need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 21 Answers

nbme21/Block 3/Question#45 (reveal difficulty score)
A 28-year-old man comes to the physician for ...
Fructose ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +11  upvote downvote
submitted by โˆ—yo(89)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I tsju nwek htat mpser need fr,cotsue ont sure hwta eesdsia opessrc tish is hou.thg eH asw tretyp nmralo os 5a artedscaeu t'oesdn epsrtne ilke tha.t I ast'nw srue fi reteh aws yna odd sue fo teh eothr ra.wsnse rhee si a k.nli eleF eefr ot xne.adp

qt.a:7/x4sst2pweieuwogbapcpwc2.2_.//mssohlnt

creuFots ekmas pu 99% fo het cnugierd asrug peesnrt in e.mnse iThs ugsra is urpocded ni eth lnsiame .lcvisese iDdmseinih lleves fo eourctfs aevh nebe hosnw to llalapre rdonaegn iycnedecif adn eht nsoteetrtose lele.v Folwnligo seotrtesnoet y,ahtrpe eht evell fo fotuscer rAnlsgieoheut.sha c hte ercstuof sett si nto tarp of a urnoeti mnsee a,ynsilsa it si efusul in sasec fo arezsmoapio cenea(sb of esmrp in n.esm)e nI mpizroeasoa nsycroaed ot teh bsnceea fo eievcssl ro if reeht is na ,tiosbtcnrou on eoutcfrs is estep.rn nI utleticasr aeaomr,zospi rufectso si rts.enpe Wenh soaiaoemzrp dna owl eesmn muevol t,essix the froctseu estt dhlsuo oasl eb d,noe on a asujlcpaetoet eirun meplsa to kehcc rof gedorreart .nltajoceiua iTsh cusocr wneh teh auteecajl sgoe into the abdredl datines of tou eht uTerthahr .e rpuedoecr fro rtemidingne eth ntuamo fo sceuotfr in ensme niveoslv nteghia senem ni a snogrt daic ni eth reecnesp fo croieo.srln eoFrtucs vsgei a der lrooc ovSlfine(of )aoercnit nda yam be erad in a eretoht.mpo ehT alronm eaagevr is m1g3/L5d tufoersc.

unscramble the site ⋅ become a member$279$49
sam.l  akTnh you orf eht aptoi.nnlaxe 'mI sltil usndfceo taubo htsi srnea.w I swa in neeetwb iZcn nad .ucfstroe ncZi cceyfinide olsa tpersnes whti aominsa (gp 71 rstiF diA 12.90) Fsueotrc si dsue rof hte enovmmte. Hsi eoohmsrn rea arnol.m +4
d_holles  pnpAayrtle esa,eibdt lnio,cscuo and lnmfantmaoii can setulr in โ†“ rutscofe ni usasrs.ep mM et al, eFtr ettSr 25, 97 415wrglt2e/)h/p6.t/t(0p-1-i0t3wscwesor0//9fa804d12.tSt:2er1rf +4
cienfuegos  Tksnah lal orf teh ofin, quikc tone on hte iZnc lerpy vobea :.@IaSm monsaai = slot nsees fo mslel. +
sam1  Gerat fdin oy! I leebive tish oseqitnu asw aulngdil to cycsit siofbsir nad hte lnenacoigt eneascb fo eth sva frd.neese ereH is a nkil to a JMNE larciet taubo ti lo b:ewp0otu/fo.M.1l58m///1700wrt1/e6Jw1l9d61s30:92Nh7Ejgnwi0./2 +1
burak  nicz cceiinyfde eaucs ogp.isymahdon ehetr is on miopgd,noahys ssmrpe rea magea?dd +
fatboyslim  1S@am but yitccs sosriibf llwi hows rlbmnaoa iyaplhsc isdinngf bn(cligb,u puyrnaolm krlcscea .et)c heT sueniqto syas pshaciyl aexm owhss on moanrb.ietslai +
pg32  onuesdfC sa to woh ew cna lrue out c.in.z. rmoF ddweeotyocalim.acsmn: Zn"ci aosl palys a lreo ni ahlheyt epmrs ontcuroipd. cciAgordn to a 0812 ewierv leirtca ni het rnaulJo of opReidtcuonr and Itney,ritlif iznc cedniieyfc amy rubtnteoic to roop meesn ayitluq and linftet"iyi.r +
bekindstep1  3g2p@ I am ton suer of how nZci etiucnsobtr to esmrp rnoduipoc,t utb the soetuiqn wsa igskan tabou alrtiniomaseb in eth sneme nad eotrfsuc is enesrtp in eht e.ensm Mybae cinz yslpa a erol ni repms dltmpoveeen roebef it si emxdi in twih seenm and so noe htwi cizn defecnyiic odnlu'tw ehav wlo in nicz ni hrite esemn res,hpap tub it herit ldoo.b Tihs si tjsu a shtpsyieoh g.uho.h.t. +
brise  ^^ ehaY h'tats who I deurl ti .otu oYu anc nfdi ecfursot in teh ensme, ubt uoy 'dtuwlno eb aebl ot nfdi iznc ni hte nseme! tI ihmtg pelh eht sp,mre ubt s'it ont noigg ot eb llhinigc htwi htme +2

Increased WBCs indicate genital infection/inflammation, which can lead to poor semen quality due to the production of excessive reactive oxygen species by leukocytes.

Absent fructose concentration is an indication of a congenital absence of vas deferens/seminal vesicles, while decreased fructose concentration may indicate an ejaculatory duct obstruction.

pH > 8.0 indicates inflammation of the prostate, seminal tract, epididymis, etc.; pH < 7.2 indicates seminal vesicle dysfunction or obstruction of the ejaculatory ducts.

+/- apurva(101)


 +8  upvote downvote
submitted by โˆ—nwinkelmann(366)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

oS I odkleo into itsh uthrefr oot uacseeb I tpetyr uhcm konw otighnn tuoab eth eamk up of mne.se omrF the hareecsr I ,dufon as as tseatd eowlb yb yo, rfcuteso si teh smto tpoamrtni nttcnusetio of emnse ni smrte or srpme tfuicn.on wBole is omnnotriafi I nfodu ot srdaeds teh trohe sawern .cicohse

Znic efciiecynd (ni ,ur)mse erp FA, has nbee tipimaclde ni eeayldd wnduo h,laigen essepsudrp mnmuityi, aelm nhgy,iopsmdoa dceredase datul ihra xaarl,i(ly la,faci i)pbuc, usiysgde,a ,oasinam tdtcrmamiiosear teteancophair dfe(tec in nilitnesat nczi ptraosbnio), nda may dorspeepsi ot hcacilloo srhsiirc.o AF tdndi' ipsfyce teh ellevs ni teh ensem, tub rep teh lwbeo t,ielcar laesnim icnz ncetnto wsa ndfuo to avhe ron rtorolnieca to nspeseem/rm ctelavtiletve/c.i/y I d'ont kwno if ewr'e edsuospp ot onkw tt,ha tbu wno I o,d .lol igl5mhv0.3b.7:tpbinw.whu/.7/tos5mpe/wdcnn/3.

As bxnguhyor ,iemennodt leimnsuel is yonl mnonidtee cone in AF sa a tmrnateet ofr eia,nt so I ooedkl into ti terhu.fr enluSmei si a notntec of mnsee, but elvsel vyra os uchm htta ti svseer no riogptscno lclnaic eaceverln ot n,ftitylieir epr tshi aelir:ct id2nu//.cth.1spe./np.:bg/m53li03bmvnwtohww2.

oT rleu uto lla of teh narsesw ua(ebces I 'ddnit eaylrl wnok yinnahgt oabut teh tqlayiu of ,em)sen I dufno isth "By ,sa-tiittscts tereh asw on ningicsiaft nfecidreef in teh smeen aN econnntcoiatr gonma teh eetirndff rogusp (7 psrguo otatl sebad on mrspe cou,n)t diintnaicg het tinfnasiincgi relo fo Na in rpems tlmy"oi.i.t 71.ne5phhm2iw./i2wntspd.ncbmw/:btuo./l1/gv.

nlli,yFa I dnt'o itnhk het plah5a- rudsaetec zeenmy is autlclya ni mee,ns utb I cudol eb wrng.o rhEtei yaw, ti uwdnotl' be raamlobnyl eadevelt ro owl if the rsneotottese leesvl era n.lrmoa

unscramble the site ⋅ become a member$279$49
bartolomoose  sa per l,jnoag neimlseu is nvodveil in athiugetoln ieadepxsro +
chandlerbas  meinuels ash a relo in haouitgtnle e.daxrsiope sxecse ulemnies = acigrl hter,ba hrai lo,ss dna ainl hcnaesg, mtihg see rrapehpile r.uaoeptyhn ceeciifydn tp( no PT)N = tidelad dityyacmooraph +
chandlerbas  loas zinc sida in sremp milttioy hCphM97/.Piv/3nmm/tw/it.s4b1rlo7.csn8iancegl/w/wpc:.t hsatt ywh i hosce zicn utb eharrvertw im veor it +



 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

goArcncid ot het MLE,US s'emnleisu lyno ues si ni emulnsie efudsli as a tnarmtete for a nusgfu ecdlla zaeslaasiM pps aieT(n r).svleocroi

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by โˆ—unknown001(9)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

tsel iodav logn aapxenonlits alhls we .

p.t twhi yelfintr.tii iuqkc test in wef socsend = seemn sroetucf

cfta : eslamin ieesvlc aksme sfot.ucre

ourntbiostc of aseinlm eesivlc ro tnilneoacg esbcnae = low ursoecft ni nmees = tobalimce embialnca ;&tg ecfiieefntv aesrsotpenmsgie

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by โˆ—meirchod(1)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I nsereaod hrohugt tish oen sneic I elenadr htat snemila ecssveli evylhai seu tolobiSr srhaedDgoeney (nad ovraesi m&a;p vrlei I eieelvb t,)oo chwhi semna heyt blopaybr hvea a raituaplyrlc toamirtnp ened orf .Fuctseor So mbanalor tfsource in nmees si oprlbyba otn a ogod .isng

SP.. I rnwdoe fi the tneiasnc idd eth -etattesst no ihst n...oe medee s( ot orwk lwel orf )bstaeide

unscramble the site ⋅ become a member$279$49



 +0  upvote downvote
submitted by โˆ—apurva(101)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

acsrIende sBCW tndaciie neglita oatini/t,infnmmeolcinfa whcih can lead ot proo nsmee quyitla due ot hte piocuodtnr fo evexiscse crteeavi egyxon ecspise by lyeteo.csku

Atnesb rcoftues nntcoaronceit si an ctiiondain fo a enangioclt acnseeb fo asv mlnrsafenie/eesd ecsles,vi ewilh eearddecs ceufstor ctianctnonreo yam aenicitd an eaucoyltjra dtcu sctitobuorn.

pH ;t&g .80 ecaintisd nlmmoaaifnti of eth raestt,op neaslim ttarc, ed,smipiidy tc.;e Hp t&;l .27 naeictids mlsaein vseleci ycsitdfnuno or ocounbsritt of het ylertaojauc udstc.

unscramble the site ⋅ become a member$279$49



 +0  upvote downvote
submitted by โˆ—nwinkelmann(366)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

So I keodol itno htis fthuerr oot seecbau I ttepry hucm kown nhtgoni outba teh kema pu fo mee.ns mFro het acrheres I unfo,d sa sa sdttae bowle by oy, rsuefcto si eth mtos pitnrtmoa ueinstntcot of semne ni tsemr ro pmers unoctfi.n elBwo si fiomaontinr I ofdnu to sesrdad eth herto swnaer .ichesoc

cniZ dcfiiencye in( m)rs,eu epr ,FA ahs been ilcitdpeam ni leeddya noduw a,inlheg srppesudse miytinm,u amle ygpiomnoadsh, eesdaecdr ltdua hair lal,xariy( afalic, bcpu),i ed,gussayi aasmni,o teiaroamsirmctd ectneiaohtrpa (etfced in italntiens nzci bo)ipastonr, adn yma pesdserpoi ot liachocol rcsrsihio. FA d'tind iyfpsec hte vselel in hte nseem, but epr eht loweb itarlc,e lanmise cnzi ottncne aws fdonu ot evah nro anroierclot ot mesmnp/esre /eltiec.lvtcti/veay I nt'do nokw fi e'rwe suopsedp ot okwn ,atth btu nwo I o,d ol.l .55on/0bsbc/./lt.hp37./uwi:whpngmn3iwdt7emv.

sA xugnhoybr ntmdeino,e sielelmun si yoln netmnoied eonc in AF as a trattnmee for enta,i so I loodke itno ti rtuhfre. iSeuelmn si a ontnetc of esemn, but veelsl avyr so cmhu ttah ti revses on ptsgoonric calicln vlracneee to ly,itetfrnii rep stih tcilear: onn21/pnphv.//.c.g3etdmi5wit:bmsh.wub32/lw0.

oT uelr out lla fo het wsrsaen bceesu(a I int'dd eayllr wonk inthangy oabtu hte lquayit fo )mees,n I odunf tihs yB" s,iaisctt-tst reteh was on sniginiatcf enefercidf ni teh sneme aN cetnaniocotrn mnoga the fefietndr sogrpu 7( sgrpou latto basde on erspm cn,tou) nicaidtgin het ngnciiniftisa eolr of aN ni psemr ymi".tl.tio ng.nc:/t.w21eb/vis27b/n5pdhw.mh/puwt.olmi1.

y,lFnlai I t'ndo ihtnk eth lha-5pa tceausder nmyzee si tllacuay in mse,en utb I ucdlo eb .owgrn rEthie awy, ti uton'dwl be yobnrallam daevteel ro wlo if eth sentreetosto elelvs rea nma.rol

unscramble the site ⋅ become a member$279$49



 -1  upvote downvote
submitted by flexatronn(5)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

yuo lal rae iogklno ywa too peed toni .hist

siTh saw a miepls fcta eacrll ensqouit. neWh ouy ees nmees + tiiflietryn in a teunsoqi and creostuf ni the ssw;naer sti seemn = tfoeurcs

unscramble the site ⋅ become a member$279$49



Must-See Comments from nbme21

nosancuck on Absorption atelectasis
assoplasty on Free T4
seagull on GM2
lnsetick on Apocrine
niboonsh on NMDA receptors are blocked by Mg2+ at the ...
drdoom on Deletion of a hydrophobic amino acid ...
hayayah on HCO3โˆ’ transported in the plasma
mcl on Aortic
notadoctor on Usual interstitial pneumonitis
madojo on Genital herpes
hungrybox on Obstruction of the bile duct
jambo2222 on Lung
hungrybox on Mismatch repair
hungrybox on Hydrochlorothiazide

search for anything NEW!