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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 🔍 / 📺 / 🌳 / 📖
tags:

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 +27  upvote downvote
submitted by ∗taway(35)
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sihT eutnqiso si preshad alrgesny,t utb tis' alitssnylee gsakni "awth luwdo pehanp if thsi 'mnsowa hsohymidiropyt amceeb rnuocedtnlol orev hte sceuor fo hre ey"ncgna?pr

tcnrreuly rhe TSH is ogdo ;-gt-& -tdloenlerwlcol yoThydph oHCmYILArHiPTiEstO hghi HST t--&;g ehr yidpiothymsrho utms ONT be oel-dloenlrclwt ed(u to udorstinip fo het HSTT4/TRTH/3/ nodnceire asx)i

S,o onw ttha we ersdtannud htat eth oesniuqt si asknig awh"t luwdo pnaehp if ehr ypiidytmrshooh saw c"elu?ortolnnd

:nsAerw nrcmsieti

I khnit htta tshi utnqeois si eaprsdh yoiousrl,act tbu raf be ti mofr em ot ircctizie teh UMLSE gselninic odbra...

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yotsubato  I khnit htta hist niqtesuo is sderaph ricusatyl,oo uJts iekl het sert of eht NEMB +26
b1ackcoffee  ltyxcea hwo dsoe marealtn omihtshoa acn csaeu mnci?sirte +1
notyasupreme  ca@fo1ebecfk, ti's tno nmetaral ,amhiosoht cylalbias uoy usjt evah to rrgaeidsd eht NERTIE uqitneos estm adn het tlsa aptr fo teh eectensn (if het om'sm HST esog u)p nmsea ttah eset'rh ditmyohripysho ggion no, hchwi uecssa .ntiesicmr +5
b1ackcoffee  ahTnsk uyo @eamnpeytsu!ro +


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 +12  upvote downvote
submitted by direwolf(12)
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Tish sha ot do ihwt ntingaesuddnr two it,snhg that matelanr tpsdirhioyyhom is dnlkei ot iint/esuClraremn vdteemenlpo fo teh tuf,es dan lmoran nencrpgay iylhgop.yso In cny,gapner sneceriad snrhemoo ielmsatut eirlv uponcritdo of suvoair sntopeir ilek xSe reoonmH gdiBnni boGlnuli xinyr,G(oSh)BHTe gniidnB liolunGb TG(B), ec.t reoM TGB dporcedu = mero /TT34 si n.udob Lsse 43TT/ aesucs orem HTR reel,eas mreo SHT sr,eleea adn mreo 4TT3/ unditcoorp liutn eref /43TT vllees ear back ot l.moarn nI a amonlr n,yagcenrp iths eanphsp on molrbp.e In menseoo thwi -xesrtnipgei ydosirphiyhtmo uho,htg raladey hsa edaiipmr T/43T trncpouo,id dna o'nwt eb beal to epke up itwh craeineds .aemdnd riheT 3T lwli i,res but thsi 'nwot srltue ni nscreeaid 34TT./ caypiyl,Tl onwem tiwh hmais'oosHt isnrdeig to get rpaenngt lilw need to arieecsn ehrit ivorxeehotyln oesd ni paiotcnitina of hits ypnrcnega cnh.gae

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 +4  upvote downvote
submitted by thotaak(5)
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Noyarlml aatlnrem T3/4 rea dqieerur for tlaef inrab teledmvneop foeerb efalt otriydh gland si rm.efdo dnA eatfr atefl itrdoyh lagnd is dm,rfeo afetl /T43 lshpe ni nriab tnmevlee.dpo oS ncesirea HST aemsn cedseread lanaetmr 4T3/ adn utsh heva nab aibrn mldee.entovp And sey T/43 sscrsoe aal.tpnce

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thotaak  noidgccrA to snbiRob hylaptoog +1


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 +4  upvote downvote
submitted by medschoollovin(14)
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uiutnmemoA oitdtiisyhr aak( astmHo)oih + ;eag&tprnng-t- khnTi ubota oblpsistiiy of tlaef thiyyioomsrphd ued to odtiyabn datdeiem erlatmna ty.midoshyhriop eadsL ot t.mCesniri sgFidnni in fnanit rea the P6' (oPt lylbe, ,Plae fPuyf cafe, nrorugPdit mb,liciusu enrtPuotabr neoutg, adn oPor inaBr mdoentp.eevl

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neonem  I o'dnt unaestddnr the alst tarp of hits usqnoite setm ughtoh... if the h'srtoem STH se*cre*nais gdniru ?nraynpgce u'ndlWot this eutfhrr iensearc hre na/ord( hte tus')efs cpoounrdti of T4 and tsuh acneottcur het i?mphryiotosdhy +
poojaym  on@neem no. teAiomnuum ohstydhmiripyo is a tcituorsdne of het ydhtroi ,ngadl dna a decreaes ni duoctoprin of .TT34/ An riseeanc in TSH msean that ethre is nto noghue 3TT/4 ot niibhit RT,H adn so STH si bigne releesad to astutilem eth dtryoih adng.l +41
arezpr  STH, 3,T T4 nda lyrniloubgtoh aotncn ocssr eth paneclatl .errbair +1
chamaleo  rp@aezr gtuhloah tohes norhosem a'cnt ,sscro the eabtsnuiotaiod mrof smiso'Hatoh can +1
yotsubato  eTh ybab ash sit wno HST htuhgo +
sbryant6  HTS smoce mrof teh pariiuy,tt nad cat no the or.iydth Aeoatbdnoutisi ktcaat eht ityrdho, so HST dsont'e kowr. +
kimcharito  on gtrieo ?ehnt +
lola915  I inhtk herte si on otgeri eaebucs het byab's rytihdo anldg sah otn ylluf pvoleedde and steeh molugblunnioilsm mrfo het htorem colud acttka teh rotyidh dlagn ledgain to essuis hitw sit' lndeopevme.t +


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 +2  upvote downvote
submitted by ∗apurva(101)
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eTh lrae ghtin is TSH, 3,T 4T and ollgtiyhunbor acnnto orscs t.eanaclp ,RHT ,Ionied SIT anc rcss.Io f hmotre sah high TSH scge(iodnnir pyrmrai oihyidomhrpt)ys g&;—t Proo rniba etvmlpefIne od rtehom has IST )tasoimho(H &g—t; soscr teh neaatllpc rbirera nce—Isrea in yrdhito andlg yMa( streenp whti rrodtis ta .thbir

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demihesmisome  hAhhhh anTkh y.uo ihTs aws hatw I wsa ygrint to nse.aruddtn +1
apurva  elpsae eton ahtt eefr t4 nca orssc het caneltpa +3


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 +1  upvote downvote
submitted by ∗b1ackcoffee(115)
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lcaxtey hwo dose tmarenla ooshimtha cna usaec cremniit?s

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lola915  amHtiihso is aeducs yb entiobidsa atsgian ortydih axroedepsi dan nyolblu.hgtroi eTohs diiestaobn can csors eth alpntcae and fatecf abbsie rohdtyi gnlda nigascu giltacnoen .ioptryhdmhiyso +1


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 +1  upvote downvote
submitted by ∗thisisfine (31)
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I kithn sthi gste at a coctnep edarlet ot odhtyri levles adn t.egpn/geeycrnnsora

regstoEn asrceiens the llvee of drioy-ntxnnihebgi bnul,ilog ciwhh tpolyeimrra sarecdees erfe T4 nda T3, dna aeeissncr HTS tnlui teh itoldadani GBT comesbe ers,atudat nad lonram lvlsee aer .serdotre

eiScn this taietpn ash iuuotnamme irstityd,hio dna riuqerse irnohtexy, ehwn ehr reef 4T sece,eadrs dna hre TSH gose p,u seh nowt kame xaert T.4 So ssenul she riaesencs ehr ehntyioxr d,oes seh lliw eb orhyhytdoip -t-;&g tmsienirc ni eht ufset

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 +0  upvote downvote
submitted by ∗unknown001(9)
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hree si a oypc edtpas ilkn .

rf,sit ighh sht = sopihyyhitrodm

wHo anc yohhrdimptyosi efatfc me nad my ?ybab yhtdiro oeomrhsn ear pnoaritmt to ryou b'absy nbira nda osurnev tsmsye etdpeelom,vn eutrndate yacli—ysdilpmeohyrpteiosh dnurig eth tsirf i—rctmsterean uaesc lwo IQ adn orpsbmel hiwt mnralo telemdonev.p

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submitted by ∗seagull(1933)
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/.pMs.l8.2h9mc/o7vt./wpthrbtngc/sec2wP//0aiCnilinw1:m

hsTi aticerl iafls ot mioetnn rpoo nbari mtdnevlepoe in YRrmiohyiE.PdtHs hTe hoautr msut aehv eatnm omt.PishrHiyYdO

hisT nuisoeqt sptuse me ot no n.ed

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aesalmon  I rea,ge eth raetcli ouy dnekli asestt ngi"ss fo atfel ymdtseiioprhyrh hucs sa tiachayac,rd atiniterernu ohtwgr atnr,aeridto cdiaacr ule,raif dna hte evldemponte fo etafl ri o" getI hosce snawer E riungd eht amxe - idTr"oyh dgnal "Seleinmngtl alrt e iryntg ot rstdneuand woh yeht eidnkl iicmstenr ot a saec wreeh eth mshor'te mrdohoptiyyhis asw llew enrdo,lclot nad nthe kseda rfo hte sqleeuae fi hre HST crands.iee eaMby eacsidner TSH si deossupp ot niateidc ngnwreosi oyditphoyrh - olw /4T3T igenedn ot be dmuatseilt by HS?T +


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 +0  upvote downvote
submitted by ∗tissue creep(133)
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yM hoguhtt sseocpr was if hte eomhrt ahs nresaedic TH,S eh'ds be ngsiu erom oeiidn to crpeoud 4T./3 aneignM ssle olduw be aleb ot get ot eht abyb rfo iabrn tpev.molened

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submitted by neolidone(2)
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ishT is a eyvr ctkyir tsinqoue in rmste of hpsangir .ti hyTe maek su hktni utoba what eftcfe high THS dose on a fseut wheli it rlylae meatn htaw nac hpapen ot hte abyb in na -idydnataimtobede ymytrhdpiiosho oeohSr.m t kynaes so so n..yskea.

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submitted by varunmehru(5)
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eTh ethomr ash eontuuamim thidtrosiiy and atenmertt si eginv orf ihhyomprtoydis .lnyo hyw osed it tmrtae if eht rtes'hom SHT si ihhg or wo?l Aatsodbtneiiuo dowlu sltil eb ernpset dna eyth ouldw ylwsaa useac eimtsrcni serieeipvtrc of mhreto orsmhneo el.vel t'sIn i?t

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submitted by ∗hayayah(1212)
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ertCnsimi (gcoanlnite mhoisorypthd)yi si hte otms mmocno csaue fo ttbearlea mentla lya.ibisitd sseCua proo rinba .vlnpeeoemtd

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