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Retired NBME 20 Answers

nbme20/Block 1/Question#16 (reveal difficulty score)
A 30-year-old woman with multiple sclerosis ...
Pons 🔍 / 📺 / 🌳 / 📖
tags: Neuro

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 +19  upvote downvote
submitted by whossayin(35)
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ehT iecnnomm I eilk for rbmeeenmrgi eht naooctlis of the nlacria vrnese is eht 4"4,,2,2 leur"

Abevo r=bsnmtiae CN I + =diIMri bIan CN I,II Is=PoVn NC ,V V,I IIV, IMIl=eVudl Ia NC XI, X, ,XI IIX

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lovebug  wa@iysoshn ntaxh os !!c!mhu +



 +16  upvote downvote
submitted by thecatguy(19)
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Tshi is a vyre itpicnky oeui.nqts sA I see ,ti eht 3 niam psconcte stdtee rea:

  • hsiT pentati ahs miiaglnetr iunlgarea (pra,sh r,bfie iiceodps pian in het fcae,) chhwi si secadu yb a einsol to pirryma snoersy birsfe atth rycra ainp tisesnoan mofr het e.fac
  • eltMliup roislse,cs cihhw hte tieptan ha,s is a edyiingtnelam iseedsa .ei,.( ti eaffstc thwei t)mra.et
  • hTe eidnmlaety axosn agrycirn ianp aessintno omrf the atpesrliail afce enter the tsebirnma at hte lelev fo eth opsn nda tneh eesnddc ce(obme teh ipalns rattc fo hte ti.lnr)imgea eehsT iweht ratmte rfesib saps rhouhtg teh pson to eassnyp on the spalin cuenlus of het tremi,nliga hcihw si in hte mlledua c(nlsueu = rgay te)tmra. (cuteipr rhee). erefrho,Te a liosen ni eth ehtwi taetmr .i.,(e pqu)lea in hte onsp codlu secau manlegitir ,neruagail dan tish hpmnnoonee hsa eenb vbreoeds.

evoAb eht llvee of teh natsembir alshatmu( ap&;m braerlec oxecrt), uyo hvae sodenc drroe synesor nunr.soe Lseinos in hits aprt fo het ciicrtu ear ton rayngeell ni tieiagrlmn aan.elrugi I ppesous yeth laso ntaw su to ausmse thta ncoe hte aspnil ctrta of eth nteligamri tesnre the dlae,ulm s'ti tno eadtmniyel o.aymenr I t'dno kntih hist is mcyploleet r,etu btu egvin hte gcoli sicberdde voba,e onps luodw tslli eb het tterbe w.nasre

sA leeppo evah eoiptnd uto, eth paimrry oyenssr bifser irarngyc ltihg hcuot entassino rfom hte faec yspsena no eht fchei nesryos esnulcu in eht pson ilaetmeymdi ratef yhet retne teh .nsop Thsi sioeqtnu is ton agnkis oatbu ohets erfibs ghou.th

I otg teh niestqou nwgor to..o

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mightymito  Wwo isth si eht sbte iteoplxnnaa ey!t shkaTn os chmu for ryve ellcary liangkw us gtohrhu a ritkyc teuiqo.ns +5
lovebug  ueythtcga@ erA.... uoy a rorsf?espo ktanh uyo yrev uhcm ): +1



 +3  upvote downvote
submitted by feliperamirez(45)
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I do asutenrddn htat het nplrpciia lnscuue of teh nmlirageit evern is aoldtce ta hte npso. utB sniec hits naietpt is vaignh ilimenargt galruniea do'wtuln oyu eb trpidnugsi teh twyahpa ilevnodv ni pnia nad ueprteema,rt hichw in htis caes ldwuo be eth splina neucusl dcet(alo ni eht dauml?)le

Bsidse,e I duonf ihst ta an acteirl

A cneert hsypseoith srebutatti hte ipan fo tigairneml ieragalnu ot a etnrcla snemihcma vogiivnln teh apsr iolsar of teh lnasip mreantilig [c.uusne5l]

ont.:/mwKvli9s/o.3gt5/7/nikBpcnNhhwsbo2.w.9b/

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pg32  I iryltella had dmalleu stdcelee teh eolhw miet and neth ahcengd it ot nops ilyspm beeasuc i tlef teh ttse wrsiret wree jtus nesgie fi we nkew ewreh eht lmgnriaite never asw .lcodeta embrum uceseba I nthki uyor gcloi si awy etrbte. it's wtha i trisf uhhgtto when i arde teh c.aes +1
l0ud_minority  Teh iqsnetou has a nodmcebi einosl ahtt cluod be ni eethir het sonp or laudlme ignev the nosiquet setm. ehTre is eevesr tgionohs nispa whhci wloud edtincai hte Snlapi nucuels of V ynl(mia iapn nad teerurpeatm) sa wlle sa eth niMa rssenyo nlueusc fo V (mlyian thu)co. erHe si na iaemg ofr reeecfer.n -myfeih-lo-/tee:coxnrospsm-/samneanspshyetiyusgn/yoste-tooa/t.mneatekr +



 +3  upvote downvote
submitted by sympathetikey(1600)
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ncirPipel eSnsroy Nuclseu fo eth ealTnirmig si tledaoc ni the s,Pon sa is eht rooMt eTraliimgn eNculus fo eth .onsp shTi serpantntoei si rabyplob nlageid orme wiht het eprcliinP nryoseS lcNusue.

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 +2  upvote downvote
submitted by strugglebus(189)
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The pnso sha eesrvn -,58 os eht iigntmlrea ldwuo be atfcfeed ehre

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masonkingcobra  cihalaTm inap ydsemron wlodu nievlov isshadtessey on the erneti acelnlrtaotar ybdo os mreo tnah tjsu eth ecfa. oAsl it sucroc feton traef rpst.ke-toso Ald,lidaoniyt eesth tsahyssesedi prepaa onketssmhew/ t al r e +15



 +1  upvote downvote
submitted by woodenspooninmymouth(2)
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SM si a naimnlteigdye deisa.se thas'T hwy I dd'tin pcki xoctre or huma;lsta ehty are rgye mtr.eta I icdepk eldualm ubescae I the onpaiiilmnretgs envrse evrsraet het mldlaeu. I sgseu ew are ujts ossupdpe to sumsae eth tineolnadyime is gipnanehp ni teh ?pons I 'todn .knwo

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woodenspooninmymouth  Syo,rr I tnmea ot yas ttha hte onsp oudwl veah teh lcel eisodb for teh amp/enitp onu,snre o?n +
athenathefirst  oowi@edoohmmonyntupns isth is lasyfpiielcc mirgtneila ngrliueaa ihtw leoivnsv arancli veern 5-;gt-& ewrhe deos NC 5 cilezaol ?ot its' hte p.ons If you n'dto egt itsh oqiuntse ,lilst htwca eth ulRe of s4 ni osadrB nda eoBydn onestci on nt.iBamser +



 +0  upvote downvote
submitted by lilyo(94)
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I asw hnkgiitn lgano the lisen fo laiacf isenstnoa hiwhc is emaditde by hte altgneimri rvene dan the tfac that hte minirlaetg vnree is edlocat ni eth pno.s

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 +0  upvote downvote
submitted by chandlerbas(118)
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ehtsre an caoiisnoats edma ni 0127 twhi itlmigraen nrgaiaelu and SM - hcihw si twha i tkihn ihts pt sha. eky thgin ot oetn si tath hiwel lal tmoro nad rnsesoy fibesr of NC 5 teren at the evell of the onsp ewr(ovhe meos olas do eernt ta eht eelvl of lmeadlu dna vnee teh sc avi teh lspina ratct of 5 ot ypensas wtih hte logn ornyses eluuscn fo 5) rh ees het inkl of etmiiagnlr uinraagle dna MS :p7h.ltc/whcCP9/gp4s56lnnisei/cr.Mimvao/:4wt3m/nb./w.t

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 +0  upvote downvote
submitted by mamed(25)
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erP aodbsr nda de,bnoy in eht ratlael osnp is rhtee is hte lpnais V csuneul hhciw rareisc atlcoaralrent aipn and teerrua.epmt nginwKo thta + NC V aesirs it ni eht osp,n I wnte hwti sn.po Teh loyn htore ooipnt I ahd tfel ont ercdsos tuo swa caerlber ermesheiph ubt ttah meseed ot robd.a

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vivarin  BB salo adsi ton ot seu teh ruel fo 4s' to azlcolei CN V ot eth pnso os s'htta why I orsesdc it u..to. +1
athenathefirst  i@nrvavi eltclopmye gaere ithw o,uy but hsti is NMEB lyaaws kgnlii ot ritck dna onfesuc su. +



 +0  upvote downvote
submitted by athenathefirst(7)
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oHw si tihs 26.1 eevll fo ylcffuiitd ehwn stboiats siqnestuo era luyslau 17 or 18 ync#rgi

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