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Retired NBME 22 Answers

nbme22/Block 2/Question#7 (reveal difficulty score)
A 66-year-old man comes to the physician ...
Libido: decreased;
Nocturnal erections: normal
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/ 📺 / 🌳 / 📖

tags: erections libido penis

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submitted by paperbackwriter(161)
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ISOLRPES FRO NEBM 12 -- NTDO' AEDR HAAED FI YOU AVTHEN' NTAKE 12

rAeft ttgineg ti rnowg aebcs(ue fo eht NEMB 21 ,)Q I sdotnoudre ti eikl i:hst

– oLdibi is a glno rmet tat,es niegnam oyru liodib ldcou eb n,fie but yteaxni in hatt EMONMT mgith aecus pohsecicgny ED

– sTih ugy sah omes lascics IGS E CSPA teacirri igogn no: iatfeug n(ygere )ol,ss leesp c,bturdsesian oanorinettcnc embsrpol

– tI ayss he ns'hat bnee beal ot nmiantia ayn tneoceri s(v MBEN 12 gyu ahtt aws ealb to tmbauseatr (ihs goln mter sxe dierv swa KO) utb dah enoramepfcr neiyxat in eht m)menot

heTfrere,o kalc fo esx dveir dfuele by sseiepdnro t&g--; lwo d,obiil utb ioliaygphoslcyl nhongti owrng hitw mih t&-g-; iinetmtgh iertocnes

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trump2020  Bessl oyu ofr liucndngi eht erilpos rnnwiag +2
kernicteruscandycorn  rkewaaetipcrp:r@b skic aemn dna rerencefe +
imgdoc  I knhit I neesadwr eth NBME 12 oineusq,t nad areft neadigr ,stih dtnid' do usiejct to teh atinno.xeapl htBo sith etnatpi nad the EMBN 12 tpteain ahev hnspcoyegic D,E utb eht eronsa YWH yteh eavh DE is !dtifneerf nI BMNE 1,2 yhte rlcaely eteionnmd woh the anm ueamsattrbs dna has aomrnl nucnraolt oi.ctnesre oS it wsa safe to asusme his biolid wci(hh is fiyedlteni lekndi ot ssetettnroeo sl,lee)v dan ocuantnrl esroicnte were ifn,e he mya jtus ahve ebne vihgan nraerepcmof TAINYXE in ahtt aexslu uait Tnoshsi.it nam ENMB( 2),2 he olsa has SCIHEPGOYCN ,ED he si sderseped eilk rewrbpietkrapca peeda,ilxn hsi biodli is inidfetley eeerddsac se(ubace esiosdeprn anc ceasu dscdereea i,biodl) tub ish iyatilb ot teg itensroce sgyylpiaicoholl r(toacnlnu tsn)cereoi rae ectlyoplme nfi!e EM NB is rkciyt cyktri. +


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 +3  upvote downvote
submitted by iviax94(7)
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reTeh ahve eenb a ecpulo of qeiussnto obaut hsti opitc no eth erwen .maexs veI’ eenb snewgrani by eugqnita oidilb ot orostneeetts seevll and nnaroluct sorncteie to lhehta of ateuvalsucr r(eoaiercsotsshl ro o.tn) Is shti tc?rroce

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liverdietrying  Wneh ry’ueo hgnintki fo ob,iild ’notd ustj eqetua it to orstnetteeso -- akme eusr y’uore lyasaw rsegocndiin rpdsnieo!se seneDrospi ofnowlgil tkeosr si co,nomm elpslcyaie twhi uadeirsl hcaylsip isai,iybdlt os sith olwdu eacedser his dbl.ioi Nnauolrct trceieson qeuaet to “seod ti ltcalyua r”?wok ont tsju eth stecuavrual tub het rnlaeu tpuin as lwel. Fro p,eealmx giunrd rpmeotoscatty eaadmg to hte eplicv uelsxp (esvre)n can dlea ot pnio.tmece heres’T hiogtnn ot gusegst tath eh hsa varcsula ro ogeunlocri reietcle cnoutysfidn rh,ee ichhw si hyw shi nourtnlac octserein are ta.ctni +32
_pusheen_  yneirtli@viegrd Wsa ti retmerpau to emssau he sah otebrlu whti scotierne sbaceeu fo ealunr medaga rmfo the o?krets I put wol ioidlb, wlo ratnconul onesect.ri Is ti ecesabu eht kstreo tlusdere in rihsmseieap nda nto niuatmoco noniuytfcsd ro egitnhoms keil ttha? +5
liverdietrying  pe@ushen Ccr,orte you ’wton alaissyclcl get cpeemnoti ferat a iielmgehpc rstke.o His btlianiiy to ievceah an ncoreeit si cmhu oerm ilkely to eb /22 lahcipcossoy fsefcte athn iogacnr di.esesa If hits eivtgnte disneat dasi ttah hsit dha oetgtn a osoypemrttcat htwi tilnusgre gamead ot hte eicpvl nveers ttah lloaw ofr ceernt,io tenh ’tdi be a emro asfe ochiec ot tpu no unanltorc .stcoeeinr +4
fast44  Is heetr a idove or eoeewshrm htta nsiexalp etehs leasxu ?ncsnoduysift iThs eemss to be a tpico ahtt peeks nrepaigte no eht ewn .saxem +2
forerofore  l,elw i uohthg ttah busceae eh dah a tsreok he luowd be ykleli to ahev leecorthoasisrs, wihch duwlo peek lboidi ihgh dan uerecd onlranuct sr,eeconti i inakd iodnreg hte wohel e"´sh sdepe"srde aprt of hte etivngte edtsepi dtgnrisdeannu the mcihamnes l.elw utb fomr a clilnaic resdnepsio optni of e,iwv fi ish tseeairr era titanc, nad he is srdesee,pd htne loidib wdolu eb w,lo dna necsietor seepntr at .intgh +4
pg32  I act'n eermmbre ateyxcl but I resaw teh iquesont on EMBN 12 teh u'syg efwi dah dedi as lew?.l.. rO htey dha ntoget vd?deocri htreiE yw,a he dah moes lyhcaogsocipl aegabgg sa wel,l tbu ihs oiblid wsa isllt mrol,na adn eht pneiaotnxla wsa atht ihs tnetertosoes oluwd eb nife rsrlaeesdg fo hsi rdedsesep dmoo. oS I ewtn iwht hatt coigl rehe adn ssdime isht .qosuntei I ton'd adrntuesnd ohw I am spodepus ot guage nesomso'e obdili basde on avueg thins at rethi oodm, syeiaplcle nwhe in eon xmae doom esod tno esaedcre ildiob and ni het othre it eod.s +1
drzed  @g3p2 bro sspiroel +2


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submitted by adong(144)
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tytPer cumh fi etyh anc temarutasb ro get it pu onela in ayn yaw etirh urcnltnoa cnecteseum udolsh be nmroal niemgan tath iethr iraonntvine adn eefxlr pwyshaat era lla it.nact bidiLo aka esx ivdre orfm athw ve’I esne so far si taleerd by i.eposnders oS lkei ni het ouinteqs on MNEB 21 the tsme easttd hatt neirsgcen ofr speenridso wsa gaevnite whihc si ywh ibolid udwol aols eb amlonr in siht sac.e If se’ethr erev a Q htwi a eedserpsd guy dan amrnol bal vsulea nad clyshpai ex,am smot leiylk ognna eb seecdrade dbiloi hitw mlnora gnhti sieron-ce t osyeucrt of eiyxrn/fuuajld/uioanfs

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 +2  upvote downvote
submitted by elf16(2)
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owH si tshi edertffin mrof het onesqtui on EBNM 12 ni cwhih a 8e-rya6 dol mna laos adh gihcpyoensc DE? Btu hte reswna asw lanomr olibid nad ncnartoul neri.ctsoe

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toxoplasmabartonella  nI ttha ,seac hsi otontereesst saw rlomna nad he dha no gissn fo erdnpoise.s heT tsme did say sih wife dspesa aywa few tmonsh o,ag os i rellosanyp hsoce owl iib,dlo ubt .hwrtavee +1


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submitted by cathartic_medstu(37)
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nOciarg DE: nomlra ioidlb, dceeasedr ulacnntor trceisone

hcscPonyieg DE: sceaderde ldo,iib mnlaro turoanncl eensoctri

oGt it.

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 +1  upvote downvote
submitted by nwinkelmann(366)
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oS, I tohgthu tshi osueqitn wsa espur uevga adn tno .eatg.r. taht nigeb ds,ia navhig ttgneo it ogrwn nda nto lyeral gvniah a gdoo atxlnaneipo for eth arn,wse I idd a iettll ehcrsrae nda fduno siht carltie: 0u.n:1/.oaap61Ta./oohftr/1i0h1.0.Sj//td1/lpsd1w3R.4wwg7.5sr

hisT was hte iman colsc:innuo "heT setruls fo teh nreespt t,dysu daiem at ssagsesin hte fseceft of krsote on lusexa ti,nofingncu erleva a ftncngiiasi cdeline ni bdi,ilo tclioa qcyenu,ref aulxes l,usaoar and aosiatncsfit thiw usxlae flei ni btoh srekto psteiatn and hirte ueps.sso Teh enrestp steulrs laos eameondtrts hatt rirdsdsoe of lxusea cnntisfuo are msto iycilintgsafn ctsadiaseo with orvsaiu oaslsipcocyh frtosc,a schu as npaes’itt lgreane ttuitdae wdarto xuealiyts, rafe fo npoce,imet nad atylbii to ducsiss xuaiely,st as lelw as wtih the eegder fo tkrsopesot naniloftuc ityadilbi.s rMe,oveor axeusl tnfuscyondi swa adleetr ot het nsecpeer dan gerede fo esordis,enp eidesbta eilmults, dna dlavcurrscioaa andctmiieo. heT eoyogtli ro iotnaolc of the trksoe dna teh neregd or lamrati tastus fo hte tpsntiea weer ont tdsaaecios whit sehnacg ni pteokstros yeslitaux ni iantsetp ni eth srpente "st.duy

kLoinog ta eht unoiestq ng,iaa I'm enissggu het aieguf"t dna ifntgcliufid nepglise nda nartgitcennoc" ttaetensm saw eoudppss ot eb a eluc for ss,rnepodei piceleasyl eisnc it atdestr frate sih k.estro A,los no scaliyhp ltnieormaiasb eusgsgt nncoiufignt si ctnita adn uths anolcunrt oeictesrn dulow eb vpdrseree lylram.on shTi si jtus s.udtip

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ls3076  pcerptaiea sthi ndki fo oerfft ot olok pu nujrloa estialcr ubt tolnyshe iths si nto rylael hwat ebnm rewnssa si o..f.r we houlsd eb bael to egt hte swrane mfor pcroses fo tniaibcolnsmiiea/ eccnsie cscnepto dan otn frmo ongkoil pu idutses sa we olvbsyoiu 'cnta do shti on het ttse +


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submitted by ls3076(92)
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Is sddcereea alcutonnr csonirtee nto esolsibp edu to the gtoirnniycu tewbeen soten of ptmmsosy adn stekro 2( oms sevusr 3)? greAe hatt eesth otssnueiq ear evry aveug adn r.sanitftugr otN eurs rhwee ot gte a gdoo arpsg no hist elat.rmia

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submitted by cathartic_medstu(37)
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artloNcun eeinpl ueetcnmsec numetraseme alh(ryhgplaop) si a tste taht ussmerae topeuannsso hygnlit rcintseeo in ieectrel fsocynnuitd ip(iamlryr eormrdpef ni a lpsee oablyr)toa.r 'Its lfseuu ofr grfniainetideft teweebn oaicgrn romf epcgionschy eeieclrt s.cudninftyo

tnVeigte debricsse a lsyibpso esrpsdede tpeinta g;t&= ciypgcosehn eterilec .ytnncdfuosi ceSin it si otn na ogcrina acuse of ,DE aonulntrc terionsec uodwl be mnrlao. cOgniar gelioieots fo DE ueindlc eeinocrngu ro lcaurv.as

Loidbi trap nsuecsof me reh.e bodLii nsema uxsael esedir ro epai.pett I saw kgiinthn scnei esh' mnciog ni to teg ED ehccd,ke it dsaicient s'eh petitpea ofr xes si ngoheu tath ti aedm ihm teg it h.kcce oS ibiodl dhosul eb lmoar.n yAn phe?l

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submitted by mattnatomy(46)
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wAsern = eserdaDec ;dobiil olanmr clnturnoa ecesoitrn

I ieelbve awht hyet erwe rtigyn ot eadintic ni hsit utseqoin swa lPcooalcshigy exuSal tsyoficnunD ka(a - frmerocPena nAet)x.iy

nI ihst ,acse it n'sawt os mhcu the corefneramp ttah eoiwdrr eht ma,n ubt he yam be os sucdoef on his tlehha issues t(sop eo,sk)rt htat he is euanbl ot remrofp eeyqla.uatd ofeehreTr, hsi aunltra diboli duolw eb seedca.rde Hrwvee,o eecuasb st'i nphysciogce &;mpa not spo,iyiocglh eh ouslhd sltil vahe nlrmao ttimhiegn et.icrnoes

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b1ackcoffee  onuWlt'd plccgosailhhyo SD eahv arnolm biliod and ustj cremoprefan yax?etin +1


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