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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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cloinatCsaul rof dda. hTe plabtioyibr fo het rfhaet nbgei a cirerar is /23 ensic it si nnwko taht he tendso’ vahe eth ed.isesa nheT eht librtyopabi of imh aspigsn ti no ot shi ikd is 12/, h:tus

  • ayrPltibiob of dda ngbei crriaer = 3/2
  • iPtrobblyia fo dda anpsgis no sedsiea lalele = 12/

aouscnlClait fro mom. ihWt the eWdregbir-anyH Pcpirilen, yuo nca iegfru uto eth rlpyboabiit fo eth oehtrm eibgn a rrrc:aie

q = ,qt)000/(410sr = 01/20

,oS 2qp = 2 * 1/200 * 2/09190, hwhci si rxppao 10.10/

orF teh dlhci to etg teh elella rfmo mmo, owt ihtsng need to :nppaeh 1)( mom umst eb a arirecr g[oeher”]z“tyeot and 2() mom tusm assp eth leeall to dih:cl

  • ibyotaliPrb fo mmo enbgi rrriace = 0/110
  • lyitiPbaorb of mom sasgpin on aesiesd lllaee = /12

Ptingu it all ghtoteer. oN,w bimnoce all :rgteehot

= ibpi(byoatlr of add enibg rerciar) * lr(opbiatiyb fo add psgains no iseaesd )lleela * itprbyoail(b of mmo nbige )arrirce * bpiyra(loitb fo omm sniagps no saseeid elll)ae

= 2/3 * 21/ * 0/110 * 1/2
= 1 ni 600

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kernicterusthefrog  oT uqteo gyThor o,rTh drga eqeu:n w",e s,seuJ s"osrg +52
niboonsh  siTh teosinuq kesam em tnwa to tovim +14
drdoom  lol +
5thgencephalosporin  ykao wwo +
tekkenman101  oYu nac kmea tshi a lto ikeucqr yb snigu seilpm erslu for aatmsluoo eecvssier 1sessea).di tcdneaUffe rnpaet htwi faceetfd linaege lliw be a crreria 3/2 of eht meti (A)a2 ) cyrquefne in pounoaplti si ureps olw so ouy acn gnorei P dna tusj esu (q2) in rrode ot claaulect ceriarr qenfrcy.ue oS atek hte esqrau otor fo the ohguooymsz esrcveeis eeufycnrq 0(10)/40,0 adn sujt uglp it :ni (0)2.05 = 03). 1 The dsod fo ireht lichd eibgn tfeefcda tiwh hte wot rtspena einbg maseuds iclahpoethty aiscerrr is 4/1 aa)( or .s 2'.5Dad rcrreai nchcea (2/3) x Mos'm rcirear ehacnc 1(.)0 x l'hscdi eahncc fo gbine iscvresee .)25( +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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denianlMa Gnes:ietc

aMn sha 23/ cnceah fo inebg a rrarc.ei (He esod ton aveh eth a)sde.esi anmoW ciraerr risk ustm eb tauclalcde ihtw p^2 + pq2 + q2^. q^ 2 = 001040,/ q = /0,201 p si hyulgor = qp12 = /1001 = Crirrae yunecrefq .

skRi fo ivnahg a hidlc suth laueqs 23/ x 1001/ x 4/1 = /0061B ee3:/u ac2s = nMa aCerrir rksi /0 011 = lmeaFe reCairr 1/4 isRk = cChaen tyhe ehca sasp on teh ecrivesse enge to rthie fogrf.sinp

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hello  See my epoilatxann fi yuo need roem wrods ot aplxine hits aiaetplnnxo +2


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 +3  upvote downvote
submitted by hello(429)
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siTh eht easm as ys'caeknp@ymo opinataxnle tihw mroe oetalxpnina estho hatt dene .ti..

ehT apntite si tuafecfden by eth icplaartur otaauslmo servsiece eaeisds dan ish hebrtor sha teh luosoatam seeicevsr edaseis &-;g-t tish asnme ahce of erith eaprtsn csirrae hte AR aelell. wN,o fro the npaiett ot eb cedetnaffu igevn atth tboh ish ptnaesr aehv hte AR ll,elae ti asemn that eth teanipt ahs a 2/3 cceanh taht he si ulmoetlsanyisu eecffdantu adn a a.ierrrc

hTe p'ntseita tnerpra is ecdeafuftn dan nomral aeyr-bHnirdWeg gienstce (as daetts ni het wmobl)ee.np.rh isht is eylsplcfacii ne,etmdnio oyu aer to saesmu atth eth ptarren sha a reairrc qyecrnefu for teh AR ,lelela ihchw ulqea ot .qp2

Teh easeisd hsa a yuefercnq ni hte ioalnuoppt fo /0.04001 hsTi si ^q2 t&g;-- ^2q = 10000/.4 vgiSoln rof ,q oyu tge q = 00/2.1

Carrire qenecuyfr is .q2p Hverweo, rfo a erar eai,ssed pq2 ≈ q2. o,S hte rricrae yeqefrucn fro eht prnaret = q2 = 2 * 1/200 = 00.11/

wN,o eth Q sask taoub an npofrigfs of het ntaeipt and his nptrrae negbi dtfeefca, os ot veha na catffede ,ichdl htere si a /14 caehnc fo gnahvi an effatdce lhcid esabceu(s teh aetntip dan the trperan btho eavh a 21/ ccaehn of gssipna the elleal -tg-;& uyo meltulpi etshe gteeorth /12 * 2/.)1

o,S myutllpi 32/ * 010/1 * 14/ = 6.1/00 sTih si i(ptanPte ngbie a rc)rraie * enparr(tP ebign a reraric) * (gnviPha na dcefeatf ioffgrpsn horg)e.tte

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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eTh oiybilrbtap fo the rafeth inebg a irarerc is 2/3 isnce ti is kwnno atth he tdno’es ahve eht .eaiesds heTn hte bliribytaop fo mhi sgnipas ti on to his dik is:

12/ * 32/ = 3/1

Wiht hte rer-HbadWineyg eclipr,nPi oyu acn ergiuf otu het lyobpiribat of eht oehtmr geibn a recr:ria

q = 400/q0s1tr0(,) = 1/002

,So p2q = 2 * 0/210 * 01/9092, hchwi aoprxp is 0,101/ dna het bbltipryioa of eht ilchd ingtgte isth elalel si 1010/ * /21 = 20/01

uhsT:

/0210 * /31 = 60/10

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brill45  uYo idd shti ithgr btu I thkni dame ti a ibt more lcctaipmoed hnat eenedd to be. oT efgiru otu het elkdihloio of a rndmoa nropse ni hte lonapiotpu ssngaip no a iveceessr ,llaeel uoy juts edne ot do sqeooqau(2)rtr ot egt ot q. Adn stju esu htat q ot imptluyl hwit teh 31/ yuo tog eria.rle hTe q uleav eltsl oyu eht llalee yefuqnerc in the ntupioo,pla ewtrheh teh presno is a ciarerr ro sogmouzhoy secsverei hb.to Yuo iltls got ,ti btu sjtu gelntit uyo nkow teh earise ouert ni case ouy ese ti nia!ga +2


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submitted by kdckjn(0)
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hwy trhee is boapibtriyl of thaerf nebgi a ricarer si 3/2

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drdoom  We saemsu htsi si a cssieeerv ie.daess In ethro rwsd,o you nisematf teh issaeed if ouy ierhnit a edsesia aeelll, ,d mfor yrou rtheom nad a sesdaei e,lalle ,d mofr yrou ,ehtfra ggvini ouy na alllee irpnaig ddoneet yb d.d dd = oyu heva hte ie.aesds hTe fatrhe dseo tno evha hte a;sidees isth nesma ihs yegeonpt acn olyn be 1 of rehte shtn:ig DD, D,d or d.D Thta i,s DD = D form shi d,da D rmfo his om;m Dd = D rfom hsi da,d d form sih omm; ro Dd = d rmof ish da,d D morf ish mo.m oiNcte ahtt in yoln tow fo tseeh 3 oetlisispsibi does het tahfer ael)ytop(tlin haev a sdesiae llelea )(d htat he hmgit spas on to ihs npre.oyg +

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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