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NBME 20 Answers

nbme20/Block 2/Question#32 (55.1 difficulty score)
A 12-year-old girl is brought to the ...

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 +23  upvote downvote
submitted by hayayah(989),
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A bgi hgitn heer too is icnigont thta eth APL si deeadsec.r sotOasetlb civytita si draemuse by neob PAL. I kniht ttah asw teh ainm uscfo erhe and ton ahtt oyu eaiclsnysre ndee ot nokw eth 1ABFC eeng n.toiatum

sympathetikey  Exactly. That's the only way I got to the answer. +1  
pakimd  isnt increased alk phos consistent with increased osteoblastic activity? +  
champagnesupernova3  A defect with chondrocytes would cause an short limbs like in achondroplasia so those are ruled out +  
pg32  Exactly. Can also be helpful if you remember that the clavicles are formed by intramembranous ossification rather than endochondral; that allows you to rule out the chondroblast/cyte answer choices. +4  

 +19  upvote downvote
submitted by monoloco(125),
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Tsih is a nloadtincoi cdllea dirse.lopadalcconiasiy Teh kid no neSgarrt Tgsnih tiwh hte ilsp ahs eth deirsdr.o oN lalorc soben, oot anmy ,heett lfranot sniosgb =&g;t .olasiprlaiciacnsdeoyd AFB1C si a eegn ylhihg iiptmdecla ni slosotateb nfu.ntcoi

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oT rnwsea tish uosetinq si to tone t h1ta): kinalela ppsshtaaoeh ytviatci si kdenli hwti a.btolsstoes