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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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hTis nietsuoq si daprehs yl,tneargs utb 'ist ealenslytis kgnsai h"awt ludow pneahp fi itsh 'mswnao rmspoiytidohhy abecme uelnrcldtoon vero eth rseouc of erh gace"nyrpn?

elcrtunry hre HTS si ogdo -;&g-t owceledot-lrnll pPdLyIm tEyCsHiThAirOYHooTh hhgi THS t-;&-g hre pihdsoiorhmyty umts ONT eb crll-loeelntdow ud(e to purdosinit of het HH/RT43/TTTS/ encirneod sxi)a

oS, now htat we ntuddneras ahtt teh niouqtse si ngiaks wt"ah loduw hpenap fi reh smypoihortyhdi aws lntlucden?"oro

:wAersn imsctrine

I ntkhi htat shit soeuitqn is esphdra oula,sioctry tbu fra eb it rmfo me ot ircicitez hte ULSEM nlgsineic ar..od.b

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yotsubato  I hktin atth tshi eutiqnos si rapheds ,otsioualycr t Ju s ekli hte estr of eht MNBE +26
b1ackcoffee  lxcteya ohw oeds eaalrmtn htaimsoho cna saecu cme?rnstii +1
notyasupreme  1fck,oeab@ecf 'sit tno mtealanr aoimshh,to callsyiba oyu tsju veah ot risgraded teh ERNIET tsneoiuq tems nad teh stla ptra of het ecsteenn fi( het mmo's TSH osge p)u enmsa ttah ees'trh hrmoptyisidoyh ggino no, ihcwh ceuass rtniemc.is +5
b1ackcoffee  knhsaT ouy mren@os!paeuyt +



 +12  upvote downvote
submitted by direwolf(12)
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hTsi sha ot od iwht nduadgntisner wto hng,tis taht eaamlrtn torhiympshyoid is ikldne to e/tsmrCiuelnanri loedpetmven fo eht tesu,f nda mlaron nypegancr yhpisooyl.g In enarnpcyg, searnecid rsmhooen ialsmettu ielrv cdtunrpooi of vorasui onpirest leki xeS eonHmro iindBng inGuolbl )HxGSBn,(rheToyi Bndniig lnoulGbi ),T(BG c.te Mreo GBT eruddocp = reom 3T4/T is d.nbou esLs 34T/T uassce mroe HTR earsee,l ermo STH ereal,se adn eorm T3/T4 rtnpoodcui tulin efre T3T4/ lelevs era kbca to rlon.ma In a alonmr ry,acenpgn isth ehasppn no remoplb. In omeneos with pxtig-nirsee imtyyrpshooidh got,huh deyaarl sha iadriepm T3/4T nprt,iooucd dna 'tnwo eb aleb to epke pu itwh nacreidse mnaedd. iehTr 3T wlli rs,ie utb shit 'ontw tulser ni acneresdi 43T.T/ lalyT,pciy nweom thiw m'shiatosoH iesgridn ot gte pngratne wlil eend ot riscaene treih reoxvyoeihtln eods in iotatanipinc fo ihts gearcynnp gha.cen

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 +4  upvote downvote
submitted by thotaak(5)
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yoallmrN emaalrnt /3T4 era eudrreqi rfo tafel rbnia dmenplevoet feebor atfle ihryodt nagdl is mdfreo. nAd areft aeftl oydihrt nlagd si fmeord, eaftl /T43 eslph in rbian mdveepon.tle oS cseeainr THS anmse ecdardese etamlnra T/34 nda sthu ehav nba abirn tdlevnpoeem. And esy 4/3T ocsesrs pnaaltc.e

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thotaak  gdinccorA to siRonbb yalhgoopt +1



 +4  upvote downvote
submitted by medschoollovin(14)
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utouniAemm ihttoyirdis ka(a )maHistooh + t&grnpt-gan-;e hkTni taoub stibiyislop fo featl mdsohiotirhyyp edu ot tbiydaon tdieadme nrlmaaet sd.miyohohiyprt Leads to .emtsinrCi dnsgniFi in nnftia rea eht 6P' toP( lyb,le ,lePa fPufy aec,f uonrdPirgt ,ilmuibsuc noePtubrtar ntu,oeg dan oorP nrBai enve.lpdtoem

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neonem  I ndto' densnrtdau the lats rtap of hsti uoqitesn esmt oth.g.h.u fi hte srht'ome TSH rnsca*s*eei durnig cg?nenyrap uod'tnWl ihst fhreurt enicesar her da(/onr teh ss)teuf' nuptoocrdi fo T4 dan suth ntoucatrec eth hirmpoyohyid?ts +
poojaym  @mnoene o.n ienumtAomu mphrohydtiyiso is a itneocstrdu of eth dtyhoir dalg,n dan a eaeedrsc in tporcionud of .T/43T nA aeenrisc ni SHT sname atht hrete is ton hounge T4/3T to htnbiii T,RH nda os SHT is gebni daersele to iumetsatl eht ydhroit na.lgd +41
arezpr  ,STH T,3 T4 dna uolthbilgyron ocnnat scosr het aapltlnce r.iarrbe +1
chamaleo  za@eprr htouglha hoste homonrse 'ncta sc,ros eth dbientotauiosa ofmr atmH'shioso nac +1
yotsubato  heT baby hsa sti wno HTS gohtuh +
sbryant6  THS semco ofmr eth yu,atriipt adn act no het i.hdtryo oestibAidanout caatkt hte i,yodthr os THS 'eonstd .rkwo +
kimcharito  on oeigrt h?ent +
lola915  I ntihk terhe is on otregi acbeseu eth a'ybbs rodhtyi lagnd sha not lufly odepdlvee adn eshte inbiosumugmollln ofrm teh ehormt codlu ttckaa teh hoiydtr lgnda gdeailn to siuses hwti sit' .elnvpdmeteo +



 +2  upvote downvote
submitted by ∗apurva(101)
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Teh arel tnihg is STH, T,3 T4 nda hnigbyoltuolr notcan rssoc te.aclanp T,RH dinIe,o IST cna I s.rosfc hterom has hghi HST rne(sidciong yrpimar )potodrisihyyhm t&g;— oroP nrabi eelnIop vdfetm otmhre sha IST (atHhsmoo)i t&;—g csosr hte talalpcen brerira enr—esaIc ni oyhrtdi aldng (aMy srtenep tiwh orsritd at hrbti.

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demihesmisome  hhhAhh aTknh .yuo shiT saw wtha I was tyigrn ot ensand.trud +1
apurva  eeslpa etno atht efre t4 nca ossrc the peanaclt +3



 +1  upvote downvote
submitted by ∗b1ackcoffee(115)
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aexytlc who sedo analemtr htosaomhi can ucsae ie?ntcrims

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lola915  hsiioamHt is ecsaud by itnseoabdi agsiant odhrity saeeixordp adn ooub.hgllnyitr oshTe easdbnitoi can roscs het teacplan adn aefcft sbeiab hoyrdti algdn iusgacn gienaocnlt ioy.opsdtrhyhim +1



 +1  upvote downvote
submitted by ∗thisisfine (31)
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I nhtki ihts stge at a optccne rdalete to rdiotyh lelvse dan rsrnn/a.yoeetcggenp

sgnetoEr renasisce eht elvle of rnx-oditieignnbhy boulnl,ig hwcih oilaeyrtmrp arsdeeces eref T4 dan ,3T adn sirecnase THS lntiu het aniaiddlto TGB oecebsm edat,asutr nda rmoanl eesvll ear .etsrdore

nSice this eantipt sah nmetaioumu iyhiit,rsotd nda ueriresq eytxihon,r wehn rhe erfe 4T ,acsdeerse dna reh HTS geos ,pu she twno kame eatrx .4T oS ssnuel ehs eiancssre her nhireyoxt od,se seh lwli eb yordhthypoi &-g;t- nrmctiies in het fstue

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 +0  upvote downvote
submitted by ∗unknown001(9)
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rhee is a yocp eatpsd likn .

trsfi, high tsh = iphdsytoyihrom

woH anc hrohypidotysmi affcte me nad ym ybba? riythdo shrmoone rea irantptom to uyor by'sba abinr dna rneusvo ssmyte eeem,nopvdtl eteutadrn ipohlld—etyhescyiispoaymr urnigd het rftsi —rarienttsmec cuase olw QI dan rmpsleob whti lramno e.vndpeletom

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 +0  upvote downvote
submitted by ∗seagull(1933)
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Pw7trc:na02Cn/.ewvlhnhtcspgt.c/i//ioM/m9.8blwmi/2s1.p

ihTs ecirlta lsfai ot oentmin rpoo aibrn veetpdemlon ni HPoYmti.srdyRhEi The arhtuo sutm heva neatm dsYtmPrhOy.ioiH

hTis itosuneq ssptue me ot no n.ed

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aesalmon  I geear, eth elrciat uyo ndkiel attess "ssgni of etlaf msreyoyrhidhtpi hcsu as ratahcdi,yca ntianriruete tworgh ietaarodrtn, dccraai aiflr,eu dan eth nepmtlveedo fo aflet ge r "toI i ocseh awrens E rdigun the aexm - y"irhTod ndagl tmnele"ael Snitrlg ytgnir ot esdtrnnadu how tyhe inedlk itrnimesc ot a eacs hwere hte hrt'mseo tmhdoyishorypi saw lwel oedltrl,noc nda ehnt edska for hte leaseueq if rhe STH de.siceanr eaMyb iecearnsd THS is dsoepsup to tdacniei eiongsnwr hoiothdyryp - low 34TT/ gneendi ot eb ulttdmaise by HST? +



 +0  upvote downvote
submitted by ∗tissue creep(133)
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yM hhogtut crssepo saw fi het mohrte hsa ecdiesanr HS,T ds'he be guisn eorm edniio ot dorupce .T3/4 Mgannie essl wluod eb beal to get to the bbya ofr nriab le.tdevompen

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 +0  upvote downvote
submitted by neolidone(2)
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Tish si a yvre ytirkc tiuqones ni smter of rghniasp .ti yehT kmea us knhit utoab what feefct high HST odes on a seutf lewih ti eyllar eanmt ahtw acn pnphae to het byab in na ebdoeymaditdia-nt tridpsmhiyooyh mhtro.oSe kesyna os os .eayn.sk.

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 +0  upvote downvote
submitted by varunmehru(5)
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heT rtomhe hsa uiauontmem shiotdiyirt and tteteranm si iveng rfo ophomdhyiryist .oynl yhw deso it tmraet fi het o'erstmh TSH is hhig ro olw? oiedaitunAstob oluwd lltsi be pertsne dan tyeh udwlo wlasay sacue timcsinre ceeptvrriise of emhtro eosrnohm .leelv 'tnIs i?t

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 +0  upvote downvote
submitted by ∗hayayah(1212)
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senrtCimi igeta(cnnlo rydm)itsooyihhp si het toms omomnc eucas of aabeelttr malten ilsaib.iytd sCaseu orop rbina dopee.mnevtl

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