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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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Kwno yoru TSDs' bbya )-; gn(iog hrtuohg ervye eothr ocehci on tsih o:)nitques

  • tceBlraai osiasinvg euscad by lrdarlgaene lvainsagli. Se a t,nhi ffo tewih dihecgrsa nad isfhy esmll hi(fs ni het g)a.drne h'rTees no aimlinmtnfoa Lab ngnifdis: pH egtrrea anth .54 (tujs eikl )aso,itsiirhmnco dan a vpoieist iwffh stet whit OHK. tSem ilwl say msethonig boatu ludorosmao rgdehisac adn owsh hte sfnomiua LUCE CLSLE if ew era cl.uky Not hte wrsnea rof isht sniteoqu osvibuyol esceuab ew dlowu tno etcexp esliscev tiwh hist rlbacieta dsse.eia

  • sanCdisdiia si oggni ot be uryo kciht aetgtoc echese argcesihd, whit n.iamonmlifta rmnola Hp ese shed.aphueopy atreT htwi clpatoi t,ninayts or lrao loefconazlu susnel uoer'y taegrpnn than esu tClzireao.olm naAig ont gongi ot see nay e.vcselis

  • ihrnaCdoc pre drwuol is soaeidstca wtih mhosiluapeH cderiuy ouy ilwl vaeh a pDee euntrplu piaunlf uclre iwht upirvpuesat ltdmpshe.niyia ilWl eb told atth eintpta ash uanpfli iuilgann s,node trehe amy eb ptlulmei edpe rusecl iwth y-oyllarewg txuda.ee Yuo od ycr thwi .H YRuCid Tihs luntwo'd eb utre fro thwa ruo ttpneai sah ni hist quosenit beausec ew nt'rae oldt fo any agniiuln pha.tydaeon a nlki to a aocchirnd ADV

  • iyhaCdaml cormtiashat ucseas rpmmauolhnlgyao eernumev ihhcw is asllm hallwos uec,srl ,nslsipae tbu nthe eht glear nplafiu cesdlacoe iaguniln yplhm sedno aak .BUSEOB erCpdoam tiwh hrannegoo eth srgchdeia si erom nthreni nda tr.waey gianA nto the esac heer as ist anluipf and on motenin of any BU.OESBSO The sidheracg ni ornhograe is omer threikc. ohtB elad ot ,DIP tetra rfo boht eesaucb cfetconoin si conmom. htWi tobh iapetnt amy veha soem trso fo ipan or grnuibn eiotsasnn uopn roiit.uann Srteeil uyapir hhgtou rof htbo.

  • mldyonoaC auntiuamcmc is a ofneitaasmitn of HPV 6 + 11 tn(gelia r.)swta yTeh look lkie big waeiu.olcsrfl Tsih is ni rtnascot ot aonClyomd taal htat uyo ese in iyllhpsis wichh is ustj a tetlafr lteta nobrw ngkoloi .emluac

  • ilnatGe epeHsr (het wnsrea ot het soqeniut) wlil rptnsee hitw etlulimp ianlpuf fiariuplsec leivsces or ultoneasrci hwti tstiunoocatiln msmysopt erev,(f i)aseaml tsuJ sitf etbert atnh all the rteoh cicoshe I arn .guhhrto

  • pSylihsli is hte ansiepls ehcnrc.a UW rdsbcesie it as a gilse,n duieradnt elwl bicrercucidsm e,culr twhi a lnaec b.sae eSe csroewckr amsroigns no DF msccropiyo. eKep ni inmd htreo ianesspl euclsr are amnpgoallrmyhou eermnevu of aydalicm (tbu teh boubes are ahstw npfuial nto het l)reu,c nda aanomgulr egiuainnl nvionsos(oad - eeblklalsi usliaanrt)mog but thasw kahlamrl utoab tshi eon si htta tsi sesalpin ohitwut enyoatpdlymhpha

nI r,otsh eb ea.sf

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drdoom  isht rte-wiup si MSOEAWE ... but ti osla mdea em tvio.m +1
b1ackcoffee  iTsh is os,eaemw urt,ipew otn hte d.sts +1
lovebug  AF 2910 pg 84 I.1 desmum pu mjodsa'@o !mensthtoimc tniatpe veha ",emlilput rndeet lesvecis dan rua"ldenc . nsatc lianavg rai) chd.sgeA crtaBliae igoaisvns gt-;& NO elsvcie g;t&- o/)Br aadCiissidn ;&-tg ON evclsie -> o/C )r Candrhoci g-;t& uodlsh hvea anIuilgn hyAodetapn -&tg; ro/ )D .C tmhaiortcsa -&;tg eahv aLegr iaunflp inlguian LN &;gt- o/ E)r myodonalC ntcuaamai g-&;t giB lwolueCfira -;t&g For/ ) tenGla rhsepe ;&g-t !!SY!G )E oarreGnoh ;&-gt ON ,sleeicV mrcaey rpnltue esghdicar &;t-g r)H/o .C rtotasaichm aigan (asme as D) ;gt&- /)o Ir Ssiipylh g&t;- saipelsn rneahcc gt&-; o J/r) Tcssnohiamirio t-;g& bryrtwrase ,exivcr ieotml in wet ppre g&-t; rokts n/ha o@doja!m +
homersimpson  aGott velo eht UOBEBS +



 +3  upvote downvote
submitted by gabstep(15)
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FA 1290 1gp:84 taGenli rhspee rptesens wtih pnuifal avulvr or vcalirec vsileces dan lsercu; nca ueasc eitscmys topmssmy scuh as eerv,f de,hhaace glyaaim

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sam.l  the qneosuti tsem seatts a a" tsnce lvganai hg"ecdrisa is that a acsirorttd ni het oqsuen.ti +
kentuckyfan  "aStc"n means yver eltti.l +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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If yobndya hsa a good way of edninisrmiiegh/tigmregbusn lal het teendrfif torsnaneetsip ofr gtliane oses,r 'dI aetppcarei eht hpl.e

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hungrybox  sPl ptos sa a ptaserae spot nad not a tnmeomc ot hits oth. eTh gatfontrmi orf ehset tmenmosc sxu +1
whossayin  snmuisgA u vaeh ,WldoUr stuj etyp euxlysal rttntmsadie .t.noifcesin thta aeblt is het tseb IMO +
lumd  aTnhk uyo os hmuc fro het itp! nD'idt kown hatt oyu nca rcesah fro icecspif csipot ni WU. +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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hyW si hsti NOT accornhi?d rThese nginoth eehr tath surel it tou.

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drachenx  rcahiodCn si ecidebsrd as na .lru.ce stilhw in isth tniseuoq teyh tennediom vse.scie""l yetrPt hcmu yonl esrehp is icreauvls +6
whoissaad  Thye enmieotdn rucels t.oo I eohcs ariochdnc sa ,ewll 'odnctlu dinf a ulec ot lreu it .tou losA hhtotgu crse"gah"id swa gnniipot yuo otdrasw a tabalcire .tiniocfne tuB sesgu m'I gonrw :) +
emmy2k21  I kithn BMNMEESU/L isrrtwe amke the impntsouas hte pitetan is ni ceAiram nseuls pdsceiife ewesior.th idCarchon is nto mcoonm in eth S.U fI the sutqnoei setm inonmset a ieovgdpenl curtyn,o hten iahccrdon cna maek oury enfitreldifa sli.t +1
selectuw  ofr cdrc,aionh heret yam be a ionemnt fo nliauign ylahneamopytpdh +2
samsam3711  lAos whti diahoncrc isotesnuq yhet awtn ouy to tdfereienfait it tnwebee dnoiarcch adn ip,issyhl g(e. naufPil s.v lneisa)sp adn si uyuslal rdebcsdie as a uchm erlrga urlce that si uiaplnf (tno vclasreui sa in hist uosintq)e +
suckitnbme  olsA evbieel htat dchiacorn dose tno etspsenr with msyecsti osytsmpm klei ni sthi gevt.ietn +



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