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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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hwy hysimeosl is ngor:w

herTe dhluso tsmola nveer eb trhsgiat up ubbiiilrn ni het enru.i nI lsy,eihsmo eht xessce linuribib si exedrcte in teh l.bie tfAer rlecbatia ecnooirnvs nda kaere,put osem wlil eb xcedeert ni het nuier as ib.rinluo ve,wroeH ni ibsructveot rserdoisd, the oendaugjtc nrbibilui lwil veren vhea teh toopptuynri ot egnudro iertaablc onercvniso ot e.lstrbooruici/n nI ihst w,ay hte aetjgduonc iblniirbu has no torhe yaw ot eb ecxertde roteh tahn eltriydc in teh neir.u

csirtde to rl36c/n7aaa/u on etdrdi

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skip_lesions  unodF a dogo cpi wsgihon rbiiniubl eslmaitmob +
coco  nreiU shiisnyd↑l:onsigfme roil,nnolubegnio ii lcbtebbrurtiusovin can↑ideuj: ojadtugcen iiibru,bl↓n iaerlglloriuobvin n nm↓hls:iri~aetpoat ubioinrlngloe +



 +12  upvote downvote
submitted by peridot(115)
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eerH my abst at izmnigasumr lla hte nfo.i eTh rtisf agimrad no htsi bwetesi is a ruesp lphlfue as w;ell This gariamd otsar lheps .too

llam,ryNo rubbnliii mrfo hte lobod arsetm is jucgeoatdn in eht rlvei ot a seew-rlauobtl fmo.r ihsT stge xdmei hwti ible to eb rexedcet orthuhg teh eis.sneintt In het lasml neiints,te ti ocmeebs gnloonueibri, emos fo hhwic si etexrced by het s,deiykn vinigg eep htat ogod eyllow o.locr meoS fo eht eguirnlbioon unrts toin reoticinlsb nad sasty in eth GI to eb etreecdx in opo,p ivigng popo that dogo bnowr olcor.

In beli cdtu rio,tusctobn blinuiibr tges cuajntedgo ot a -swterbauolel orfm - neht i'st .tsuck st'I laebnu ot eb teeedcrx niot eht niet,ssiten unblae ot trnu oint nlgnireuiboo ro snlobcteiir, c.et jtaodCuegn nubbiiilr lubdis pu ni the ,vlrei dan aelvenytlu egst cdbeak up bcak otni eht lbdoo msreat ehrwe it ecam .frmo Senci sit' lwbelta-ersuo dna ionaltfg uoradn in c,ilnacutrio ti llavneyeut esgt dfiltere by teh ykdnesi dna sned up in ep.e linuBiirb si kdrrae ni ,cloor so eht pee wldou eb a.rdk eHo,ewrv het oolst lowdu be pale niecs no isrbtlcenoi aws m.aed I blveeei tath myspsmto fo ithcy isnk loas orcscu in hetse ascse as beli tsasl kabc pu nad are pidetdeos ni skn.i

sslmyHioe si not teh rcrctoe reaswn scebaue ostm fo het riubilnbi si not ety dae,ongjtuc so ti's otn letsbueloaw-r dna nt'dsoe end up ni teh edkn.iys

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notpennysboat  mganiAz xlinaaeonpt, nksath a lt!o +2



 +3  upvote downvote
submitted by basic_pathology(25)
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Key tnPoi: iBnbuiril can yoln be in the rnuie fi ti :is ()1 neouatgcdj ,BR ro )(2 rngliue.oonib

njuUtogcdaen BR is NOT retaw oublsle and fteroeher ONTANC be ni .nurei hiTs is yhw you sue heyrtopaptoh ni jijre-rNg.aCral endcIesra nojatucedgun BR g-&;t- ahopprteyhto zomeeisrsi ti os it emsboce rtwae b.luosle

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lovebug  ecral nad sto.rh ogo!d TXH +
lovebug  sa syoha@tcoi_gpBla snId a,i rCjeaarNijl-gr ndy.s htoPo TX does not tuencgjao UC,B tub deos eaiecsrn oilytaPr and aWter olyisbltiu to owlla rxtneaeoic (FA 0219, PG3)88 +1



 +2  upvote downvote
submitted by haliburton(224)
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i tkhni hist si eabcesu uiinibblr is a osllbue leirv rabwkedno ocutdpr of e,mhe tbu has ton dereten teh nlnttsicen/iooe rfo ugt abrcieta roevicnsno ot enscotribil ro iir.oulnb iobulinr ni uneri is mrnol.a

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