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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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Know royu D'TSs bbya -); (giogn ohrguth eevry rtoeh ccohei no sthi osnie)uqt:

  • cBaeilrat goniavsis ecuads yb adarlgnerle lvaasigiln. Se a it,nh off eiwht saicehrgd nda ishfy slmel (fhis in teh gd)nare. e'seThr no annolmimafit Lab :igsnfdni pH ertgrea tnah 4.5 sjt(u ilek ioar)itciho,nssm nad a peivosti ihffw ttse twih KOH. eSmt wlli ays tgenohsmi uboat oumoalsodr cahdregsi dna hsow het nmfsuaio UECL SELCL fi ew are kyl.uc Nto eth nrewsa rof stih niseuqto boouvyisl absuece we udolw ton petcex evsiscle hiwt hsti ctraiblae esdsea.i

  • daCiiainssd si gnogi ot eb yoru ckthi gtaotec ceeseh icagdrseh, wtih fanmtan.molii mlrona Hp ese ehupeadyphos. rteTa with loaictp n,nttyais ro roal cflonuoelza slnuse ourye' ntarenpg nath seu mzrat.iloCole inAga nto ggino to ese ayn scelsie.v

  • dhoaCnicr pre rudwol is isesacoadt ihwt lemhpHuaosi uerciyd oyu illw aevh a Deep prutelun luifpan rleuc iwht sretapupuiv dphii.lmetnyas Will eb oldt atth tenptai hsa lfnpuai ulnigani oesdn, hrete aym eb elimpult epde ucelrs whit lyg-ewlorya adteue.x Yuo do ryc ihwt .H YuCiRd hsiT w'duontl be rute rfo wtha uro atenipt ash in ihst tnuosqie aesbceu we rtea'n tdol fo nay ulaignni nadteop.ayh a nlik ot a roncdciah AVD

  • aylmiahCd tsaiocatmrh aesscu ynlahgomaurlmpo evnmueer iwhhc si malsl hswloal eus,rcl asl,neips ubt etnh teh ragle uapilfn sedlaoecc iulingan pyhml nesdo aak OSBBE.U mroaepdC thwi ognernoha eht regsacdhi si reom rnhneit nad rea.twy ganAi tno hte sace hree as sti piafunl nad no meionnt of yan BEOOSSB.U ehT cahsedigr ni nrorohgae si emro ihcrket. tBho lead ot D,PI aettr for tboh euabesc tofnnccieo si moncm.o hitW hbto ntetaip mya heva esom sort fo ipna or bnrguin otnneasis opnu ianrno.iut ertleSi ypurai utghho orf b.toh

  • nCoyaomdl acianmutmcu is a otfnnmitiaeas fo PHV 6 + 11 genla(it raws).t Tehy olko lkei big eli.wfuorcasl ishT is ni rntcstao to oCoyandlm atal ahtt yuo see in hllyisisp hhcwi si utsj a tfeltar taetl nobwr kgiolon malu.ce

  • anGetli Hspeer (eht asnerw to teh iqtuonse) lilw etspenr ihtw mtlpeiul anipufl pciliesaufr vieclsse ro csalrutonie hiwt soitliuonattnc tpsmymso vfe(r,e miael)as usJt ifts teebrt htna lla teh horet ihcosce I nar ghu.orht

  • yllpSihis si teh ipsaslne nce.hacr WU desrebsic it sa a ,igsenl euratndid lewl misrrbecducic ue,lcr wthi a elacn asbe. See escckwror rsmgnsioa no DF mscioproy.c eKep ni mind etroh slspeian rcleus rea urpllhaomoganmy neumveer of ymdcilaa u(bt het boubse era washt nulapfi nto eht ,ur)elc and laomngura niaelinug soonoinda(sv - lkslelaibe rgolitan)umsa but asthw klahlmar aobut hits eon is thta tsi asnsplie itouwth payydlohmntpahe

In t,sorh eb e.fsa

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drdoom  htsi prwtiu-e si SAMEEWO ... tbu it olsa dmae me toimv. +1
b1ackcoffee  isTh is em,eowas u,ptirew tno hte s.tsd +1
lovebug  FA 2190 gp I.1 84 msumed pu dma'@oosj !mnhes mottci petatin hvae e",lulmitp ednter eelsvcsi dan auen"drl. c atcsn vlnaagi ).agchedisrA alriatcBe sognasiiv g&;t- NO lvecsie ;gt-& /)r oB snadiiaisdC ;g&-t ON cvlesei -gt&; ) C/ro dnicCraho t-g;& dhosul ahev glinIuan ponyhAteda t-;&g r/o D) C. aarmtctiohs &-;tg evah aLrge uilapfn inaguinl LN -&t;g E )/or oydmlnaoC tmncaiaau t&;-g igB arowifClule -g;t& )/oF r leGtna shpree -;tg& E! !SY!G) ahnorGreo -&tg; ON ce,Vsile mceayr uenrplt rahdciesg ;gt&- or) H/ C. tcsmrhitaoa iagna (sema as D) gt-;& /)r Io Slyhpsii -&;gt plnassei rnacceh -;gt& J )r/o Tosaiiniorchsm &;t-g aysrbtrerw ericv,x iltmoe in tew eprp gt-&; ks/hroatn @doam!oj +
homersimpson  aoGtt eolv the BEBUSO +



 +3  upvote downvote
submitted by gabstep(15)
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FA 2910 8:4p1g Glitean espehr tersepsn htiw iflaunp rlvavu or vecrical vlscesei dan eclusr; cna caues smiceyst mtopssmy uhsc sa ,reevf dah,cheae gamiyal

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sam.l  eht oitnques setm ssatet a a" secnt giaavln "icedhrags is taht a asctitrord in the qi.nsetuo +
kentuckyfan  n"ac"tS ensam yver lelti.t +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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fI ydyoabn sah a odog awy of mneeinhrr/ensgdguigbsitmii lal the enderitff nesritonpetas orf geaitnl esro,s d'I tarceeaipp het p.hel

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hungrybox  lsP stpo sa a psertaae ospt and tno a ectnmmo ot hits hot. hTe tmfgraniot for thees mnsemcot xus +1
whossayin  gAumniss u evha Udrl,oW utjs pety aexsluly tseiandmttr .nitscoife.n that ebtal is hte etbs OIM +
lumd  haTkn uoy so cumh rfo eth !tip din'tD wnko tath uoy anc ercahs orf pfiicecs tpsoci in W.U +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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yhW si siht NOT airc?onchd esTher ignhont here ttah eursl it tu.o

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drachenx  anChidcro si crbdsdiee sa an ..uelcr wtishl ni hsti qtisonue etyh ointmdene ivsselec."" ePrytt humc lyno eherps si asucilvre +6
whoissaad  Teyh entdmoine rlecsu .too I hceso iaodhcnrc as le,wl cltnod'u ifnd a ceul ot eulr it o.tu sAlo tgthuho ga"dc"eishr was niptnogi you wdrosta a ertlaiabc ceni.tionf uBt essgu I'm ronwg :) +
emmy2k21  I nthki EEMNL/USBM iwertrs emak teh tpumsoansi teh ianttpe is in maAceri nuesls deiscpeif eitrhose.w rniocahCd si tno omcmon in eth SU. If eth tesonqui smte eonmnsit a givledneop yotr,unc enth rnodaihcc nac akme yuor tenlifrdefai slti. +1
selectuw  ofr ic,carodhn reteh mya eb a nnteoim fo liginuna oyatmndhappyhle +2
samsam3711  lsoA hitw cdrinhaco oseusntqi tyhe wnat oyu to enitefidferat it ewteben idacrcnho dna hispiys,l (.eg Pifualn .sv eans)psil nda si sulluya bseedrdic as a cumh elrgra ucrle htat is liapnfu ont( sclreiavu as ni tshi u)istnoqe +
suckitnbme  sAol ieelbve that achrcdnoi oesd ton epssentr thiw itmsecys psyomtsm ikel ni hsit vtingt.ee +



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