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Retired NBME 21 Answers

nbme21/Block 1/Question#39 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Genital herpes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +35  upvote downvote
submitted by โˆ—madojo(212)
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Kown uryo 'sDST ybba );- (gniog orgtuhh yreve rheot iohecc no shit ni:qtoe)su

  • altriaeBc vognaissi dcusea by reardgnella anisialglv. Se a ,tihn ffo ithew higscedra nad fshyi mesll sih(f in het ngd)aer. ers'heT no mfitalnomina abL idisf:gnn pH trareeg hant 5.4 tus(j elki ct)o,onshrmiaisi dna a spotiive ffwih ttes twhi KOH. metS wlil sya omneshtig outba smooludora hegradisc dan swoh the iaumosnf ECUL LLSEC if we era luyck. oNt eth asrewn rof siht uqnitsoe loyuoivbs eacubse we olduw tno xecpte lcsesevi hwit hits tblaareic d.aesies

  • iisdCaandsi is noigg ot be yruo hitck atgctoe eecesh sihcegadr, thiw mnil.mfinatao aorlmn Hp ese pehyeupoas.dh taTre itwh pcaoilt tyntsina, or arlo oufzcneloal essuln r'eouy rpngante htna esu letooaziCrm.l Aagni ont gigon ot ese nya eelcsisv.

  • aciodrnCh erp wldoru si datecsaios htiw leisphmauHo ecuiyrd ouy wlli ahev a Dpee etlurnup pnufila ulcre htwi pruaiutvesp tsed.ylapiihnm lWli eb ltdo atht tpnitea ahs pnifula iailungn nsode, rethe yam eb umlielpt eped uecrsl thiw lywgola-yre dteaexu. uYo od ryc wthi .H RiYCud isTh 'udnotwl be reut orf hwat oru tiatpne has ni tsih tosnquie beaceus we tnea'r oldt of yna iinagnlu nhe.opyatad a kiln ot a crhnaicdo AVD

  • hyCldamai htmoraascti cuasse unypllraomgaohm eeevunmr ihcwh si lmlsa lslhowa cusle,r lepssa,ni tbu tenh teh aerlg faipnul cdeclaseo gniiluna mlyhp onsed aka BU.ESOB eCropmda twhi hgarenoon eht gecsharid si oerm nntehir dna wtre.ya Again not hte seac rehe as its nlaiufp and no intneom fo ayn OSUSOEB.B ehT rheasgidc in rraenhgoo si rmoe ictkreh. tohB dael ot I,DP ttera fro hobt esbcaue fcnoitoecn is nc.ommo ihtW obth aptntei may haev some rsto of inap or ubnnirg oisatenns unpo natr.iiuon itlrSee uapryi hthogu orf h.tob

  • Codnmlyao uitccmanamu is a namoastnetifi of VHP 6 + 11 lgtia(ne ta)w.sr ehyT lkoo ilke ibg rfai.lwlucsoe Tshi si ni attnsrco to omlndCyoa tlaa ahtt uoy ese ni ilhslspiy ihcwh is ustj a teatlrf attle obwnr gniookl amlce.u

  • eGiltan pseHre (the enraws ot hte isqunote) lwli tpesenr ihtw mplilteu lnfpiua sfrulceaipi csseilve ro elaosctuirn itwh atuiolcstniotn ymmotpss ,e(vfre alisma)e Just fsti bertet than lla hte toher checosi I rna oth.hrgu

  • ipSylishl si eht psaensil ercahn.c WU rsidsbcee ti as a nges,il tedadniru wlle ridsccerbmciu el,ucr whit a elcna sb.ea See eowcsrckr issnomrag on FD rpmoc.ocisy eepK ni mndi htero ssnleapi sceurl rae gmuhrmoalnlapoy rnemvuee of dicalyam u(tb teh buoseb rea ahswt iplanfu not the lu,)ecr nda mlonaragu eluginian osaono(ivnsd - elkesiball mtnaaugoirls) tub hsatw raklalhm otuba itsh eon si thta its npielssa tihutwo ytdemaolhppnhya

nI ,rhots be f.eas

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drdoom  siht -terwupi si AEESMOW ... but it laso edma me mi.ovt +1
b1ackcoffee  iTsh si swmeoe,a pertwi,u otn the .tssd +1
lovebug  FA 0912 pg I4. 81 sdeumm up @m'ojadso e!s tmmctoihn eatpnit heav utmp"iell, edtner sclevesi nda .dalcn eru" sncta iaalvng hArci).g sade teraBcali vgaisonsi &-;gt NO cselvie g-t;& B/)o r ddnisiCasia gt;&- NO lesevic ;>- o/)Cr Ccnairohd t-;&g sldouh aveh glnnIuai oydapeAnht &t-g; o/r ) D .C mtosraiahct -g;&t ahve ragLe alinpfu niilgaun NL ;-g&t E )/ro aolmydnoC maaactinu ;t&-g Bgi oiwlaerluCf >-; r) F/o Gtelna eprhse -&t;g Y!GS)!! E aoeonrGrh g-;t& NO elciV,es arceym nlputre aegrihcds g&;t- / o)rH C. iraatctoshm anagi easm( as D) t&g-; /)Ior Slyspiih ;g&-t eisapsnl hcneacr -&;gt / oJ)r onrioiicsamshT ;g&-t wterbsrayr ,ivcxer toimle in tew pepr g;-t& t rnkaso/h @omd!oja +
homersimpson  aGtto eovl teh BESOBU +



 +3  upvote downvote
submitted by gabstep(15)
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FA 0219 841:gp leaitnG preshe etenrssp wiht lpanuif vvlrua ro rlevcaic lievsecs adn uecrl;s cna cuesa symecist pmtsmyos schu as evfer, hcdehaea, yalgmai

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sam.l  hte teuqnosi esmt asetst a a" etcns aainlvg radc"shieg si tath a ricoadtstr ni het stunei.oq +
kentuckyfan  a""Stnc amsen vrey .itllte +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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fI dyaoybn sah a ogdo ayw of igiergtbmriheiis/ndmngusen lla het dnterfief patetsoinesnr rfo aetnilg eo,rss d'I ppeatciare eth eh.pl

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hungrybox  Psl otsp sa a esetaarp stop dna ton a ntmoemc ot tshi th.o hTe atfmgrtoin fro esteh tncemmso xus +1
whossayin  ingusmsA u ehva ,ldUWro tjus ypte suyelxla itmteartdsn nfii.csen.to atht bleta si teh steb IOM +
lumd  hTnka oyu so mcuh orf hte !pit tdDin' wkno taht you nca reahcs rfo epiicfsc iscopt ni W.U +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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yhW is shti TON craio?ndhc eThsre onihtng heer htta rseul it ut.o

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drachenx  anhdCoicr si esebrcdid as an lu.re.c lihwts ni hsti etsiqnou ehyt iodntneme s.sciv"lee" tyrteP chum lony srpeeh si rucvseali +6
whoissaad  hyTe endotmine rcuesl to.o I ehcso nochcdari as l,ewl lcu'ntdo fnid a cleu ot rule ti t.ou losA huhgtto h"cgai"rdes asw ntgopiin uoy raodwst a irtbaalce nctnif.ieo tBu eusgs Im' rnwog ): +
emmy2k21  I nktih L/SUEMNBEM wtrsire amke eht poutaissmn eth atnpeti is ni aicmreA snlseu cispfedie ie.ethrows Chocdrani si otn mmonco in hte US. If the oqnitesu emts emnsoint a egivpndloe ,nutorcy ethn cahnrcdoi anc keam yuro fifalenrdiet lst.i +1
selectuw  for rdcnaohci, rthee yma eb a nntmoei of ilganniu pympnehltdyhoaa +2
samsam3711  sAol hwit daohncric tnsseiuoq they wtan yuo to ndfteeiriftea ti nbeetwe crhaiodcn and lis,hsyip (ge. liPfuna .vs ns)ieslap nda si yuualls dsrbeecid as a hucm rgealr cruel hatt is alpnfiu o(nt vurleiacs as in hsit ouns)eiqt +
suckitnbme  oAls lvieeeb ahtt odcnarcih odse nto tpsnrese tiwh eimytcss omspytms lkei in shti tvne.geit +



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