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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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woKn oyur 'TSsD bbay )-; in(ogg tuorghh eyver troeh iecohc no hits e)oqtusi:n

  • aiBlacetr anioisgvs dseuac yb egdreaalnlr gviaisalln. Se a n,thi off wthei hsdacrige nda isfyh sleml hf(is ni eth garen).d erhTes' on analmmitonfi bLa sdifgn:ni Hp gtearer than .45 j(tsu ikle ni,oiho)amsctrsi nda a vpitesio fifwh test ihtw KOH. teSm ilwl say hiongmste tabou dousroalmo hsdgaceri nda hsow the oansiumf CLEU LCELS if we ear ykuc.l tNo hte wrnaes for shit iuqtoesn bosuvioyl ceabsue we ulwod ont xcetep csvselei hwti sthi ciarebatl edsa.esi

  • iadnCisaisd si ngogi ot be ryou tickh otetagc eecshe aeshicrgd, wtih aomtlma.iinnf nmrola pH see epe.hduhapsoy raetT ihwt poaltic a,ytntsni ro oarl zollufoecna nesuls yer'ou nptgenar htan ues atil.lmroCeoz iAgan nto gniog to ees nay vesceils.

  • aohnCidcr epr wodurl si oitesdacas hwti oHehspamliu udiyecr you liwl hvea a eeDp rpnetluu ipfluna uelrc iwth usauprpivet htmalydiip.nes lilW eb ldto htat ntpitae sha ulipafn alinungi dnseo, eetrh yma eb ulmlpeit epde resucl ihtw g-yroyawlle .ateduex Yuo od rcy htwi H. iduCYR Thsi 'ondwtul be teru orf twha uro etpnati hsa ni tish tisenoqu sebucea we 'ernta dtol fo ayn nlniaugi atho.pendya a ikln to a dnaihocrc DAV

  • dhyaailmC raosmtiahtc esaucs onayrpoallugmmh vmeureen chwih si mslal aolhslw lu,cesr i,aesspln but hent hte gearl fnlpaiu celdecosa nilignau ylmph deson kaa BSEB.OU dmeraCop thiw rhnaooneg eth hseicrgad si oerm ernnthi adn tye.wra inAga tno eth aecs rehe sa tis puflani adn no nmietno of ayn SESUB.OBO hTe hgecirasd ni grheronao si mero ktehi.rc hBto aedl to D,PI ettra for ohbt sbecaue fociontcen is .nmcoom Wtih boht ttiepna yma evah seom stor of inap or unrbnig snenisaot pnou uirnoin.ta ielreSt uparyi uhothg for tobh.

  • alComondy ccmtuainamu si a amnfatisoenit fo VHP 6 + 11 i(tleagn s)wtr.a Tyhe oklo klie gbi rocise.wfalul shiT si in tasrntco ot yCndoamlo atal tath uoy see in ssiplyhli hihcw si sjtu a artelft altte nbwro ikngloo cl.euam

  • teiaGnl epeHrs (eth nrawes to eht sqeiuont) lliw tsrneep ihwt tumlpiel uiflpna iapslefrcui levisces ro ruatisncloe tihw tlusoocantitni msyptmos v(rf,ee amal)eis sJtu sfti teertb anht lal eth hoert sicecoh I nar ugrt.hho

  • iilhSlpys is eth seisanlp rnachc.e WU iesrsecdb it as a s,niegl utarednid lewl rumbcecicdirs ruc,el iwth a lcnea esa.b eeS kcwerrcos msognsira on FD cc.rsiymopo eepK in dmin oehtr ipselsan lcurse rea mharpogumoalynl meervenu of iadmyacl tub( hte osbueb are thaws naiflpu otn hte )rl,cue dna armalonug ieginnaul os(nvsandooi - lkeselabil oni)amrltagus ubt asthw lrlhaakm utoba sthi one si thta sit eialsnps twhiout ayopdpnaylemhth

nI sho,rt be a.sef

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drdoom  hits ue-irpwt is EOSAMEW ... utb ti salo eamd em tvo.mi +1
b1ackcoffee  shTi is swoe,aem irtpu,we ton het st.ds +1
lovebug  FA 2109 pg I4 .81 deumsm up j'osma@od coim en!httsm tpeaint heva lmeul"p,it rentde lecisevs dna rnladeu". c sacnt inlavag cdagi A.rs)he cBliteaar onsasiigv gt-;& NO lsivece &g-;t B)or/ disiinCdsaa t-g;& ON velecsi ;g-t& C )o/r odarCihcn ;gt&- dhlsuo veah guIaniln oytpenadAh -t;g& o/r D) .C ohaacimtrst tg&-; heva eaLrg naiflup ianluign NL ;tg-& )r E/o nolomayCd ianmauatc gt&;- Bgi luwrCafeoli g&t;- / F)ro eanltG phsree ;&tg- YSE!!!G) anreohorG t;g&- ON eisV,cle cryeam nrletup hdcsireag ;t-&g r)H/o C. rthiamaotcs gaina ma(es sa D) ;&t-g I r/o) Syhlpsii ;t-g& nslpsiae rchnaec g-&t; / orJ) orahicismTniso ;&-tg trresaybwr r,cxvei toielm ni tew repp tg;-& rokt a/nhs omj@a!do +
homersimpson  tGaot velo hte BBOUSE +



 +3  upvote downvote
submitted by gabstep(15)
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AF 0219 1p:g84 taleGin esehpr essrnpet twhi nlpiafu auvlrv ro eaclicvr esislvec adn eslcru; nca csaue mycisste sytspomm uchs sa ve,fer e,dehcaah alagiym

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sam.l  eth qutneiso mets astset a "a netcs laivgna ieca"srdgh si atht a sriocatrtd in hte nqs.iuoet +
kentuckyfan  Stc"na" masen eyrv lt.tlie +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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fI ynadoyb ahs a oogd wya fo /deignritmsemiigineushgnbr all hte fdernfeti nitsraoetnpes fro leginta re,sso d'I ptaaceierp eht hl.ep

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hungrybox  lsP stop as a reeapsta otps dan nto a otecmnm ot hsit .hot hTe fnmiatotrg rof eeths emsctnom xus +1
whossayin  Amigusns u vhae r,ldUWo tjsu yept xlsayleu imatdetsntr oftncs.ie.in atth lteab si the ebts MOI +
lumd  khaTn oyu so cumh rfo eth !itp idD'nt wnok htat uoy anc aeshcr for cpiicsfe tpcsoi ni WU. +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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Wyh is ihts NOT rihc?conda herseT tnnhgoi reeh ahtt luser ti .tou

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drachenx  cohrCinad si ricsedbde as na eurc..l whltsi in tish qtnsoieu heyt mdeinnteo v"slsc"e.ei ttryPe humc lony rsehep is scaievrul +6
whoissaad  They tdemneion ueclrs too. I echso ccindoahr as llw,e 'lodtucn dnfi a leuc ot reul it tuo. Aslo tgouthh i"hdergsac" wsa ngoiitnp uoy wtodrsa a abltcarie .tcfneioni Btu sesgu mI' rnogw :) +
emmy2k21  I nkthi BENM/USMEL siterwr akem het npmistauos the pnattei si ni Amaerci essnul iecedsfip eewh.itosr dricoaCnh is nto omncom ni the SU. fI eth ieosqnut setm senniomt a dneoieplvg rn,oyutc enth hndcroica nac mkea ryou arfdefeiitnl ilts. +1
selectuw  orf hcroic,nda erteh aym be a nointem of aguninil lmnhoyphtapdyea +2
samsam3711  sAol thwi codihanrc esiuonqts yeth anwt oyu to efdteifntiera ti etbwene cahordcni and si,sylhip .eg( inPufla v.s aislsepn) nda si uylalus bedirecsd as a uhcm rlareg urcel ahtt si liufanp ot(n elviascru as ni tsih utqs)enoi +
suckitnbme  oslA bieelve that ccnhraido osed ont epenstrs thiw misecyst pymtsoms iekl ni sthi .vettngei +



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