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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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talcnuslaCoi rfo add. ehT rtiyoblpbai fo het rthafe ngebi a rcriare is 23/ nices it si knonw ttah he ’dsnote have the d.issaee eThn eht oipbbtaiylr fo him anpssgi it no ot sih ikd is 21/, :suht

  • bbitliPoayr fo dda begni irraecr = 23/
  • irbibotyPla of dad snipasg on idasese llaele = 21/

nllotacaiCus orf mmo. tWhi eht -rgeybarinedWH erPpicn,li you cna ergfiu out eht tylipriboab fo het mretoh ignbe a i:rcerar

q = (00s/rq4)00,1t = 0/102

S,o 2pq = 2 * 2/001 * 209/190, ichwh si rpopxa 001/.1

oFr teh ldhic to get het elaell omfr mom, tow gstinh ende ot e:phpan )1( omm tmus be a reirrca ort]zetheoge”“y[ nda )(2 mom sutm ssap het llleea to hdl:ci

  • iibaPoylbrt of omm igenb eairrcr = 001/1
  • triPiyabblo of mmo sgnsaip no isseade lelael = /21

igPnut ti lla tgohreet. oN,w mibecon lal egt:hoert

= ayritlb(ibop of add igebn rearrci) * byrip(oatilb of dad sisnpag on dieseas lllea)e * raib(pityolb of mmo genib earrcr)i * ay(otbrlbpii fo mmo snipgsa no seiseda lealle)

= 2/3 * /21 * 1/010 * /12
= 1 in 060

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kernicterusthefrog  oT teqou hgorTy hr,oT gadr e:qenu we," s,suJe ssr"og +52
niboonsh  shTi osiqntue ekmsa em watn to itmov +14
drdoom  lol +
5thgencephalosporin  koya wwo +
tekkenman101  ouY cna kmea isth a lot kuriqce by sunig pislem seurl rfo sooalmuta eeercssiv sisedes) a.1 cUaedfftne panret hwti fcedaeft einagel illw be a arreric 32/ fo het etmi A)a 2() qeyfnrecu ni potonluiap si uespr olw os yuo nca rogein P adn juts esu 2q() in rdreo to leacctula cerirar uqfyr.ecne So etak eth aureqs toro of eht omogoshyzu vceerises eqefncryu ,4010(0)/0 dan sujt ulpg ti in: 0.()520 = 130.) eTh ddos fo trhie hicdl begni afdtefec htwi the tow traespn gnibe smudsea atelhychtipo rcaerrsi si /14 ()aa or a2d's5..D errcria cenhac 3/2)( x o'sMm aicrrre ncehac 1)(0. x 'sldich ehccna fo ibneg sceerisve .)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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alMaiendn sGnie:cte

Man sah 2/3 cnaehc of iebng a crrriae. e(H sedo ont ahev the esad)e.si m naoW arcreri ksri ustm eb leadultacc wtih 2p^ + 2qp + ^q2. ^2 q = 1/0004,0 q = ,0210/ p si hryuglo = 1qp2 = 11/00 = raeCrir efcrynueq .

siRk of nvhiga a hldic thus qulaes /32 x 1100/ x /41 = 0/016 e:uec as3/2B = naM ierrCar kisr 0 11/0 = eaemFl rCreair 1/k 4iRs = Cachne hyte hcea sspa no teh reseeicvs ngee to iehrt gopsf.finr

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hello  eSe ym ltxiaapenon fi ouy dene ermo dsorw to anpxlei hist nnlioexaatp +2


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 +3  upvote downvote
submitted by hello(429)
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isTh eht smae sa sy'ancemyo@kp xoenaltainp twih orme ixneolpntaa esoht atth eden t..i.

Teh tenatpi is cuadfetnef yb eht ailrarucpt amauolsot eecesrivs esdaise nda sih toerhbr ahs het osatlomua reevissce eeasisd gt&-;- stih amnse aehc fo hiert pstanre aciersr eht AR lleela. ,owN ofr teh eipntta ot eb nduefeafct vgeni tath tbho ish ntsraep haev teh AR la,lele ti nemsa thta eth npateti hsa a /23 ahecnc hatt he is uuonatsiyllsem uffetdncea adn a rair.rce

hTe eisatt'np rateprn si cneuftaedf dan ramoln igbryWHedner-a ctigesen as( stdaet in hte ehn.rbewp.m)ol isth is cepcifysiall mneeti,odn uoy rae to aseums that the reatnpr ahs a irrcear ernqufeyc orf hte RA lea,lle wichh auqel to qp2.

The easdesi ash a qneecfryu ni the tuaoppionl of 0/00401. hsTi is q^2 &-g-;t 2^q = /01004.0 vgiSonl rfo ,q yuo gte q = /.2001

erriaCr qcyreunef si 2q.p voHeewr, fro a rare asdes,ie 2pq ≈ q2. So, hte rcirear urnecfeyq for het trnpear = q2 = 2 * 20/10 = 1/.100

o,Nw hte Q sksa utabo na sropfingf of hte attpine dan ihs npterar ngebi fdafetec, so ot have na catdefef ,hilcd ethre is a /41 ahecnc of nvihag na dfcetfae lcidh eacses(ub het aptenit dan eht enrprat otbh evha a 1/2 hcacen fo apigsns the elelal -gt-;& yuo mtluelip eehst hgterote 12/ * /.1)2

,oS lyltpium 2/3 * 101/0 * /41 = /060.1 shiT si eaiPnptt( ebgni a rciarre) * pern(taPr gnibe a ierc)rar * ihv(ngaP na tefafdce pisgffrno oh.tr)geet

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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heT bpabyotriil of eht tearhf neibg a cairrer si 23/ ecisn it si nokwn htat he oe’dnst heva teh sdaes.ie henT eth aytlbripobi of ihm nasigsp it on to ihs kid s:i

21/ * 32/ = /13

hWit eth dngHry-Wbeaeir ,irncPelpi ouy can iuferg uto the rtaioybipbl fo hte mrhtoe bgnei a raecrri:

q = s40()1/0qr0,t0 = 002/1

o,S qp2 = 2 * 0/012 * 9/20091, ciwhh oprapx si 1/00,1 and het ryopbbiliat of hte dlihc teggtni siht llelae si /1001 * 21/ = 0/210

h:usT

20/10 * /13 = 6/100

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brill45  You idd hsti gtirh but I thnik maed it a ibt oemr imocclpdtea tnha eednde to b.e oT iufreg uto het ililodhoek of a mndaor onpsre in het oltunpiopa ngasips on a iervesesc e,lalle you ujts deen ot od rsqt2aruoe)qo( ot etg ot q. And jtus sue that q ot mulytipl htiw eth 3/1 yuo ogt aerelir. ehT q uvael tslle ouy the lellea yqecefunr in the iopuolnp,at hhretew het npoesr si a reiarcr ro gyoosozhum reiessevc hb.ot oYu sillt got ti, btu utjs nittleg ouy wnko the risaee euort ni asec you ees it g!inaa +2


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 +0  upvote downvote
submitted by kdckjn(0)
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wyh ehret si aribbotpyli fo ahfetr nbegi a ecrarri si 32/

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drdoom  We msesua siht si a eerceviss a.sseedi nI rehto dwo,rs uoy nmfisaet hte disease if uyo iietnhr a deisesa eelll,a d, ofrm oyur ethorm and a esesaid ll,elae ,d ofrm oyur hte,arf viging oyu an ellale nrgapii eddntoe by dd. dd = you vaeh the esea.ids Teh efahrt sdoe ont eavh hte ;saeiesd hist seamn his eogtpeny acn nyol eb 1 of trhee :thisng ,DD d,D ro Dd. htTa ,si DD = D rmof ish dd,a D omfr ish mmo; dD = D rofm his d,ad d ofrm hsi om;m ro Dd = d rofm his ,add D from ish om.m ciNeot tath in nlyo wot fo sehte 3 blitisioispse sedo eht hteafr )leyi(notatlp evah a esisade llalee )(d that eh higmt psas on to his .eyorngp +

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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