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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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ywh yhissmelo is wr:gno

ereTh holsud saltom eevrn be srtaihgt pu bbinrilui ni het .inrue In oy,ehslsim eth escxse uiriibbnl is derceext in teh b.lei eAfrt bleaiatcr erciosnovn and r,ueaeptk esmo lwil eb redexcet ni teh nerui sa liburni.o oewH,vre in tcitervobus srrdoe,sid het tdgucjaeon biulrbnii wlli envre aevh the roinuptypot ot dgnureo aabirltce noieroscvn ot in/.rueltsoicrob nI hsti aw,y hte ntdajugoec iliibubnr ahs on ertoh awy to eb edcxrtee rhteo nhat ldecirty in eth .enuir

rcdtsie to /ula7a/a3nr6c no itddre

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skip_lesions  udoFn a good icp gownhis ilnrubibi ilmotsebam +
coco  Unrei ↑y iismo:sngnhdeflsi ounelinrog,onbli tirbouci ievbrtsunlbi nj↑cud:iea edcgnujtao li,rinbib↓u gobvnilllar enouiir rshn:tl↓pitao~maie lnegobnuiliro +



 +12  upvote downvote
submitted by peridot(115)
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rHee my atsb ta gimmausirnz lla the ifon. Teh itfrs maiadrg on sthi stewebi si a rpesu fulplhe as ;well hsiT iadmagr ators sephl ot.o

yNaml,rol brbuiinli rmfo het olbod mrtase si ujgeanotcd in het rveil ot a rult-oeleawsb orf.m hTis tseg ximde ithw ible ot eb ecerdtex uhtorhg teh tnt.ieeniss nI eth laslm sinie,tnet ti cmseboe nrobliungioe, semo of whihc si rxdeecet yb eth ,sinkyed igvign epe htat oogd lwloye rlooc. eSom fo eht nuibigelrono rustn ntio ebltoircisn dan tasys in eth IG ot be exeecdtr ni opop, ggnvii oppo ttha odgo wnorb .olrco

In ielb tdcu urt,stnoobci unlriibib gset gjentaudoc ot a oalur-eeltswb omrf - tenh its' kc.uts s'It aneulb to eb etcdexre onit het esnttisnie, eaunbl to ntru otni enugbioolnir or lobcsritien, .etc nuteogCjda iurblnibi sibdlu up in het ,vrlie and nyleetlauv egst dckeba pu bkac noti het lbodo tamres wereh it ecma rf.mo ecnSi ist' asr-eouwltlbe and ftonglai rdaonu ni ioucrclt,ian it layenevtlu gtse tidlfere by eth edynsik and nesd up ni ee.p iBiuirnlb si drkear ni o,rcol os eht eep lwodu eb dar.k owr,Heve eht ostol olwud eb epla eincs on ocrsnilebit wsa dema. I lbievee htat omsytpsm fo ycith iksn oasl orscuc ni ehets cases as ebli sslta acbk up adn rea odteipdes in .sink

seHsyolmi is ont eth crcerto snrewa beecsua tmso fo het ibirnbilu si not yet jecauo,ntgd so it's tno ew-eublosaltr and osnted' end pu in het eykdi.ns

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notpennysboat  igmnzAa loit,anpexan snhatk a tol! +2



 +3  upvote downvote
submitted by basic_pathology(25)
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Key itPon: iiluBinbr cna lyon eb ni het uerin if ti i:s (1) nogeactjdu B,R ro 2() igenronbi.olu

egUndnacjout RB is NOT rewta esblulo dan orefehter NNATOC be in uiern. ihsT si why uyo seu poretahhypot in iarrlNjrCjge-.a ecnersaId oeuncagunjdt RB &;t-g- ptyrpaeohtho zmsirieoes ti os ti csoembe wreta eusboll.

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lovebug  alerc dna sor.th doog! TXH +
lovebug  as hsaagcpBt@yoi_lo Idias n, raNaCrlrigjj-e sd.ny ohoPt TX edso otn actoejgun U,BC tbu deso eircsean lrayitPo dan Watre ltilsbuyio to allwo caoneirxet FA( 120,9 PG38)8 +1



 +2  upvote downvote
submitted by haliburton(224)
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i kithn sith si ueeascb nuriibibl si a lsuoelb vilre ebokdarwn durctpo fo e,hme but ahs ont edtrnee the tileneitnco/nso rfo gut teaaibcr nocsvieron ot ebiscrotlin or i.ilnrobu iibourln in eiunr si amrnl.o

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