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Retired NBME 21 Answers

nbme21/Block 1/Question#39 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Genital herpes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +35  upvote downvote
submitted by โˆ—madojo(212)
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noKw oury ST'sD abby )-; (onggi tguhorh ryeve herot cihcoe on hits qst)oneui:

  • aceBatirl sinvisgao edcusa yb dgealrlaenr vnagililsa. eS a thi,n ffo heitw egsrdahic nad iyhfs elsml ih(fs in teh )rdnge.a 'erTseh no manoilmtnifa Lab :fnignisd pH ergreat atnh 54. ts(ju leik m)aocsi,siinrtho dan a vpioseit ifhfw stet wiht OKH. eSmt llwi sya ehonsmitg obuta udomasrolo gericdhas adn shwo het somianuf LUEC ECLLS if ew rae c.kuly tNo eth esrwna for this qusntieo yobivolsu suceabe we wudol otn cetxpe lsesveci with sith elaciartb asee.isd

  • adsiCidsani si iggon ot eb uyro hkcit egactot eeeshc srhdcaieg, twih .nftamnailoim marlno pH ees pshyoadpeueh. trTea tihw aopitcl syntti,na or rlao zleclofuaon slusen y'reou aerngnpt tahn sue .tarioomeCllz aiAng ont gniog ot ese nya .secelsiv

  • hrcCiadon per odwlur si iadaeoscts itwh aulHmpsheoi creiduy uoy lwil ahev a peeD tnulrupe lufpina rluce htwi erpuspvutia dmlseihpyat.in ilWl be tdlo ttha antipte hsa anflpui ialnugni ,snedo reteh may eb llptuime eedp lrcseu htwi o-gylwaylre eax.udet uYo do cyr wthi .H YdCuRi hTsi 'nwdotlu be ture for hawt our eatntip hsa in hsit eotqsuin bceueas ew na'rte dolt of any ailnngui epyhotda.an a klni to a iadrnccoh VDA

  • yChmldiaa haotsrmatci acuses mrumlonaglphoya uemeernv wchhi is masll alslwho lcru,es ilssapen, tub nteh eht gerla lpnufia doeaclsce inagnliu lyhpm onsed aka B.OUBSE amdCorpe hwti oeagnrhon hte drehaigcs si orme nenhtir and yw.eatr Anagi tno hte scae hree as tis alunifp nad no eoinntm of nya OSSUBEO.B ehT eaihgcsdr in gerooanhr is omer hircte.k hotB edal ot IP,D aettr orf obht sueebca cfononicte si mm.oonc hitW btho ntitepa yam vaeh esom srto of ipan or ginrbun ansentosi oupn niaonutir. eStleir pyirau thoguh for ot.bh

  • Camnoldyo auccanmtuim si a mnitotsaifnea of PHV 6 + 11 lgnieat( rst.a)w yehT olko klei igb flawcosue.rli sThi si ni tsaornct to myodaCnlo lata htat uoy ese ni iilshsylp hcihw is tsuj a lfeatrt eltat rnwob kiloong aumlec.

  • enalGit peresH (het nwsaer ot eht etouiqns) will persnte ithw mitpulel fplunia riluseacpif vlseeics ro tiluosancer with aotoucnsittiln smytosmp fevr,(e )iamsale suJt fist rebtte hnta lla teh hetor ocsiehc I arn huroh.gt

  • Slipilysh si eht lisnspae nccah.er UW idcesserb it sa a elgn,is tdaeiundr elwl ucibsdccerimr ,uercl iwht a ncela beas. eSe swcrkrcoe msisrogan on DF rcmoospyc.i eeKp ni dmni ehtor islnpeas rculse rea nrpammaglluohoy emreuenv of damciayl ubt( eht bosebu aer hwsta flnpuai tno eth lu),cer adn lguoamarn aigienlnu onasiv(osodn - seilleakbl n)amlitgsruoa btu awsth lhkarmal tobau hsit neo si thta ist napsiels htiuowt pmpyedaanlothyh

In sr,hto be sfa.e

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drdoom  ihst wi-tuerp si MAWSEOE ... btu ti loas mdea me tom.vi +1
b1ackcoffee  Tsih is m,oseaew it,wrupe nto eth dtss. +1
lovebug  AF 2019 pg .1I8 4 dmsmue up da'mj@soo hni!stomtemc atinetp have ,ptllu"mei tnrdee veiseslc dan .ld nr"ucea cnats ailgnva s .)icgdrAeha rctleaiBa nivssiaog -g&;t ON vlsieec t&g;- )rB/o diidnCasasi t;&g- NO vcieesl &t;g- o/ )Cr oarhCndci -;g&t slhodu veha nnguIali ahdteoypnA -;g&t r/o )D .C mhtocasatir -t&g; hvae eLgar faplniu unagnili NL ;t&-g )/orE Cooylndam anatuaicm t&g-; Big weColuarilf gt-;& Fo )r/ Gaetnl rspehe g-t&; GY!SE! !) orGnearho ;-&tg NO Vlieces, caemry ltenurp arshiecgd gt;&- )H o/r C. tchsmaaiotr iaang ea(ms as )D -t;g& rIo/) iilysSph ;tg&- ipaessnl carchen ;t&-g J) o/r criTiosoiashmn -gt;& bwaysterrr cexvir, tleomi in wet rppe ;>- rth/nakso oo!d@jma +
homersimpson  taGto vole the BUESOB +



 +3  upvote downvote
submitted by gabstep(15)
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FA 9012 p1g4:8 tGainle rphese etsnrspe thwi iulanfp uvvlra ro ievaccrl sivslcee dan srce;ul cna aescu yimessct ssmytpom cuhs as fe,evr hda,ehaec lmayiag

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sam.l  the iestonuq emts asttes a "a ectns ilvnaag hc"degasri si ttah a dttrrascio ni hte it.soqenu +
kentuckyfan  "tn"aSc seman eyrv itel.lt +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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fI aobdyny ahs a ogdo wya fo gbriggitsieuinis/eehmdmrnn lal teh itndffeer etraitnpesnso for tenigla r,sose d'I ercepatpia hte lhpe.

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hungrybox  slP opst as a tpaarese sotp adn nto a mneomct to sith tho. hTe fnittgmrao orf thees oetmscmn sux +1
whossayin  sgAinmsu u hvea l,rdoUW sujt eypt luaxlesy staeindrtmt tise.ofcinn. tath tbael si hte sebt OIM +
lumd  anhkT you os uhcm orf eth t!ip i'dntD kwno htat oyu nca achsre rof pceicsif poistc ni .UW +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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hyW is sthi NOT hn?cciardo erseTh onihntg eher hatt ersul it u.ot

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drachenx  aCcoindhr is diceersdb sa an celu..r stliwh in sith toieunsq ehyt ednenotim s.lsece"v"i etrtyP cmhu ylno hepesr is auvlcrsei +6
whoissaad  hyTe ieomntnde uclres t.oo I chose hncciorda as ,lwel tlcudo'n infd a ulec ot luer it t.uo lAso hgthuto esdha"cg"ri aws gntoiipn yuo dtowars a blaicaret t.fnniocie But ugses 'Im ongrw ): +
emmy2k21  I nhkit EL/MSEUNMB riertws maek teh isasonmutp het natetpi si ni eAarmci unessl pdseeiifc eoetshirw. hcairondC is otn momonc in eth .SU fI hte sieunotq stem snetnmio a eeopndivgl ytuo,crn tnhe crionhacd nca akem uyro fnfatreiedil tli.s +1
selectuw  rfo ccnhriado, rthee yam eb a imtnone fo niganuli ltappeomhdyhayn +2
samsam3711  Aslo iwht cnhodaric qunseiots htye wtna yuo ot eeitentdafrfi ti beteenw hcraocdin dan ,lissipyh .(eg Pfiluna vs. nl)paisse nda si usauyll eciersbdd as a umch arrgel cerlu ttah is afilunp on(t uevcalisr as ni htis qin)useto +
suckitnbme  Aosl blievee taht ndaroichc deos ton eentsspr iwth iteycsms psomystm ielk ni hsti ene.ttgvi +



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