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Retired NBME 22 Answers

nbme22/Block 4/Question#46 (reveal difficulty score)
A 39-year-old woman comes to the physician ...
Hemoglobin 🔍 / 📺 / 🌳 / 📖
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 +12  upvote downvote
submitted by ∗johnthurtjr(168)
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sre'he a gegolo

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johnthurtjr  RTF I ahd no edia tsih swa a gih,tn nda swa pytter tiineddaspop in sfeyml enwh eht oggloe rhsace adh it ni ibg odbl tsltere ihtgr ni my .cfae +3
drdoom  aiv @nrtuohjjhtr :inlk ttTooesneesr" dna rheto rnasgdeon evha an cryieiretophto gtmtalisnui efftec htta cna eaucs pyotlc,amiehy hichw mntssiefa sa an earneics in bi,oomgenhl aerohttm,ic ro erd odolb lcel .ctoun" ewr:pe7da5l//.iw37p.istowcvcaht6mt4wsm/ec/e +3
meningitis  I sgseu h'stta terhona oasern rfo toisedrs and gionpd .pu +8
drschmoctor  Fro ceon I elfe ilke evI' eebn led sratay yb taaomPh. yM nnsticti asw to go whti mlbionhgo,e tub I eldtka mefysl tou fo it tefar enrbeirmegm r.D taaStr giysna tath hte oaesnr yhw neomw evha wlore olenbhmiog is eud ot .toumistenanr +2
fexx  F U onte!eteotsrs adn F U NEBM 22 qnsoutie +1
schep  I only wenk stih caeubse ereht era reeth (ta tesla ehet,r emayb emro ahtt I otn'd knwo) ntisinaircanotdco to vniggi tsetneroetso nepecetrmla pts rtyeA:pSae+r +Ohtao arroca mtctee+nhic ;5%t0g& +2
drdoom  ^ liknyif ordmo@d 7td.wea6pmr/vp3/4wocw.seahs/t:5et7ewl/cmici +
kayla  mrod;hc@rtsco I iltls tinhk it seinl up hitw eth troecrc oraseginn; udigrn the astlnrmue esaph ( ni odiaidnt to igolosn oiglonehbm ni teh ooldb) heetr are sola eyvr olw vlelse of hte onenagdr rmnsoeoh hatt aullysu vsree as a niastigtlum feceft no .l.ioobnhge.m +
abhishek021196  ae,ruFtynolt we ewre uhttag itsh ni mde soolhc - eettetsrnoos stsutelami yisroisoeertph by amstutglnii PEO and briatrnealcgi eth tse itpon fo POE in rlioatne ot oihbnleogm dna by igaenrcsin rion tztilionaiu for eytsoherii.sp ori0wvw./ncglP/p/t/hroant2s24.s/bi0e9lcCnm.wt:0Mim.phc/ +


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 +5  upvote downvote
submitted by ∗oznefu(22)
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owh od yuo rronaw onwd atth nsotteoterse nseicdera boomlehign atenior?cotncn jstu a odmrna tafc to ?wokn i put iaalnekl poahatspehs eeabsuc i efdurig seirdcnea sseotoetnetr iwll ecrnaesi nbeo orgwht nad dluer uot otc-itpispcreseaf gaeinnt cb ’ist a awn.om

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hysitron  I esudsge tish eno caeus mne vaeh a herihg gomiblhone tnha mewon. +11
notadoctor  hgHi vesell of seetesnootrt will urelts ni ameorae.rhn I ssdguee taht incse h'sse otn ramsungnteit hse iwll ton eb liosng bdloo nad reethoref .logohnimbe efrrTeoeh hre hoilenbgom eeslvl llwi eb hhigre hant .dtexceep +5
meningitis  It ndkai akems eessn nowngki sestoterntoe assceu masiltaocb os I was ni bewente klanleAi hpaoshatsep and .boh.ilno.mge +1
enbeemee  itn's seortottesne aabno?ilc +4
syoung07  KLA pphsho si idvniitace fo taocleotss aytvct.ii ntoTetsesroe esekp aeml nsboe ntgosr tujs leik soneetrg soed fro m.oewn Tsrosnotetee dslbui enbo tsoablteos( vatticy)i etrefhore ew olwdu not ese a ries ni LKA psho +1


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 +1  upvote downvote
submitted by ∗adong(144)
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lroudw yass eowmshere atht teetorensost ineesascr mthct,reaio senrascei ,DLL nad asrdeecse HDL

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passplease  rnoEegts ieaecrnss .DHL oeettTosresn is rencoedvt iont srongtee. hWy dnteso tnrteoeosest sreceina DH.L yhW is ym licgo ?rwgon +
avocadotoast  The naomw in sthi nietvegt sha na nsereidac nroetadeg:rngsone roati, os hte tfceesf fo estotetsorne on lpdii slevel lilw be tegarer nhta ethso of rneesgto no idpil l.elsve osdBar adn ndbyeo oasl saetst htat eotetsreonts esaucs na sernacei L,DL dedrecesa LDH, and nraceies in haetct,roim hcwhi is hyw mslae thiw riapmry omgpaihondys can repsetn wthi meaani adn eth esu fo blicanao disersot nac ternspe ihwt tyto.rhyoriecss +


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 +1  upvote downvote
submitted by ∗alexb(53)
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tisrF Adi 9210 gepa 226 mastuloyitr wotrhg ecfstfe fo sesreoetttno enlcuid rde lodbo l.slec I htnik hyte xetpce us ot nkow .tshi

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medstudent  AF 2002 p. 366 +
specialist_jello  wohtrG ur:tsp sRCB (202a0f p 63)6 +


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 +1  upvote downvote
submitted by rogeliogs(12)
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yM mnid wetn hits yw:a ni neM eusadorpAn = lsse etotenrsotse = ssel beon sn dieyt ni emWno meor norttseeetos = rmeo eobn stiedyn = omer laaknlie peamthbHsaishenolo. ogp saw ym scoend onopit ceubase I n'dot rahe oto ucmh ubota inaame ni stpo enoupsaem ro pots udaseoarnp, utb sdobn ysnetdi si a igb eald .rehet

al.hb

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 +0  upvote downvote
submitted by ∗sup(31)
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oemhwSo I saw leba ot cneinvoc eslmfy atth ranecides sroenoetttse --t;&g ceddresae gtesrnoe g-;&-t desrceeda etgviaen bcfdeake on H/HFSL steonreic --;g&t ecnaesrid F.SH sDeo ennaoy earc ot paxieln why tish gocil is w?ngro knashT :)

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btl_nyc  ehT dcnerieas seenottserto is bieozaldetm by nausroagl ellsc ot senteorg nda yb deasipo ietsus ntoi esre.ton Boht fede bkca no eth htamospuhyla ot itnihbi SFH ;a&mp HL src,noetei tbu SHF is hmcu mero netiesvis ot ackdfeeb tbnihiniio hatn H,L csuangi an ercdiensa HLHF/S tora.i +1
impostersyndromel1000  @u,ps i did eth amse tgnhi. adH on eida ensoerottste dan odasrgnne nca sreinace epo +


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 +0  upvote downvote
submitted by ∗johnthurtjr(168)
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rese'h what I nuofd

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submitted by ∗asharm10(37)
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I'ts na lbiaocan mnoehor, ulcesm sa,sm BRC smsa illw sr.eceani

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submitted by gokings2021(9)
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Mne llnareeyg ahve a rhgieh BRC asms a,mctti(ehro moohlinebg, t)ec dan ti is othuthg ot eb rtiaubdtet to rihhge sntetortosee eelsvl. She sha hihg ertesotnoest os uoy nca msaseu eht aesm rfo er.h sThi is in inZa,k os it tsmu eb ni FA ro Potamha.

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submitted by ∗medstudent(18)
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oFr all ngredoinw ywh eroseotnttes e’ontsd eaucs an esinacre in lka ps,ho I udfno itsh rtcieal ahtt aclysibla sysa enm thiw olw eostetenorts heva hhig aenllkai sspohaahpet nda kwea sbone.

h-:esee/tlot/i-dhhmo.enpte3aiwct2fne/sooo-ilnlcssea-prt-/erse-nthnuro/-05nresn.olblapwse0snsptsneay/nddstwlo-esoeehew-a-ekierdymcut.1l-ia-t

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submitted by ∗medguru2295(64)
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TBH I ynol gto hits cb fo het esvrnrtcyoo iwht Lcean gnAsmrrto olbdo .giopdn DkI eht ammchsnei ta lla. ,But ti ilwl eplh oyu lal rereebmm isht reewnosisunq.at/

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submitted by yobo13(5)
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saEy :yaw aLb elus.av Teh onyl one thta amed esawness/ rtfdfiene rof men vs monew = bH

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submitted by ∗nwinkelmann(366)
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I rteeteidnrp teh nptetia to eahv SPOC ith,s(usmir ,nhoameearr rovnaia sa)ms guhtho hte rpesu evaltdee nteotressote si omer orncnnigce rof ernc (rep ihts cltreai: c.ismeps6hwmn/.bawnCp/rh1lPt/t/c0.tlo7Mvi9/wc.06g:in/.) If het enittpa hsa C,SOP seh si ekiyll seeob dan at hghire rsik fro FADNL ciwhh nac be ssditeocaa ihwt edeatlev ilekalna ahposhetsp,a pldii u,columnaaitc and eavdetel stetontser,oe tub not UDE to gneciondar ffceest "(rmseu narendog evllse were otn cdaseaosit wtih het enescerp fo A.LNFD hsiT si dniyictrel ednimrcfo itwh oru etlrus no eoeytsnh.pp mylaNe, etrhe is no feediecnfr in NFLAD lneervacpe btweeen ncdnrrpeoehagyi, nad n-reninanrpooeghydc ro euoirdvteprc PCSO opeytenh.ps LNADF si odcsedirne a etpchai neptcomon of eicabmotl ymeonrsd wtih a anrtcle agcihnpote reol of nniulis csaestnrie taht salo etfsfca the taouhvomtyp-aplihniyraatoar-i isxa in uetssbcj with PCSO... cogrnnrepHdyeai satte amy be ued to lininsu saers"it.enc pFl.ihy/yt/KGtt2j:bW/.)

T,nhe as asdi yb ,-@tnblcy tdeelave eteeosorsntt in a aelmfe is tcvnoeerd ot eentosgr dan eonsrte dna fdacekbe iniishtb het hypsaauhmtlo ngeliad ot asreddcee FHS nda HL vel,sle tbu SFH si dthniiibe e,mro os etehr is na ienrcaeds FHSL:H aot.ir

lyFaln,i grdrgiaen PAS (hichw deos rccou in w,eomn how ewk?n ),oll het otacrierlon beeewnt tooensetters and PSA in enm is illst ryttpe keew (ni siht d,yuts erhet asw only a rlnoeacrito dna a kawe one ta ath,t earft urttaavielmi nilaysas dsgjtuian orf laesevr sinhtg ew/t5ii0i:sv..hnmnlch6c////twpl5mt4pa3C/.M.boPwngc0rs) os rhtee si ineyfledti tno a oelaoricrnt ni e.owmn eHr,evow rep isht dstuy (wdlv1o.:hin4/pci92m.nth//nu/8pe6.twgb./wsbm0) eetrh yam be an sanotociais enewteb incraet dgnsaoren n(ot tsroteotee)sn nda SPA in eon.wm

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