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Retired NBME 18 Answers

nbme18/Block 3/Question#32 (reveal difficulty score)
X-Ray of a newborn shows ribs associated with ...
Expression of a HOX gene normally expressed only caudal to C-7 🔍 / 📺 / 🌳 / 📖
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submitted by regents(6)
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riFts, I edraeosn htat XHO eesng cdoe rof crnpaitrinsot tsfraoc edende diurgn ogmneebyresis 9AF1(2,0 9p.).85

Nt,ex rlvcecia sibr rea mlboara.n The bris are udessppo ot tasrt at the otrax.h ,So OHX e(deden orf nwgorig ghnsti gniurd yison)mgsreeeb ludhso be rpsxeseed at het rhicacot levle ie( adcaul to evccrial e)lel.v

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okokok1  ot dda noot erliccva isbr ibgne bmr,aolna yeth era udnof to eb eno fo the scaesu fo atcrcoih telotu semoynrd. +2
kcyanide101  i ma tisll cseuodnf rove tish rewns.a lsPeea monoees uosdlh ehpl twhi a alnyfiricg noeia.xlptan tahW aekms eoinosxrevsepr of a XOH egne lnylroma eerexspds 7C- o??w?gnr +
drdoom  e:ck11yadi@n0 ouYr iccvlera etarrvbee dhlsou ONT veha si!br (eTh eckn lvbraeret biesod are loanymrl ei!)“rlbss” The rhgwto fo ribs as( lwel as rteho g“metssn”e of the yb)od si vdgonere by a ryve pascile yfmial of ngese onwnk sa het OHX .esneg The HOX neeg ipobsrneesl rof rib gwrtoh hsould loyn tge reesepsdx rkw(”“o) ATREF .7C f,I rfo oems rdiew a,eosnr it segt eudtrn on ni het meldetvpnoe of eht ck,en uyo ilwl tge thnisg ngwogir eerwh yteh sut’onhld eb! +3
drdoom  If ouy lyearl tanw ot eahv uyor arhi lbnow kacb, hecck tuo oesm mgsiae for “attmnu HOX i:se”pnerxos ps.=owwoamimt;=i+pqoohsmtgmax:t+h?/sch/xnurrebccoaen.ttgspselhe/w& njo!Ey )-; +



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submitted by an1(114)
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I aws so tlos nhwe I saw hi.ts uBt I swa elba to rabek ti nwod nad uefrig uot ahstw' aphengnip.

HXO si naoittpircrns rmfo dHea (i)larcan &—t;g Toe (dcu)aal

I tnikh of thsi sa “BOH is Sxe mfor deaH ot ”:Teo BOH ohwss vhae a tlo fo udnyit dan tawh nt,o eht xes pelhs em itkhn of HOb + Xse = XOH; ti's rof egaartnrnem frmo eth eahd ot het eto.

Oen fo eht lervcaic sha eecobm a ortachci logknoi engt.sem oS ew ehav dpreaelc a irnlcaa temgnse vel(cci)ar ihtw hinetgmso lcsero to hte ee/tf laaudc o)hrac(cti

oS eht oxH egne at eht top si sexnrisgep laduac iofn hwen ti dslohu eb arinlac ta 7C

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drdoom  ,lnsayetlsie tsih nuisteoq si endrcbisig a tsiotaiun eerhw the “argone egsen” tog enrutd no ni het wyelol aaer +
drdoom  ho, 'sit not that hte” Hox ”eeng is inrxsepesg eht rngow foin, yb het way; st’i atth the GRWON xHo eegn is gienb resedpexs. hsTi cna hpenap nhwe teh twldyiep xoH egen iacercl(v )aera is tmdtuae dna so the ctahcori Hox geen t“asek ”eorv -- even uohhtg rinoamesitlab nhae,pp sthi sihemnmac poctrste het odyb orfm ngmisis an entrei emtgnse rt(“btee ot ptu hte rwogn nghti erthe tnha ntihngo ta )la!l” +
an1  dmoor@d woh od we owkn ihst iotuseqn was gtanlik butoa HXO esxnierpsg het gornw oinf sv OXH biegn wrngo tf?isle Senci lal het eorth gsenetsm ear damessu to be lr.naom uwoldtn' teyh be edtafefc too if OXH saw nrgwo lal du?nrao +
drdoom  aeBusec OHX egnes dceeno raiocntsrpnit s.tfraco acEh OXH nostrpainrict taoc,fr in trn,u vsgnero mayn eroth eseng r(ntus no eom,s resssrpee seh)tor hhwci dteicr eeplmentvod fo a stenmg.e sIt’ ylnekiul a gnslie onuaitmt ni a OXH eneg li“s”fp it fomr triengcdi cacerlvi eemolenptvd ot tridniecg oacrchit nptele.evdom 'sIt rmoe klyiel tath aecirlvc HOX ft meeacb sflicoudnntay sLs(“o of Ftnnuic”o mttnioua,) hhciw ertussl ni taocihrc OXH ft ot “kaet vro”.e +1
drdoom  hO, I lhudso haev :niemdnteo echa HXO bxo si a /enedstfetrafeirap egne. stI' tno lla noe en.eg 'Ist a yafiml of eensg so a itontaum ni oen liwl eb petnenednid of the .sheort +



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