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Retired NBME 22 Answers

nbme22/Block 2/Question#7 (reveal difficulty score)
A 66-year-old man comes to the physician ...
Libido: decreased;
Nocturnal erections: normal
🔍
/ 📺 / 🌳 / 📖

tags: erections libido penis

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submitted by paperbackwriter(161)
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REPSILOS OFR NMBE 21 -- OTND' RADE AAHED IF UYO 'VTAHNE NEAKT 21

tefAr tinetgg it nrogw cbseau(e fo eth BEMN 21 ,Q) I deorontusd it ielk :tshi

– Lbodii is a olng rtem taets, nmgeani uroy ldiiob odclu eb ,efin btu aytxein in ahtt ONEMMT hitmg asuce ehpgcscynoi DE

– ishT uyg sah eosm aiclssc GIS E ASPC rtiiaerc niggo on: iaguetf ygeern( ,sls)o slepe in,drebtassuc nnotaieccnotr bormspel

– It sasy he s'hant nbee ebla to annamiit any rcenitoe (vs EBNM 21 ygu taht was albe to ubasrmtate ish( ongl mret sxe rdeiv swa K)O utb dha nfoeampecrr yiextna in eth tmenom)

rheTef,roe klac of sex eivrd ueeldf yb rpisseeodn &;g--t lwo ilobd,i but opgliilyaloscyh ogintnh ngorw thiw mih &-tg;- igitntemh ioernects

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trump2020  Bless uoy rfo igdclnuin hte loespri rannigw +2
kernicteruscandycorn  :ewrcpkbie@rapatr scik anem dan eeerfrenc +
imgdoc  I think I wedenras het MNBE 21 tqies,onu nad artef eidgnra i,hst dt'idn od setuicj to hte tpxilea.aonn Boht isth nitetap adn het EBMN 21 aetinpt vhae hnicoyepscg E,D tub eth eosran YWH ethy eahv DE si !idertnffe nI BMEN 21, tyhe craylel eitnonemd owh eht nam srataeubmst nda ash rnalmo ncrtunalo tcnoes.ire So ti swa faes to suemsa hsi liidbo ch(ihw is dfyiielten enikld to eoeorttnsets ,lsev)le and crotnlaun eteinscro erwe fie,n eh may tjsu haev bene ighnva oeprfnermca NTAYEXI in ttah aulsxe oi Tit.shsutina nam BM(NE 22,) eh lsao ash NEYPHCIOSGC ,DE he si speedsedr eilk terkpbiwpreaacr nleidxea,p his lidobi is fndiiyelte resceedad (uebcesa dpionreses acn cause reedadesc ,odli)bi utb shi yiialbt ot teg rioneects yiolosglialpcyh rl(oucnant cotensrei) aer oepytcllme !nief E NMB is icrtyk rtcky.i +



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submitted by iviax94(7)
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eerhT eavh neeb a ucople of sotiqneus aobtu sthi copti no het newer xem.sa evI’ bnee nasegrwin yb guieaqnt oilbid ot osesttoetern evlsle nad aorntlncu onecrtise ot eatlhh fo ulvarueatsc oacstolires(shre ro o.)tn Is iths tecocr?r

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liverdietrying  enhW uorye’ nihntigk of bi,loid dot’n utjs uqetae it to ooetnsetstre -- eamk ruse e’yruo wasyal gricsnoiden rinpes!seod eDoensirsp ilgwnoflo rsteko si mon,omc lsaecpieyl tiwh srlaueid lasichyp ldybt,siiia os ihts uwdol cseeedra ihs bl.odii cNaoutrnl srceiento aeetqu to sd“oe ti laucltya w”kr?o ont ustj hte tuealvcuasr ubt eht uaenlr iutnp as wle.l rFo lepame,x gnuird raoytcpttmseo daamge ot eth ipvcle sulepx reevs()n anc dlae to e.iecntpmo ’Tehrse tginhon ot gsetsug htta he hsa urasvalc or ncoirleoug eitlrece induscoftny ,here hhwic si why ihs nouraltnc tsrecneoi rae .tacnti +32
_pusheen_  iieydetn@vgrilr Was ti urpeterma to sasemu eh ash eotlbur ihwt sreoictne beuscae of rleuan aagdme rofm eht ?setokr I utp owl id,boil wol tucralnon s.icreoent Is ti ecbaues the tkrsoe dutlerse in riismseheap adn nto tnimcoaou nditfoysucn or ihotmesgn ikel ?ahtt +5
liverdietrying  sueeph@n corr,etC uyo otnw’ ailsyllcsac teg mectpenoi eraft a imeihegclp rtes.ok siH iyabitnil ot ahvieec an oencerti is hucm rmeo lykeil ot eb 2/2 ipcshclysaoo tfefesc hatn oigcnra sieed.sa If thsi ievgetnt setandi dias that tsih had tneogt a ptamcostreyot ihwt elnsrtgiu gmdaae to het vlcpie nveesr ttah laolw rfo roenecti, tneh dti’ be a emro fsae iocche ot tup no otnrncula t.reisenoc +4
fast44  Is teher a oidev ro oeheremsw htat siaxnlpe stehe laxues t?cinsyfndsou ishT eemss to be a ipotc htat esepk etiegnpar on eth ewn xas.me +2
forerofore  wlel, i gthouh htta eubecsa eh dah a tkoers he wulod be elykil ot haev trcsrlhssie,eoao ihchw oudwl ekep doiibl hhig adn dceeur tnocuraln ,iecnertso i daink ngdreio eth ohwel "es´h sep"dsrede aptr fo eht eetvgtin isedetp ndatngndeuirs the imahnmsce .elwl tb u ofmr a acicnlil rieonsesdp ipnot fo iwev, fi sih rteasrei rae i,attnc and eh is derde,spes hnet iilodb odwlu eb w,ol dan ctoesiner npterse at h.tign +4
pg32  I nat'c eeembrmr caleytx btu I eraws eth euntsiqo no BENM 21 het us'yg ewfi adh edid as .w.lel.? rO yteh ahd noettg drivo?dce hirtEe ,way he hda osme olcshglcoaiyp gaaggbe sa ,well btu shi ilodib saw sltil lr,amon and eht neoixantapl saw htta hsi otnottserees wulod eb nief segsrdaelr of ihs ederpseds o.omd oS I tnew iwth atht icglo here dna dissme htsi oentqs.ui I tn'do ddnuntarse who I am oespdusp to ugega ses'onemo ldbioi bedsa on vuega nisht at rihte om,do aplcesyile ewhn in one aexm odom eosd ont dreecase dibloi adn in hte orhte ti .deso +1
drzed  2p@g3 orb opilrses +2



 +3  upvote downvote
submitted by adong(144)
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eytPrt hcmu fi htye acn tmaurtbase or get ti up olena ni ayn ywa etrih nucrtnoal mnsteuecce olhdus eb alomrn ienngma taht hiert nenvritinao adn fxerel hyptaswa are all na.tcti dbioLi aak xse dirve mfro awht ’Ive enes os raf si ltredea by srpe.ndseio oS ilke in hte ustienoq on EMNB 12 the emts eatdst taht nrcensgei for edeoirspsn asw etavgnie ihcwh si yhw obliid ulowd losa eb raonlm ni siht sc.ea fI th’seer veer a Q itwh a sprdedees gyu and maorln alb elsavu dan siplcyha ma,ex osmt ilkyel nogan be esdeacdre dlbiio hwit onlamr nhgti sncreito -e styucroe of jxiyrdsuuenofa/aniflu/

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submitted by elf16(2)
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woH si tsih ffdnrteei ofmr the unsoiqet no EMNB 21 in hcwih a a8-ry6e ldo man lsoa dha yeosncigchp E?D uBt eth wsaern swa ranmlo ildoib and unrloatnc r.netescio

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toxoplasmabartonella  nI that ,esac hsi rttssoeneeot aws alronm and eh adh no gniss fo odpeisr.sne heT mset ddi asy hsi ewfi asspde aawy few nshomt ,gao so i esylolaprn hsoce olw ,doilib tub rhat.weev +1



 +1  upvote downvote
submitted by cathartic_medstu(37)
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nagrciO E:D mnarlo i,obldi ceasddeer utlrocann eesnritco

scicnPheogy D:E ecsedrdea oliibd, ormanl toanunlrc ceenstoir

oGt i.t

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 +1  upvote downvote
submitted by nwinkelmann(366)
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,So I tohhgut siht qonseiut asw uespr eagvu nad not e.a.rg.t htat ibneg id,sa igahvn neogtt ti grnwo nda ton leryla hvgina a oodg itxlenaoanp fro het aeswr,n I ddi a ltitle raehecsr adn udfon tihs lrieta:c .0h4/gwi/..t./0./1.aph.7/10wod/df:1osnSpTorjwaRr51t3ul1s16a

Thsi saw the mnai ncnloisu:co "Teh esrtlsu of eht retenps dutys, amdei ta sisaessgn hte effcets fo otskre on suexal ticnonn,gifu lvaree a gasiicnnift cielned in bi,dlio aoticl yeu,rqncef eauxsl uls,aora nda iatsaisncoft htiw luasex lfie ni tohb rsketo tpiasnte adn rhtie .ossuesp Teh ertspen erltssu sola tenderotasm ttah dosresrid fo xsaule oncifunts rea tmso tyglnsfiniica stsdioaaec twhi arsiovu pssioacholcy ca,osrtf shuc sa npte’stia regelna teuattid tradwo iu,telxasy arfe fo ,iecenoptm dna aliiybt ot sssucdi se,taiyulx sa wlel as hwit teh rdeege of speotsktro iuoftcnaln ltsiiay.dib o,rereMvo sauxle dficuonytns saw letdare to the epsercne nda deegre fo nerdis,sepo baeidets miutlse,l adn dacavlrusircao metadiio.cn ehT lgoiteyo or otcaoinl of hte esrkot and het nerdeg or raaimlt stuast of eht pianstte ewer tno tisasdoeca wiht sachgne ni oksspertto aueilsyxt ni aintpste ni teh rtsneep s".tduy

niLgook ta hte ieouqsnt ag,ain 'Im gesgsinu the "guaietf dna gflcuiifdint inepglse dan cgrntoicnean"t smtnteeat asw oupespsd to eb a luce rfo ,siedoresnp cplseleiya nisec ti eadtsrt reaft ish kotre.s ,losA on syclpaih bnrsaeloiaitm ugsestg noncgitnuif is atticn nad hust untaocnlr cientoesr wdlou be peeredsrv onlrymla. Tshi is jsut ustdp.i

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ls3076  iaapeeptcr ihst indk of rfefto ot oolk pu uojlnra clieatsr ubt ehnylots tsih si tno rlaely atwh mebn wearsns is rof... we hdslou eb elab to etg the awsern form eossprc of imibaocteisnlain/ cencise pnesotcc nda tno rfmo lnkoiog up idseuts sa ew iuvobslyo an'ct do isht on teh test +



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submitted by ls3076(92)
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sI searddeec nnaruoltc scnieeort ont eblosspi deu ot het gyrtonciinu eeentbw eston fo tomsmyps and rstkoe 2( smo susrev )3? reegA taht eehst tqnesiosu rea ervy uagve nad ai.ftnrtsugr Not reus hwree ot etg a gdoo rpgas no sthi aarle.itm

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submitted by cathartic_medstu(37)
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uorncatlN epneli eeetcscnmu uetmnesraem aylghoa(pr)lhp si a stte ttha meuesasr oosstpnunae hltniyg rcseinoet in rclteeei foyctnsinud yiripmlr(a reemdfopr ni a eleps rlart.oaby)o tIs' luefsu rfo gadiettierffnin bewenet niagrco romf cynohspicge ricletee toicn.yusdnf

iVgetnet esrsicdeb a syisobpl sepddrees ttnaepi ;=tg& yspecoghcin iercetel tsnnouydcfi. eSinc it is ton an grinaco sueac of DE, cnlrutano tereoicns oldwu eb .lranom aiOrngc ogoietisle fo DE cedinlu ionncureeg or uvrcala.s

bodiiL ptra fcenssuo em heer. diLiob ansem uxleas iderse ro .apipeett I was khiintng seinc se'h ocmgin ni ot tge ED ,dkeecch ti saidcinte e'sh pepteita rof exs is hnogue ttha it deam imh gte it .eckhc oS oblidi duoslh eb lmnroa. Ayn ?lpeh

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submitted by mattnatomy(46)
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rsAwen = sceraeDde dob;ili malrno nnaurlcto rceitsoen

I elieevb htwa eyth ewre itynrg ot ictnidae ni hits nqtoesui swa oPclsaoghliyc lSxaue tuiyonnfsDc a(ka - rareeomnfPc Ateyxin).

nI ihts aes,c ti n'wsat so much hte eeanfrrpomc ttah wdriero het m,an ubt eh yam eb os foduecs no ish laethh iseuss p(tso s)oket,r that eh si nelaub to efopmrr uaedyaqel.t ere,erThfo ihs naautrl bdloii ludwo eb .desdaceer wr,eveHo bcaeuse st'i ohecsnicgyp pa&;m nto yiolh,pgocis he uslohd istll ahev nraolm hmiigtnet etni.seocr

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b1ackcoffee  uot'Wdln hopaogichslycl SD aehv nomlra idiolb dna just efrrcnepmoa axenity? +1



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