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Retired NBME 21 Answers

nbme21/Block 2/Question#14 (reveal difficulty score)
A 30-year-old woman comes to the office ...
Abnormal brain development 🔍 / 📺 / 🌳 / 📖
tags:

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 +27  upvote downvote
submitted by ∗taway(35)
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ihTs tuoisneq is sdrheap nreg,ylsta but ti's neastslieyl kgasni awh"t lwudo paephn fi isth oswnma' ymiyoodhpirhts mebcae enucolrdtlon rveo eth roescu of rhe crgnena"py?

ternurylc hre HST is ogod -t-&g; rdnll-wocltloee HhYHyyC EdtoioLATOIsmirTphP ighh HST g&;t-- her ihoyitdyospmrh tums OTN eb -erlnltoldcewol ude( to iursopntid of the /4RHHT3//TSTT ridoencne six)a

o,S won ahtt ew etnrduadns ttha teh ntqiouse si nsgiak "awth ulwod nhaepp if her mordhtypioyhsi was "ndnurcoetl?lo

r:Aeswn rnemicist

I nhkit ahtt stih ontuseqi is asrpedh i,yuctoarlso tbu fra eb ti form me ot iiecrizct het LMUSE lncisnegi aodbr...

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yotsubato  I htink atht htsi nqoesuti si dpasreh ,yictsluoaor t us J klei het setr of hte ENBM +26
b1ackcoffee  lextcya owh dsoe aleamnrt hoohisamt cna ceusa isectimr?n +1
notyasupreme  aeek@ocb,f1fc s'it not anlaetmr ha,hsiotmo asllyiacb uoy tujs aveh to seadigrdr eth EEINTR etnuisqo stem dna the atls atrp fo the nteceens (if hte smo'm TSH gsoe )pu nmsea that 'eehrts dtiyyrosiomhhp ngiog o,n wihch csseua rmtine.isc +5
b1ackcoffee  nskhTa ouy se@pan!rtoyeum +



 +12  upvote downvote
submitted by direwolf(12)
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Tihs sha to od hitw utndiedrasngn otw tng,his htat ratnlema ioyyhsidptrmho is elidkn ot neitiuae/nrmlCsr netovmdelpe of het ,esuft dan lnroam epnnycarg ysoohi.ylpg In ae,yrnncpg ieedrcasn seornmoh amttesliu lriev ndoirputco fo ovaruis sieonrtp leik xSe Homoren niiBdng noiGbull ,oxHyren(iSGTB)h diBginn Gbiollnu (TG,)B e.tc oeMr GTB dcepodru = eomr 3TT/4 si boudn. esLs T34/T escsau rmoe HRT lsa,reee oerm HTS e,leasre nda mero /4TT3 drcouotnpi unlti efer T/T43 eelsvl ear abkc to rmnlao. nI a noarlm yprg,ancne sthi esanhpp on elo.brmp In oemseon tiwh tepnrgisei-x ryyhhitdmpioos hohtgu, eaalydr has amipiedr /T3T4 ,nipocutrod dna wn'to be aleb to ekpe up ihwt neaidscre d.emnda eirTh T3 llwi ,rsie tub tish 'wont reustl ni cndersaie ./T4T3 pillTcay,y enmwo wtih soo'timsHha idigsrne ot gte tgpenanr llwi nede to rcnaesei eihtr hoexetivlryno edso in iiitnncpaaot of isth yrcpngnea cngh.ea

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 +4  upvote downvote
submitted by thotaak(5)
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raNmolyl tlanrame 3T4/ rae uqirdere ofr telaf ribna evpdntelmoe beeorf ltaef hiodtyr angld is ermd.fo ndA etarf ftlea rdhoyti lngda si d,oermf atfle 3T/4 sphel ni anirb l.ptomeedven So ecnieasr STH aemns aedcrdese laranemt 4/T3 nad htsu vhae nab abinr .pevotdnleme Adn esy T4/3 rsocess nalpeta.c

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thotaak  cdcAgoinr to bosnibR ogpalohyt +1



 +4  upvote downvote
submitted by medschoollovin(14)
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mAuuntimoe htityoisrid a(ka i)Hhasomto + -t-ean;ggp&nrt khnTi bouat liysostpiib fo etfla htdmpyirishooy due to oiytbadn deedmtai maanertl yhrsimiyotphd.o edLas ot m.tnisrCie igsFdinn ni iatnfn ear het P6' ot(P yeb,ll eP,la Pyuff ceaf, gPnriodutr luiiumbcs, roenubtratP tgu,eon dna oPor rnBai mnldt.eevpoe

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neonem  I no'td utsdnaenrd teh ltsa atpr fo sthi osnetqiu mets .hh.gtou. if the ht'rmose HST nir*sae*sce uirndg nayencg?pr 'loWudtn hits frtheur rcnseaie rhe o(nard/ het )esuts'f couinrtdpo fo T4 and suht rttcuocnae teh ?otiypmsirhodhy +
poojaym  neem@on o.n mnomAtuieu ihdimypshyrtoo si a iurtctneods of het dtyhoir nag,dl nad a seaedecr in iuocnodptr fo ./TT34 n A screanei ni HTS mesna hatt eterh si ont guonhe TT4/3 ot ntbihii ,THR dna so HTS is bgnie seederla ot tsaueitlm eht hydirot d.ngla +41
arezpr  THS, ,3T 4T dna yrhoignloltub onanct rossc hte tnceaplla .rrreiab +1
chamaleo  ezrra@p lagohtuh oehst osnmehro nta'c ss,rco eht stiuditaobneao ormf 'astimoosHh nac +1
yotsubato  eTh bayb hsa its own HTS huothg +
sbryant6  HST mecso ofrm teh ituaiyt,rp nad act on hte hty.doir soinbdeAuatoit acttak eht hido,ryt os THS o'esndt owr.k +
kimcharito  on oetrig te?hn +
lola915  I inhkt teehr is on rgiteo bcaeseu eht as'bby dhyoitr andlg has ton llyfu eovdelepd and etehs nsmguilomlnbluio omrf het htmero docul ktacat eht iyrotdh gnlad dlingae ot ssusie wthi sti' pnolmve.edte +



 +2  upvote downvote
submitted by ∗apurva(101)
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ehT lear gntih is ST,H ,3T T4 and gitoblnhryuol nantoc sorcs l.etnpcaa T,HR i,oeIdn SIT nca fs. sIorc mehtor sah ghih HST gndrecnosi(i amrrpiy soyptrdohhiiym) >—; oorP ibrna enItv emepfodl trhmeo hsa SIT htmi)oasHo( &tg;— rsocs hte ealclanpt rrireba c—Ieansre in tridyho aldng (May enprtes twih drsitor ta biht.r

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demihesmisome  hhAhhh khaTn .oyu siTh swa athw I wsa tnryig ot dt.sderanun +1
apurva  aseelp enot htat eerf t4 nac sscro het etncplaa +3



 +1  upvote downvote
submitted by ∗b1ackcoffee(115)
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tcxleya ohw odes amenartl aimsohhot cna sueac re?mitnsci

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lola915  sohtaHiim si dsacue by nibdiaeost asantgi dorhyit rpeoaisdex and rugbonlyolti.h sTeho sondebiiat acn sscor eth cneltapa and caefft bsibea rdohity dangl nisuagc tgnoalceni iomhpytyisrdh.o +1



 +1  upvote downvote
submitted by ∗thisisfine (31)
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I htikn tish etgs ta a tnecpco eardelt ot hydtior evlles dna agrnsrecno.te/ygepn

snrotEeg csresneia hte ellev fo ixtiygbnerodinnh- blo,ngiul hwchi toiprmlraye deeacress efer 4T and ,3T dna easiersnc HTS tilnu the iatadidoln GBT ebcsoem daa,teustr nda nmlrao selvle rea dteorres.

niSce sthi peniatt sah uuanmoimte ,stoidiytihr adn urieesrq nxoyr,heit henw her refe T4 rdac,esese and reh SHT ogse up, seh twon meak xaert T4. So nssule she sceeiansr her xhynorite se,od seh ilwl eb yiopotdhhyr -g-t;& ectrsimin in the usfet

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 +0  upvote downvote
submitted by ∗unknown001(9)
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heer si a ypco etdasp kinl .

fit,rs hgih sth = yyodhihpistorm

How can myhitdriosohyp aftcfe me dan my bbya? ithoryd oesmrhno are apiotmtrn to uryo sy'bab nraib dan vsuonre tyssme oelntm,pdeev ratudeetn eylmieyslh—paohdcitspoiyr inugrd eth tifrs mnsiarrttece— casue owl QI and porebsml hwit nlmaor dto.nmlvpeee

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 +0  upvote downvote
submitted by ∗seagull(1933)
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P/1rw/.p.//hic.lt/n9hos/v:pglecw28tnm2.C0mcnitb7Miswa

hTis clitrae salif ot mtnneio roop airbn leenodmetpv ni sHroEPmiiYh.dtRy The uthora usmt hvae enmta rs.dYmityPoOhiH

ihTs nqseuiot spestu em to no den.

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aesalmon  I rgea,e eht atilrec ouy nelidk tasste gssni" fo ftlae ymsthrhiedyorpi cuhs sa atad,acryhci ntureenritia rogthw naoe,aritdrt cridcaa ,lefarui nda teh eevoepltmdn of alfet e "toiI gr shceo snrwea E duirgn hte axme - yrio"dhT ndgla tre aeg"Selliln tnm tryngi ot tnnraedusd woh yteh inkeld smrietcni ot a scea erhwe eht otrhesm' ophmytrisdyhio saw llwe c,rdooentll nad hten sedak rof eht lueaeseq fi her HTS ainr.ceesd abMye sancedrei HTS is ossepudp ot tceidain owgnsnire oyhoythpird - olw /4TT3 ienedng to be ietldmusat by S?HT +



 +0  upvote downvote
submitted by ∗tissue creep(133)
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yM thoguht sseropc saw if het rhtome sah drsaecnei ST,H h'esd be igsun remo odiine ot ordpceu 34T./ aneiMgn sels owlud eb bela to gte to eth baby for brina lpteeonmde.v

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 +0  upvote downvote
submitted by neolidone(2)
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iThs si a yvre tkyric ostnqieu in strme of rpgnhisa t.i yehT kmae su nihtk tuaob tahw feefct hihg TSH sdoe no a uefts ielwh it ylelra tneam htwa cna enhppa ot het byab in an idbyamdna-ttieode myodoshyihptri m tro.eohS aknyes os so yaesnk...

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 +0  upvote downvote
submitted by varunmehru(5)
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heT mhrtoe ahs eummoauitn sihiyttrdio and tretmtnae si nvieg orf hioiydryomthps nlo.y yhw oeds it ttemra fi teh 'merhost SHT is ighh or lwo? Adbooeuititsna ludow tllsi eb nrseept nda htye dwoul sylaaw cusae teinmrcsi srvieeiptecr fo emotrh rmnhsooe l.evel 'nIts t?i

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 +0  upvote downvote
submitted by ∗hayayah(1212)
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niCsmeirt ilocn(naetg yysptoo)imdhrih si teh omst omocmn useac fo alreeatbt nltmea saib.tliiyd usCesa opor brani nte.vdoelmpe

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