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Retired NBME 22 Answers

nbme22/Block 3/Question#23 (reveal difficulty score)
A 45-year-old woman comes to the physician ...
25% 🔍 / 📺 / 🌳 / 📖
tags: biostats

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 +8  upvote downvote
submitted by ∗b1ackcoffee(115)
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I hutgoth eganirdgr tshi nouetqsi sa LHA egne dtiirbutsnio (en )kbo.lc

nvEe fi ew rdiadcs yeirghtevn adn tjsu thkin tboua hte ltsa tneesecn q(i,teo)sun orf nya egen, chaecn of ngiisbl anhigv xecat mase leaell si 5%2

sousppe rtehe aer 4 aslelel rfo a eeng ni nrtas,ep ,aA, ,B dna b h(wat I enma to ays si lal 4 era rdnfeftie in ohbt ra.spnte)

owN ssuppoe neo daruhtge ahs aB onT ogytep.e eavh ctexa msae eaes,lll erhot tdahreug must aevh

0%5 caench fo a o(namg a and A form moihumrdl)tte ilep 5y0%b cehanc fo B (ngoam b nda B omrf ftarh)e

codnbeim ibylpaotirb rfo nay eeng olduw eb .%25

selaP,e tonpi uto any tlauf ni the ngiraeo.sn

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cjdinurdreamz  i uesd hte easm atxce rgoaisnen +
skonys  griuneffS rmof sssccue vore eher asecueb I tusj edar ti as terhe eon lousc 6"*" nad hses osogzumhyo aa. uTsh reh tissers ash a 25% hecnac of inebg aa oot aebucse nnetpu qu.ears sMot brpaylob hte norgw lcogi but e,hy we otu hr.ee +


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 +4  upvote downvote
submitted by ∗bubbles(79)
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naC osmeneo xlnaepi erpolpyr owh we onwk tath hsit titar wollsof edMnlaien etgesicn adn si oaauslotm eeevricss adn fourererhmt hwo eth etpnrsa eewr uehgo?yerzost

I gedeuss a lto no shti nesiuqot and got cuykl (:

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niboonsh  muooastlA ainotDmn sdreoirds luyuals etnreps as dfsetce in uutarslcrt ,neges ewher as tsaomoluA evcseRsie rdesisord syulula teeprsn sa nyezem ci.denecsiief 4P50 is an y,nemze so we aer oalpybrb liegand htiw an uotoaalms veiseserc rdid.roes e,muerrrftho eth noiueqst staste rheet wsa a sgzuo"oyhom ercpnsee fo .4....p0."5 In loatmuaso ceessvrei rso,elopbm trpanse era ualsuly srgy,otozeehu namgnie atht 41/ of rihte dsiokd iwll be fefetdca (aak o)zhuso,omgy 12/ fo het dski liwl be irrascr,e nda 1/4 fo treih isdk liwl be af.eudefnct +38
nwinkelmann  sI htis hwo we hsodul tkcaat hsti e:brlmo?p Fisrt eucl tsintag onnixfdee is catvie alttbeeimo of foTxenmia hdlsou kaem su grzoicene isth udrninge tfirs pssa cteihap 5CYP04 ibslmmao?te ecOn ew nowk tt,ah eth fatc thta het albotmeeit si dcseraee sesstugg na mnyeez tedef,c hiwch is rtesodupp yb eattsnpi' myuhzoogso enzyme l.lesela henT seu eth ngealre uler htat zenyem cdsetfe rae RA aewrseh urrcattsul rpnteio seftdce aer AD neaetrihcni rtsape.t neOc we know hte etapr,nt nkiht ahtt msot cmmono rnssoamstiin fo AR oescm orfm wto arecrri ernps.ta oS nrfsfipog laesell = 52% uysgzomooh loarmn, %05 uersohtoezyg c,airerr nda 52% sohzygomuo deetf,fac hust retssi sah a %25 fo ahivng teh smea lsellea as aenptit .(.ie hzyouogoms CP05Y4 6?4D*2) +6
impostersyndromel1000  we adh hte ceaxt meas hutothg ssrpceo, so i too am ighopn hits si eht rctoerc yaw ot phoapcra et gti regansnoi nfired +
ajss  tsahkn rof sith ,anxnateploi I atoytll tfgoro bouta AR rantestp rae mtos eyikll zemseny cedniiieec,fs sith ndik of eamk hte eintosuq aeseir fi uyo happcaro ti thta w,ay hsktna +


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 +3  upvote downvote
submitted by ∗dentist(94)
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  • zeeynm deccifynies = AR

  • muhosyzogo pseecren fo ...YPC"

DEQ: ogyuhoozms + AR = 52%

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 +1  upvote downvote
submitted by ∗its_raining_jimbos(29)
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nfeiTomxa ahs to be dtamozeibel iav ritsf saps amstmobeil ot an cveati toeeimtbal fe).idenxn(o heT ettanpi ash dcdsraeee otcnnscinotrae fo eth mbiazleodte pducrot ditnigcain tath eht iteants’p pari fo ohormcecty 4P50 lalsele ’etrna enomiztgaibl mnixotfae lty.rcoerc ehT iostnequ is ingska what hte neshacc rae eht rsesit sah hte saem egnepto,y hiwhc luowd be 5%2 &;tg-- 1/2 * 12/ = 14/

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medschul  wHo od ew wkon het artnpse ear ton ooouymgzsh +8
yotsubato  cCesnah era eyht ear not lnseus yteh hda or rae uscseutnoi +


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 +0  upvote downvote
submitted by 07chess(3)
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nkghteinirvO rewcsde m.e heT sqoiuetn emst skas rfo a cacehn orf a sisrte ot teg eth smea ela,lsle ont tath hes si omohugsyoz itwh e.thm So I pecdik %75 ntaseid of t%25A. teh tpo fo it, yteh upt D(2*I46 hhgottu thta nemas htta tp. sha 4 soipec fo llwaele(sto rmof ahec rtenap lkei H TeAh.y)L aevh ot mkea tseinsuqo plsbeiisom ot dnuadenrts.

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 +0  upvote downvote
submitted by g8427(0)
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If eoms noe nca hlpe em dneruantds cb mi a ibt edcfsn.uo I esrndudnat the gutthoh epossrc nda I idlrzaee taht siht wsa an RA essedai adn I osal gto teh /41 e,fcfetad /12 cirrrae nda 14/ ffdaeectn.u tBu I ochse 0% cb I fureidg fi ti was an AR idessea the 1 hildc dlaeyra dsesdaie saw ygomsouzoh ceaffetd 1(/4 defftc.)ea Whhci leda em to knthi thta the hreto iresst saw htieer a rrrceia or tno cdfefeat at ll.a mA I stju ovre kgithnin sthi ro am I not ullfy udngtsranedni tawsh ogign o?n

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rush  you hvae ot tnihk uotba ache cihld ylduilnvdaii, st'done amtrte tawh het bgniliss .ehav heT euisoqnt ststea awht ear teh sodd fo hte dhcli gtentig eht dseesia. oS dlrarsseeg fo the otrhe bsgsilin ti istll is mMo (1)/2 dad 1/)2( whhic mekas ti /14 RA +
titanesxvi  tBu owh od ew wnko atth eht paensrt rae egeozsohurty rfo eht taituomn +
need_answers  ew nkwo atht het arpents aehv ot eb ythuoozsrege aA X Aa ubsacee no a 2x2 ,alebt hte nlyo awy eth rteauhgd olduc eb zoousmhogy orf na AR is by gnihav htob ntpaser be rireacsr Aa)( os hte uiseonqt was aigkns wtha rae het echancs het sitsre hsa eth asme eelslal (a)a nda terhe si lnyo a %25 fo ihavgn the smea ea.lelsl +


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 +0  upvote downvote
submitted by timekeeper36(0)
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So I taeh siht qnuistoe bcauese yuo cna't etll whta het p'sratne spgeyento a.er iThs nmzyee ftcdee itsn' smhtiogne atth uoy anc tell oheyialtnoglcp so ew 'acnt jtus usesma hte entsarp ear eensou.rtgeoeh

It holsntye eto'sd vnee tematr fi it si somlatuoa eescrsvie ro not enics we lnoy heva ot woyrr bauot yhuosgomoz ffo .nrpsisg eHer si eth th.ma

erPtsna obpisels eptsgno:ye

A - mlrNoa; a - m.norlaab

:moM aA D:da Aa (hwat eht suitqeon is auinsmsg)

om:M Aa :Dad aa

mM:o aa dD:a aA

:moM aa a:dD aa (how si to sya sthi ts'ni s)ol?bpies

M(om AA ro daD AA si iesipmsolb inesc hte nfrigfspo 'actn eb aa)

Fomr tsohe gyoeentp ptosilbsseiii ew nca llceuctaa ebrtet .iltoibbapresi

iSecn t'is sbolpies fro etarnps ot ahev ayn fo tehes 4 nsgeepoty ew sutj sumeas ttha ehca otlpissibiy is ./41

M:om Aa + D:da Aa &t;g- ifsrngfop aa = 14/ lm(yulpit tsih by 14/ icesn e'wer agunsmis qulae sbpiitolyis for rteho pogt)eeyns t&g;- 116/

oM:m aa + d:Da Aa g-;t& npfifrgso aa = 21/ ;>- 11/24/* = /18

m:Mo aA + a:dD aa ;&t-g fgpinfosr aa = /21 ;g-t& 12/*14/ = 8/1

mo:M aa + :Dad aa ;t-&g ofpnrifgs aa = 1 &-;tg /411* = 41/

Then we dad lla het biplsioiaerbt eo11tt/h6 egr + /18 + 18/ + 4/1 = /169

I nwko the eq'iotnsus nrseaw si %.2..5 os I essug ptu 52% no teh s.tet TBU if you atnw to tlaclyua nasntdre,du siht is a btreet aoit.arppimoxn Teh loyn lorebpm si ew tno'd nowk teh ngee ornditusibti of the lleeals ro I can iveg teterb mtha :P

Sorry 'sit lngo dan gnfiuonsc

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 +0  upvote downvote
submitted by fukprometric(3)
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Teher saw a wolurd oisqutne on h.tsi HLA ear ssepad wdon ot fnrfgisop in seopytla.hp nerPat X ash A nad B ohltepay,p ntarep Y sha C and D oytplapeh. esTeh vhae leeanMdin ihrictean,ne i..e A.R fI eht aetiptn is yhosmouzog rof yDp6,C2 thta emsna taht anPtre X dan Ptrena Y boht eahv a pthyaelpo twih 6D.YPc2 .i:e A yoephlpat has 2Dypc6, C pploythae ash 62pDcy

Fro reh ,esisrt erteh si a 5%0 ceahcn mmo sapess nwdo ehr A opta,hpely nda a %05 acecnh the add asspes nodw sih C .lyphtopae 1/2 x 1/2 = /14

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