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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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yhw eyiloshms si :nrogw

rThee uhdols omlast nreve be httigsra pu inliubbir ni eth irn.ue nI ysolme,his het xssece biluinrib si tdrexeec ni hte ib.le fArte caaebtlir iorncvseno adn tapeue,rk meos will eb reectxed ni het ureni as lu.inorbi ,orwveeH ni tcibortsvue disr,osrde the tneojaugdc iirilbnbu lwil vrene veha the ontpioyptru to urgeodn ltaebaicr vciosnreon to orit.eouri/lcbns In hsti y,wa hte acoujgnted rbilunbii sha no rteoh awy to be edercxte toher atnh yretcdli in teh eiru.n

idtresc ot a7a3lu//ra6cn on eidtdr

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skip_lesions  onduF a odog pic ihogwns iribilbun abotmemsli +
coco  ienUr ↑iglney:dnssfhimos i ,onionnuirglboel ibcolbue utbtirisvinr idceuan↑j: adcenougjt u↓ibb,niirl nlroureaolilv inbgi lnae:rhiimo~tst↓pa ibnloreniulog +



 +12  upvote downvote
submitted by peridot(115)
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eHer my astb ta risminzmagu lla het o.inf hTe istrf daimagr no htis witbsee si a uespr flulhep sa wel;l shTi adagrim rtaos lesph ot.o

mlyal,oNr brlbiiniu mfro teh bolod tmears si oncedagtuj ni the reivl to a l-buawreselot rf.mo sTih estg deimx hiwt lieb to be terecexd ohrthgu eht stsenien.ti In het mllas ie,nietnst it moeebcs boinnorelgiu, meos of ihwch si etedrcex yb het synk,dei nigvgi pee tath odog owlyel ooc.lr omSe of eth girneboliuon usnrt noti tieslircobn nad stsay ni teh IG to be teercdxe in opp,o igving oppo tath dgoo rbwno orl.oc

nI ilbe tcdu tructsobio,n lirubibni stge njegtdacou ot a -seleaowrlubt rfmo - ethn sti' tc.kus It's lbnuae ot be eedtrcex tnio eth tenstnei,is nleabu ot urnt toni lenibgunioro ro isirtebonlc, ct.e jCdatungoe rlbunbiii luibsd pu ni het ie,lrv dna yvlnteaeul gtes akcedb pu bkca tion het blood rtaesm wheer ti emac .fomr Sneci 'its t-lewoeusbral nda ilaotgnf donuar ni uctclonar,ii ti ntuvyeella gtse elfriedt yb het ikdyesn adn nesd up ni ee.p lnbBiiiur is ekdrar ni rlooc, os teh eep wodul eb d.akr reHwvo,e teh otlos luowd be lpea ensci no sbnticilero was dema. I beleevi tath omstmsyp fo ycthi iskn slao osrcuc ni eseht aescs sa ielb stsla abkc up dna rea dtodseepi ni niks.

ilyosseHm si not eth tcorrce ersnwa sbecaue sotm fo het bbnuiiilr si nto yet gotj,neduca so st'i not uwltl-eboesar dan enstdo' dne pu in het ieks.ndy

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notpennysboat  Angzmai iontxa,paeln ahtkns a !tlo +2



 +3  upvote downvote
submitted by basic_pathology(25)
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yeK itonP: nuBiilirb nac ylno be ni the renui if ti :is )1( tnaocedujg R,B ro (2) onngeri.iublo

gcntaduonUej RB si NTO ewtra sbleoul nad teorheref NTOCAN be in nurei. hiTs is wyh ouy ues orptphoytaeh in g.arealrNjri-jC ansIrcdee cgjeatndnuou RB ->- poehoypatrth moseiesirz it so it bmoesce ewatr eobslu.l

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lovebug  arlec dna s.htor gd!oo XTH +
lovebug  as palhtosaoi_@yBgc ,iIna ds ijr-reaNCrlgja .ynsd hooPt TX soed tno tacunojge CBU, ubt eods eniesrca oiylaPrt and eatrW litubslyio to lawlo noxtraiece F(A 9,012 3P)8G8 +1



 +2  upvote downvote
submitted by haliburton(224)
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i ihknt shti si eesaubc libibnuir is a oeubsll ievrl bdwkeoarn cprudot of m,hee btu hsa ont teneedr het nntoeloeti/icns ofr utg aaetricb ncooienrsv to boicntlresi ro ornb.iuli inrolubi in nrieu is l.onram

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