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This question is too complex to answer in a short essay. Discrepancies of this magnitude are statistically significant (i.e. outside normal variation seen in the general population). Causes may range from improper test administration / scoring to neurological impairment (language processing and production). This level of discrepancy should be verified by additional assessment and clinical observation. These results should not 'stand-alone' for purposes of important decision making.

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Q: What is the meaning of a 66 point split on a IQ test with the higher being the nonverbal IQ?
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