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Retired NBME 21 Answers

nbme21/Block 4/Question#15 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Lack of choroidal pigment deposition in the macula 🔍 / 📺 / 🌳 / 📖
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 +32  upvote downvote
submitted by ∗henoch280(70)
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@.tmyem Tihs ieontqus stest rou lngdekweo on miasnbli whcih si rolaylnm a arsisoeytn cnfedecyii siaesed tub eth gtenievt eatsst ttha hte sb'yo mbiasnli is escaud by a tgnecei ionuamtt in the 1RPYT nege hcwih si hswno ni eth ilochmcaebi pyawta.h A geen taht lesph ni the iteshsnys of unainlEme.

Nwo uyo hvea to tenusnrdad ttah lal oprcerrssu rbefoe hatt gnee si het tawahyp wloud lslit be labialvea if ont eencadsri hihcw kmea 2 of teh tonpois in hte euqoitsn g.norw

you oals haev ot anetrndsdu )imnl(ehtu nEi:sa = nmonn(elor)ima ei. omlran innemal hciwh si evptctroie to the is,kn erescdsea ecviraet noxgye ecespsi dan vsgei the krad nmsigpet to the ,srii ,droicoh ki,sn aihr (. oe)ci.elmnnwte li.aehf = ane)i(elkmafn .ei pemnlniohae, eht eon psernte in uor tnaiept ehre hhcwi si slse retciopvet nigaa the vu rysa, cotnan npemgit and toncan aerecdse ROS dateregne in teh ki .sni poeh ihts shlep

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 +4  upvote downvote
submitted by ∗cantaloupe5(87)
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ccorsPes fo moetinlinia fro shit o.ne oTw uoy nac iileamnte yiimmdaltee ustj morf kinoogl ta the ciicabomhel yahptaw .rtcah The thore owt irueqder kedngweol ttha inelenaum is eorm ereicttpov nhta hloiennaepm (shit is hyw saeedrhd ubnr rmoe aiels)y. cusaeBe pmhnoneiale si less crepevtt,oi heret odwul eb mero ton ssel ROS fmor stg.uinlh

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temmy  i do'tn drnaustden itsh at ll.a i ma clmlteeoyp a.apknlsl.be.e elhp +3
henoch280  @.memty ishT nuiosteq stste rou lkedgneow no smnilbia hhwic is ymonrall a anisstorye cnceiidyfe sdeasei ubt teh enitvget tastes htta the b'oys samiilbn is caused by a ignecet mtntuaoi ni hte R1PYT enge hiwch is nsohw in eht ioblhciamec w.apayth A egen htat plhse ni eth tinssseyh fo a.ne nNilwEomu oyu avhe to tnnrauddes ttha lal rcrsspoure oeefrb thta egen is hte ytaawhp udwlo lltis eb ailbvalae if ton sierceand hciwh kmea 2 of eht otinpos in eht ionqteus noywguo.r aslo have ot detudasrnn u)ns(him:iaE tlen = na)(mneilmnoor i.e rnlmoa nlmiena ihhwc si oertviptec ot eht nkis, dseacesre vicateer ynogxe ispesce nda iegsv het kdar petigmns ot eht ,siri i,odchor nik,s iahr fael(i.h) newc.mleeot. in = l(eiane)nkfma .ei poni,naemehl teh eno spetner in oru pentati eehr wihch is sles oitvteprec giaan eth uv s,ray tanocn tnemgip and ontnca sedceear SRO reengtade in teh ki.ns i hoep thsi pselh +32
eacv  8ceh2o@n0h tahnk u yerv much! I gto ti ghrit by kluc btu own i do nstenudard :D +



 +4  upvote downvote
submitted by drfish(4)
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I bvlieee tish one was sjtu an asrnwe of xuosecnil / pceorss of emt.lniinoai oYu dah ot ntasdduenr atht hte ttcoeopirhpoevt from fo nmainle is het bklca oen (melinunea) dan anhenpyiolmt ()rde si lsse tort.pcophietevo mroF rheet ti asaclylbi is igyans a emtoelpc ossl fo nonuticf tonatium fo P1Y.RT

  • sAcbeen fo itonyseras (icceoh )A is oenilsidsate—tmyrniea si way emrtpasu fo P1R.TY

  • sadDrecee itntrnoscanceo of 5,6 heci(oc B) si inatidmele nicse herte dulow eb iendcaers sautsbret fo T.Y1PR

  • saedceDre OSR o(cihce )C dna cdrsaneei trphocopottoine cho(eic )D rea eeditimnal uecbsea hrtee is sels rtopethniocpoot rfom the olss of luemnnaei = eiecsndra SOR.

laAptnrpye cdiraohlo epmgnti si maed fo ntymeohpainl but on way ouy eerw exepecdt ot owkn .ahtt

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 +1  upvote downvote
submitted by ∗sweetmed(157)
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uElinmena osla shlpe the ohrdcoi iimtl dronuonlelct enrfeotlci htiwni het yee ahtt doluw lpytnoietla tuselr ni teh pneopcriet of nfginoscu imgae

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 +1  upvote downvote
submitted by ∗sahusema(173)
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I tcu onpe an bllaeey ocen nad I was eusdisrrp owh nsdee cbakl hte mlrteaia edisin aws. Tath ulps osrcpes of otmennliaii uhbgrot me to teh tgrhi nswrea

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