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NBME 21 Answers

nbme21/Block 3/Question#15 (reveal difficulty score)
A 47-year-old man has jaundice. Laboratory ...
Obstruction of the bile duct 🔍 / 📺 / 🌳 / 📖
tags: bilirubin HPB

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 +35  upvote downvote
submitted by hungrybox(1277)
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yhw mseiyhols is go:rnw

ehTre uslohd atmsol renev be iahgtsrt pu lrbuiibin in eht .uiner nI lsosymhie, eht escxse briilnuib si eetcrexd in het l.bei Atefr ltieaabcr rvoocsnine adn ra,eepktu smeo lwil be deecrtxe in teh iurne sa nuriiol.b worHe,ve in biovtscurte rs,seodidr eht gnetjudcao biiurlinb llwi enevr ehva het rynpouittpo to uoergnd irclatbae vrisoconen to b.orren/siitculo nI hits ,awy hte egndactujo urilnbbii ahs on eorth awy ot eb creexdet troeh thna dliyetrc in hte iuern.

iscretd ot acu//a63rnl7a on dtedri

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skip_lesions  oduFn a good pci wshongi rbnbiiuli ebmliaomts +
coco  nieUr siiylgfosim↑n:hsedn iioounnrbl,lnoeg liibuvubii cbsrnettro ↑:daiunecj ngceoadjut ,bilu↓bniri iornvilnagrbliueol pmr:snolti↓aiha~et lroegioubinln +



 +12  upvote downvote
submitted by peridot(115)
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eHre ym sbta ta msaigrznium lal het .nofi The frtsi adagrim no htis wseeibt is a pseru pelfluh sa wel;l Tihs radamgi otrsa hepls o.to

mlrlaoNy, unlbrbiii romf hte oodlb reamts is cdgteujaon in het ilvre to a al-eborwsutle orf.m hTsi egst idmex hwit lebi to eb etxedcer trghhou eht essn.niitet nI teh amsll ieie,tstnn ti meobsec bleiinroguno, meos fo iwhhc si xcerteed by the inykd,es nviggi pee taht odgo weloly .orcol Smeo of het iogibrolunen utsrn oitn lstoicebrni and tsays ni hte GI ot be eetdxerc ni p,poo invgig oppo ahtt odgo bonrw r.oclo

In ileb duct oiur,ttbnsco bblriniiu gest nactduegoj ot a bsaelutlor-we mrof - neth is't tucks. t'sI lbaune to be exrdctee tnoi eht t,isnstinee nbalue to urnt into nleoougbniir or licbotesirn, .etc Cndjuetoag iirbunibl idubsl up in eht ,vrile nda veylltnuea gtse abdkec pu ckab ntoi het lbood mtaser ehrew ti mcea mro.f Seicn 'sti torasullebwe- adn agiotfln ranuod ni niactcrlu,oi it yaelvultne gtse ildrtfee by the dsnkiey adn ensd up ni epe. biBiiunrl si rerdak in lo,cor so het epe dlowu eb kd.ar ,eHwrvoe eth ootsl owdlu eb lpae necis on citnlirsobe asw mae.d I lbeieev atth sotspymm fo tyhci nisk slao csuorc in eseth escsa sa biel ssatl cbak up and rae psdteiedo ni ki.sn

yHmsisloe is tno eht rtcrcoe srnewa esaceub sotm fo eth rilbnuiib si nto tey nueca,dotjg so sit' otn l-toelwbauser nad sdo'etn end pu in eht enksyd.i

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notpennysboat  iagmnAz atxinloapne, tshank a !otl +2



 +3  upvote downvote
submitted by basic_pathology(25)
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Key tonPi: iibBlriun can noyl eb in hte ureni fi ti :si 1() caonutdjge ,RB or )(2 gurnlibn.ioeo

ecuojagUndnt RB si OTN aewrt uleosbl and erehtreof TNACNO eb in n.euir This si why ouy eus phroytoahtep in jejraN.agliC-rr csendIare gunujectoadn BR t-;g&- raoehphptyot seioeisrmz it so ti emcbseo wtear lbuls.eo

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lovebug  eaclr nad o.rths ood!g TXH +
lovebug  sa githosaacolB_p@y i, nasdI j-rgNearjCilra nyd.s oPoht XT dsoe ont jaotneugc BU,C but dose rcaenies iyPtlaro nad atrWe boutiiylsl ot woall rtxanociee FA( 0,192 P88G3) +1



 +2  upvote downvote
submitted by haliburton(225)
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i hnikt thsi is aesubec bibiunrli is a eusolbl rvlei bnkarwdeo otdprcu of mehe, but sah not renedte eht ontelsetconi/ni rfo tug ecarbait nvoreocnsi ot ontrclsiibe ro ubnliri.o rlonuiib in rinue is aml.nro

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