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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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Kwno oyru TD'Ss byba -); o(ggni hgurtoh eyevr etohr oeccih on hsti )nsuoiqt:e

  • Btcaleair vsagosini edausc yb enardgarlle silgnviaal. Se a iht,n fof tiwhe rasgdehci dna hysfi llesm is(hf ni the gedan).r eh'seTr on amaioinfltmn baL gsnfdn:ii Hp eeatrrg hnta 45. tju(s elik io)aorcimitsnh,s dna a siovpeti ffiwh stet twih HKO. etSm lilw sya nisotmehg bauot ordlosmauo ecrhdgias adn ohsw eht funismao UELC ELSCL if ew rae yk.luc Nto hte rwensa orf tish neosituq ouybslivo uebecsa ew luodw ton ecpxte iceselsv wiht tsih elacabitr eaide.ss

  • adnsidCiais is ggion to eb ruoy ckhit octeagt eehecs gdcsriaeh, hiwt nmtiloain.amf rmnloa pH ese .udppseyhaohe aertT wiht ocltapi tan,ntiys or ralo zuonelfoalc ulness uor'ey nrptenga hant seu Criemlotzoal. aigAn nto nggio ot ese any eli.vcsse

  • iohancCdr erp dorwul is aesciaotsd tiwh mhelpsaHoiu ruecdiy uoy iwll eahv a eeDp trplueun uapflin cruel thiw sutaruppive hpd.miaytnelsi Wlli eb dlto htta tneapit sha plniuaf ginunali esn,do hrtee may eb eipulltm pdee urcsle iwht ywlo-lyerga teued.ax uoY od ycr twih H. iudRYC hsTi udn'owtl eb uter rof ahtw uor tiepnta has in ihts tsunoqie cbeasue ew 'anert tlod of ayn ugainiln eyaoa.dtnhp a lnki ot a chnodacri ADV

  • hdyaialCm artictamsoh eaucss yohmuognlmpalar ueemrnve hhiwc si slalm sowalhl ul,recs ,ineapsls ubt etnh the glear niflapu ccaldeoes gluinani hpmly nodes kaa BUOES.B Ceardpom thwi goroneahn eht gahcerids si oemr ehntrni and .reyatw iAgan otn teh asec eehr as sti alfipnu adn no mneoint fo any O.EOBBSUS eTh dearsgich in rgraooenh is rmeo itckher. htBo eadl ot PID, terta fro othb eusaceb ncecotnfoi is omnco.m Whti btho naptite may vaeh seom orst of ainp or unbgnri soeitnsna onup urt.niiano eierltS puyiar ghohut rfo .bhot

  • mlnCdyooa uicctnmamau is a stoeanaftmnii fo VPH 6 + 11 til(naeg wta)r.s yThe kool klie ibg ralwcesliof.u hiTs si ni tstcnaro to oadomynCl taal htat oyu see in isyhsplil hicwh si juts a trleatf letta ornwb gknlioo cmlaeu.

  • eantilG eHresp (the rnwase to het qonsueti) lwli psetren ihwt letipulm nifuapl liasepfruic ivlceess or osauitlrenc hwit tlntcoisiatoun mmpsoyts fre(,ve )eaailsm Jtsu tsfi ebttre tnah all teh ethro iochsce I rna tr.ghuoh

  • spyillhiS si the slseipan ec.rncah WU cdirsseeb ti as a e,nlsgi itednradu llew emruicsdcibrc lcue,r thiw a clane s.bae eeS keorcswcr asgmroisn no DF opcmyi.oscr epKe in nimd eroht esinspla ucsler rea morouaypanghmll neeuemrv of ymdliaac u(tb the bubsoe ear awsth ufnipla not eht e,u)clr nad uoglanmra neiilguna sdonn(sovaio - salklilbee )lragumoasint tbu hwtas kahalmrl uaotb siht oen si taht ist lssipean withuto hpoamdtleyahpny

nI tor,hs eb se.af

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drdoom  tsih rw-ieupt is EWEASOM ... tub ti laos edam me iv.mot +1
b1ackcoffee  sThi si so,eawem i,wtrpue nto hte ds.ts +1
lovebug  AF 1092 gp 148.I edmsmu pu mdj@'oaos m micot!hnset ptneiat evha "ilem,tlup deetrn lsscveei nad d."cuealr n nstca vnlagia .adAers) hicg Brlaaceit sivgiasno ;t&-g NO svielec -g&;t o)/B r dinsiasiCda t;&g- ON isceevl tg-;& /rC)o drnchaioC &-tg; dusloh vahe Ingulnia ptdhyAaneo &tg;- /ro D) C. misrtaohcta ;&g-t evha erLag iaplunf ianuilng LN ;tg&- )rEo/ odoCalymn utcmaaani -&;gt iBg rauweCollfi t;-g& )/Fro naeGtl peehrs &;tg- !!)!Y GES Ghoraoner &g-;t ON csV,eiel cmeyra teulrnp hirsagcde g&t-; /o)H r .C aroihasmtct ginaa ame(s sa D) -&t;g I) or/ hSilpsiy g&t;- slsanpie cnraehc -;gt& )/Jr o Trsmaihsioionc t-g&; yrwretbsar xcrevi, ltmoie ni twe rppe g;-t& ts/o hnrka !omd@ajo +
homersimpson  oatGt leov teh BSEUOB +



 +3  upvote downvote
submitted by gabstep(15)
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FA 1209 8p1g4: Gteanil erheps tsepnsre twhi lnaiupf lvavur or relaccvi vescisle and ;relucs acn caesu ytcemiss mymtsspo usch as eve,rf ha,adeceh iyalgam

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sam.l  eht tqeusino mtes sattes a a" enstc avaingl dgehcsir"a si that a todrtisrca in het qesti.oun +
kentuckyfan  Sat"c"n seman yver eltti.l +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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If dnbaoyy has a good wya fo gtisemr/niieirmndnesgighbu lla teh feitednfr ipetorsatnens fro gilntea e,sors dI' epatepiarc het elph.

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hungrybox  Pls tops as a terapsea spot adn tno a tmmcneo ot tsih t.ho eTh ftimngtaro ofr shtee mnsectmo usx +1
whossayin  nusgAism u aehv ,dWrlUo sutj ypte eauylxls tiamtsnrdet tecio.fsni.n atht eatbl si the sbet MOI +
lumd  Tnhka oyu os humc fro eht !pit ntdDi' kwno ttah ouy nac rhcesa fro icfesicp stpcio in .UW +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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Why is tish OTN crdinca?oh ereTsh ionhtgn rhee htta rulse ti tuo.

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drachenx  ocaChinrd si reidsedbc as na celr.u. twihsl in hsti euqnstoi they neoenitmd elssciv.e"" tPtyer hmcu ylno seherp si rsacivuel +6
whoissaad  yTeh enieodmtn rcsule o.to I secho roncdhica sa l,lwe n'ltoudc nfdi a leuc to luer ti .tuo Aslo huhgtto as"dghrec"i saw ingpinto oyu dwosart a ilcabeatr ni.eftcion uBt uessg 'Im wgnor ): +
emmy2k21  I nkith EUBM/LESMN ietwsrr kame eht isumaonstp the atpteni si in Acrmaei slunse cepeidfis eitr.eowhs nCarciodh is nto mncmoo ni het S.U If hte nioeutsq emst msontnie a nlvidegope ucy,nrto ehnt crcioadhn nac mkae oury renaefildift s.ilt +1
selectuw  orf dohc,ainrc heetr yam be a ominent fo nnagiilu nlhytpaaodmyhep +2
samsam3711  oslA thiw ricdnhaoc ustosineq tyhe nawt ouy ot eetaitfnfdeir ti etnebew rchaiocdn adn lipih,yss g(.e fuilanP .sv ensp)sial and si uasyllu escedirbd as a hmcu lrarge reulc htat si alfunip o(tn rvuciaels sa ni sith oe)sqnitu +
suckitnbme  lAso ibvelee hatt ardcohcni odes not rpsetsne whit mecsiyts pystmsom ekli ni tsih vittn.eeg +



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