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Retired NBME Free 120 Answers

free120/Block 3/Question#18 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
The patient's DMD carrier status is uncertain because of random X inactivation 🔍 / 📺 / 🌳 / 📖
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submitted by bwdc(697)
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DMD si kneX-ldi. We ownk reh omm is a rrareci bdeas no fymail ,hsiotyr tsoeurpdp yb abl tni.egts Btu rhe mom has 2 X hrsomsoe,mco ynlo eon fo cihwh si um.dteta reThe si no yaw to nokw hhciw ehr uhedgart enaltyelvu vrseciee dna xsersespe yb ehr nppeeoyth i.e( fi ehs si a riaerrc ro ont). sJtu ebesuac reh CK si mrlaon stdone’ anem ehs itn’s a et–chraerri tehneppoy fo teh iX-lnked ercrira npesdde no .iXaav-niotctin

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em_goldman  sI ciaonvXa-initt nto madolnry msaoci huthoourgt esiuss?t yM nhtginki si htat ,donmar ndelrdsvietytiue-b X vntciioata luwdo ucaes botua l~fah yosmtmps xe( tteR n,merdoys elk-ndiX imtndnoa altfa ni uoetr in mlsea tub vrliuveabs in lamfees deu to taiiavtn-io).cnX oS you ese rhe omm whti dmp)rseeu( ostielda carnseeid KC, ichhw oyu uwdlo peecxt in hre fi hes saw oasl a reac.rri ayeMb etnoipatrne is arbivlea os y'uod eend enigtec gsetitn to inrmfoc rof usre -;tg& eht nosrae ehs ednot's eavh tssyompm si o.nna-axtviciit +3



 +3  upvote downvote
submitted by claptain(25)
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I don't durdesannt tsih eonusqt.i yheT aeeqtu ers-aistatrrcu ot amen ecfatdfe yb eth llel.ea eW nwok reh mretoh si a acrrier sucbeae ehs sha eeladtve .CK Taht eamns teh tatpein sah a 0%5 eaccnh to be a ricerar nseic ses'h efa.elm Ranodm vancittn-oiiaX sodnet' tartme wehn agitkln utoab rcraeir tsstau bceaseu bhto aelelsl haev a anhcec ot tge sdsape n.o Rnodma X nttvcaiionai is nlyo apmntiort rfo iednmegritn eehwhtr seh ilwl eveplod sto.spymm

I egsus stih si yhw het nuqistoe was nwrhto t?uo Usnesl 'Im sngsiim tn.meiosgh

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claptain  Nmv, sith tesnuoqi dpalye e.m I riaeezl ahtt E si het ylno solsbeip eo.cchi ohtB A adn B would eb 25% ahcns,ce otn 05% cn,sehca dan uoy naotcn sseuam rtewehh she is ro is ont a arircre tohiwut ecetign yalinssa (eohcisc C dan D). aTth seealv lnyo .E +6
beansbeansbeans  iWat I reaeg tiwh uroy rtifs notmcem, acn yuo aelpinx hawt made uoy hengca oyru dmin nad danrunteds ?tsih +
yerpderp  yehT aer enerrrfgi ot x ntnitcivoaai in hte tdgahrue chhwi dowlu nmea seh duclo be a riearcr tbu we ctna e.llt +1
cbreland  os rhe mom is a arcrrei seeabcu seh e'ntods aehv metoecpl mmposyst elki teh ohrtbre nda en?lcu? I suges I utoghth it asw lla fo ntgnhio htiw unnheced +
cbreland  D,amn ehr omm is 5.0 heuneDnc eitnspta nd'ot vile thta g.ln.o. mvn dmub on ym a,ptr solhud vaeh dmae teh necnocniot +
j44n  her mmo anct veah het lful lnwbo iassdee seeacub tis an XRL e.daeiss I kitnh ew ahd to nwrroa hsit dwon yb rcosspe fo nliimaioetn +



 +1  upvote downvote
submitted by rohan225(1)
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hyW is eht swenar ecrirra sautts nkonnuw? Wyh an'tc het eomthr eb gzusmyoo?ho Dhnneeucs is X nklide v.sseereic

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dkhan123  not user utb hree si my oageMlc:- li ginlsib of ittepan sha iedd omrf ne,uhncDe mriifogcnn mhtero TSMU EB erhite dfftcaee ro a Mea.trcreo- hrir soed NTO veah eht uncnehDe n,ppotyeeh tub sah eledvtae m,nsyeez nsiusgtegg hse is a arei.rrc The enecDnuh vaearge efil yanxccepet si 62. olsA hte qiusonte si tnwtrei suhc ttah ti mlseipi eht mtrohe dose otn haev eth uncnhDee eypptnohe and eht eveateld ynemez velle si ude ot teh crearri usttsa of eDcuhenn nda not an edruatlne tlsyLs,nel-s il.a hte dutarehg hsa loranm yzmene v.ellse sihT luodc eb ued ot tow bspolsei arnoec,iss reehti hse irdeinthe teh heDcnneu gnee and sah tiaievatcnd i,t or seh revne diehinert eth geen ot gnbei tiwh. +5



 +0  upvote downvote
submitted by netsirk2023(1)
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isTh ayplorbb sha to od thwi rBar eiBdos F(A ,2012 pg )6.1 To ahrrapepsa F,A etenenacrp dan sieytver fo dsseasie in XX avidnisiuld acn eb dmi.paect DMD is ceduilnd ni teirh i.tsl

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 +0  upvote downvote
submitted by madamestep(17)
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eHr mom ash high CK eaecbus ehr X iitiovcatnan si ykille caanebidml ot vaeh eorm maduett X srsxeepde. tBu tneo htta a hihg CK edos otn alequ w-lfnobllu Dsnh.neceu sI't amliisr to omH-il-mepaheinwo nac eahv eiseacrnd gnilbdee tub not lufl miphhieoal aubeecs of tish hm.ennooepn

Hre ormthe ash omes ceDnnuhe ppt,oehyne btu we uclod tusj as eaiysl ees no oethypepn ni a arirec.r

Frthu,er if tihs mwano si a rrecria, rhe dlcih hsa a 5%2 hancce fo dingvpeloe DMD %5(0 hncace fo a y,ob 0%5 fo eht bda )X.

This owanm lyikle hsa a 0%5 achnce of ebgin a ia,errcr ehs n'tesod ahve MDD desab no ehr CK dan eag nda .rndege

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