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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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nlslotciaaCu fro dad. eTh rtlboipyaib fo the hfreat iegnb a rcaeirr is 2/3 cesin ti is nkwno taht eh ’onedst vhae hte issd.eae nTeh the ityaoblbpir of imh pgssani it on to his dki is 1/2, :stuh

  • litPbobayri of dda bgine rrecari = 32/
  • iorlitbabyP of add assnigp no iesdeas ellael = /21

sntlcalioaCu rof mom. htWi hte ngbyH-eWairdre ePcriilnp, you nac fugier tuo teh iypailbtrob of the mthreo inebg a :arircer

q = 4/0)0s10(,rq0t = 010/2

So, pq2 = 2 * /0012 * 02/1099, hhciw si axprop 10/10.

Fro eht lidch ot gte eht elleal rmfo mm,o tow sghnit ndee to a:pephn )(1 omm smut be a cirraer y]“oght[”ertzeoe nad (2) mmo stum psas the lelael ot hidcl:

  • Ptbiaorybli of mom egibn racirer = 0101/
  • ortPliybbia fo mmo sinpgas no adsiese alelle = 1/2

tnuPig it lal ohegtrte. N,ow ocnimbe lla tghet:eor

= (lbyrptiiboa fo dda ginbe c)rrraei * pilaryt(iobb of dda sisagpn on eassied le)llea * rtl(byioipab fo mom geibn icarer)r * tiori(ylabbp fo mom sisgpna on sadeise leae)ll

= 23/ * 21/ * 1/001 * 21/
= 1 in 006

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kernicterusthefrog  oT uqoet royTgh hTr,o agrd euen:q ,ew" usJs,e s"orsg +52
niboonsh  Tsih uqtsineo meksa em atwn ot mtvoi +14
drdoom  oll +
5thgencephalosporin  koya oww +
tekkenman101  You anc amek hist a lto reukicq yb suign ismlpe ulres ofr atmuosola cesesirve e.sis) 1edsa eetaUfncfd nparte ihwt cftedafe aieelgn iwll be a eiracrr 23/ of eth itme 2Aa ()) qnfureeyc in aolptioupn is uspre wlo so you can iegonr P and ustj sue )(q2 ni reodr ot altaecluc rrraice y.nefcrueq So teka hte aqseur orto fo teh zouhogmoys ssieervec yruqefecn 0,410)00(/ dna tjus gulp ti n:i 5)0(02. = .31 )0 heT sodd fo rehti cilhd ibeng dfcaeeft iwht eht wot trepnsa ginbe msduaes pitecthyloah arrscrei is /14 )aa( ro D2'd.5 a.s raerric ncaech 3/)(2 x s'oMm acrreri cnheac (1.)0 x d'hsicl hneacc of gnieb seievrsec (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)

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 +4  upvote downvote
submitted by keycompany(351)
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aMlinedna :tinscGee

aMn ahs /32 chacne fo einbg a e.rarric (He odse ont veha eht )e.dessia nmWa o erircra rksi tusm eb llaudtaecc iwth ^p2 + qp2 + q2.^ ^ q2 = 1/004,00 q = 02,1/0 p is ygruolh = 1p2 q = 11/00 = rreiCra rqnufeyce .

Rski fo haginv a idchl tush slquea 32/ x 1001/ x 4/1 = 160/0Bas2u:/ ee 3c = naM rCarrie sikr 11/0 0 = maeFle eaCrrri iskR/4 1 = enChac hety heca apss no teh veciserse enge ot ierht .gnfsrifpo

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hello  See ym lpixntnaaoe fi yuo need mero dsrow ot aiplxen hist oaextnianpl +2


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 +3  upvote downvote
submitted by hello(429)
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Tshi het asme sa mnyoycp@ek'as npieaxotaln itwh omer tonixaaenlp sheot htat deen ti...

The ttnepia si fncuefedta yb hte pircrtuaal aoouatmls rivseesce isasdee and his bhtorre ash hte sltamauoo eievesrcs esidesa -&g-;t itsh nsaem aceh of ihert etprnas asrreic hte AR .lealle ,oNw for hte ttiapne to be fdneecaftu nivge htta obth ish nrtsape hvea the AR elael,l it emsan atht the enapitt has a /23 ncahec hatt he si oissutnuealylm cuadefntfe dna a eirracr.

heT ettias'np ertnarp si duaneecftf and oanmrl yn-egedriWrabH etcseign (sa edstta in eht eemr)b.lo.hnwp thsi si faipllcysiec oiem,tnden oyu ear to esusam taht hte aptrner sah a rcaierr frncyeqeu rof teh RA ea,lell hhciw uqela ot p2.q

ehT sdesaei ahs a nrueyfqce in het ounpoiplat of 0014/.00 isTh si 2q^ g;-&t- 2q^ = .0001/40 lSgvnoi ofr q, oyu egt q = 001/2.

rCiarre ceqrfenyu si p.q2 ervewoH, fro a raer iesd,ase p2q ≈ 2q. ,oS the crrarei eqyufcnre for hte prratne = 2q = 2 * 10/02 = /.1001

,oNw het Q kass obtua na fprofsign of het ianeptt adn hsi arprnte beign ctefdfea, so ot eavh an fcdfaeet ildhc, hrtee is a 41/ ceahcn of vhaign na cedfeaft clhdi scaeeusb( het atietnp dan the npatrer tbho ahev a /21 enccha of pgsanis eht eelall ;&g-t- oyu utiplmle eehts tohgeter 21/ * )/21.

,So yllumitp 3/2 * 0011/ * 41/ = 106/.0 sihT is niat(Ptep nibeg a iecrarr) * ntrrPpea( begni a rearir)c * igPhv(na an fatecdef spforfngi eetgt)ohr.

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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eTh riayiobbtlp fo het rfehat egbin a cerriar is 3/2 ecnis it is wknon ahtt eh neot’sd veha eht sedi.aes nhTe the btbpilraoyi of mhi inapsgs it on ot hsi dki i:s

2/1 * /23 = 13/

htWi teh raHeergnbyW-di ileripncP, uoy cna rigeuf out eth ltoiaibbypr of het romeht iegbn a :rrarcei

q = 0ts0qr0)(4/,10 = 1002/

S,o 2pq = 2 * 012/0 * 0/99210, whchi apropx is ,10/01 nda the oitpbrlbiay fo the dcihl getngit ihst lleeal si 0101/ * /21 = /1002

hsTu:

/0201 * /31 = 1006/

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brill45  ouY did shti tihrg but I tihnk mead ti a tib orme teacciomdlp tanh deneed to .eb To gifreu uto het dooeihllki fo a mdoarn snrepo ni het aplnuiopto ansigps on a sveesicre leelal, uoy tjsu dnee ot od a2)r(sqeutorqo to egt to .q dnA tusj eus hatt q to myuipltl hitw teh 3/1 uoy tgo r.leriea hTe q leuva lelts uoy eth llalee ynfeceqru in eht tino,plpoau hhrweet eht nrepso is a criarer ro ooouzhgmsy sieesrvec .htbo oYu tilsl ogt ,it utb stju nlttegi you owkn het ieesra otuer in scea yuo ees it iaa!gn +2


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submitted by kdckjn(0)
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wyh hrtee si iblrapbtyio fo rhfate iebgn a reriarc is 23/

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drdoom  We msasue isht si a ecsereivs .eaisesd nI tehor srod,w you esifnatm eht eadeiss fi ouy tihnire a desesia ealll,e d, mfro oyru omtehr nad a sesaied ,aellel d, omrf yuro farhe,t igigvn you na llalee rginaip dendtoe by d.d dd = oyu evha het aidse.es ehT teafhr osde ton evha teh ssid;eea ihts manes shi yeeogpnt nca oyln eb 1 fo erhte ignht:s ,DD d,D or .dD That ,si DD = D morf his da,d D mfro hsi mo;m dD = D form ihs dda, d fmor hsi mmo; or Dd = d romf shi ,dad D omrf shi m.mo iocNet thta ni onyl tow of heets 3 stpisoiseiibl osed hte hatref p)l(tlyitoane veah a saseeid lellae d)( ahtt he ihgmt ssap no to ish yrgop.ne +

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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