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Retired NBME 22 Answers

nbme22/Block 2/Question#7 (reveal difficulty score)
A 66-year-old man comes to the physician ...
Libido: decreased;
Nocturnal erections: normal 🔍 / 📺 / 🌳 / 📖
tags: erections libido penis

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 +5  upvote downvote
submitted by ∗paperbackwriter(161)
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LESPROIS ORF NEMB 21 -- 'TDON RDEA HAADE IF UOY 'TENHVA ETNAK 21

eftAr etgntig ti wgrno (acueesb fo eht ENMB 12 ,)Q I strudndeoo it ekli i:hst

– Ldiboi si a ongl etrm tte,sa gmanien oruy ilbiod ucdlo be ni,ef utb enyxati in atth OMMTEN tighm seauc ceohypgsinc ED

– Tish uyg hsa some lsccais GIS E PCSA rirteica ngoig on: ugtiaef (eenryg ol)ss, eplse urbanic,detss ttcnnrcoonaei msbrolep

– tI says he ahs'tn eben lbae to aitnanmi any roincete v(s MEBN 21 ygu ttha swa albe ot uatresmbat h(is ongl mter xse vierd wsa OK) utb adh fcpeomrenar exinyta in hte mn)temo

oTrrfehe,e kcal of esx vrdie fdulee yb isdpenosre -;>- wlo bo,iild tub iacpysyhliollgo onhtgin rwngo twih mhi &t;--g nhmgiitte oneeirstc

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trump2020  Bessl ouy orf ignnlcdui eht soperil niagnrw +2
kernicteruscandycorn  kb@ewp:rrtaepaicr kcsi mnae nda rcreeenfe +
imgdoc  I tkhni I dweenars eth NBEM 12 nt,euqsio dna rfeat inagdre stih, inddt' do csijute to hte iaaelnnpxot. tohB tsih aeitpnt and hte EMNB 12 itnptae vaeh gecynhpscio ,DE ubt het snroea HYW ehty haev DE is rfef!intde In MBNE 1,2 yeht ylecarl tinnedoem who hte anm tsetsamuarb and has nlrmao onnarutlc nteer.csoi So it was efas to aessmu ish iliodb cwhih( si edielytfni knldei ot enstreotteso )vs,elle and ucltaonrn ectneiros rwee nie,f eh yma tjus hvea eenb avghin erreconpmaf AYITENX ni htta xleusa itshitTaou nsi. amn MNE(B )2,2 eh laos has NGCPIHECOYS ,ED he is pdesdeser klei kerprbcriaapwte eia,denxlp sih olibdi is iyeentlfid ecdrdaese cbe(euas seiporsned nac ceusa deceserda i)obld,i utb shi ilbatyi ot gte tcsneeori glsoylayhpilico (utolrannc scrtein)oe ear ceetloympl nf!ie MB NE is irytck trykci. +



 +3  upvote downvote
submitted by iviax94(7)
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eeThr ehva enbe a ecoplu of sstunqieo batou hist ipcto on eht enerw esax.m Ive’ eneb eniasgnrw by gtnqueia dlobii ot osttertseeon llvees nad tlourncan ienrsoect to aehtlh of esuaulrcatv eoesisolatsrcr(h or to)n. Is hsit ?oectrrc

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liverdietrying  hnWe ou’rey tighnkni of idlo,bi todn’ jsut aueeqt it to oeeetosrntst -- amek srue reouy’ aywsal ondgsinrice ne!iprseosd Diseeposnr llniowogf osrtek si mnomoc, aiyesllecp ihwt uldeiasr iapslych yast,libdii os tsih odwlu edaeresc hsi ld.oiib nclNatuor sieoetrcn tqeaeu to eo“sd ti lytaaucl o?”rkw ton just the aseuurlatvc ubt eht nelaru pntiu as lwl.e oFr apxmele, nrdiug asttmecoypotr dmagea to eht plvcie splxue ee(s)rnv nca adle ot nom.ecpite sTrhee’ tgonihn ot esstggu hatt eh sah vracasul ro nlgceioruo ieeerclt iyconustdfn re,he hihwc is hyw hsi lnncauort oesitnrce are ta.cint +32
_pusheen_  veritdernyliig@ saW ti aemprurte ot suames eh sha uorltbe twih ieonretcs suebcae of areuln amadeg ofmr het oste?rk I tpu lwo iio,ldb wlo tnuaoncrl tsceoier.n Is ti esuecab eth kestro eustrdel in ieemphissra dna tno conauoitm nufdnsiytco ro isohmtneg leki atth? +5
liverdietrying  e@eupsnh rcrtCeo, oyu town’ lscaslycail gte ieptenmco faret a hgpeicilem o.ektsr siH ltiniabyi ot veceiah an tecnieor si cmuh orme klyeil ot eb 2/2 sasyophlcoic fetefcs tnah rncagoi .idaeses If isht ttnieevg ntdasei said htat sith ahd tntoeg a oramycttpesot iwth nueilgrst egamad to the pcielv esrnve atth llowa rfo etrcon,ei nhet itd’ be a emor seaf ccheoi ot put on otrcanlun re.nstioec +4
fast44  Is teerh a veoid or ewhemerso that xlnsiape steeh esuxla d?csitounsynf Tihs msese ot be a iptco ahtt pksee arpneetgi on het wne smae.x +2
forerofore  ,lwel i houhgt ttah escabue he hda a eostrk eh dlwuo eb llieyk ot evah iaslrecorohes,ts hwhci loduw ekep ilbodi hghi adn cereud olurnctan nee,itrsoc i ankdi ednoirg hte elhwo "hes´ srdede"pse rtap fo the etvgntei tdeepis stnnuairdendg hte mismcaneh l.lwe bt u morf a liccanli eipseosrdn iopnt of wvie, fi shi srereait are ctatin, dan eh si erdepesds, tenh ildiob woudl eb w,lo dna tirnoeces epnrste ta ihgt.n +4
pg32  I cnta' brmereem exyctla tub I rsewa hte uosqneti on NBEM 21 eth 'usyg fiew ahd died sa l.?e..wl rO teyh hda gnteto evodc?rid Eerith ,yaw he hda omse clhloaioypcgs egbgaga as e,lwl but shi ldiibo saw tlisl lmaor,n adn the oaexntapinl swa htat shi eeoneorttsts uodlw be nefi reglssadre of hsi edserpdes domo. So I went twhi ttah ilocg here adn issdme this eqtuios.n I tdon' nrdsanedut how I ma oppdusse to augeg moeo'ness odbili dabes on uvaeg sniht at eitrh oodm, lplicaesey hewn in neo xema modo oeds nto decsreae oilbid and ni eth etrho ti deso. +1
drzed  2@g3p bor oliprses +2



 +3  upvote downvote
submitted by ∗adong(144)
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tPrtey much fi ethy nca ambttaeurs ro egt ti up leaon ni nay yaw tireh cruotnaln mecuesectn uohsdl eb oamlrn nianmeg htta terhi eanniointrv dna xlfeer ahyasptw era all tt.inca dioibL aak xse drive mrof twah ’veI nees so rfa is dreltae yb eensirsd.op So ielk in eht qotseiun on NBME 21 hte smet tdaset tath enigecnrs fro dinosreesp wsa tnvegaie chihw si why odliib oduwl lsao be omrlan in shti a.sec fI ’heerts ever a Q thiw a srpededse yug dna rnolam lba svulea dan scylaihp ae,mx omts kieyll naogn be edcaeders odibil ihtw amnlor ignth rc e-isteon yteurosc of dxeifauslyar/unjofuin/

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 +2  upvote downvote
submitted by elf16(2)
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How si this dfftieren frmo het nuseotqi no NEMB 12 ni ihhwc a r8ae6-y odl man asol dha phgccsnyeoi ED? But hte arewns saw mnrloa oldbii nad cnrluaotn eoniercts.

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toxoplasmabartonella  nI thta c,sea sih rottnosteees aws olrnam adn he dah on snsgi fo sisrnepoed. heT smte ddi ysa hsi iwfe ssdaep aayw fwe snmtho aog, so i slraeylnop echos wol o,ibidl btu ae.wehvrt +1



 +1  upvote downvote
submitted by ∗cathartic_medstu(37)
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aOicrng ED: ramlno ,idolbi caereddes olanutrnc iorentesc

iynccsoPegh ED: edrcadsee dbii,ol ranoml lntuacrno cstrneioe

Got .ti

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 +1  upvote downvote
submitted by ∗nwinkelmann(366)
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o,S I tutghho tish teniusoq asw puesr guaev nad ton .a.e.grt that enbig is,da gahniv tegotn it ngowr dan nto layler hgnavi a doog neiplnaotxa for het wer,nsa I ddi a litlet shcaeerr nda udonf shti lriect:a t0rhpw/pl.w:5o0T11srw1jR/s.itSogd1/7an.o1.a1..d//64.h3a/fu0

sThi saw the mian ouocslincn: eTh" srlstue of hte enetsrp tud,sy mdeia at ansessgsi eht ftescfe of teksor on eluxas itnngc,unfoi revael a tasgiicfnin cleined in ildoib, otlcia eufqy,nerc exauls ar,lasuo nda ittnaoacsifs thwi sxueal elif in obth kserto tantpsie dan itehr soupsse. Teh etrsenp etsurls oals aedtseormnt ahtt serrdsoid of aulxes onncfitsu aer tmos niiacstyfgnli ocdstiesaa ihtw airsuov cailyopshosc rscoa,ft usch as st’nteaip eerlgna tutidtae wrtoda y,lsuaitxe frea fo co,tpnmiee nad ltibyia to sdcusis yuailxtse, as lelw as hwti hte reeedg of tossreoktp ualitocnfn ilatdsiib.y rvreMoeo, exslau ntyuiodsncf was raldtee ot eth perecsne nda gedere fo rndesipos,e eaistedb ,siletlum dan vrlaaocircsadu ica.moidetn heT yelootig or cloiaont fo eht tresok adn the gdeern or ltmaiar tstaus of the sntpatei were not aacdissote wtih sacgneh in ootpksstre uylaextsi ni tasetipn in het esrnpet tuds.y"

iokgnLo at het etqiuson iagan, mI' iugesgns eth ufitgea" adn iuntlfigdcif eeglpsin dna oe"antirnntgcc stttanmee asw pdusospe to be a ucle rof noeis,srdep ieecyslpal nices ti atedrst trfae shi rtsoe.k solA, no saihpcly nbaisimoalret ggusest cginnnutfio is tcnita dna tuhs nlrntuaoc ocitesnre oludw be revesdepr .namrloyl Tsih si tusj p.utsdi

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ls3076  tirpeaacep htis dink of oertff ot okol pu jorluna selticra ubt nlseohyt ihts si otn yrella hwta bemn ranesws is .f.ro. ew sudlho be laeb ot get hte ewnrsa omfr pcseros fo nbs/alcieaonimiti ecceins osnpecct nda ton mfro glkioon up dssitue as we yibusovol 'cnat do htsi on the ttse +



 +0  upvote downvote
submitted by ∗ls3076(92)
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sI esdrdcaee nolutacnr eectsinor ont bsslipoe deu to the gtoniuirycn enebtwe oetsn of ompsytms dan korste (2 osm vuesrs )3? egAre ttha ethes eoiutssqn era yevr gaevu and rsr.ntfuigta oNt rseu hwree to gte a dogo psarg no this ermil.aat

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 +0  upvote downvote
submitted by ∗cathartic_medstu(37)
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cotuNlanr enielp tcmeecsenu amusrmnteee lhharoappgyl() si a stte ttha ersmuase oosnuntespa ltgynhi sncrietoe in etrlecie nfidocstuyn iiym(prarl erepmdrfo in a pseel balrtar.oyo) t'Is ulufes for getnfaiiftdneir bewetne gionrac romf hiygspencco elrctiee td.ciysnounf

egteintV srebdscie a ysiblspo sepddsere tapntei g=;&t oypgicsench ritlecee i.otudsfcnny inSec ti is ont an igncaro sauec fo ,ED lrotuannc seoreitcn wodul eb moan.lr nOgirac oolesgieti fo ED licedun enocigurne or .avulcasr

idboLi rtap sfsncuoe me .rhee dLiobi msaen xsuela eesdri ro .eitpatep I asw iingnthk cinse he's cimogn ni ot get ED decekhc, it csneiiadt 'hes tteepiap for exs si hegnuo hatt it dmea him egt it hceck. So lbidoi dhulso eb o.anmrl ynA he?pl

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 +0  upvote downvote
submitted by ∗mattnatomy(46)
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Anrwes = dcDeereas idboil; rnmaol nnloructa ricnteoes

I leveeib thaw yeth weer ignytr ot ndtaieic ni hsit equitson aws iyolclshocPag Slxuae utnisyfDnco (aka - erPmefranoc tiy.)Axne

In itsh cas,e it tn'swa so umhc the oamecfprren tath wrodire teh ,nma tbu he yma eb os dcfeosu on ish hhatel euisss ps(to e,t)orsk ttah he is aeulbn ot mfeporr luqda.eyaet rerhfeoe,T shi unalrta bdiiol wdluo eb scee.rdead evwr,Hoe esbceau t'si cogynhicpes ;p&am not ,yishlcgpoio eh olhdus lislt vhea nlmrao ietigtmnh eontei.rcs

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b1ackcoffee  o'untdlW yicaopgllcohsh SD vaeh loarnm idobil dna juts rfnopmaerce aeiynx?t +1



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