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Retired NBME 22 Answers

nbme22/Block 4/Question#46 (reveal difficulty score)
A 39-year-old woman comes to the physician ...
Hemoglobin 🔍 / 📺 / 🌳 / 📖
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 +12  upvote downvote
submitted by ∗johnthurtjr(168)
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se'ehr a glooeg

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johnthurtjr  RFT I dha no edai ihts asw a iht,gn dan wsa eyrtpt ptodpsnaieid in melfys nwhe teh geolgo esacrh dha it ni bgi obld rsttlee thirg in my aecf. +3
drdoom  via ntjrhhto@rju nlk:i esoetoetnsrT" and hteor nrndoegas ehva na reoiehctptroyi nlsgtmuaiit etceff htat acn cuase capmeylhtoy,i cwhhi nsfseatmi sa an aeirscen ni hngobi,elmo tmt,reohica or erd olodb llce .nc"uto to/.rwcahaimpw3ctsw/dm54cew7t:.psv/i7e/eel6 +3
meningitis  I gsuse tshat' hanotre aesrno ofr tdiseosr adn ongpid up. +8
drschmoctor  For ocen I flee keli 'vIe nbee eld staary by amoathP. yM nttcnisi asw ot og hitw e,lnigmohob utb I dleatk symefl out fo ti etrfa emngmerbrie .Dr aSattr iasygn ahtt teh oasren hyw woemn eavh wrelo oeblmighno si deu ot .iomretansutn +2
fexx  F U r!oeteestnots nad F U MNBE 22 uontiqse +1
schep  I ylno wekn sith ebsueac ehetr are erthe a(t etasl et,ehr aemby reom atth I dtn'o knwo) iatcndstoaniioncr to vgigni sesnotteetor rltnpeemace Syps eOtp+ho+:Attarar e nemcc roaehctatir+ &;5%0tg +2
drdoom  ^ lkniyfi doodr@m ./awal7w7epm46srsp5ctv/em.ewcit/:/dwoe3tihc +
kayla  mcc;rto@dsorh I tslli khtni ti lnise pu iwth het ccetrro aisgenn;ro idngur teh utanemslr saeph ( in indaoitd ot glonios hobeomlngi ni eth )dbolo rehte rae loas reyv olw slleev of eht aedgonnr mhroenos atht laluusy esrve as a antsuiltgmi eefftc on ebomgnilh...o +
abhishek021196  tnyrle,uaFot we eewr thugta stih in dem shlooc - entesttosreo ttsseulmia shrtseirieopoy yb gmiutaslnti OEP nad itlcragbnaire the ets ntoip fo EPO in alotnrei ot oihmgobeln adn by nagnciisre iorn izaioltntui for hryep o.eostsirilMh.t/p/2in/.aw0:m/tbl0C/esr9s4nhpPiccw.g/ntwcom.i02v +



 +5  upvote downvote
submitted by ∗oznefu(22)
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woh od oyu wranro wndo thta seeootrtnset adeesincr omnoelbigh n?nrtaceoontci jtus a adornm tfca ot nkwo? i put lnlkaeia psseophtaah casebeu i egrdfui nsadcriee stsoreneotet liwl iareecsn enob whotgr dan erlud uto tcpietsresifo-acp aegnnti cb ’ist a wno.am

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hysitron  I eedsgus this eno eucsa men hvea a ghhire glbohineom nhat .monew +11
notadoctor  hiHg seellv of etnsosrteteo wlli seulrt ni raoeramh.ne I gesdesu hatt csien sseh' ont rsnigamntteu esh will otn be ongils boold dan erhtfoere o.lgnoeimhb hofererTe erh ieoohlnmgb veesll lliw be ghiehr nhta peeedcxt. +5
meningitis  tI indka eksma esnes inkgnow otnsetrteoes csaesu btamcoials so I asw ni wetnebe lklenaAi peohpahtsas nda .oghienlb..mo +1
enbeemee  'ints enreossttote inca?balo +4
syoung07  ALK shpohp si eiavintdic fo ltootsaces .cyvitait tootrensesTe speke aeml obnes rgsnto tusj like estnreog eosd rfo .noewm eoeeonrttssT sdilub eobn btoales(sot i)tyacvti heroferte we olduw nto see a ires ni KAL posh +1



 +1  upvote downvote
submitted by ∗adong(144)
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odwulr sasy eeehoswrm taht estrnseotoet niesascer hmatceiort, aisesncer LD,L adn aesdeecsr LHD

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passplease  rtEgenso erscinaes .HDL nsrTeesoetto si otncevred noit trogs.een yhW otensd sentreetosto ceseirna D.HL hyW si my olcgi wn?org +
avocadotoast  eTh nmowa ni ihts etneivgt hsa an nsedicare tndaooergrs:nngee atori, so eht tecfsfe of tsrtteoseeno no idlpi lleesv will eb eargrte tanh tshoe fo esetngor on dipil lesev.l Bsodra adn doenyb soal steast thta toeesonterts ueascs an enersiac LLD, edeeasrdc D,HL nda cenersai in et,chtoriam whchi is yhw lasme ithw rirmyap ingpahosmydo nca retpsen ithw ianaem dan hte eus fo noaablci oesridts can senptre ithw .thoyrosterysci +



 +1  upvote downvote
submitted by ∗alexb(53)
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rtsiF iAd 1209 gpae 226 lstoymruati ogtrwh tefecsf of noersettoets nceulid rde obold sllec. I knhit yeht peectx su to knwo i.sht

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medstudent  AF 0022 .p 366 +
specialist_jello  htoGrw s:rtup CRBs a020(f2 p 366) +



 +1  upvote downvote
submitted by rogeliogs(12)
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yM imnd twen hits :way ni Mne dnrsAaepou = ssle rteosoeentst = ssle noeb e nsdity in eWnmo mroe oeesettnrtso = oemr oben esnydit = emor allkeian ooipHs em.bgptsalhoaneh saw my ncsode ptnioo seauceb I nto'd hare too mhuc btaou inmeaa ni tpso poemunaes ro psot aos,nrpadue tbu bdnso sindety is a igb eald teehr.

.lahb

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 +0  upvote downvote
submitted by ∗sup(31)
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omeSowh I saw laeb to onvcenci esymfl atth rcnsiadee eeontesosrtt tg-;-& sdeeecadr esgornet &;-gt- recdeesad ievntgae dekbfcea no /HHSLF ncoesitre -g&;t- deeisnarc .HFS sDeo enonya eacr ot npelxia ywh isht ogcli is nrow?g skThan ):

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btl_nyc  Teh cardesnie etntesoosret is eozbdtiemla by orlgasaun lsecl ot ntrogese dna by edsiopa seutsi ntio rseoten. thBo efde akcb on teh yplmtahhosau ot nhiiitb SFH ;a&mp HL neocteis,r but SHF is hcum orem iseitvnes to becdeafk iointhbnii nath H,L nuicsga na sdraience /FLHSH airt.o +1
impostersyndromel1000  ,s@pu i ddi eht msae .ithgn dHa on diae totetressnoe dan ergdnosna acn csenraie ope +



 +0  upvote downvote
submitted by ∗johnthurtjr(168)
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h'eser hwta I oufdn

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 +0  upvote downvote
submitted by ∗asharm10(37)
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t'Is na ialcbaon hrnmoe,o lsucme sams, BCR ssam lliw neica.rse

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 +0  upvote downvote
submitted by gokings2021(9)
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nMe aylgelenr haev a ehhgri RCB assm (roihemtca,t obmi,noelhg )ect dna it si ghtutho to be ritbtdtaue to rheihg seettrseoton les.vel heS ahs high stotrtoesnee so uoy acn umessa het same rof erh. shiT si in ,aZikn os ti muts eb ni FA ro to.Paamh

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 +0  upvote downvote
submitted by ∗medstudent(18)
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roF lal orgwdnine yhw eesootersttn tdose’n uaces na scaenire ni lka s,hop I ufnod hist teacrli atht slbiycala says men hiwt wlo srooteteesnt vaeh hhig nlaiakel tsapopahseh dan eawk s.bone

p:hpenswi--o-ai-o.e-ernl0tsysd/u-/acatte/5na/r1knoteto-hiltc-eec.ee/m-wat-nlsosellwehpotpsrr2ysfisu.heennetbesdres/odniemew3nlshan-s-ltdoo0

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 -1  upvote downvote
submitted by ∗medguru2295(64)
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BHT I onyl tgo shti bc of het ysoeotcvrnr whit aLcen mntrgrAos dbolo opndg.i DIk eth emnsmchia at ll.a tu,B ti lilw pleh oyu lal reebmrem tshi osrewe/tnuiqasn.

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submitted by yobo13(5)
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ysaE way: abL s.ualev eTh nyol eon atth mdea eesasns/w dfniferet for mne vs wnemo = Hb

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 -1  upvote downvote
submitted by ∗nwinkelmann(366)
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I rnpreteedti the epniatt ot vhea OPSC imsiu,(rtsh renoea,ramh vraniao mas)s uthgoh het repsu adevleet sretseottoen si rmoe oreccignnn for rcne p(er htis a:lertic .pP6C.saog.wlt6wv0/1w/e/nmn/.itsicphhm0/nrlc9ibtM7c:/.) If het eatintp has C,SPO seh si eliykl ebsoe dan ta rihegh iksr fro FNLDA hchiw nca be tascoidaes ihwt etaedvle lkainela hpeosapt,ash dliip uman,aocluict dan dtaelvee sestoreeto,tn btu not EDU ot raodcening sefetfc (urme"s draengon elsvel erwe nto otaaseicds htiw the cenepers fo .LNADF hiTs si lintyercdi dfcoremni itwh ruo srutel on tseenhpyp.o ,mNeyal ereth si no ceneeiffdr ni FALND aepelnecvr ewtnbee r,ipdoneeghacyrn dna ongoidaer-rcenphnny ro eeorpvrciudt PCSO eppeothys.n NFLDA si cedioesndr a tehaipc oeptconnm fo icatoeblm smernyod ihtw a crlaten inhpcaoteg eolr of unlsiin eesinrctas ttha slao ftscefa eth -orthtptvauo-aoyaihrilmipayan xsia in esutjsbc thiw S..C.PO egHndocrneipyar steta mya eb deu ot usnnlii tcsa.reie"ns Gy/ytp2j.hK:/tbtW/Fil.)

,Tenh sa siad yb tbnc-ly@, aevdeelt etentsoerost ni a felaem si ornctevde ot oensgetr adn oesrtne and edfkcaeb ibiishtn the apmuahhystol lagndei to rsdaeedce SFH dan HL elle,sv but SHF si hieditnib or,em os hetre si na cesenrida FH:SHL t.roai

,aFliyln rgadigner PSA cihwh( eods crocu ni ,menwo ohw new?k ll,o) teh rltonrieaoc weeebnt rteostnesoet nda SAP in nme is lilts yrttep wkee ni( sthi dytsu, hetre aws ylon a etocairolnr dan a kwae eon ta ha,tt rteaf tlamieraituv asnaysli gtijsudan fro lsreaev sntgih cPw/vnn.c:lspnb.wo0/C6ttw/.i3/pmiegcm0l4h5rait/hs./5M) os ehtre is nfilidteey ton a coailtnorre ni nemow. eHew,rov per iths ydstu (9hbb.gnl1nwm6wopp4w./he/d.itutsm/v2:ni/./8c0) hetre aym eb an satiasonioc btneewe rtecnia asdengnro to(n oot)rtstsenee nda APS in m.wneo

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