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 tujs kenw atht rpesm need esfruotc, ton ruse ahtw saeieds copsrse hits si g.uohth eH wsa prtyet nloram so 5a radtseecau n'sodte teesnrp keil htt.a I aswt'n esur if etrhe saw ayn ddo sue of eth ethor .rsswaen rhee is a .klni eleF efer ot nx.daep

cn/wxsswsegu4c/7/2miho2.aaw.qept_l2bptst:po.

uctFores skame pu %99 fo eht rigcuedn asrgu ptnrese ni .nemes This sruga si euocpdrd in hte snamile eci.lvses nmiheDsdii svlele fo rfctoesu ahev bene wsohn to lelralpa odernagn dfecicenyi adn het esntesotorte .vleel nolwolFig oseotetrtsen pra,tyhe hte eelvl of fcsrotue nusihA.golrs acethe the uercstfo estt si nto rpat fo a toenuir eenms ia,ssnaly ti si sefuul ni saecs of aosrpzomaie (ebsecan fo sepmr in nesm.e) nI aioezapsomr ynrdeoacs to eth nbeseac of eselicvs ro if eehrt is na usirbottoc,n on cfsrteuo is rp.enets In ctistreula ,aizrepooasm oerucstf is espnret. nhWe ariezsmpooa and lwo eenms veumol it,esxs het eftsoruc stte sulodh sola be oden, on a uleptaecjasot nruie mlepas to khecc rof eagrroedrt anci.altouje Tihs osuccr nhwe eth ltaaueecj esgo iton hte aedlrbd desntia fo otu het haeut.rh rTe reuoedprc fro grinemtedin eht mtnoua fo tsfreuco in meens evinlsvo hntaeig seemn in a tsrnog cdai ni eth csrneepe fo oroilnc.ser Fcuorest esgvi a edr rcloo ilven(ffSoo ir)tcaeno nda yma be edra ni a hpemotrt.eo Teh oanrlm raaeevg is 513Lmg/d rcsueot.f

unscramble the site ⋅ become a member$279$49
sam.l  Tnkah uyo rof eht nae.opnlaixt Im' litls cdfousne tuoba sthi r.nseaw I asw ni benteew cinZ and touce.frs Zcni eneydicfci olsa eprtsesn hiwt maasnoi p(g 17 srFti Adi 2).910 oceutrFs si edsu ofr eht .meetonvm Hsi onrohsem aer aomrnl. +4
d_holles  teypprAlna tbie,desa ucicsn,ool nda ftianimlanom can serlut ni โ†“ rfctoeus ni sspa meM.sru et l,a treF tetSr 5,2 7194 rSe)0sf65.atd0pw/e0tp/:t2t/rf93lr0/o8wh-c.1ri1gs2wet4(-t/12 +4
cienfuegos  kTsahn lla fro het f,oni ukicq etno no eht niZc plery abvoe Sm:@Ia. inasmoa = tslo senes fo elml.s +
sam1  terGa nidf !yo I eileebv ihst euostqin saw iunllgda to tiyscc rossifbi dan eht lnneacgoit ebeacsn of eth sav defnrese. eHre si a lkin ot a ENMJ tarecli uoatb it bw :oelh1l1o00ds0uw7J/g37.me8Mw10o5i06rj1:w/nlN.2/6t9/.Ep92/1tf/ +1
burak  zinc cenyefiicd caeus dghm.oanipsyo hrtee si on dg,hyopansmio erspms aer ?daeamgd +
fatboyslim  m1@aS ubt csticy ssbofrii lwil oswh olabnram sailychp finnsgid bn,iubcg(l pmnalyuor kcsaeclr cet). heT oqetuins sysa lypshaci exam ssowh on eborinlista.ma +
pg32  ufeodCsn as to woh we can elru uto ci...zn romF sio.cmmnacotdyeweald: in"cZ asol pslay a erol in hyeahtl rmesp o.riucdnopt rcdgiAnoc to a 1820 eeirwv trlaiec ni teh ualnoJr fo petucRronido nad ,tilefIntiyr nczi deniyccfei aym nrtuocbiet ot poro semne qtluyai adn "ynrtliie.itf +
bekindstep1  @g32p I am ont eusr fo hwo Zcni ioebsncurtt to mpers tpo,oudnirc but teh iqtsneou swa aiksgn tobau eriaotalbmnis ni hte eensm dan soufcter is prteens in eht .msene eMbya inzc salyp a elor ni sempr peendovtlem erfbeo ti si dmiex in wthi semen dna os noe whit zicn icenifcedy tnoluwd' eavh low ni icnz in ihrte emnes shepp,ra ubt ti rhiet l.oobd siTh is tujs a ehyhtspsoi h..uo.h.tg +
brise  ^^ ehYa tath's woh I uldre ti .tou ouY anc dfin outefrsc in eth esne,m utb you lt'dwuno eb aelb ot nfdi izcn in het mesne! It gmtih help het emrs,p tbu tsi' not gigon to be glinihcl hitw hmet +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

So I ookdle niot stih rrheftu oto cueseab I peyrtt chum nkwo nonhitg btauo het kmae up of nseem. ormF eht hceesrar I noudf, sa as ttdsae ewobl yb o,y utfosrce is het toms ipnmttroa enuotttcsin of msnee in mrets ro mrpse ucnfiot.n oleBw si rtnfinimooa I udfon ot sdersad eth oetrh wernsa .ecsihoc

inZc denicyiecf (in ,umres) epr A,F has enbe etcimpladi ni deaeyld udwon lah,ngie erspspudes nti,uymmi aelm yinhsp,modgao aescreedd tudal ihra yl(ra,laxi al,cfia cpiub,) seug,adsyi saoa,nim arerottscmaidim tnaarcohtepie ftc(dee ni enlttsaiin iznc b,ptaiono)rs dna aym sdrpepeiso ot lolaihcco osiih.rcrs FA tidn'd eiyfpsc eth lvslee in eth ensm,e ubt epr the bolew i,etralc emasnil incz ncotent saw duonf to evha onr canrrtileoo to rpmsn/emees ./e/tevtccilvtailey I t'nod wonk fi er'ew sepupdos to konw ,htta utb now I d,o ol.l .th3nw/5wp0/hn3dopisbmt.i:7/cwm./5elubgnv7..

As norxhugyb ineme,ntod uleeismnl si olyn ditenneom oecn in AF sa a nraetmtte orf ti,aen os I lkooed toni it thurfe.r uSeelmni si a enotnct of e,emsn btu veesll rayv so chmu thta ti rsesve no oostnpgcir ilcnacl lvaecneer to fietrniilyt, rpe tsih lra:ietc 32t0/h:mn5.nin/hwomcvw.b3t1usg.eibppwl/.d/2.

oT leru out lal of het rnewass e(csubea I dtdin' lelayr nwok hiytgann buota hte lqyitua fo ems,ne) I unodf thsi yB" s-atiscts,tit hreet asw no naitsgcnifi efrdefiecn ni eth eemns Na ianocncetrotn mnoag eht eefdtnifr ogurps (7 opurgs aotlt edasb on rsemp ),ntcou aitngicind het tgnifasiiincn eolr of aN in rmesp yltmio.i".t /1/.ph1lcinh:gnw/pb2wtv7sn5wm2eiotm.u/..db.

aFlynli, I od'nt think eht 5lp-haa ectausedr mneeyz si clauyalt ni see,mn utb I culdo be wnrgo. rheiEt ,way it td'uowln eb lalarbomny eeevtdla ro wol fi teh tetersetsono esellv aer orman.l

unscramble the site ⋅ become a member$279$49
bartolomoose  sa rpe lj,ogna eineumls si onlvevdi in otuanteiglh orexisdeap +
chandlerbas  nslemeui ahs a orle ni gnhtluetaoi rpxdiaese.o cseexs eiuelsmn = alrcig ,rabhte hair ossl, nda ilan s,ahecgn ghimt ees iealrrehpp rut.apeyhon edccifeyni (pt on TNP) = iddalte cpmhtyoodaiyar +
chandlerbas  asol nizc aisd ni smpre ittlyoim w.7c8/goMePihctp/ntat7svl.41wrh:../n3cim/mli/n/wp9bCs satth wyh i ceosh cinz tbu hearervwtr im ervo ti +



 +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

nrciAcdog ot hte SMLEU, 'susilemen lyno use si ni ueienlsm suedfil sa a ttenertam rof a sgnufu lceadl asasealizM spp aniTe( e.ovoclrsr)i

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

tsel idoav goln aeinatlopnxs slahl ew .

.pt itwh neiliiyrttf. icukq ttse ni fwe esdosnc = seenm tesocruf

tfca : eailsnm leevics eaksm u.sctefor

uoribtntcos of mnlaesi veelsic ro tnliocnega benesca = low uotscref ni ensme = bialmteoc ncmialabe tg&; ctifineefve nmietgssrpsoaee

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 edaesron uhtghro sith eno nisce I elaenrd tath niaseml vieselcs eyiavhl esu Solriotb aeeohrngyesDd (adn ivsoare p&;am levri I vlebiee to)o, hwhic mesan eyth yrpolabb hvae a itlalpaurcry ontatiprm ende rof eotF.sucr oS amonrabl fosctrue ni senem si laopybbr ton a odgo ngis.

..PS I ndorew fi teh cntsiaen did hte tteeatst-s on hsti eo.n.. d( eseme ot kwro elwl fro ee)sdbtai

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

aerIedncs BsCW ntieadci nigtela itaancimnonolfnti,emi/f ihwch acn aedl to opro emesn yqltaiu eud to het tduioocrpn of vxsieesec tveicear geoyxn esipecs by se.kcutlyeo

sAetbn tocsrfue ccoritnnentao si na ndticniiao of a ailtennogc bsaenec of vas l/esrmdsenneefia csseile,v lhwei eeresaddc sucretof nnceanrtoitco yam enictdia an yuotcealrja uctd snbrciotou.t

Hp t&g; 8.0 icnaesidt tonimlifaanm fo eth tas,topre isenmla ,tatcr peimsiydd,i .e;ct Hp ;&tl 7.2 iadcteins lmenasi elesciv odncfinutsy or bturniocost of the ortcjelyaua cs.tdu

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

oS I ldoeko tino shit rfheurt oot sceebua I etrtyp uhmc onkw gnihotn bouta het meka up of .eemns omrF het chaeresr I ,udfno sa sa estatd webol by yo, ucseftro is teh omst ponrattim eitnscnutot fo esnem in semrt ro perms onfn.tuci eBwlo si irniotnmoaf I fdnuo to readssd teh ohrte aneswr oeshicc.

nZci nyficieedc (ni mrue),s per ,FA has bnee mpeitadcli in dayeedl nudow ngihl,ae ssepdsprue n,umiyitm laem ,spoignaymodh seadcrdee aldut arhi ia,xryll(a fci,aal b),cpiu u,seyiagds aino,mas motridaicseatmr henarettcpoai fc(eetd in tintealisn nizc oa,sp)tboinr adn may eipordpses to ohoillcac hsiis.orrc AF id'dnt yecfpsi eht esevll ni the enesm, ubt pre teh ebolw ie,rlact sinleam nicz tentcon swa fndou ot evah onr otaelrcnroi ot nem/spremes y.lvte/ecaciil/tevt I otdn' okwn if ewe'r osuppsde to nowk th,at utb own I ,od .lol gt/iev.nm/nml3h7w/b:s5uw.o.wdbpn70chi/p5.3t.

As onhbygxru nt,deimone suillemne is onyl nteindmeo oenc in FA as a tnrettema orf ,aient so I keodlo itno it th.rfreu ulmeSnie si a toentcn of m,sene btu slleev ryav so chmu htat ti sreesv no ipstncorgo alniclc eclnerave to ine,rftytili epr htis tcl:iaer c.5e.t3wbno0hbgw/pu2hiln1mn.pt3wid/2m/s/v:..

oT urel uto lla of eht warness aucbees( I dnd'it yaller nwko anntighy uaobt eth tyauiql of e)mn,se I udofn hist yB" ,atitsscistt- rteeh aws on siigtnfinca ecrneifefd in eht neems aN coitanncnorte nagmo the etfifendr sorgup 7( gopsru ltoat aesdb no mrspe )uoc,tn inigtcnaid eth atnicsniiingf olre fo aN in sempr loimtiy.t". /eop1.bc:u.nnbv5/wmwtspm.wn/h721i/2dgthli..

,nlyFail I on'td htkin the l5-paah tcureseda zyenme is talaucyl ni eems,n ubt I locud be rw.nog triEhe ,yaw it uown'tld eb nmaryoblla eedevlat ro wol if the trsesoetneot lsevle ear rlmn.ao

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

yuo lla era inologk ywa oot epde tnio tihs.

hisT asw a mlisep tfca erllac snoueq.ti nehW yuo see emesn + tiyitrflein ni a sqitouen dna ucrfsteo ni het as;nrwse ist meesn = urstcfoe

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!