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Retired NBME 22 Answers

nbme22/Block 2/Question#34 (reveal difficulty score)
A 30-year-old man and a 24-year-old woman ...
1 in 600 🔍 / 📺 / 🌳 / 📖
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 +27  upvote downvote
submitted by drdoom(1206)
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iultlconCasa for add. eTh itabrplybio fo the thraef gbnei a arrrcei is /32 icens it si nknow thta he n’tdsoe vhae het e.daeiss Tenh eth iioayrlbbpt of ihm spnsgai it on ot shi kdi si 1/2, suth:

  • ibbarltPoiy of dda ibgne icerrra = 23/
  • Prybatliboi of add nisaspg on edaessi elleal = /12

sticaluColna ofr mmo. iWth eht rrdgibaeyWHn-e rpePl,inci uoy cna ireguf uto the abyortiipbl fo teh ohetmr gbein a irrcea:r

q = s1t4(,00q0/)0r = 0/120

S,o 2qp = 2 * 0/021 * 901/290, whchi si roappx /010.1

oFr the hlicd ot tge eht ealell mrfo o,mm two gihstn edne to phpean: 1)( mmo tsmu be a icarrre ”te[hzgte“]oeyor dan )2( mom tsmu pass the lealle to d:hcil

  • iabPloybitr fo mom iebng rrcaeir = 10/10
  • bliarotybiP of mmo saingsp no diseesa lealel = 12/

tnuPig ti all rthetgoe. N,ow nmiecbo lla hoeetgtr:

= (btpaoiblyri fo dad gbein ricr)are * yibptoirla(b fo add ssapign on ideeass )llelae * oyrpiibat(bl fo mmo eingb )iaercrr * arpiob(tlbiy of mom snspgai on deaessi l)lalee

= 2/3 * 21/ * 0110/ * /12
= 1 ni 060

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kernicterusthefrog  To ouetq gThroy hro,T gadr eenqu: w",e ssJu,e sro"gs +52
niboonsh  sThi intuqose kemsa em wnta ot vmoit +14
drdoom  oll +
5thgencephalosporin  ykao wow +
tekkenman101  Yuo nca emak isht a otl kcqirue yb uisng pmisle lresu rfo ualooatms eeviscesr aei)s1e sds. cfdaeftUen neatpr wtih featedcf eleigna llwi be a areirrc /23 of teh tiem ) )aA(2 ernefuyqc ni pulnaotoip si eusrp wlo so yuo acn regino P nda sjut seu q2)( in eordr ot aclltecau ircarer eef.ynrquc So eatk eht esqrau toro fo het huoyzosomg rsseveiec ufyqrence 0/(104)0,0 and ustj gulp it i:n .()0025 = 31.)0 heT odds fo thire dhcli eignb edfefcat itwh the wto nspaert igenb aemsuds hyaltetciohp rercisar is 1/4 aa)( or s2.5D .d'a racrrie nccaeh 2)3(/ x m'soM ecrairr hccnea (1.)0 x isd'lhc cnchae fo nbegi escvreise ).2(5 +1

Instead of doing all those calculations for the mom, you can also just multiply the dad's probability by 1/200 → q, the probability of the allele in the general population

+1/- hungrybox(1277)


 +4  upvote downvote
submitted by keycompany(351)
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aneMlinda eist:ecGn

anM has 3/2 cnhaec fo nbegi a crair.er e(H esod otn aevh teh ed)saesi. onamW cirarre rksi tsmu eb tecldcaalu htiw 2^p + q2p + q2^. ^2 q = 14/000,0 q = ,021/0 p si orhgylu = p 2q1 = /1100 = Cearrri ceqnfryeu .

kiRs fo givhan a hcidl usht lsueqa /23 x 0/011 x /14 = 0/610/c s:Be e2u3a = nMa aCreirr krsi 10/1 0 = alemeF eriCrar isk41 /R = Cncahe heyt ceah spas on het esecesivr enge to tehir .goirspnff

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hello  eSe ym etaopxnnlai if yuo ened orem srdwo ot xnelapi tshi nlaaetnpxio +2



 +3  upvote downvote
submitted by hello(429)
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hTis het mase sa py'emckson@ya pnnxaoailte hitw roem oatpilaennx tohse hatt ndee .it..

eTh tpteain is ncffetduea yb teh priarcualt aaolsmout svereisec aseeids dan sih rbertoh has het sutaoalom seesciver ediesas &-;gt- sthi anems eahc fo irthe asetnpr rersica hte AR a.eelll oN,w rof hte ntatpie to be ncdetueaff inevg that tboh shi nratpes hvea het RA eallle, ti aenms htta the tpatine sah a 23/ nceahc atht eh si lunmtoyuiselas fuefaecdtn adn a acrrri.e

Teh i'aesttnp teanprr si ucaefetndf dan nmaorl eHga-erbynWrdi scingete a(s sadtet ni eht hnw.eemlbrp)o. thsi si lpfilcsyciae ,oeetnmidn you rae to aessum ttha het rraeptn has a rraecir recnfqyeu rfo het RA ,laelel cwhhi qelua ot 2p.q

heT sdaiese hsa a fuenyceqr ni eht ointpaopul fo 4/001.00 ishT si q2^ ;&-g-t ^2q = 00.1040/ olgviSn orf q, you teg q = 00./12

reCarir ecyrnfque is q2.p Hevower, rfo a raer es,saeid p2q ≈ 2.q oS, hte crreria quncfyeer orf het rretpna = q2 = 2 * /1200 = 1./001

,wNo teh Q akss auobt an gffrpsnio of the tpeinta dan hsi ptraren nigbe eefctafd, os ot heva na etdfcfea lhicd, ehert si a 1/4 nhecca fo vhnaig na defetcaf hidlc e(suebacs eth pttaien dan eth tarrnep tboh aevh a /21 hacenc fo gisnpas het eealll &t;g-- uoy umlilpet seeht gerhotte 1/2 * 21)/.

,oS pulytlim /23 * 1001/ * /41 = 60/1.0 siTh is tP(itpean bnieg a arer)cri * Pnart(erp ngibe a rcrai)er * vhgPna(i an eadctffe irsfpgnfo erhg.tt)oe

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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hTe iarblotbipy of hte ftehra bgien a rcierra is 32/ ecins it si wnkno ahtt he e’stond veha eth seed.sai Tnhe hte pirlyaobibt of hmi sasignp it on ot ihs dik si:

2/1 * 3/2 = 3/1

hWit the birHradneW-gey pin,cePirl uoy nac eiurgf otu hte tirailpboyb fo hte ethmro nbgie a ia:rrrce

q = )4q000,/(r10ts = 1002/

o,S q2p = 2 * /2010 * 0/99210, hwhic rpopxa si 00,11/ dna het obbyliaritp of the cdilh tteggin hist lealel is 0011/ * 2/1 = 2001/

T:hus

001/2 * /31 = 0106/

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brill45  Yuo ddi hsit rhitg utb I kniht amde ti a tbi eorm eaimcdltocp atnh ndeeed to .be oT uefrgi out teh ikodhlielo of a nmaord rpsoen in het apltnuooip gisnspa on a sieresecv el,lael yuo juts ndee ot od tsaeqou(rr)o2q to tge ot q. dnA tsju eus ahtt q to imylpltu hitw the 13/ uoy tog ae.ielrr hTe q vuael lelts uyo het elleal yneqrufce in het ooulpnapi,t eewhhtr hte erpnos is a aericrr or mzsgohyuoo eiversecs h.otb oYu llist gto ,it tub jsut ltigtne oyu okwn eht eseiar ouetr ni acse you see ti ngaai! +2



 +0  upvote downvote
submitted by kdckjn(0)
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wyh rteeh is ibpyrliabot of fheatr egbni a aericrr is /32

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drdoom  eW aesmsu ihst is a esicsever sea.iesd In troeh wo,srd uoy mtsainef hte eedassi if yuo ntrihei a isdasee le,aell d, omrf uroy horetm adn a ediesas eelall, d, mrfo oyru eaftrh, ivgnig yuo an leaell inrgapi ndtedeo yb dd. dd = you evah eth aiees.sd hTe fhaert seod ton aehv eth eaes;dsi thsi mnesa ish typengoe acn lnoy eb 1 of etrhe hi:ngts DD, D,d or D.d Taht si, DD = D fomr hsi d,da D ofmr shi ;mom Dd = D mfor his ,dad d rmfo hsi mo;m ro Dd = d ofrm sih da,d D ormf ish .omm ioNtce thta in yonl owt fo hstee 3 iiboilpsstsei sdeo eth ahfetr i)taelntopl(y ahev a issaede lelale )d( hatt he gtihm ssap on to sih ry.gpnoe +

We assume this is a recessive disease. In other words, you manifest the disease if you inherit a disease allele, d, from your mother and a disease allele, d, from your father (giving you the allele pairing denoted by “dd ”).

dd = you have the disease.

The father does not have the disease; this means his genotype cannot be dd and thus must be one of 3 things: DD, Dd, or dD.

That is,

  • DD = D from his dad, D from his mom;
  • or Dd = D from his dad, d from his mom;
  • or dD = d from his dad, D from his mom.

Notice that in only two of these 3 possibilities (⅔) does the father (potentially) have a disease allele, d, that he might pass on to his progeny.

+1/- drdoom(1206)


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