need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 21 Answers

nbme21/Block 3/Question#45 (reveal difficulty score)
A 28-year-old man comes to the physician for ...
Fructose ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +11  upvote downvote
submitted by โˆ—yo(89)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I stju kwen ahtt emsrp dene ,tcuoersf nto suer ahwt eissdae copsers hist si otgu.hh eH wsa ptyter amnrol so a5 cesadtruae s'edotn etesnpr elik that. I nwtsa' user fi reeth asw ayn dod seu fo the herot sr.snwae reeh si a .knil leeF refe ot axde.pn

2npoasgwxl.ie.ws72ctst_/mwp4hoes:bptquc/.a2/

eocsutFr amesk pu 99% of eth nuiegrcd aursg tpseern in .emnes hTis gusar is prcddueo ni eth msinlea csls.veie isinieDhdm llesve of efotrcsu vhae been nwsho to llarlpae narndego ceniyfedic nda hte soontetrseet e.lvel gnwFloloi otosstetnree eaprhyt, teh lelve fo crtuosef erlatnhu sAihceogs. eht tcefruso sett is otn tarp fo a utienor mnsee nlsya,sia it si ufuels ni cssae fo romapeiasoz aeen(cbs of mpsre ni n)ems.e nI moiopasreza anryoescd ot het anescbe of ssileecv ro if teher si an nsotcutoib,r on efotucsr is e.trespn nI rcaitletsu psorzaamei,o curetofs si .steeprn hneW oiemaorpsza and olw emnes uemvol s,texis eht tseruofc sett oslduh soal be oe,dn no a cstjatlpuoeae reuni mpaesl to ehcck orf georredart jn.itaalcueo ihTs curcso nweh hte cealujtae egso onit eth lbddrea anisdet of uot eht .huertraTh e ercrudoep rfo rgiemtidnne hte umtnao fo ctufsero in esmen vlsoienv inthgea enmes ni a tsrong idca in het ceenpser fo orsrl.oncei tcrsuFeo sievg a rde olrco onvfflioe(S itronea)c dan may eb drea in a t.oempehrto The nalrmo vegarae si d1L3m5g/ rceto.fsu

unscramble the site ⋅ become a member$279$49
sam.l  kTnha you ofr het naelpixtao.n I'm llsti unocefsd toaub iths en.aswr I saw ni tenebew ncZi dna .esfortcu incZ dieceycinf asol eesrnspt hiwt iamsona pg( 17 tFsri iAd 02.1)9 soFeucrt is sued rof hte tmm.neoev Hsi eonhomsr rae ona.mlr +4
d_holles  prtaeAlynp tsa,edebi isonuc,clo dan nianfmlaimto cna sreult ni โ†“ cfeuosrt ni suaesmMsrp. et l,a rFet Srett 2,5 9 471st2re3os/01e.-i9t8tc:r0wht-rat/0detw1(4w61p/f250/S)fplg./2r +4
cienfuegos  hsTkna all fro teh o,fin kuqci tone on eht nZic lprye ebaov S@.a:mI naoaims = sotl esesn of m.esll +
sam1  aGrte fdin !yo I eeivbel ihts stnoiqeu aws iluganld ot ctscyi frbioiss adn the onaetcilgn cbenase of teh avs .srenedef Here si a nkil ot a NEMJ leairct otuab ti lb wo:et.2s06etEo1w6/.:/i1mf3hl09p/Mw.0/rj0g171dow5n0l7u2/8/91JN +1
burak  cnzi enyecicidf uecsa nihamoopgs.dy rhtee si no ,danihgyopoms serpsm rae ademdg?a +
fatboyslim  a@m1S tub cciyst oiissfrb wlil hsow aabmnorl chliapys nidsgfni ci,ubl(ngb ypoalrmnu ecarckls )tc.e Teh oqisutne assy pyhailcs axem owshs no tianblsrema.oi +
pg32  Cfoenuds sa ot how we acn lure out ..in.zc morF ycm.ileowdtmcdnoasea: "cinZ osal lspya a erol ni ahtyelh epmrs ou.tdnircpo dorAniccg to a 8012 wvreie aetricl ni teh nJaroul fo ecuiRonortdp dna lift,enriIyt incz yfnieciedc amy bcteonutri to opor mnees aiyluqt dan yrefii.titln" +
bekindstep1  @23gp I ma ont seur of how icZn nrotsibceut to pmser od,unitropc tbu eth nseouiqt asw saikng oautb slmtoieinbaar ni het enems nad rfeotscu si etepsrn ni eht .ensem eybMa icnz ylpas a oler ni ersmp mdeoelnptve ebfoer ti is xdmei ni wiht mseen nad so noe wiht cizn eicfceydni d'twolnu avhe lwo ni zicn in eitrh menes ars,ehpp ubt ti rihte lo.obd This is tsuj a syhithoeps h.ot.g..hu +
brise  ^^ aeYh h'tast owh I lredu ti out. ouY can difn rtfsoecu ni eth en,sme btu uyo ot'ludnw be blea to idfn nciz ni eht sene!m It mhgit plhe eth e,mpsr but is't not oingg to eb clhligni iwht temh +2

Increased WBCs indicate genital infection/inflammation, which can lead to poor semen quality due to the production of excessive reactive oxygen species by leukocytes.

Absent fructose concentration is an indication of a congenital absence of vas deferens/seminal vesicles, while decreased fructose concentration may indicate an ejaculatory duct obstruction.

pH > 8.0 indicates inflammation of the prostate, seminal tract, epididymis, etc.; pH < 7.2 indicates seminal vesicle dysfunction or obstruction of the ejaculatory ducts.

+/- apurva(101)


 +8  upvote downvote
submitted by โˆ—nwinkelmann(366)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

oS I keoldo noti hsit ufherrt too uebaces I prttey humc wnok ntognih utboa teh eamk pu of mese.n mrFo hte rescehra I ,dofnu sa as tatdes loewb by y,o escofurt is hte ostm rttmnioap otnetuctins fo neems in etrms ro epmrs f.tnionuc wBeol si nonofarmtii I nodfu ot adrseds eht orthe ranwse e.ocihsc

ncZi indfecicey ni( mrs)u,e per ,FA sah enbe iiptaldemc in eeladdy uwndo ihag,nle spssudrepe imiuynm,t amel pgoaion,smyhd rdedecsea dtalu raih airxlya(l, f,lcaia ip)bcu, dgssu,ieay oisanma, amerimcsdoritta nhepaotaciter ftdee(c in iantlisten cizn trnoibpao)s, nad yam peoeipssdr to hoilalcoc .hsciosirr AF dind't fipyecs eht evlesl ni eth ensm,e tbu rep hte lwbeo ,crtalie elinasm zinc ctetnno wsa ofund to aveh orn acetloriron to ssemrpen/me t/vyvti/cleelati.ec I o'tnd oknw if rwee' eppsdsuo to konw htta, ubt onw I o,d l.ol .m5b/.h7p330n5/bcmteodw7lw../pvswh/tiignu:n.

sA ryuhbognx n,oditemen ilmlenseu si ylno ementoind ceno ni AF as a treamntte ofr eti,an os I dleook otni ti fru.hter leimSenu is a teontnc fo sme,ne but lsvele avry os umhc ttah it esrvse on pgsoircnto lnaiclc aeerlecnv ot yetrniiit,lf epr thsi lrecai:t tbw/i3n.2mun/b/p1s0:tpehmg.c2wo3wv.5.hnd/li.

oT urel tuo lal of the esnrasw sc(bueae I tdn'di yaelrl kown iynhgant uatbo teh utlyqai fo enme)s, I fduon hits "yB tatts,it-ssci rehet was no tfiisinganc eeferifcnd in het menes Na ootcnenicrant omgan hte efdrfenti ogrups 7( uoprgs talto beads on esmrp ou,ctn) gaitdicnin the cainiginfistn olre fo aN ni rpmse tiy.lo."mti s1.nm/b:/v/o./n5dut.2bchwp.2ih1wimep7lngtw.

l,Fnyail I no'td knith eht -a5phla tarecdsue yzemne is yataclul in ,mesen ubt I loduc be wn.gor ehEitr yaw, ti nul'wdot be nblrlmyaoa aveteedl or olw fi eth ntoesrteotse veelsl are rno.mla

unscramble the site ⋅ become a member$279$49
bartolomoose  as rep oajg,ln nmeeiuls is nelidvov ni haoetglntiu eaxeopsrdi +
chandlerbas  eiuslmne sha a lreo ni guhitntoela asio.redpex csexes unmeesil = crlgia rbaeht, riah os,ls and alin s,nechag hmgti ees lpeparerhi phyor.entau cyieencfdi t(p no )PTN = ddtaeil ipaoadctmoyhry +
chandlerbas  aosl incz sdia in psemr litoimyt relcnw.c/caM/mgi.nb8t9:lh7v/st4/posmP.C/.1t/wphi3nwi7 tthas hyw i hcseo czni but rhwveraetr im oerv it +



 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

cgcdorAni ot eth ELS,UM iuessl'emn noly ues si ni elsmuein uesldif as a teatrtnme ofr a snguuf lclade eslsaiaMza spp ieanT( s).erciorvol

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by โˆ—unknown001(9)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

tesl adovi onlg pannialeosxt llhas ew .

.tp itwh tr.tiyfinlei iquck sett in wef ssnecod = eenms ecofsrut

tacf : eslinam lvceeis asmek urot.fsec

ntitbucosro fo aesminl lsieevc or eiatgonnlc ecaensb = olw frcoeust ni nesem = bmlaieotc lncbimeaa ;t&g feivcifeetn rieegmsatsepnos

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by โˆ—meirchod(1)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I eodranse rohuhgt iths oen ceisn I enlader htta salemni esivescl lyhevai eus lrioobSt haeDdgenrsyoe (dan raieosv ;a&pm rvlei I beeeilv o),to ihwhc masne teyh rblypabo heva a cltraralyupi imotnaprt need fro ertF.ocus So nbrmlaoa uortefsc ni meens is aypbrbol not a ogdo snig.

.P.S I eowrnd if teh tanencsi did the tt-tsaeset no this ..eo.n ese(md e ot korw well rof tdeb)seia

unscramble the site ⋅ become a member$279$49



 +0  upvote downvote
submitted by โˆ—apurva(101)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

drIesncea sWCB cadneiit ltganei c/motieonimfnin,nltfiaa hcwhi acn ldae ot oopr nesme tuyliaq eud to eht ndroicuotp fo evisxcese rteevaic xgyeno eseipcs yb cu.etyoeskl

Atbnes uctoserf ootiacncennrt si an aniciinodt of a tincglaeno eescbna of asv edermeflenisa/sn seie,slvc ehliw eerdasecd rctfeosu conecarontint amy atndieic na oyruljaecta cutd tuo.nstbicro

pH gt;& .80 icdaneits niilntfmoaam fo hte otept,ars eminals ,ttrca mis,ediypid .c;te Hp ;< 72. sdinieatc msenail seeilcv coiusndfytn ro cibtosrotnu of het raaoleuyjct .stcdu

unscramble the site ⋅ become a member$279$49



 +0  upvote downvote
submitted by โˆ—nwinkelmann(366)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

So I eloodk into thsi ferhrtu oot ubasece I ytterp mhuc wkno ngoithn uaotb teh kame up of mnese. rmoF teh ehaerscr I fdo,un sa as aetdts lboew yb o,y tfoecsru si teh osmt toanmptri nuicttoesnt fo seemn ni estrm or repms tu.foncin weBlo is naonrtfimoi I fuond ot ddssrae het tehor aenwrs iohsce.c

Zinc yifeiccned in( ,mser)u rep ,AF has eben lcitpaedim in ydldaee undow ,ghinael rsspeeudps mimuinty, male ohopmiasgdn,y reaceedsd atuld airh irl(,xaayl afial,c ,)pucib seasgyuid, ,saionam trmiredmasoiatc nieaprttaheco cftde(e ni ilnatnties cnzi oitobn,ar)sp dna yma eodseiprsp ot ollacicho irssor.hci AF ndti'd csipfey eth leesvl in eht nemse, tub rep teh beolw cer,atil nislmea znci ttnecon aws unfdo to eavh orn lcorteniroa ot empemnrsse/ ecai.vcttve/ltly/ie I 'ntdo wonk if re'ew sepopuds to wnok ,that utb nwo I d,o .oll mbb5mi3gpwn/uhn3n.7p/d/hce.:v07tw/ow.ltsi.5.

sA ubyhrongx dimnt,eone selnueilm si olny inendotme ncoe ni AF as a rmttnteae orf i,anet so I doelko onti it uhreftr. mlueniSe si a eoncntt fo ees,mn but levesl rayv os cumh htta ti reevss on gcoonsrpti acclnil ereeanvlc ot ryn,iietfitl pre iths aelrc:ti 2/i/ntiopd.hwtl.p:3v102/3nwswm.en/bumgc5.hb.

To lure otu all of eth rnwsaes ee(bacsu I di'tnd aerlly wkno hngyiatn uabto het yqtilau fo menes,) I dofnu shit "By ittssia-,cstt three asw on iinacntgfsi iercfendef in eht nmsee aN tocrncotnniae nmaog the rdfnetefi upgrso 7( ogrspu ottla daesb on srpme utno),c cndiigitan the iinsciftiagnn reol fo Na in prsme "mity.tlio. tdntwl.eib7nvc1in/mu.gmp/p/b5:2h2w1hw/s.o..

yaln,Fil I dt'on hnkit het ahl-5ap edrstecau enymze is llayautc ni esne,m tub I oulcd eb nwrog. iEthre ya,w it wdo'ultn be ynlaobralm etvdeale or wlo if hte rttsoeetsnoe lslvee are n.oraml

unscramble the site ⋅ become a member$279$49



 -1  upvote downvote
submitted by flexatronn(5)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

oyu lla era kolgoin wya oto dpee iotn thsi.

hTsi aws a mlpesi tfca lcearl esqon.tiu nWhe oyu see mnsee + eyfrlnitiit ni a tiequnos dna cfuesrto ni hte rwans;es sit esmen = custfeor

unscramble the site ⋅ become a member$279$49



Must-See Comments from nbme21

nosancuck on Absorption atelectasis
assoplasty on Free T4
seagull on GM2
lnsetick on Apocrine
niboonsh on NMDA receptors are blocked by Mg2+ at the ...
drdoom on Deletion of a hydrophobic amino acid ...
hayayah on HCO3โˆ’ transported in the plasma
mcl on Aortic
notadoctor on Usual interstitial pneumonitis
madojo on Genital herpes
hungrybox on Obstruction of the bile duct
jambo2222 on Lung
hungrybox on Mismatch repair
hungrybox on Hydrochlorothiazide

search for anything NEW!