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Retired NBME 22 Answers

nbme22/Block 2/Question#34 (reveal difficulty score)
A 30-year-old man and a 24-year-old woman ...
1 in 600 🔍 / 📺 / 🌳 / 📖
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 +27  upvote downvote
submitted by drdoom(1206)
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oallutnaCics for dad. The ibtlapirboy of het tarfhe beign a arrceir si 2/3 iencs ti is nkonw atht eh snoetd’ heav eth dsesa.ie nThe teh obitriaplby fo ihm nisgpas ti on ot hsi ikd is /,21 usth:

  • ralyoPibibt of dda bgine rrcaier = 2/3
  • aorPtbibiyl fo dda anigssp on eeassdi allele = 1/2

aullsaoinctC for omm. tWih hte drireg-HayeWnb rnPl,eiicp uoy nac frieug tuo eth oyabiptlirb fo the thermo enigb a rr:ecira

q = 0rts0140),(0/q = /2100

So, p2q = 2 * 01/02 * 19/9200, hhcwi is pxrpao 1.1/00

roF hte ichld ot teg hte llaele from mo,m wto nigtsh ndee ot p:eapnh 1)( mom umts be a icrerar rgee[”zthoo]ty“e nad 2() omm umts spas hte leelal ot h:ilcd

  • orblbayiitP of mom egnib acrrrie = 1/010
  • tlbibyoiPra fo mom pssgain on iessead leelal = 21/

uitnPg ti lla htteoegr. w,No emconib all erg:httoe

= otyibi(brapl of add nebig r)cerari * tly(aipbbiro fo add agssnip on seiades le)lale * b(ioliryaptb fo mom bnieg ic)rearr * iybialorbt(p of mmo npssgai no sedsiae lale)le

= 32/ * 12/ * 10/01 * /12
= 1 in 006

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kernicterusthefrog  To euqto hoTygr Thro, drag :eeuqn e"w, esus,J "sgrso +52
niboonsh  This uqntesoi meksa em want ot vtmoi +14
drdoom  llo +
5thgencephalosporin  oyak wow +
tekkenman101  uoY can meak hsti a olt cueqikr by gnusi pmsile rselu ofr ooumaastl ssieevcre edsasi.)e1s fdefceantU aneprt ihtw ffeadect nlgaeei lilw be a eacrirr /23 of eht iemt )a A()2 eqynceurf in aptuopolni si reups low so you nac nregio P dna sjtu eus q)2( in roerd ot etcllauca crarier erequfyc.n So teka het raqesu rtoo fo the omyusghzoo evrsecise ycqufnree ,040)010(/ adn usjt lupg ti :ni .(2)050 = 01.3) heT sodd fo ehitr dilhc nebig fctedeaf htwi hte tow tnaresp gbein sdameus hthileocatpy iecrsrra si 14/ ()aa or d..aD'5s2 aircerr anhcce ()23/ x Ms'om rcerair hcance 10(.) x hdil'cs aheccn of gnebi ciesevser 2.)(5 +1

Instead of doing all those calculations for the mom, you can also just multiply the dad's probability by 1/200 → q, the probability of the allele in the general population

+1/- hungrybox(1277)


 +4  upvote downvote
submitted by keycompany(351)
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naMidnlea s:Gneeict

Man sha /23 chnace fo iengb a raeir.cr (eH eods nto heav eth eea.dssi) W maon aerricr sirk utsm eb uacldaltce tiwh 2^p + 2pq + 2q.^ 2q^ = 01/,0400 q = 0/2,10 p si yguhlro = 2 p1q = 110/0 = arrCrie eecnfuqry .

ksRi of vhagin a cdhil uhst usleaq 23/ x 110/0 x 4/1 = 0/601e/ cu2:3Bse a = Man rierCra rsik 1 /001 = maleFe iaerrCr 4/R1i ks = heancC hety heca psas on eth recsievse egne to tehri .fisfnpgor

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hello  See ym xpneontlaai if ouy need remo rdwos ot naixpel thsi aoentnxlpai +2



 +3  upvote downvote
submitted by hello(429)
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Thsi eht mase as yspyeko'@mnac ilxaaonpnte hitw roem piletnnxoaa teohs hatt ende .it..

Teh aetitnp is fteefaudnc yb hte tcrialprua autslooma vesscerei eisedas adn sih rhtbero hsa eth saalouotm vseisreec eadisse t--&g; tsih aemsn aceh of rhtie sptearn casrier het RA lel.lae No,w rfo het eatintp to eb eceftanudf nevig htta hotb ihs astrpne heva het AR eel,all it mnsae ttah eth tnaietp sha a /23 chance ttah eh si lomsuiaylneust ndftceafeu dan a cairr.re

hTe pita'sent ernpatr si dunfeacetf adn malonr riyg-WneaHredb gtsnceei (sa dastte in eht epmobe.rh.l)wn ihts is iafslpycciel ,neontdeim you rae ot essuma atth eht errpant ash a arcrire eufnqcyre rof eht RA ellael, hcwih queal to 2qp.

ehT sdeasie ash a rceyenfqu in teh lipuaptnoo fo 14.000/0 siTh is ^q2 &-t-;g 2q^ = 1/.40000 ilgoSvn ofr q, uyo teg q = 102./0

eirarrC enfeqyurc si .qp2 vrweoeH, rof a erra ,asieesd qp2 ≈ .2q ,So the arirerc yferceqnu orf het trrnpea = 2q = 2 * 1/002 = /10.10

wo,N teh Q akss aoutb na fgoprinfs fo teh eitnpat nda his aertnrp iegbn dcetffea, os to avhe na faceeftd ,idchl eerth is a /14 ahncce fo hiagnv an caedftfe cilhd ubaseces( teh entipta nda het arnrtep tboh aevh a 1/2 ahencc fo aipnssg teh aeelll t-;&g- uoy lmpietul hseet htrogeet /21 * /12.)

So, ypillmtu 3/2 * 1/100 * 14/ = ./0160 hTsi is eip(tatnP geinb a recirar) * rtepr(anP nigeb a )eirrrac * ahnvi(Pg na ecetdfaf offpngsri o)hrgetet.

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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hTe iiybtlrobap of hte fethra igenb a cerrrai is 23/ cesni it is owknn ahtt he eo’tsnd haev eht iedseas. ehnT eht ipobyrtliba of hmi snpaigs it no ot hsi kid s:i

2/1 * 2/3 = /31

tWih eth gn-dareirybeWH cP,reilipn uoy nca fgeiru otu hte biirbaltypo fo eht treomh enbgi a a:reirrc

q = )0qs(0r,1t04/0 = 00/12

S,o 2pq = 2 * 201/0 * 1090/29, hwich papxor si 0110,/ nda teh paobiyltirb of eth hdcli nggttei sthi eaelll si 100/1 * /12 = 0012/

su:hT

12/00 * 3/1 = 10/60

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brill45  You did hsit hirtg but I htink daem ti a bti mroe iatcmodelcp hant dedene ot e.b To fgruei out eht kldliehioo fo a namrdo nserop ni eht lpuaotnopi sgaispn no a esiescver ele,lal you juts edne to do quq)sortr2(aoe to get ot .q ndA tjsu ues ttha q ot mtlyulpi iwth eht /31 uoy ogt eair.ler eTh q value tslel uoy het lallee erqncyefu in the luppo,tanio eethrwh eht enrpso si a rrrcaie or zhosymoguo esirceesv otbh. uoY sltli got ,ti btu tujs netlgti you wonk eht iresea ueotr ni asce yuo see ti aiang! +2



 +0  upvote downvote
submitted by kdckjn(0)
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hwy rhtee is ylribtaopib fo hferat gbeni a arcrire is 23/

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drdoom  We asusem ihts is a eviecsser e.siades nI horte dsow,r oyu mfstniae eth essadie fi uyo tnerihi a sadseie l,leela ,d mrof yoru eomhrt adn a siadsee elllae, ,d mofr oury ehfrt,a igvngi oyu an lealle grnpiai dotende by d.d dd = oyu heva hte i.sesade ehT arefht osed ton vahe het sdeesia; tsih nasem shi opytgnee anc ynol eb 1 of htree sn:giht ,DD ,dD or D.d tahT si, DD = D ormf ish d,ad D fmro sih mm;o Dd = D rofm hsi d,ad d romf his ;mmo or dD = d ormf his ad,d D rfmo shi m.om tcoeiN thta ni nylo wto fo stehe 3 iositiibpsels does het erthaf lpynito(tael) veah a esdaesi elllae d)( hatt he higmt assp on to sih .regnoyp +

We assume this is a recessive disease. In other words, you manifest the disease if you inherit a disease allele, d, from your mother and a disease allele, d, from your father (giving you the allele pairing denoted by “dd ”).

dd = you have the disease.

The father does not have the disease; this means his genotype cannot be dd and thus must be one of 3 things: DD, Dd, or dD.

That is,

  • DD = D from his dad, D from his mom;
  • or Dd = D from his dad, d from his mom;
  • or dD = d from his dad, D from his mom.

Notice that in only two of these 3 possibilities (⅔) does the father (potentially) have a disease allele, d, that he might pass on to his progeny.

+1/- drdoom(1206)


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