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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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notCuisclaal for add. The lytipirboba fo hte arhetf egibn a rrrieca si 2/3 nscei ti is wnnok atht he edots’n heav eth ideeass. nTeh eth ltibpirabyo of mih isnpgas ti no ot his dik si /1,2 :uhts

  • iiaPloybtbr of dda negbi erairrc = /23
  • Piolibtryba of dda assgpin on esiaesd eallel = /21

tuaiascClnol orf mom. tWhi eht ndHrWbre-aiegy lcineipr,P uoy acn irfgeu tuo het boiaytiblrp fo het tmhoer egibn a i:arrrec

q = 104tq,000r()s/ = 002/1

,So pq2 = 2 * 021/0 * 19290/0, wichh si praxpo /100.1

Fro eth ldhci to get teh leaell mfro mm,o otw htngis dnee to penh:pa 1)( omm tmus eb a rrecari zeeeho][tg”rt“oy nda )(2 mmo tsmu psas teh alleel to c:dihl

  • boPtriiybal fo omm negbi rrireac = 10/01
  • abiytblrioP of mmo sasginp on deassei aellle = /21

uigntP it lla trtegeoh. ,oNw bcniemo lla :toetherg

= bl(toriaiybp of dda ibgne rrcair)e * t(porbiabliy fo add sniaspg no edisaes alee)ll * p(libyaiotbr fo mom ibegn ri)crera * aybbirloipt( of mmo agsisnp no esdaeis aelel)l

= 23/ * 2/1 * /0011 * 1/2
= 1 ni 060

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kernicterusthefrog  oT tqueo ryghTo hor,T dgra e:euqn e,"w Juss,e s"gors +52
niboonsh  siTh nqeitsuo amkse em atnw to imtvo +14
drdoom  oll +
5thgencephalosporin  yoka wwo +
tekkenman101  uYo nca amek sith a tol kceurqi by nugis islpme eulrs rfo ltmouaaso icesreevs ).e1 aeidsss datnefecfU petran wtih eadfftce iangeel illw eb a eraicrr 2/3 fo the imte 2a)(A) qefeuyrnc in pntopaolui si espur owl so uoy anc egonri P dna jtsu sue )(q2 in order to laeclacut rrcreia cufne.qrye oS kate the aqseur ootr of het ghozumoyso verseisec ncqurfyee 4000(/0,1) dan tsuj plug it :ni )5020.( = 30). 1 eTh dsod fo tihre hilcd gneib cdaefeft whti hte wot psenart gienb suemasd tahoeypilcht cisrerar is /14 aa() ro '.2d5asD. icrarre nehcca /2()3 x s'oMm rrcaeir chanec .10)( x h'sidlc cahcne of gbeni cviseerse )(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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dinnMeaal iestenc:G

aMn sha 3/2 cnceha of being a .rcrerai He( deso ton eavh het d)i.eseas nmoW a reircra kisr must be cculaetlda iwht p2^ + qp2 + q2.^ 2^q = 1/4000,0 q = 12/,00 p si luhoyrg = 2p q1 = 010/1 = iCrarer ufeyrcenq .

Risk of hniagv a dlihc uths qusael 32/ x 01/10 x 41/ = 00/16ecu / 2e3:asB = Mna errraCi iskr 00 11/ = mleaFe rCarire s 4/iR1k = anehCc etyh ehca spas on the essvercei gnee ot thrie fopnfsrig.

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hello  See ym oeapxilnnat if uyo dene oerm rwdos to einaxlp hsit tpanoxenail +2


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 +3  upvote downvote
submitted by hello(429)
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iTsh the mesa sa ckao@epynmy's pneatnxilao hwit meor ixlpoanntea eshot that eden .t.i.

heT ntiaetp is edfuatefcn by het arlcaturip msaoltaou eissecerv easdise dna hsi rbtorhe has the toalmauso cesveseri dsseiea -gt&-; htsi smaen hcea fo hrtie nstepar sirearc hte AR llaele. wo,N for the ittneap to be nadufecfet eignv htat bhot shi atnprse vhea eht RA allele, it menas ahtt eth aptient ash a 32/ aecnhc atth eh is lusotileyumsna atucfeednf and a ecr.rrai

hTe 'ptiasten trrapne is nfdauftece adn ronaml Hegydi-nWebrra neegtsic a(s dttaes in eht .h.rolem)bpenw sith si lcylfipeaisc nteni,emod uoy rea ot ueassm taht hte anrptre hsa a aercirr qncfyruee rof the AR ,llaele cihwh uleqa ot pq2.

The deeissa ash a euqynfcer ni eht ouoatnppil of /10400.0 ishT si q^2 -t;-g& q2^ = 100.04/0 nlvgioS fro q, uoy etg q = 0/2.10

airrreC cyurneqfe si .pq2 eervwHo, rfo a rare eeis,asd 2pq ≈ q.2 ,oS eht arircer ueeycrnqf fro the reartnp = q2 = 2 * 2/001 = /11.00

,owN eht Q sska ubaot an spgfrnofi fo the teaitpn adn hsi erpntra gibne fdetfcea, os ot heav an efadectf hlidc, rehte si a /14 hecanc fo hiavng an dtcffeea ldcih easube(sc the eaipntt dan eht nperrta obth aevh a /21 enhcca of psagins the leelal -;&-gt uoy miuelplt eshte othertge 21/ * 1./)2

oS, lmilyutp 23/ * 110/0 * 1/4 = /10.06 ihTs is tPine(tap bnige a r)ricare * rprea(ntP iengb a rcir)ear * viag(hnP na ftcafdee ronspigff gero.tet)h

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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eTh pbtrialbyio fo het ahfetr negbi a aerirrc is 2/3 ciesn it is nwnok thta eh eson’dt evha the i.essead hneT eht rbbpytoliai fo him saisgnp ti no ot ihs kdi i:s

/12 * 3/2 = /13

tihW the r-dnyeeiWrgbHa rceiplniP, yuo anc griefu uto the bbliyptrioa of eth rmeoth being a irrcae:r

q = 04,t0q1/r)s0(0 = 10/02

oS, 2pq = 2 * /2010 * 109/092, hichw oxrpap si 110/0, nda hte patrolybbii of hte chdli tgengit tish lleale si 01/10 * /12 = 0210/

h:uTs

21/00 * 1/3 = 016/0

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brill45  ouY did hist igthr tbu I kniht amed it a tbi eorm doeacpitmlc ntah ededne to be. To iugrfe otu het heiodliokl of a mnoard npsoer in eht niltuooppa ngsiasp on a seevrecsi ee,llal uoy sujt nede ot do es)atu(2qooqrr ot get to .q Adn juts eus ttha q to ptilmlyu wthi teh /31 yuo ogt reai.erl eTh q aluve lelts uoy the elaell eeuncqfry in eht oipla,uotnp etrhhew het pensro is a rrierca ro oygozosmhu ercseisve thbo. uYo lsilt tgo ti, tub jstu tlinetg uyo nwok eth siaree otuer in eacs uyo see it ag!ina +2


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 +0  upvote downvote
submitted by kdckjn(0)
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ywh herte is libobipatyr fo eafhrt eibgn a arrcrie is /23

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drdoom  eW msaeus ihts si a cevreiess s.ieeasd nI threo wdros, ouy tnsaiefm eht essaide fi yuo etinihr a eisedsa lael,el ,d fmor ouyr toermh and a sadeise lell,ae d, rfom ruyo teafr,h niiggv uoy na lelael pairngi teoendd yb dd. dd = uyo ahev eht ai.eedss ehT fahter edso ton aehv the aed;eiss sthi aesnm his opetyegn can lnoy eb 1 fo teerh hgnti:s DD, ,dD ro d.D htTa i,s DD = D omfr his a,dd D rmfo ihs o;mm dD = D rmfo shi a,dd d rfom ihs mmo; ro Dd = d rofm shi add, D omfr hsi .omm etNioc that in nloy owt of ehtes 3 isissipolbeti oeds hte reahft yialttp(l)eon aevh a assidee elella d() that he tmhig ssap no to his yop.rgen +

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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