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Retired NBME 21 Answers

nbme21/Block 3/Question#15 (reveal difficulty score)
A 47-year-old man has jaundice. Laboratory ...
Obstruction of the bile duct 🔍 / 📺 / 🌳 / 📖
tags: bilirubin HPB

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 +35  upvote downvote
submitted by hungrybox(1277)
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why ssioylhem si wo:gnr

eeThr ouhlds tomsal nvree be sithagrt up nibuibrli in eht urie.n nI yo,esslhim the esxesc iiiubnrbl is ercedtxe ni het l.ieb etfAr rtcebaail nvioescorn adn earkep,tu semo lwil be tcdeexer in eth nuire sa ubro.inli ,weeorHv ni steuvitbcor esrdo,irds teh ajgocudetn irbliibun wlil ernev avhe eht tiyoprpunot ot ogunder rlaebtaci oivonrncse to trielonurcoibs./ nI hits ,ayw eth dacjteungo rbulnibii hsa no throe ywa ot eb ecxreted rehto naht ydiecrtl in eht un.eir

srdetci to ac37a/ra6u/ln no edrtdi

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skip_lesions  noFdu a dogo cip nihgwso uiiibnlrb maestibmol +
coco  reinU hnyifdg:ilise↑somsn oei,gnulorinobnl obiutbtb nluievrcrsii u↑cen:adij gdoeuatcnj ribbi↓nliu, llivooleuiagbrnirn :a↓~ehlrmopsintait einoolrgnubil +



 +12  upvote downvote
submitted by peridot(115)
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Heer ym abts at iuzminragsm lla the .niof heT ftisr rdgaima no tsih eebiwts si a prsue peuhllf as lle;w iThs adarmig astor plehs t.oo

Nryll,moa ibniribul fmor teh dloob aesrtm is ojagncuedt in teh lveir ot a lasbutee-lrow fm.ro This gtes edmix tihw ilbe ot be txcdeere rthugho teh tisee.tnnis In the slaml ntetsen,ii ti oceembs ulibgonioenr, oesm of whcih si redetecx by eth s,eyinkd ggvnii pee ahtt good leowly r.cloo emoS of the ubeignilnoro tsnru oint ocitlisbern dna tysas ni hte GI to be drectxee ni pop,o vggini popo atht oogd wrbno olco.r

In elib tduc tiucsotb,onr uiblrinib stge goaudenjtc ot a uwa-retellbos form - hnte is't ctkus. t'sI bnulea ot eb eedextcr tnio het itt,nesensi lbauen to nrut noti ininuogborel or otierbclsni, e.tc uadCengjto irliubbin bsliud up in eht le,vir dan yevltlauen tsge dbeack up abkc nito eth dobol teamsr reweh it maec omf.r ieScn tsi' lwsbeuea-lrot nda ontaigfl ndruao in ,uiticcarnlo ti eenlalytvu gste rlfdiete yb eth ekniyds nda edsn up ni epe. bnuirBiil is rekrad in lc,roo os teh epe wlodu eb rd.ka o,eHrewv hte oolst lodwu be epla sienc no iernilbostc was made. I evlbeei ttah omsmpyst of ythic kins loas ccuosr ni eeths ssaec as lbei alsts kabc pu nda are osidepdet in is.nk

mysoilHes is otn teh eccrrto enrswa eausbce omts fo het ribbiiunl is tno tey jdo,teugcan so i'st ton ebrweta-luosl dan s'tndoe ned pu ni eth diynkse.

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notpennysboat  mAanzig lxoetnna,ipa kashtn a o!lt +2



 +3  upvote downvote
submitted by basic_pathology(25)
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eyK Pnoti: rlbuBniii acn olyn be in eth unrei fi ti i:s 1)( adjngectuo B,R ro (2) gnouioei.blrn

nuagdUejcton BR si TON aetwr lobselu and freoherte ONNCTA be ni euin.r ihTs is ywh uyo use hapetpotorhy in regjNr-.ljiarCa arIdeensc goncjtndauue BR &--g;t opeotpyrahth eezsmosiri it os it mseoecb rwate uo.slbel

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lovebug  lraec dna r.host oo!gd HXT +
lovebug  sa @shagipoB_otlcya , Inisda jrjr-NiClreaga dyns. hoPot TX eosd not jugaetcon BUC, tub does rceianes yriaotPl nda Wtera loiulstiyb to lawlo axieeonctr A(F 1,092 )8P83G +1



 +2  upvote downvote
submitted by haliburton(224)
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i khint hist si eceausb rliuinibb is a bsoluel rlvei wedobnkar cuodptr fo he,me ubt sah ton rdneeet eth onteiotcnnils/e orf tug tecbaria vnoesricon ot biteoisrcnl ro .obluirni iribnluo ni eunri si o.lmarn

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