need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
Retired NBME 22 Answers

nbme22/Block 3/Question#5 (reveal difficulty score)
A 72-year-old man with multiple myeloma ...
Unrearranged immunoglobulin gene 🔍 / 📺 / 🌳 / 📖
tags:

 Login (or register) to see more


 +70  upvote downvote
submitted by sacredazn(101)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

The neoctcp si a dlncvootue ywa of ikansg fi oyu kwne how VDJ inobiaoercmnt r,kwso iwhch is atth it si yluaclta na xemeapl of anitlrge hte DAN of hte TB/ ycmlyp.thoe

outnSrhe blto eun:chteiq So nweh yeht sue a eobrp anstaig mseo ,goirne dna iugouttptn a szei fo .15 kb or 6 b,k sthi is ligltne oyu teh zesi of hte AND tfenmagr in hace llec (de’tnos amettr fi yeht sya J opbre or ntnscato noeirg r,bope ryeeht’ utsj nsygia eyehr’t giargettn smoe nedleciout csqeneue dfuon ni hte Ig s/CRTlocu etab ihnac lcsou cleepsrtvyei rfo BT/ llsce.)

I tinkh hte uoncgsfni patr ucdol be ndiwegrno hwo ouy wokn trehewh ryo’ue ayrltp thhogur enragnearmert (nerasw scioche B utrh D) or if it nsta’h oecdcrur at lal yte cr(rteoc n.ra)sew Heer, the topcecn si htat B lclse onuderg (DV)J aeanegtrerrmn in het nboe o,wmrra ielwh T lcsel od ti ni eht ,uhysmt dna it lal pahpens at noce. oS a lmpasa ellc in eht olbdo kiel in eullptiM lyeMmao owuld aevh uflyl gonndreue irtoioca,nmneb ewilh a T llec ni eht dlboo duclo terhei eb llyfu tedeudac an(d avhe neihdsfi VDJ nor)mciaeibotn or itemmaur s’nhta( rtseatd VDJ).

niSec het T ellc egen was 6 bk dan fydletenii biggre ahtn eht .15 bk eeng, eht T cell htns’a nereogdun oiinnarcmbteo .eyt

unscramble the site ⋅ become a member$279$49
trichotillomaniac  eyrv enic n!nlaetoxapi +29
nwinkelmann  Tsih swa msoewae! aMde os hmuc eessn dna fhyeolpul I liwl be bael to iktnh htat ryccillati oautb otseinsuq ni teh tfueru eecus(ab I VREEN dwulo vhea eocm pu htwi tihs no my o,nw .ha)h +5
eacv  O!MG NTHAK UO.Y I NTDID KWON ANGNTYIH atubo i!ths! Hpoe ihst is ton sdsteet on rale anmxee :p +5
ajss  ow!w ihts tpinaexaonl aws esowma!e tna!hsk +
mrglass  sloA teh -elTlc DV-J- gsseemnt ear ton the ames sa eht e-Bllc VD--J ngeetms.s Tfreerhoe a e-lBcl J etmgesn retouhsn tlbo odlwu look ofr etehhrw teh lBlec- etis DJV nmeestg in a ecl,T-l ihchw dulwo wlsaay ennarr-degra.no +6
mynamejeff  Tnahk !oyu S o si hsti eabsuce mipletlu mloemay odepcusr esxivcees noloclomna lihgt nahci gI? sI isht the 5.1 kb een?g eaerh,Ws cllT-se that vaeh nto enog houghrt einioenattridff yte nad ierth J eginor nieucdls eiegryhtnv J()DV v.s sjtu JV in het ihlgt ?nciha A(F 0022 gp )104 +
peridot  This axaonlnitep si mziagan! o,eeHvrw ot fuyll tdduanersn rtaeonh stpe fo thwa the uqsntieo si nggtiet t,a pslaee akte a lkoo at hie@dhdridraaso'sgswlby drna/o am'@lgsrs nxopntelaai sa llew - a vyre rpnotamti toida!!nid +1
skonys  yM ocilg swa wognr utb my anersw crt.ocer I am rgfusfein frmo scsusec. +
fhegedus  ow!w shti is zma!iang tknah you! +


You must be logged in to vote!

 +18  upvote downvote
submitted by highyieldboardswards(18)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

toShr es:anrw lAl seeng aer nsetrep in hbot B dan T lsecl, tbu htey earrngrae nad rssexpe oetrpescr htta rea csiicfpe to irthe aele.gni hTeri rea tdpnieedenn VDJ rgiosne for B lcle etoercpr toeainnrge nad T cell retporec ae!grinento hiTs iiwk rietalc sesdh ihtlg no :ihst

/te.htcpcsTeeiVk_iagrJ_#p:olwi/_(nst.now/eocrdrr/eoibin)lpakiiDtme

I too garcailytl mdsesi hi.t.s tub ti is lclautya os lepism tath we aer ginmiss the tfsoer uthrohg eht ester i--h elW boht B adn T csell duroegn DVJ renramgreat,en het ,V D, adn J ngees era FDNTFIERE GENES pideste egbin dozerniag dan etreroefh aciifsslde ni a irimlas haiosnf due ot heitr hsrdea nede ot neraeteg desvier rruettu.scs To amke taermst eorm infug,ncso tboh tses fo VDJ ngees rea on rmocseoomh 4.1

shTi is why het BNEM iieepfscd tath heyt aer gngagti TEH ASEM J OERNIG hhiwc is ttha fo eth B elcl erprtcoe eneg J o,ngeri otn het T lcle otpercer nege tJba-e eonigr se(e wkii arl.)ctie ehT B lecl etporrce gene is ont aeergrrdan in a T l,lec fi it ,was T csell uwodl aveh eatiiod!bsn

unscramble the site ⋅ become a member$279$49
redstrat  .sTih So umhc ths!i +1


You must be logged in to vote!

 +5  upvote downvote
submitted by david_bball(5)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

heT ywa I hhugtto auobt hsti uiqstnoe asw taht ni MM erthe si a NTO fo bdineiotsa gebni ,dame os eht VJD gteensm si gibne kebnro urdseac/eetgdnprlaee/r myna items adn sah bene roethdesn ot kb..15 As rof het T esCll, atht nrgeio itns’ eibng udse seinc( three si on alnloc xpiaonnes ro c)lioeetns os ’ist lsilt ogt hte lful kb6 lnhteg dn.chutueo

unscramble the site ⋅ become a member$279$49
d_holles  T eclls slilt uogrden VDJ brteaonicinom ot form eithr RTs.C +7


You must be logged in to vote!

 +2  upvote downvote
submitted by sam1(22)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

hiWle T lslce do seu the JVD mi,cibonenotra the T ecll eoetprcr nsaich ear dtefienrf egsen frmo the B 'elslc vheya and higtl ihcnas. inSec eyht ueds a B ecll Jige-nor orp,be het T c'elsl bnda wlli be hcum rrleag sa shit eara fo sit AND (teh B ellc eayvh or gliht nacih eegsn) heav nto bene egrdaanrre -- tnsiaed its T ecll erpeotrc gnees eavh ebne eag.draernr

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 -5  upvote downvote
submitted by welpdedelp(270)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

oor/wnr_zete_mn/wbi2tre/stmcux/t/som_//tpe/rb12hqp.un7icl.awnns_tiiletoeaoedes_tsee_qbd:hpm4snppl

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
mcl on Area labeled ‘D’
liverdietrying on Release of stored thyroid hormone from a ...
kernicterusthefrog on Displacement
keycompany on Negative nitrogen balance
joha961 on Displacement
imgdoc on Area labeled ‘C’ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
yotsubato on Phase variation
bubbles on Acute retroviral infection

search for anything NEW!