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Retired NBME 21 Answers

nbme21/Block 4/Question#20 (reveal difficulty score)
A 7-month-old boy is brought to the physician ...
46,XY ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +19  upvote downvote
submitted by โˆ—hungrybox(1277)
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iThs idevo sinpexal lagtein yylogbmero temereyxl lwe.l

fI uyo lfet ltltaoy otsl eikl ,em htwca hte dvieo ftris ta ,x2 then cehck tuo eht tmboto uigerf on gp. 068 ni FA 0.129

entvalRe ot shti ine:oquts

  1. SYR onriptes mittlaeus evemdlpneto of esestt
  2. hTsi pt ash stsete g&;=t eh mtsu heva eth RYS gene on hte Y ocsoemrhmo
  3. FMI grdadsee teh rnaillMeu ,cdtu chhwi oudlw reewiohts mobece het tenilran fmleae iaientgla
  4. siTh pt ahs teinrnal aemlfe aagiietln &;gt= n'ddti keam henguo MIF

zuQi lyueofsr (wanrsse in a tseareap o:t)ps

  1. sihT 'inetstap rdsieodr nac eb eracdt cabk to hicwh sll?ce
  2. sThi atietpn ahd manolr itnli.eaga If sith peniatt ahd lmelras iaagentli hnta ,mnaorl that wluod eb a edfetc ni htaw ?ezmeyn
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ergogenic22  I ilek ot wrok )wda1c.s krab patnite ash armlno sletisect no ioolgtysh, amolrn pepinrgaa t hiipesns umts nema a Y smcomohore is eesntrp, as tseist minedrntgei ocratf si on eht y oomrhesmco ee(s vaebo stop onitp )#2. I.e. oyu can iatmlinee chceoi A adn aT,thecBelri.ly o 7XY4 dan 47YYX dculo salo tesrpne with aeefml eainitgal eud to kalc of FM,I btu olranm X64Y si oemr mncomo +13



 +7  upvote downvote
submitted by โˆ—hungrybox(1277)
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izuq reofyuls nsewars:

  1. elrtoiS io(erlSt htSus onw,d FMI is dsreeetc by toSeril lec)ls
  2. ahl5p-a eeuadrstc
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lovebug  h-a a5lp tcsaueerd is ued te taht HDT is arnpttiom orf mlea naeetlrx inieat?gla +



 +5  upvote downvote
submitted by โˆ—d_holles(218)
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stih is a cialscs copiteisrnd fo etepsrtins lMuineral tcdu mesrdony

lcsound/aoieiwmardn__i.Mpireurltdgkye

ued to kalc fo FIM mitaount( ni het nege taht amesk FIM) โ†’ sneeecripst fo the arMleluni tdcu โ†’ rteuus nda aoilpflan btue etnrsep ni a YX mela /w esetst licyltpya( rpcrct)hy.iod

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fatboyslim  I n'tdo tnihk het pmoerlb si edu ot ceednensudd etstes cnsei lauxse etdfnifinoetrai sorccu raelire ahnt rttelucais nstceed (7 ewsek osignatet sv. 33 sewke nei.sa)togt +



 +4  upvote downvote
submitted by โˆ—drachenx(72)
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uaBseec his sseectlti rae decsdedneun, his ileorst lscle are parbyolb not owigkrn rlppe,ryo dan reerofeht ont giynntizsehs IFM l.ercotcry Whihc si hyw his lnntriea maeelf eiaigantl si ldealwo ot ldveeeop in a fldtuae ienstg.t

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 +3  upvote downvote
submitted by gabstep(15)
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m'I ihktignn itsh si csaeddeer vllees of aliainuMret-ln ornomhe? hsTi is wath luaylus ibtnihis eht pmeecrnrsiphaao uctd iutteyl(mal ledspoev oitn neanrtil aleemf ilaiagtne) ni ase.ml A iatnpet acn eb YX dan tslli heva aeseercdd .lvslee

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gabstep  AF 1920 gp 068 +



 +2  upvote downvote
submitted by โˆ—readit(18)
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diotdAni ot runHgobx'sy atx:oeapnnli

yWh tsi' nto 74X:YX,

Tshi udwol be ifrrgeenr to nKrl,seiltfee' hwhic si izatcaehrrdec by aml,sl rooypl gniioctnfnu sstectli.e

He,owrve noeiqsut sttaes oimcprho"ogl idessut fo a spbyio epsncmie of hte tteses show on artmbseailno"i

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readit  eroM ylpasccleiif, in tnrKse,e'illef yuo lowdu see nli"eayh suinremesifo ssllurobueeti/t sl"cel on htysligoo +3
pg32  sk!Tahn erWhe idd you teg eht lisoihtgco iidrpcsonte ?ormf +1



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