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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +27  upvote downvote
submitted by โˆ—drdoom(1206)
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cCitunallsao orf add. eTh aoytlibirbp fo teh trhfae giben a areircr si /23 ceisn ti is wnonk htta he nโ€™sdtoe aevh het eaisse.d nThe eht lyoatiirbpb of ihm gspsani ti no to his dki is 21,/ tsuh:

  • Plrbabtioiy of add gebni earrrci = 32/
  • lybioariPtb fo dda sgiasnp on deiesas lealel = /21

ulicCnlatsoa rfo mmo. tihW the r-eayWdbniegrH Pnp,icrile uoy anc uegrif tuo eht iatypbrobil fo teh othrme geibn a icerr:ra

q = ts,1r0004)(q0/ = 02/10

,So 2qp = 2 * 001/2 * 9/20910, ihchw si oaxprp 011/0.

Fro eth hdicl ot gte hte lealle form m,mo wto gtnhis need ot heppna: 1)( mom stmu be a rriarce htzeotg]eo[yโ€erโ€œ and ()2 mom mtus assp eth lleale ot :lhicd

  • aiyPblitrbo of omm gibne ierarrc = 1010/
  • ibbtyPolira fo mmo nspiags no sdaesie lealle = 1/2

nitguP ti lla rotghete. ,owN nbmoeic all hgoeert:t

= tb(lriyiaobp of add nbgie )rrracie * lribbp(oyiat of dad siapngs on adsesei lelale) * iy(tobaiplbr fo mmo enbig rrecai)r * bitlopbr(ayi of omm ginsaps on sieades le)lale

= 32/ * 21/ * 0/110 * 1/2
= 1 in 006

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kernicterusthefrog  To uetqo yTohgr ho,Tr gadr :ueeqn "e,w suseJ, orsg"s +52
niboonsh  Tshi toesniuq emksa em atnw ot miovt +14
drdoom  oll +
5thgencephalosporin  akyo oww +
tekkenman101  uoY anc kmea this a lot krqicue by inugs elpsmi userl rof amtauools seeeirscv s)d1.as iese etedUfcfna tnrape wtih ecfeadft ngialee will eb a rrreaci 32/ fo eth miet A a2))( qcefynrue ni looipnatpu si peurs lwo os you acn ingoer P dna just esu )q2( in errod to cealtcaul rraecri .rnqfeecuy So etka hte eurqas roto of eth gmsooyzuho rcisveees efnrcqyue 041(0/0),0 and tusj gulp ti n:i 20(.50) = .) 031 ehT dosd fo rtihe hdcli iengb dctaffee twih eth two prsaten bgnei msasued lyhthpteocia rrscreai is 41/ a(a) or '52.Das.d crairre achnec )3/2( x 'osmM ceairrr anechc ).(01 x slhicd' necach of bngie eecvessri 52.)( +1

Instead of doing all those calculations for the mom, you can also just multiply the dad's probability by 1/200 โ†’ q, the probability of the allele in the general population

+1/- hungrybox(1277)

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 +4  upvote downvote
submitted by โˆ—keycompany(351)
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Mndneaali t:esneciG

Mna sah 32/ cheanc of ibnge a ira.ercr (He odse ont heav eth sdie).aes aWmno rcairre sirk stmu be eudclactla hwit p^2 + q2p + .2^q 2^q = 400100/, q = 00,12/ p is hluorgy = 1 2qp = 1/010 = erarCir erunqecyf .

skiR fo vihnga a ilhdc thsu qelaus 2/3 x 1001/ x 1/4 = 10/06B: 2 cuese/3a = aMn arirrCe krsi 1 010/ = leFmea Caerrri 1s4iR k/ = Cenahc yeth chae saps on the ieescrves neeg to rhtei fnsrfgpio.

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hello  eeS ym ntelaxaonip fi uyo dnee ermo dswro to enlapix hsit itanoxenlap +2


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 +3  upvote downvote
submitted by โˆ—hello(429)
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Tish eht eams as aeosmyc@'npyk nopxaentail htwi mero etlaaxinopn hoets hatt edne ti...

The tanpite is fctuedefna yb teh tuarpalcri aomoutasl ceeerssiv daeises dna ish hotrber ash eht usoaltamo esirvcese diesase g;-t&- tsih neasm caeh fo rihet aptsner riaescr the RA .llelae wNo, ofr het itnpeta to be ftdecanufe ivgen atht hobt ish etaprns hvae eht AR ,llelae it mnase taht the nptiaet hsa a /32 hccnae thta he is sayeuusitlmnlo entdfuefac nda a crr.riea

ehT ipnttase' rnarpet si eaudfctenf dan rlmnoa -egybHWredanir tneesgic (as satdet ni the lhermnop)..bew shit si pelcaiifscyl tinedn,oem uyo rae ot saemus thta the etanprr sah a eacrrri runefqecy rof eht AR lele,al whihc qaule ot 2qp.

The deseisa sah a urqceeynf ni hte uoapoptnil of ./014000 hsiT is ^q2 -&-gt; 2q^ = 4000/1.0 Silgovn ofr ,q yuo tge q = 201.0/

rriareC yueqecfrn is q2p. eHroewv, rfo a erra saedsie, 2qp โ‰ˆ 2.q o,S eth ceairrr ecefrqnyu rof hte petranr = 2q = 2 * 1020/ = 0/11.0

,woN teh Q saks otabu an nfigfrspo of eth ettinap nad ihs nrrpeta inbeg fteaecfd, so ot have na tecffaed hcil,d trehe is a 41/ echcna of vhgian na etffedca dilhc scb(seaeu eth tnpetai dna het earprtn bhot vaeh a 2/1 neacch fo ginspas teh eellal -t-;&g ouy ilmleupt shete throgete 21/ * )/2.1

o,S ipltumly /32 * 010/1 * 14/ = /0.061 Tshi si Pteaitpn( neigb a rca)rire * eptPrra(n giebn a erc)arri * vgPa(inh na dafeftec snifrfogp ehg.erott)

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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eTh ilatboibpyr of hte thfrea igneb a rarcier is 3/2 neisc it si owknn htta eh tsoendโ€™ hvae hte a.essied nTeh hte aborbiitpyl of imh apsnigs ti on ot sih idk si:

12/ * 3/2 = 13/

Whit eht y-raWrdbiHnege il,Pcrpein yuo cna efugir tou het lbibotpryai of eht emthro gbein a rirc:era

q = r4(q)00,s0t1/0 = 210/0

So, 2pq = 2 * 200/1 * 0219/09, hihwc xprpoa is 100,/1 adn teh ibtibrapylo of eth dhlic gettgin ihst llaeel is /0101 * 1/2 = 010/2

:Tshu

20/01 * 1/3 = 0/061

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brill45  ouY ddi hsti rtghi but I ikhtn deam it a ibt eomr tcoalemdpci nath eeeddn ot e.b oT rueigf otu het ldoheoilik fo a ardmon onpres ni eht aluonptpoi gnispsa no a reseeisvc alele,l you stuj edne to do r)orou2eqt(saq ot egt ot q. dAn tujs eus atht q to mplyiltu iwht the 1/3 you tog .erareil Teh q vleua tlsle uoy hte laelle enfuqryec in eht ,piolopanut threewh teh onsrpe si a crirare ro gooomysuzh eesrvseic o.thb oYu tllsi gto i,t tbu sjtu tegnilt uyo oknw hte easeri rueto in ceas oyu ees ti gaani! +2


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submitted by kdckjn(0)
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ywh rhtee is boaipiybtrl of fareht ebgni a arerrci si 32/

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drdoom  eW assmeu hits si a eerisvsec es.desai nI ethor o,drsw ouy nitsamfe teh sseeida if yuo nitiehr a idesaes la,lele ,d orfm uyro roehmt and a eiasesd ee,llla ,d mrof ryou taehfr, viggni yuo na lleael igprani needtod yb d.d dd = ouy vhea hte e.isdaes hTe tefrah seod nto ehav hte dssie;ae this maesn sih onteegyp nca loyn be 1 of eehrt higst:n D,D d,D or d.D Thta is, DD = D mrfo ish a,dd D fmor ihs mo;m Dd = D form shi d,ad d rfom his ;mom ro dD = d rfmo ish add, D orfm his mo.m ecNiot atth in only two of etehs 3 ptsssibiileoi does eht treafh i)onpaelttly( evah a eeaisds ealell )d( ahtt he migth apss no ot hsi pg.neyor +

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 โ€œdd โ€).

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 (โ…”) does the father (potentially) have a disease allele, d, that he might pass on to his progeny.

+1/- drdoom(1206)

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