngda, and a aersdece ni nroicotdup of ./4TT3 An aenciers ni THS neasm atth eterh is not nguheo T3/T4 to iibtihn THR, adn os THS is engbi aesrlede ot aieutlmts eht drhoiyt ladgn. +41
arezpr  THS, 3,T 4T dna gllrhyuibnoto cnonta csors the lanatelpc bre.riar +1
chamaleo  rper@za haouthgl oshte snoomreh cn'at ,ssocr eht ioeunaiotsdtab ofmr 'asHmitoosh nca +1
yotsubato  hTe ybab has its won HTS tohhug +
sbryant6  HTS cmseo ofrm the riutatyi,p and atc no eth otdriy.h isantbeduoioAt kaatct eth rithdo,y os STH to'sned kr.ow +
kimcharito  on ioretg ?hnte +
lola915  I knhti eetrh is no eoirgt uecabse hte 'bsyba hytoird dagnl has not llufy pledoveed and hsete igmolmiuublnlosn mrof the heotmr uoldc atctak eth thorydi dgnla eagnldi ot isesus htwi tsi' emnevol.pdte +


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 +2  upvote downvote
submitted by apurva(101)
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eTh laer gtnih si ,TSH ,3T T4 adn hognlyotuibrl catnon cssor e.tancpla ,RHT eI,odin SIT can s Ic.rsfo eomtrh ash hghi TSH drso(nigncei ipmrrya ordimyshptoyih) ;gt&— oPor bnair pemtf doIeelnv toremh sha TIS (ht)Hoiasom tg;&— rsosc eht telpaclan rrrbiae snaIeerc— in hdrioyt lgdna y(Ma sreetnp ithw rstdori at .rbith

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demihesmisome  hhAhhh nkhaT ou.y ihsT asw atwh I saw nrtiyg to u.dsrtdenan +1
apurva  lspaee oent hatt rfee t4 anc sscor hte anlctepa +3


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 +1  upvote downvote
submitted by b1ackcoffee(115)
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xytaecl hwo dose lrtmnaea atmhhosio anc asuce m?cenristi

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lola915  iihmtsoaH si sducea yb eiiaodbtns itgsaan ohdiytr ixsrpoadee nda .nhlorbtilgoyu Toseh siabnoeidt nca cossr teh necaplta dna etfacf bbsaie iyrdhto dangl csangiu netcloigna y.hsoytdmhriipo +1


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 +1  upvote downvote
submitted by thisisfine (31)
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I kithn sthi gste at a tnccoep edeltar to orhityd lsvele dan np.gtrnegsearyonce/

eEgnrots eciansser the velle of yogn-iextbdnhiirn onublgi,l chhwi mroyritelpa caeeredss fere T4 nad ,3T adn sriceasen HST ntuli het taidianldo TGB beescmo t,usadarte adn oanmlr ellves rea ree.osrtd

ceniS shit atnepit has oumutaimen io,dthisyrit dan ieqrrseu ni,hyeoxtr nhwe rhe efer 4T cassderee, nad ehr SHT sgoe pu, she wtno kame axter 4.T oS slseun ehs snresicae rhe htyneiorx ,does esh will eb doypyhoirth ;&-gt- tncemisir ni eht tufes

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 +0  upvote downvote
submitted by unknown001(9)
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rehe si a ycpo setpda klin .

isrft, ghih ths = yhsidtomiorhpy

oHw cna todrpyioysihmh fafcte em dna my bba?y odyriht osehrmon rae aptrimnto ot yoru bsay'b arnbi dan rnoevus tyesms enelpoemvtd, urenedtat othsileciydsopayymhriep—l dnuigr hte tisfr ritmrcae—tnes cueas wol IQ dan slorebpm htwi aomlnr tvdpem.nolee

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submitted by seagull(1933)
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v0r.nteboPs/ti.wmhph1//c7ancn2g8/CmiM9wp:l/.ci.t2sl/w

ihTs celrait ilfas to oetnmin opro nbiar edepvenmolt ni Ym.PdtRrhEysioHi The trhoua msut aevh mneat oyriidYOhP.Hsmt

This teunqois stsepu em to no e.dn

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aesalmon  I ,arege eht tercila you ieknld ssatte "gisns fo etalf sihhitydmyeporr hscu sa ydrtcicaaah, antierneruit rwhotg arndatoti,re diccraa afeulir, adn eht metvonlpede of tealf rg t o Iie" shcoe snrawe E uirndg the exma - dr"yoiTh lgnad nrlle gml"Sa teneti tgiryn ot ddnsanreut hwo htey enkdil icenitmsr to a scae reweh hte osmte'rh torysdphmiyohi asw lelw oldecltrn,o and hnet dkase rof eth seaeueql fi hre TSH ea.iersdnc ebayM snaeiredc HTS is espsdopu to ieadtcin wneirnsgo yyophihtrod - lwo 3T/4T nnegide to eb iattumedls yb HT?S +


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submitted by tissue creep(133)
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yM hthugot cpsreso asw fi hte oretmh ahs seecrdnai ST,H esh'd be sgiun oemr eioind to cporedu 3.4/T gMiaenn slse wudol eb aleb ot egt ot het bbya rfo bianr mdlvnee.opet

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submitted by neolidone(2)
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Tsih si a yerv kitycr uotqnsie ni tmers of nrigsaph t.i heTy keam su thnik oaubt twah tfeecf ighh THS soed no a ufest hweli it aryell anmte hwat nac pehnpa to eht ybab in na tm-idinaetaodbyde itdomohpsrihyy Shoo tr.em yaeskn so os yke..a.sn

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submitted by varunmehru(5)
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heT roemht sha tamumnuieo tohridiitys dna ramteetnt is vgien for iyhsimrtpydoho n.oly ywh dose it etrmta fi hte trmo'hse HST si hgih or lo?w oAtaisioubtedn lodwu stlil eb repsnte adn tehy lduow asalyw acesu msnireict ietresvecipr of mhoret mhoosrne e.lvle 'Itns ?ti

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submitted by hayayah(1212)
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imstinCer eiaoncl(gnt iyhmohsr)pytodi is teh stmo mocmon csuae fo btatrelae ntamel bdliisyia.t seusCa poor brnai dneeepl.vtmo

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