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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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DDM is dlXn-e.ki eW wokn hre mom is a racrrei saebd on imlfya orhst,yi stppureod by bal ntsgti.e Btu rhe mom sha 2 X em,soocosrhm oynl one fo hwhci is aedmt.ut ehTre is on wya to nowk hwchi hre udrhaetg evtlyeunla vierseec nad psexseesr yb reh yhpeeotpn (i.e fi hes is a ecirrra ro n.to) Jstu cusebae her KC is ronmla t’neosd eanm hes ’sint a erctarrh–ei poehenpty of eht nldiek-X ecrirar pdnedse on octavtaXn-iini.

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em_goldman  Is ntat-Xiniacivo ton morlyadn amcois htgurotuho uiesst?s yM itnhkign is atht ao,mdnr dvteetui-libedryns X cnittaaovi luwod asceu ouatb al~hf otmsysmp e(x eRtt rmsen,dyo ilendXk- maitnond fatla in uoter in mleas btu luvevrsbai in salfeem eud to ii-)Xitcaov.antn oS yuo ees reh omm ihwt ud(pese)mr ieasldto ircdesane KC, hhiwc uyo uodlw xcteep ni ehr if hes aws laso a r.ecrira Mbaey ittenoraenp is avlrbeai os yodu' eedn gincete ntestig to nmifocr for seru t&g;- het oreasn ehs stneod' aveh mpytsosm is .iniavtnoaxt-ci +3



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submitted by claptain(25)
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I otn'd udndtensar this toesqinu. ehyT tuqeea arreit-tuassrc ot mean ectafdfe by het eallel. eW wkno ehr oerhmt si a crrirae eacbsue hes hsa teaevlde CK. Ttha emasn eth tpietna hsa a %50 eccahn to be a rriaecr iencs se'sh efe.lma onRmad -iXciatnaviotn sntdo'e mtaret ewnh niltgak ubtao ieracrr stsatu ebcusae bhto elellsa vhae a anchce to get dsasep on. Ranmdo X antcitnaiovi si noly ironttpam rfo iremdgtienn hhretew hes ilwl peodelv s.mospmty

I gsues sith is hwy teh ntsoueiq aws trownh ?uot sUnesl 'Im imnsigs shoegimn.t

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claptain  mvN, ihts iensqtuo daplye m.e I eerizal htta E si hte lnyo lsseiobp eicho.c hoBt A adn B louwd eb 52% esacn,hc tno 5%0 e,chncas nad yuo naoctn suesam hehetrw seh si or is tno a iarrrec whuttio ntgeeic yialassn csicohe( C and D.) Ttha velase lyon .E +6
beansbeansbeans  iWat I gerea twih yuro iftrs cntmo,em cna uoy lienpxa awht mead ouy gcehna oury mnid nda rdsenunadt ish?t +
yerpderp  heTy rea frerrineg ot x tnoicantviia ni the dhgrutae ihchw odwul eanm hse uolcd eb a rrrciae but we acnt .ltle +1
cbreland  os ehr mom is a riearrc sceuaeb seh ndots'e ehav eeptlocm stysommp elik teh horebrt dna u?cen?l I sgues I guhttho it asw all fo ntoginh thwi nneuedch +
cbreland  aDnm, ehr omm is 0.5 nnuheeDc tesptina dtn'o elvi thta o..ln.g nvm mudb on ym rtpa, dohslu vaeh maed the ncniontceo +
j44n  rhe mmo tnac evha eht ulfl onwbl iadssee sabeuec tis an XRL s.isdeae I htnik ew had to wnaror hsti wond by speocrs of mtnnolaieii +



 +1  upvote downvote
submitted by rohan225(1)
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Wyh is the ansewr rariecr usatts onw?knnu hWy c'atn hte tmehor be ?uohmzoygos hDeeunsnc is X kldine rcvesesei.

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dkhan123  tno srue tub eher si my eac:oglMli- giilnbs of natptei ash deid rfmo D,nchueen norifgnimc trhmeo TSUM BE eehtir cfefadte ro a r-eot.rerchMiar eods OTN aevh hte eDnechnu h,eyoetnpp tbu ahs teevadle szyenme, tggsugines esh si a .aeicrrr heT nDehncue avregea elfi eccxyaenpt is 6.2 Alos het uiqnoets is ttirenw cush htta ti piemils the emroht soed otn veah eht nuDeehnc ohpnteyep dna teh dteeleva eymzen vleel si ude to teh ricrare sttsua of Dneucehn dan otn an dauertlne iyt-lsssna ,.lelL het tdrgheau ahs romanl nyeemz elslv.e Tshi clodu be eud to tow losesbpi aorssnic,e treieh seh ithrndeei teh hnneDceu nege and hsa dvtinatieac it, or hes nerev inetrdhie het enge ot gnbei t.whi +5



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submitted by netsirk2023(1)
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ihTs borpyalb has ot od thiw rrBa esidBo F(A 1022, pg ).16 To rhapaeasrp A,F pearectnen nda tsrveiye fo essaisde ni XX liadiviunsd nac eb pcadet.mi DMD is eidnulcd ni herit t.lis

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 +0  upvote downvote
submitted by madamestep(17)
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erH omm sha ghhi CK eeaubcs ehr X ncitavaiinto is kelyil baclamnied ot ahev emor amutted X seerpd.exs tuB oent htta a hihg CK osed nto uleqa lonfulwl-b nDes.ehncu 'stI miarisl ot oe-i-eialwomHnmph can veah edriencsa leinedbg tub nto ullf hoampeiihl eusbeac of ihts .oenhopnnme

Her ethrom has eosm uhnenecD etypponhe, but we cdulo sjut sa yleisa see on htypneope in a c.arrier

hrrueF,t fi isht omawn si a r,rareic erh lcdhi ash a 52% nchace of gilevdonep MDD 0%5( hcecna of a o,yb 5%0 of teh dba X).

sThi womna ykeill sha a %50 hcnace of eigbn a ear,ircr hse ot'edns avhe DDM bsdae on her CK dna gea adn ere.dgn

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