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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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lnostciaauCl ofr dda. The oiaytplrbib of eht tarefh nibeg a iarcrre si 32/ senci it si owknn atth he snt’ode haev the .iesesda ehTn the ltbyipoarib of hmi gsiaspn it on to his idk is 1,2/ th:us

  • oPbrtabiliy fo add egibn crarrie = 23/
  • oiibtabPrly of dda sgpsnia on ieeassd leelal = /21

cCouilalsatn rfo mmo. tihW the HWyrdiea-nbgre pirlncPei, uoy nca frugei tuo the itbirpbylao fo eth mhtroe nebig a irre:rca

q = s(,)rtq04010/0 = 0012/

,oS pq2 = 2 * /0201 * 099/210, hihcw si ppxroa 1.0/10

Fro eht dhlci to gte het lallee mofr mom, two tsghni ened to pneah:p ()1 mom mtsu eb a irrearc eeoy]o[t“zghtr”e and )2( omm tsmu saps hte lelale ot ih:lcd

  • iioPybltbar fo omm nbeig acirrre = 1001/
  • tibbilrPayo fo mom snpsagi no isaesed lleeal = /21

nuigtP it lal geroteth. owN, bciemon lal etr:tehgo

= pbrt(yilaiob of dad ebgni ircaer)r * baotiiyrpl(b of dad sinpasg on issedea el)eall * yabit(birpol of mmo bneig ceairrr) * boirp(blyiat fo mmo nipagss no sideaes alelle)

= /23 * /21 * 1/001 * 1/2
= 1 ni 600

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kernicterusthefrog  oT qoetu Thgory ohr,T drag :neqeu e,w" esJus, og"srs +52
niboonsh  sThi tqsenoiu esakm em twna to tvmio +14
drdoom  lol +
5thgencephalosporin  koya oww +
tekkenman101  uoY acn kmae tihs a lot kecrqui yb insug mipesl esulr fro asaotmoul rsecsivee e)sids1se .a fUatnecedf ptraen whit tefcaedf gliaeen lliw be a crrarei 2/3 fo eht time A))(a2 rfeeqynuc in laiotuoppn is uersp low so yuo nac egnroi P and ujst esu q(2) in roerd ot ulleccaat rarriec yu.efqcrne oS teak het resqua ootr fo eht musohozgoy eesierscv yqeufrcne (041,/000) dan stuj ulgp it i:n 0).(025 = 3.10) heT odds fo thrie idchl ebgin tadefcfe hiwt the two stearnp ngibe saeusmd yaeliphhtotc erisrcar si /14 a(a) or D2.d5 sa'. arrceri ncaech (32/) x sMm'o crrreai hanecc 01.() x dlh'cis acnehc fo bigne esecrvise )(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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dieaanMln seteGni:c

Mna ash /32 aehncc fo nbegi a rrar.cie H(e oesd not evah the aiee)ss.d nmoWa rrecari isrk mstu be aacdtullec iwht ^p2 + 2qp + .^q2 2 ^q = 010/40,0 q = 210,0/ p is yrloghu = q21 p = 1100/ = rraeirC necfreuyq .

sRki fo aihgvn a chdli huts qlause 23/ x 011/0 x 14/ = 06/10su 2c3e/:aB e = aMn arirCre skri 1100/ = emlFea reairCr R ki/4s1 = Cnheac tyhe ecah pssa no the ieseecvsr enge to heirt g.ipfonsfr

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hello  eeS my npixnaetloa if yuo ndee emro dwsro ot naexilp hist aelxinptona +2


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 +3  upvote downvote
submitted by hello(429)
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iThs teh mesa as @'eaockmyynsp nxatlineaop twih meor axnpanitoel oeths taht eden ..t.i

Teh neattip is etnfcuadef yb eth riuacaprlt otmsaaoul icvrseees essedia adn ish brteohr ahs het ouatoalsm ersvcseie seiesda t-;g-& iths ensam ache fo tirhe enraspt erraisc het AR llee.la Now, ofr teh npiteat to eb eeuatcfnfd ievgn atht thob sih traspen evha hte AR el,alel ti amsen atth eht iptaent sah a /32 chneca ttah eh si uismoentulsaly tfeeuadcfn adn a rrceir.a

ehT epsi'tnat atprern is ctnaefuefd adn alnomr WHaygn-eierbdr nceesgti a(s tdstea ni hte lpnebome.).rhw tish si ilccspafieyl nenmoei,dt ouy aer to sauesm tath eht nprrtae sah a arerrci cnurqeyef ofr eht RA lalel,e ihcwh uaeql to p.q2

The edeassi sah a fqreecnyu in eht tapuioolnp fo 000041/. hsiT si 2q^ &--;gt 2q^ = /040.001 nlgoivS for ,q you get q = .0201/

rreairC eqfecynru is 2.pq vworHee, orf a arer sseide,a p2q ≈ q2. oS, hte ecarrri eefrcqnyu fro eth aerptnr = 2q = 2 * /0120 = .1100/

,woN eth Q assk uabto na gofnrisfp fo eht tientpa and hsi rtnepar bigne dtfeface, os ot aevh an dfeaetfc i,dchl heetr si a 41/ neccah fo hnaigv an tcfedefa ldchi sb(aecsue eht tnaitep nda eht narretp tbho heav a 12/ cahnce of npisags eht lleela -;gt-& uyo lielmupt seeht oeegttrh 2/1 * )1./2

o,S litpulmy /32 * 10/10 * /14 = 0106/. hsTi si tPaie(tpn geibn a ic)rrrae * aprePt(rn igben a ierracr) * nivag(hP an eeffcdta iropffgsn )t.goerteh

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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ehT rpiybbilaot fo the frteah ibneg a irracre si /23 sneci it si nkwno hatt eh ods’ent ehva hte deaes.si hTne the yoalbbprtii of mhi ngasisp ti no to hsi kid i:s

21/ * 32/ = 13/

hWti teh -WbedrngyairHe rnlipP,eic ouy nca giufre tou the abrlipyiobt fo eth mroeht ibneg a crierra:

q = ,0q100r)(s4t/0 = 1/002

oS, pq2 = 2 * 021/0 * 2901/90, ciwhh paprxo si 0,1/10 dna eht oprbtyailib of teh ildhc iegnttg hist leeall is 0101/ * 21/ = 02/01

ush:T

/0021 * /31 = 1/006

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brill45  Yuo did shit igrht but I inkht emad it a tbi ermo almiodeccpt tanh endeed to b.e To gfrieu tou eht koioledihl fo a noamdr erspon ni teh pootnipula saisgpn no a vcsiseere e,lleal you sujt edne to do )oo2u(atqrersq ot egt to .q Adn just seu htat q to typllmui whti het /13 uoy gto leaer.ri ehT q uevla ellts ouy hte laelel uyrqfncee ni eht opltaopui,n wrethhe hte prnsoe si a eirrcar ro hmosozoguy ssceevier htb.o ouY tslli tog it, btu stuj tilgnte yuo nwok het aisree urteo ni seac ouy ese ti !naiag +2


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 +0  upvote downvote
submitted by kdckjn(0)
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wyh rethe is plbtibroayi of afterh ngebi a rrcaier is 2/3

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drdoom  We suseam hits si a iesrevsce isadees. In horet d,orws ouy ianmtefs teh esdisae fi uyo rnhieti a eiassde ea,llel d, fmro ryuo tormeh and a deaesis lell,ae d, rofm uyor ht,eraf giingv uyo an allele niipgar eotendd yb dd. dd = oyu aevh eht iesasd.e Teh rteafh eosd tno avhe hte ese;dsai tihs amens ish eepoytgn nac noly eb 1 of there gsi:nht D,D ,dD or D.d Taht i,s DD = D fomr ish ,dda D morf shi mm;o dD = D rfmo hsi a,dd d rmfo ihs o;mm ro dD = d mrof ihs dda, D omrf his om.m oectNi hatt ni ynlo tow of eesth 3 pibiloisistes dose the ehtfar ey)(tatlliopn aveh a isdaees leeall )(d atth eh igmht saps on to sih enoyg.pr +

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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