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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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temmy@. shTi eusiqnto stset ruo eldgoknew on miislabn chihw is rlmlyano a otsyeniars edycencifi aeidses ubt teh ttgieven stetas taht hte 'boys sblanmii si saudec yb a neciteg uaottmni in eth 1YTPR eeng hwich is hwnos ni the beiimcloahc apayt.wh A eegn hatt hespl ni eht esysishnt of enlu.amEin

wNo yuo hvea to etnnrsddua atht all cprsrosuer efreob tath egen is teh awphyat luowd isltl eb ibvaeaall if ont iscdeeanr chihw emka 2 fo teh soionpt ni the nuieqots nw.gor

uyo osla ehva ot snduretdan :sith mun)elaniE( = )(lonraonmemni e.i maonlr ailmnne hhwic is tctovperie to hte nk,si draeseecs cretaive oyxeng psicsee dna isegv eth rkda tinpgmes ot teh r,iis cdorhoi, skni, hrai l)oen.ehwm c(itl ia.e.fne = fealaimn(e)nk .ei opanl,hneime eht neo prnetes ni uor tnatiep erhe hhcwi si ssel prveicteto ginaa eth uv sray, nacnot minepgt nda tcaonn acdeerse RSO antgdeeer in eht .ikni s peho tsih elphs

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 +4  upvote downvote
submitted by ∗cantaloupe5(87)
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ccrssoeP of enalintomii ofr hsit .neo owT you nca amletneii dilmeimyaet stuj rfom nkgiloo ta the amilibchceo tahapyw r.chta hTe rehot owt uerdreqi eldknoegw taht elneumnai is emor tireetopvc hant aomeenpilnh tsih( si hyw adserehd ubnr mero .yase)li uceasBe lnnmiepehoa si sles croeeptivt, ehret duwol be erom otn elss ORS mrof g.tihlsnu

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temmy  i to'nd rtdeasundn siht at a.ll i ma pyecltelom sa.aknbellp..e phle +3
henoch280  .emytm@ iTsh stuqoien esstt uro eowkndelg on bamsnlii hchwi is lnoarmly a otrsanseyi nyidfcecei ssaeide utb eht ttnevgei sattse thta eth yb'so baismnli si udacse yb a tegniec inotutam ni teh TYRP1 neeg wihch si whsno in eht ccohabemiil whay.atp A egne htta spehl in hte yhistnses of .o ilnNuemEawn yuo vhae to datusdrnen htta lla orscupsrer freebo tath ngee si the ypwhtaa lowud lilts eb lelvaabai fi ont ereiadcns hcwhi mkae 2 fo eth istnoop in teh ouqitnes gornwy.ou lsoa hvae ot nnutseadrd hE:niamu(i)sltne = i)mreolnomn(an e.i lnramo linamne chwih is pvceriotte to het ksi,n escsarede ctreivae onxgey sescpei nad sgiev eht rakd gipmetsn ot hte r,sii r,doihco ,insk raih e.fil()coe mn..ieahn etwl = kfmaln(i)enae i.e n,nepihmaleo hte oen spetrne in rou neptita eerh wcihh si essl ecrpevtiot aangi het vu yrs,a actnon pmintge dna onatnc aresecde RSO eadegnret in eth .i nkis heop tish lepsh +32
eacv  no@0che2h8 hatnk u veyr !chum I tog ti rihtg yb ukcl but onw i do arnusetndd D: +



 +4  upvote downvote
submitted by drfish(4)
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I eevblei shit noe wsa tjus an earswn fo ucsnxlieo / oerpscs fo eaiolt.nniim You dah to undstdnare hatt eth ochrvtpoettpioe fmro of lnamein si eth alkbc oen (eimeunaln) dan tnypinaohelm )d(re is ssle optvot.ethpcrioe morF eethr ti acbllaiys is iygnsa a emltepoc loss of cfuitonn oinutmat of P.YTR1

  • enescAb fo artsinyseo o(ichce )A is iatenldsni—setmoiayer is ayw uremstap fo Y.PT1R

  • Dsarcdeee rntncasconteio fo 6,5 c(eicoh B) si tindmeleia nesic reeth olwdu be naieedrsc seattrsub fo TYPR.1

  • erecsDade ROS (eihcco C) nad edsnarcei hteorootptcinpo ceoih(c D) rea dnetalieim euabsce ehrte is slse niotohpeottprco omrf hte ossl of lneeimuna = niedresac OR.S

rpeynlApat dichoorla ntgempi si emda of ynpnolemahit but no awy yuo rwee dxecpete to kwon t.ath

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 +1  upvote downvote
submitted by ∗sweetmed(157)
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limneuEan osla esplh the ocordhi milit nlotudloercn lrietfceno iintwh hte eye htta woudl illottenpay luerts ni eht enpotpecir fo nuincosfg iaemg

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 +1  upvote downvote
submitted by ∗sahusema(173)
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I tcu opne an eeallyb eocn nda I aws erdrpissu owh esdne lacbk teh alirmate iinsed a.sw tTha puls ssroecp of iilenoaimtn rughbot em to hte girth asnerw

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