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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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tilscCanlaou rof dda. ehT ryiboabtlpi fo teh tfeahr ibgne a ecrrair si /32 scine ti si wonkn ttah he od’stne evha teh ei.ssdae eTnh hte ioaybrpbtil fo imh ainssgp it on to ihs idk si 21/, shu:t

  • oriiatblbyP of add nbegi cierarr = 2/3
  • iiblyobtraP fo dad apgssni on seesiad lealle = /12

uoncliaCsalt rfo mmo. hiWt het eHygeda-nbrWir Pirip,nelc uoy nac gefuir uto the pblirbatoiy of hte tohmer engbi a crr:erai

q = 0t,4)(0r10/q0s = 0/021

o,S p2q = 2 * 1020/ * /290019, whhci is orpaxp .00/11

oFr het hdlic ot teg eth eleall rmof mo,m owt snhgit ende ot nhe:ppa ()1 mmo mtsu eb a errarci ogez”h“r[]teyteo and (2) mmo tusm spsa eht lleale to hlcdi:

  • libibyPorta fo mmo gienb rarecri = 001/1
  • ribyoaPbilt of mom pgsnsai on seasied elllae = /21

Puitgn ti lla hroeegtt. oNw, beominc all :toehtrge

= r(iblpyibtoa fo add gnibe r)rcaier * ilabyibp(rto fo dad nissgap on eisdesa eal)lel * bi(oyaptlrib of mmo ibnge rr)eicar * plioart(biyb of mmo igssanp no deaeiss leel)al

= 32/ * /21 * 10/01 * /12
= 1 ni 600

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kernicterusthefrog  To euqto hTorgy rh,oT argd une:eq "e,w ,ussJe rossg" +52
niboonsh  hsTi nueioqst ksmea em ntaw to mviot +14
drdoom  lol +
5thgencephalosporin  ayok oww +
tekkenman101  ouY anc emak sthi a lto qrcuike yb siugn sipmle srelu for tsmalooua srisvceee a eis1e)sd.s fectenfadU eprant hitw tdeaeffc algneie wlli be a arcrire /32 of eth meit ())2a A nruyfeecq in tnloppauoi is usepr wol so you nca girneo P dna just use 2)q( ni erord to lultecaac ircrear yueeqnfrc. So atek the qearsu root of the hymogoouzs eisrevsce cfuqyerne 0,104/(0)0 and just gplu ti ni: ).200(5 = . 30)1 The sddo fo itrhe cldhi neigb feftedca twhi the otw nrastep bigen ssueadm hcoihapltety sirercra si 41/ aa)( or .s2'a5d.D irracer ecacnh )/3(2 x Msom' racerir cnaech .0()1 x csl'ihd hcacne of iegbn vsieercse (.5)2 +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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aManinlde :teceGisn

aMn ahs 23/ eacchn of enigb a ri.rcaer eH( sedo not veah teh disee.)sa ona Wm ciaerrr skri msut be ateldlcacu iwth 2p^ + qp2 + .q2^ ^2 q = 010/0,04 q = 0021/, p is ulogrhy = q 1p2 = 1010/ = rCierar ercnefquy .

Riks of ivngha a hcdil hust eqauls /23 x 00/11 x 4/1 = 0061/u3:Bsee2c / a = naM erCarri sirk 001/ 1 = amleeF arCerri 1Rsi/4k = Chncea yeth chea asps on eht evricesse eegn ot hteir .fifpnsgor

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hello  See my eapontnlxia fi ouy deen erom wdsro ot nielxap sith laainoxeptn +2


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 +3  upvote downvote
submitted by hello(429)
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shTi het asem as y@nysekaopmc' oanaxpelitn twhi mroe aaoiptxlenn ehsto thta edne .ti..

The ipeatnt is cnautfedfe by teh prtuaicral tuaaoosml iveserecs asdeeis nda hsi rerthob has het uatamoosl erscseeiv sdeiase -;tg&- stih esanm ahce of trehi tnsearp ciarser the AR lellae. Now, fro hte anttepi to be aneecdfutf vigen that ohtb sih pnesrta vhae teh AR el,leal it nemas atht eth aenptti sha a /32 achnec htat he is suaounmtselyil ceutadfenf nad a eacr.irr

ehT ipsetnat' erptnra is fnfecutdae nad ronlam ayberegHirWnd- iectensg sa( aesdtt ni eht nmwhbep)leo..r shit si ecilpflsiyac oteednmni, yuo are ot essmau ttah eht retanpr ash a arrceir nruqceeyf ofr the RA llleae, iwhch aqeul ot p.2q

hTe aeisesd sah a fequyrecn in eth tuaooplpin fo 0/10.400 ishT is q^2 tg-&-; ^q2 = 001400./ oSlvgni rof ,q you tge q = 021.0/

Crraeri qfeurcney is p.2q eervHwo, orf a erra ,asiedes pq2 ≈ .q2 ,So eht arriecr euncqfyer rfo eth aerrtpn = 2q = 2 * /0210 = /1.100

,Nwo eth Q saks bauto an iorffpsng of teh teiaptn adn shi ratrnpe ibeng aecfdfet, os ot vhae an efdfceat d,cihl hrtee is a 1/4 chaenc of givhna na deatfcef child c(baeesus teh entipta dna teh netrrpa othb heav a /21 ehcnac of giasspn eht ealell &g-t;- ouy etillpmu seeht trgeehot /12 * 1/2.)

,oS yilmltpu /23 * /1100 * /41 = 061.0/ hTsi is p(tnatPei enbgi a ar)ercir * rpPter(na einbg a r)crarie * n(aiPhvg na efcadtfe risgnpffo ehgtr.toe)

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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Teh yrpltbabiio of eht atfrhe ginbe a erricar si 3/2 ceins ti is wnokn tath he ’otnsed eahv teh dsasei.e neTh teh baoitlripby of him spnsiga ti no to his dik :si

21/ * 3/2 = 13/

ihWt het rg-nbeaerWiHdy piPen,rilc oyu nac erguif uto hte pioltbiaryb fo eth mthreo igben a :rarrcei

q = 14r/00,0st0()q = 021/0

,So 2qp = 2 * 02/10 * 29/0190, ichwh ropxap si /110,0 adn het oaybiprbitl of eth hdcil gteingt tshi llelae si 0/101 * 1/2 = /1002

hsT:u

21/00 * 1/3 = 0/601

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brill45  You ddi ihst ighrt but I ntkih eamd ti a tbi eorm dtaelmioccp ahnt eedden to b.e oT iregfu otu eht iokoliehdl fo a onrdma sporen in hte piupotoanl gsnapsi on a rievescse ,alllee uyo ujts ende ot od q2qr)us(oeotar ot tge ot q. dAn sjut eus ttah q ot ylitmulp hitw hte 1/3 yuo ogt er.elair heT q veula sellt oyu teh lleael erfucneyq ni eht ouon,ilaptp theewrh het npeosr si a rrcaire ro oogohsyumz isrsvecee otbh. Yuo ltisl tog ti, tbu juts ltenitg you okwn het iraese teuor ni esac oyu see ti aign!a +2


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 +0  upvote downvote
submitted by kdckjn(0)
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hyw tehre is yobtlraibip fo rtfahe bnegi a acrerri is 32/

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drdoom  eW uesasm tshi is a vriecssee .dsaeeis nI hoert wrsdo, yuo safnmeit hte aseedis if you hinerti a esdeisa lella,e ,d ofrm your eotrhm nda a deeiass llle,ea d, rfmo your et,afhr gngivi oyu na lellae aipigrn oetnedd by d.d dd = yuo evah the ei.essad heT afterh oesd tno veha hte eeiadss; isht enams hsi eyoepgnt anc lnyo be 1 fo rehet :ithngs ,DD d,D ro .Dd Taht si, DD = D rfmo ish dad, D ofmr ish m;om Dd = D rfom ish ,dda d orfm shi mmo; ro dD = d ofrm ish add, D morf hsi omm. tocieN that ni nylo owt of etseh 3 sispebistioil sdoe eth thafre (ptleioa)lynt vahe a adeises elella )(d atth eh gmhti assp no ot ihs ne.gproy +

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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