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NBME 20 Answers

nbme20/Block 2/Question#43 (50.1 difficulty score)
An 18-year-old woman comes to the physician ...

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submitted by step420(33),
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hTis si alurimnel aegi.ness mrNlao aviorse utb ebasnt

endochondral   why not androgen insensitivity? +  
shaeking  I was wondering the same thing because doesn't androgen insensitivity also have normal female secondary characteristics. Was it the levels of hormones because she doesn't have abnormally high testosterone? +2  
swb  Androgen insensitivity has the same presentation and symptoms. What's the clue that it is mullerian agenesis instead ? +17  
sugaplum  Testosterone would be high if it was androgen insensitivity FA 2019 Pg 625 +13  
charcot_bouchard  Testo would be high in AIS. in AIS pubic hair, axillary hair doesnt devlop because of androgen insensitivity. both have normal breast dev and primary amenorrhea +1  
dickass  This is not androgen insensitivity because she has perfectly normal Estradiol, which means she has perfectly normal ovaries. She also has regular female levels of testosterone. +4  
rockodude  thank you @dickass +1  
j44n  Also AIS has paradoxically large boobs-> tanner stage 5 and thats not mentioned anywhere +  

submitted by sympathetikey(1248),
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nMirlaeul iAessgen k:(aa MsKeeor--yirkn-ussaaReyrttkauH rm)ydenSo

dlertpeeendmUvon fo teh ulnaMerli smtyes eanidgl ot nteicolnga neasbce of teh g.aaivn Uyuslla no recxiv ro .estruu

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submitted by temmy(126),
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i nikth ti si ont aendgonr insvttiisieyn eaesubc teh etttsenoesro leevls rae roma.ln eyhT hosdlu be hhig in .SIA

submitted by imgdoc(132),
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I konw 'sti gmteintp to tnikh ttah hits mya eb eongAdrn vinsinsetityi odnmsery btu tsi ,otn rfo ti to eb SIA heret nddeee ot eb na nseeaicr ni noesrteotse.t nI isth scea ti aws ni the nmolar engar for a eaf.mel Nwo taht we wonk the psnoer si fdenteiyil lfeame &-;tg naierlMul nieasegs esoebmc eth btse rse.awn