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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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nKwo yuor Ss'TD bayb ;)- g(ogin ohurhgt eryev rtohe cheioc no itsh nt)qe:oius

  • ialtecraB ivsinsago eadusc by aarneerllgd asvglilian. eS a ,ihtn fof wethi eaihdcsrg nad hfsyi sleml hfsi( ni eth gern)a.d rTs'eeh on imaltiamfonn abL snn:gfiid pH argtree tnah 5.4 us(jt elik htsi,sironimoca) dna a oiietvps iwhff estt thwi KOH. tmeS wlil asy motihsegn auotb luaoosmrod srceaighd adn oswh the amfsonui ULCE CLELS if we rae lycku. toN het arnswe rfo hsit sqntoeiu uybliovso baeeucs we lwdou otn pcetxe secilves twih hsit rctbiaale ide.esas

  • isindaCdais si ogign to eb ryuo hictk aetgoct cheees chresgdai, wthi a.inntafilmmo arlomn pH see p.phdesoeahuy Ttear twih pitloac int,tsyna or roal oeclznfaluo unelss yuor'e tnrnpeag naht sue Cioraetlmol.z aAign ton ggion ot ees yan elies.csv

  • hcdniaCor epr udlorw si ocssiatdea ithw shumapeHloi icrdyue uoy lwil heva a epDe uluetpnr nlauipf ulrce with pitevprusau pmanhidlyseti. lilW be ldto htta aepntti ash uinpfal inglniua nsed,o erthe yma eb lpmuitle pdee lcseur ihtw eowaryll-gy xdet.uae uoY od cyr iwht .H YidRCu Tsih tduwon'l be rteu fro tahw ruo penatit sah ni isht ntuqosie saebuce we e'atrn otdl fo yna launiign dpyeno.haat a iknl ot a naichocdr ADV

  • imaCadlyh ohaaitrmcst escusa paoomnaluhmlygr ernuemve ichwh si lslma whsllao s,rleuc ,nliespas tbu ethn het earlg aflpiun scdacoele ngnlaiiu mylph nsdoe aak .OUBESB mprCadoe htiw oaeghnrno hte adceirgsh si oemr eihrntn and tarewy. nAiag not hte seac heer as tis npafliu dna on tneniom of yan OOEB.UBSS eTh dsigreahc in aorhegnro si emor rhktc.ei tBoh lead to PID, arett rfo otbh ecaseub ccneoifton is o.nmcmo ihtW both tepanti yma evah mseo rsot of npia ro rnugibn itsnoneas uonp uionirn.at lStriee pryuia hoghut ofr ohtb.

  • ooadmnylC cuanicmmatu si a itemsoaaifntn fo VHP 6 + 11 at(gnlie as)tr.w ehyT loko keli ibg isl.aerowcufl Tihs si in otnsatrc ot odyCnamol alat atth you see ni iilshylsp hiwhc si tsju a ettarfl etatl nwobr oiklogn acule.m

  • eiGtnla seerpH (eth aenrws ot hte eitnosuq) lwli perntse twih epillutm nupailf ciirlapfsue lcesvesi or rstonciueal thwi ltttosicunanoi tpsmysmo (fev,re i)elasam suJt sitf ettrbe athn all eht teohr oechics I nar .rguthho

  • yhilplisS si eth einsspla .nrcaehc WU sebresidc ti sa a slgi,en rnuddiate lwle scierrccibumd c,lure iwth a ncela besa. eeS rrowsccke soamsring no FD roc.mcspoyi peeK in idmn eothr ipssanel esucrl ear goplmhalymonaru veumnree fo icdlaamy (btu eht osubbe are tawhs puilfna ont het ,eul)cr dna lnomauarg eiganilun n(sdsonvooia - llsialbeke astirunml)oag utb htwsa rahakmll utboa hsti oen is ahtt ist npelsisa wuhiott pythahlnadmpeyo

nI tr,osh be .fase

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drdoom  htis rwieup-t is AESOWEM ... tub it losa maed me tmvoi. +1
b1ackcoffee  hsiT is eo,wsame tr,ewpiu otn the d.tss +1
lovebug  FA 2910 gp I4.18 usmdem pu jo'asdmo@ ntocsmihmt e! ptnitae eavh ,iup"mltle tedern licevess dan ndr"alc.ue cntas angilva irasg)h.e dAc aaictlBre sgnvisaio -g&;t NO lvcseie &tg;- / r)oB aisidaCidsn g&;t- ON lsvciee ;t&-g r C)/o ncoidCahr t&-g; hludso heva lnIgiuan dyhoAtepna t&;-g /ro D ) C. aartmcthios g-&;t evha eLrga apfniul nialgniu NL -&tg; )E/r o naoldmoCy mnaactuia gt-;& igB fowiuraeCll t-;&g F/ or) nleGta repesh ;tg-& EY!S! )!G orrheGaon t-;g& NO eVsicl,e emcray prluten ierdcghas t;&-g Hr /o) C. cahmotaitsr aangi (same sa D) tg&;- o )Ir/ siylpiSh ;gt-& essanlip hecnrac &-t;g /oJr) hionismcTsioar ;g-&t rebratrwys c,rvxie iolmet ni wet eppr -g;t& oths ark/n ma@odo!j +
homersimpson  ttoaG ovel the BOESBU +



 +3  upvote downvote
submitted by gabstep(15)
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FA 1920 g4p8:1 Glatnei phesre esspentr with lfpinau avluvr ro vrcciela slceeivs adn ;esurcl nca suaec scmtsiye tmymposs ucsh as rf,eve dcehaa,he imalayg

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sam.l  het qoisnetu mets tsetsa a "a enstc giaanlv a"hscrgied si ahtt a rartdcsito in hte qtne.isuo +
kentuckyfan  "tn"acS amesn yver teil.lt +1



 +2  upvote downvote
submitted by โˆ—tissue creep(133)
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fI yabdnoy sha a gdoo ayw fo ireini/mgthueninbmserigdgs lal hte dntffeire sotetersinnap orf aenlgit rose,s 'Id reptciaeap eth .phel

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hungrybox  sPl tpso as a aeptesar ospt nad ton a tmencmo ot sith oht. Teh mtfioargnt fro steeh soemcmtn usx +1
whossayin  siugsnAm u ehav dWl,orU tusj epty lselxyau sdtriattnem itno..siecnf thta eatbl is teh etbs MIO +
lumd  nkaTh oyu so ucmh rfo het tp!i 'tniDd kwno htat you nca hcrsae rfo iecicfps pcsoti ni UW. +



 +0  upvote downvote
submitted by โˆ—yotsubato(1208)
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yWh si tihs TNO nadcircho? Treseh hnngoit eher atht rslue it .tou

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drachenx  oahindCcr si credsbeid sa an erc.l.u ilhwst in htsi tnueioqs they enetdoimn "sve"ci.esl tePtyr mhcu nylo hepers is csrlauvie +6
whoissaad  yThe mtnoeined eulcsr oot. I escoh ohncidacr sa ew,ll ndctu'lo infd a clue to luer ti tu.o Alos ughhtot grh"adc"sie asw itognnip uyo dwrosat a itraalebc teinio.cnf utB esgsu Im' gnwor ): +
emmy2k21  I nthik MSMUEEBLN/ rteswri keam the iotasnmpus hte epiattn si in cAaimer snlesu eesciifdp seweioh.rt chdrCniao is otn mmocno in the SU. fI teh eiuqtson emst otmnnsei a epvdnoiegl nruotc,y nhet oadcrichn nca akem uroy finriedaetlf i.lst +1
selectuw  orf cnra,cdiho heetr amy eb a itnemno of iunglnia hapnmeoyapdhlty +2
samsam3711  Alos htwi ncdihcaro stqunseio hyet wnat uoy to defenarifttei ti nwtebee aocrcihnd dan ,plsiisyh (eg. aluPfin v.s ssien)alp nad si lylsuua srciddebe as a mcuh rrealg uercl hatt si fpnliau (tno caliurvse as ni tshi onsi)quet +
suckitnbme  Also libeeve hatt caihrdcno sedo ton esnstper wiht stymecis yspmtmos klie ni tihs vetnetgi. +



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