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Retired NBME 21 Answers

nbme21/Block 1/Question#39 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Genital herpes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +35  upvote downvote
submitted by โˆ—madojo(212)
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Know oruy S'DTs ybba -); (nigog hhurgot evyre oreth hicoec no hsit oi)etunsq:

  • alieactrB oiaisgsnv eacsdu yb daerarnellg vslangilai. eS a t,hin off iehtw dhisegrca and sifyh semll hf(is ni the a)edgn.r heesT'r on aafointnmmil aLb :nsgdnfii Hp reraget tahn .54 u(sjt ilek sicsr)ahiti,mono and a tpsoviei fwihf tets twhi KOH. metS lliw ysa nhsigtemo buato umaoosordl geshcaidr and whos hte aosfmniu LECU SLCEL if we are c.lyku otN eht neasrw fro htis eoiuqtns ylusovobi eabscue ew oudwl tno xtepec lcesisev with iths telcbraai isa.esed

  • dsdaiinsiaC is ngoig ot be uroy kcthi tegctao esehce hrcigsaed, wthi oaa.mntimfinl nlaorm Hp see epodhes.hyapu arteT wtih aiotlpc ntant,siy ro raol nooeclzluaf lsnuse 'reoyu garetnpn tnha ues oaorliztel.Cm aigAn not gogin ot ese ayn eilves.sc

  • drcoanCih per urdlwo si acodtessai hiwt aueomishlHp ydureci ouy wlli aevh a pDee nuprlute lfaiunp ucrle twhi vtpeiparuus .shetydnlaipmi llWi eb dtlo thta atinetp ash aluifnp nlgaunii se,ndo eethr may be lueplmit deep ruescl tihw ewgyyal-lor audtexe. You do ryc wiht H. iudRCY shTi wuolndt' eb teru for awth ruo aetnpit has in this eounqist asecbeu ew tea'nr todl of nay nlgniiau eh.ntpydaao a klni ot a nirachcdo ADV

  • mahilyaCd atsthcomira ussaec pugalomronmlyha neuemrve whchi is malls lhsowla r,cseul nsl,sepai ubt ethn hte lrage aunflip ldecoecsa iunaglin hlpmy doens kaa SUOBBE. apmdrCoe ihtw grnoohena eht rhigdesac is remo nhrtnei nad ywarte. nigAa not hte acse ehre sa ist apifunl and no oinnmet of yna OO.SEBBUS eTh acdhgires in hoonrgaer is mroe tr.hicke Btoh leda to IDP, etrta rof tbho sueaceb oocftiennc si nmoom.c tihW hobt teatpin mya avhe oems tsro fo ianp or nuignbr nisoetans pnou irn.itonau eilertS ryupia tghhou ofr ot.bh

  • yalmCdnoo acmtiuucmna si a sniietaaotnmf fo VPH 6 + 11 tae(igln srat.w) Tehy kolo like big .slrufwieoalc ihTs is ni acrotnst to ymlaodnoC taal htat yuo ees ni ipilhsysl whcih si tsuj a felrtta lttae wronb iokgonl acml.eu

  • laenGit pHerse (hte anrswe to eth qsoetnui) iwll psnrtee hitw ueltlmpi ifalunp laiucresipf lveissec or ainelruocts wtih sotiaoclnuntit ympmtoss r,evf(e il)ameas tsuJ istf bertte athn all eht heort hoicsec I arn toghrh.u

  • lShyspili is eht ainselps eahcrcn. UW rcseesidb ti sa a ,lngsei ndrediaut well rmbcccirseidu curel, hwti a ealnc sea.b eeS ksrwccero grsanioms no DF omsp.iyocrc eeKp in inmd etrho nalsiesp sculer rae maharnmpoolguly enrvmeeu fo mciaylda (utb het sbobue aer ashwt fupialn otn hte ucrl),e dna amnuarolg gneuiainl dioon(snsaov - eslelakbil i)ltmrosngaau tub thwas mlarkhla bauot isht eno si ahtt ist sepaisln wttoiuh ptnmeopalhayyhd

nI ,hsort eb f.esa

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drdoom  tshi rwpu-eti is WEAMESO ... ubt it olas mead me mvit.o +1
b1ackcoffee  ishT si ewmsoea, wpteiu,r nto hte .dtss +1
lovebug  FA 2190 pg 81. 4I dmsemu pu js@mdooa' mns!ihotemct tipeatn ahev ul,"tmelip edrtne eislcesv nad ndr"luc ae. tncsa ilagnav ahrsc )deAgi. cBatiealr iasgonisv t;-g& NO elcives t;&g- o)r/B diaCsdniisa gt&-; ON ecviels -gt&; or )/C adCohcnri gt-;& usohld ehav ainIlugn adtyhnpAeo &-t;g /ro D ) C. oacahsitrtm t-;g& heav gLrae uplfain nuilgina NL ;gt-& r /o)E yamloonCd aautancim &;g-t giB flruaiewClo ;t&-g rF o/) lGenta pshere &;t-g S)G!Y!E ! Gohaoernr ;-tg& ON Veec,lsi cyrame prneult cadsigehr t;-g& o)/r H .C tmrsoaitcah iagan em(as as )D -g&;t r/I o) piSsilhy ;&g-t eslnapis hcecrna t;g-& or)/ J nocirosTiamhsi &tg-; tresabyrwr ecx,irv itmoel ni wte eppr ;&-tg tksnrh/ao !j@mdaoo +
homersimpson  otGta voel teh UBBOES +



 +3  upvote downvote
submitted by gabstep(15)
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AF 2019 8g:4p1 Ginleat heresp pnteerss hitw pialfun aluvrv or vreliacc cvleiess dan ;lsrecu can eacus ytscmesi oytmmssp hcus sa v,fere ahed,ahec ymgalia

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sam.l  het toqnesiu stem attess a a" necst ganival "rcdhigsea si htta a oactrsirdt in hte unieo.sqt +
kentuckyfan  taS""cn nmaes yvre .tlltie +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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fI oyyndab hsa a dgoo ayw of /ginhibgtrneiiusidmermsneg lla the fdfieentr tnotisesnarpe rof lngtiea osre,s Id' ieprapatce teh hep.l

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hungrybox  lPs pots sa a srapeate ostp dan ton a nmectmo ot isth .tho Teh rgintfotma fro teesh omcntmse xsu +1
whossayin  migsunAs u aveh ldWUo,r just pety xsaeylul tnedtrsiatm en.o.tsfcnii atth belat is eth bste OIM +
lumd  Tnkha uoy so uhmc orf hte t!pi itDn'd nokw ahtt uyo can areshc fro cifpices tscoip in W.U +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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yWh si ihst TNO dccarnho?i hsTeer tnhgion eehr htta sulre ti uo.t

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drachenx  arndhioCc si screbdeid as na ..crleu iwthsl in iths uniesqot yhet tniedmone "iev.se"lcs eyPtrt humc lnyo eershp is airuvscel +6
whoissaad  Tehy mdenotine ecruls .oto I seoch ccohnardi sa ,elwl tonuc'dl nidf a cule to reul ti uot. lAso uhhottg "di"hcegras swa iptiongn ouy rwsodta a liartcbae nietiofc.n tuB ssegu m'I gwrno :) +
emmy2k21  I tinkh EL/MMUNSBE tewirrs aemk hte upsimnoats the tptaien si ni racimAe elsuns pfscieide showe.etir doinhaCrc is not moomnc ni teh .US fI het iuesqnto etsm monisten a epdonelivg yt,runco hent arhcodnic cna eakm ryuo fntarfiedlie lti.s +1
selectuw  for iho,ccdanr eehrt aym be a nmtneio fo ungniail lnahappdoeymthy +2
samsam3711  olAs with aodihcrcn suoseiqnt thye awnt uoy to aefidteernfit ti tbeeewn cinrhcoda dna iplsi,hsy e(.g Pnfulai sv. lseinps)a nda si ualuysl cibedsrde sa a hmuc grrlae rucle ttah si ufplani otn( rusleivac as in shit uotes)qin +
suckitnbme  Aslo veilebe taht hidccnrao eosd ont tpnseser iwht iteysscm osmmptys iekl in tshi .nevtiteg +



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