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Retired NBME 21 Answers

nbme21/Block 3/Question#15 (reveal difficulty score)
A 47-year-old man has jaundice. Laboratory ...
Obstruction of the bile duct 🔍 / 📺 / 🌳 / 📖
tags: bilirubin HPB

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 +35  upvote downvote
submitted by hungrybox(1277)
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ywh oiylsmhes is wgro:n

Theer suodlh atmlos vnree eb rathtigs up nlrubbiii ni hte n.iure In shmle,oisy eth essxce bnruiilbi is eteecrxd in the le.ib eArtf icaltaber oonrcsinev nad etre,kapu emos lwil be tdexerec ni hte nrieu sa buoir.iln ovee,rwH ni btietvscuro ,odisdsrer hte jogctduaen brbniliiu lilw veern avhe teh oniyptourtp ot urodnge raeiabctl nronivceos to i/iocrotnuerslb. In sith w,ya het guocetanjd rlunbbiii sha on ethor wya ot be eeetcdxr erhot ahnt yidcrtel ni hte urein.

dsetirc to 7lrc3auana//6 on erddit

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skip_lesions  uodnF a dogo ipc igownhs ibluirbni staimbmelo +
coco  Unire essnyfmd:l ↑hioniisg onolenbolrnii,gu ub csiuonvriiebrilbtt ea:nijduc↑ oduncjatge brniiul↓bi, bnirglnioaelvroul i mlh~nstiaeiprat↓o: golnlbiornieu +



 +12  upvote downvote
submitted by peridot(115)
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eerH ym abts at iarngmuzmsi all eth noif. Teh fisrt gdaimra no itsh sieetbw is a epsru phleluf as e;lwl siTh mgaaidr aotrs hleps .oot

mlly,Noar iriuinlbb frmo het bdolo aemrst is taejocnudg in the rviel to a -wotsrablueel rmof. Tish gset iemxd hiwt elib to be rtexeecd hgoturh eth isse.nntite nI eht small eniinetts, ti meseocb nublgoonirei, omse fo iwhch is erdxctee by eht y,enskid gginiv eep atht odgo elloyw .rloco oeSm of eth ibelonnrogui rustn tino olbnecistri nad astys in eht IG to eb edtcreex in opo,p ignvgi popo htat gdoo owbnr corl.o

In elbi dutc ,siurotocbtn iblriiunb steg actegodnju ot a lewstrublae-o ofrm - ethn 'sti .tucks sIt' ualbne to eb erdetcex otin het este,itnsni ulaben to trnu tnio olbenunoirig ro oerntbslici, cte. edjtaguoCn iburbnlii lubsdi up in het eir,vl nda levytanelu egts acdkeb pu bkac onti teh lobdo rteasm erewh it caem m.orf Secni ist' ewltrsa-belou nad olfaigtn dnruao ni ucctlroi,ani ti uetlnvaley segt rftdieel yb teh nydeiks nad dsen up in .pee bBiiilrun si redark ni crlo,o os eht pee wduol eb kr.ad ovHwere, eht ooslt oludw be epla ecnis no inlsboecitr aws m.dae I ivbeeel htta sstyopmm fo ytich niks olas ouccrs in eseht ecsas as leib lsats kcab pu dan rea editsedop ni ikns.

yiseHmosl is tno eth ocrcret srenaw eecbaus sotm fo eth unbiirilb si ton yet dgotcn,eauj os i'ts otn ealurwlo-stbe nda dtes'on ned up in teh i.ksnyde

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notpennysboat  mAngzia ntiolexp,ana aknths a tol! +2



 +3  upvote downvote
submitted by basic_pathology(25)
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eKy notPi: bliuiinBr nca noyl be in teh ireun if it i:s )1( tjnguadoec ,BR ro )(2 n.oleogiubnri

cgnteUuadonj BR si TNO awetr solubel dan eorfterhe NAONCT eb ni .rnuie hiTs is ywh ouy esu pehrytphoota ni gCrrerajl.iN-ja sneecaIdr dagueontnucj RB ;gt--& oortaetphyph emizrioess it so ti obemsce wtrae usoebll.

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lovebug  clrea nda r.stoh ogd!o HXT +
lovebug  as acBpholsi@o_ygta a Iid,ns eljNraaCgjrr-i sn.yd Photo TX osde ont ncouteajg C,BU ubt soed inerecsa riPtoaly nda eWatr uoilbsliyt to lolwa cixoratnee AF( 0912, 38P8G) +1



 +2  upvote downvote
submitted by haliburton(224)
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i tkhin iths si cebesua ubriiilnb is a ulesbol veilr eaowrkndb rputcdo fo eem,h ubt ash otn rtdeene hte c/nnisltooniete orf utg bicaetar sciovronen to sietboncrli or i.bonilru iounrlib ni nurie si rl.anom

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