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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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ulCastlniaco orf dda. Teh ltybiobprai of eht etrahf gienb a rreraic is 3/2 nsice ti si nknwo htat eh sedton’ haev hte .seesdai hnTe het raotbibpyil fo him aspnsgi it no to ihs idk is ,/21 u:tsh

  • byalroitiPb of dda bnegi rricaer = 3/2
  • biyolPbrtai of dad ipnsags no eaissed llleae = 21/

aCtonasciull fro mmo. thiW eth dnraWir-ygbeHe rnlPc,ipie yuo nac ruefgi out eht paorbilbity fo eth ehmtro nbieg a errr:aic

q = 4),0tsq0r/100( = 021/0

o,S 2pq = 2 * 21/00 * 20019/9, hhwic is opraxp 1/.010

orF the dhicl to gte eht aellle romf om,m wot hstgni nede ot :nhppea )1( omm stum eb a ercriar geotzre“thyo[”e] and 2() mmo tsum psas eht lelael to dli:hc

  • botaPbyilri fo mmo ngibe aicrerr = 1/100
  • btyaiiPlobr of omm asnsgip on ieedssa lleale = 12/

ginutP ti lla rgeteoht. w,No oniecbm all :thgetore

= bailpyotir(b fo add egbin rrrie)ca * otbyliiprba( of dda npsgias no essidea lea)ell * pbr(iyibalot fo mom gibne rcr)eari * (riiolbbyapt of omm pniasgs on isdeesa lee)lal

= 3/2 * 21/ * 10/01 * 2/1
= 1 ni 600

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kernicterusthefrog  To qeout Trgoyh hrT,o adrg :euneq ,e"w us,esJ s"srgo +52
niboonsh  ihsT stenqiuo mskae me wtan ot itvom +14
drdoom  llo +
5thgencephalosporin  yako wow +
tekkenman101  Yuo cna amke hist a lto ukiqcre by giuns siepml esurl orf solmaoatu vseicrsee se.a1) sdsei Ufntdafeec ntprae ihwt datfecef eailgne llwi eb a iaecrrr /23 of hte emit )) 2a(A urenfceyq ni opiuaplnot is rusep wol so ouy nac egrnio P adn utjs esu q(2) ni eodrr to acucetlla recarri uc.eneryqf oS ekat teh usqare toro of teh ogmsyuzooh eseviscer yqrnufcee 04(0)/,010 dna usjt pgul ti :in 00)2(.5 = ).013 eTh odsd fo rihet clhid nbige tfefedac ithw eth owt patenrs engbi eamssdu ypaechtthlio raecrsri si 14/ a()a or .d5.'Dsa2 rrreaic acecnh )3/2( x mo'sM earcirr ncchea )01.( x ihscl'd hacenc fo igben srsveeice 5(2). +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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eaalnnMdi ince:Gset

nMa sah 2/3 encach fo inbge a rcreari. H(e edos not ahve teh ).sasedei ao mnW irarecr kris mtus eb adlcteluca whit 2^p + pq2 + q2.^ 2 ^q = 401/0,00 q = ,/2100 p si oulyhgr = q2 1p = 10/10 = erCrari ueeyrqcnf .

iskR fo ihnvag a idlch usht laqseu 32/ x 1/100 x /14 = /0160 ecB2u:e/ a3s = naM erarCri krsi 101/ 0 = Felaem irCrrea 4 sRki1/ = haeCcn etyh echa saps no eht iveescser ngee ot hetri rgifonfsp.

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hello  See ym iaxtonplean if yuo deen rome rsdwo ot napilex hsit taenaxnlopi +2



 +3  upvote downvote
submitted by hello(429)
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siTh the aesm as ke@acpom'syny inletxanpao htiw mreo atpxiolnnae soeht htat need .t.i.

Teh attneip si dntaeuceff yb teh raluipctra tmoaousla ercisseve adseies nda his brhreot hsa teh otumaaols esisercev sisaede t;g-&- tihs seanm hcae fo ihter srpntea easrrci hte RA e.llela wNo, rfo teh itpntea ot eb eatceufdfn ngevi ahtt hobt his pnsrtea veah teh RA lee,all ti nmesa htta eht npteati ash a 32/ cneahc ahtt eh is ulioamusltnesy nffcdeetua nad a a.rierrc

heT tt'sniaep atreprn si enefafctud dna ralonm dWeiryb-raHgne gceesint as( dsteta ni eht e)nlp..whobmre ihst si fiecllsyacip ,otenienmd uoy rea ot smeasu htat teh rneptar sah a rreacir feyecurnq for the RA le,alle wchhi eaulq ot q.p2

ehT easiesd sha a euycrfqne in hte utpoanploi of 104./000 hTsi is 2^q -&-tg; ^2q = ./100004 Signvol rof q, uyo etg q = 10./20

eirarrC uecqryenf is q.2p eHrveow, rof a raer siad,ese p2q ≈ 2.q o,S teh erircar rnyfecqeu rfo the trenrap = q2 = 2 * 02/10 = 011./0

N,wo hte Q saks tabuo na pfsirogfn fo eht piteatn dan hsi rapenrt gbien tcfafdee, so ot eahv na aeedtffc ,dihlc ehtre si a 14/ aecnch fo vhnagi na ffactdee lchid euaec(ssb eht paitnte dan teh ntaeprr tboh haev a 21/ achnce of piangss hte aellel g-&t;- uoy pelmltui teehs ettgoreh 21/ * .1)/2

,oS utiyllmp 32/ * 0/110 * /41 = /00.61 isTh is ePpta(nti eingb a )rrreica * e(Praptnr ebngi a irerrac) * n(vghaiP an effadetc fopfgsrni hr.ott)eeg

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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heT iayltobbipr of hte hreaft beign a rarerci is 23/ iscne ti is wnnok hatt he deot’sn hvae het s.eeaisd Tehn teh taroiblybip fo hmi gsinpas ti on to his dik :is

2/1 * 2/3 = 1/3

Wtih hte brnieHadWr-eyg ir,Pilpecn yuo nac uerifg tuo het oprabtiiybl of the emotrh being a :icearrr

q = )/41,q0t0r0s0( = 0/210

S,o 2qp = 2 * 010/2 * 010992/, hhicw oxrapp si 100,/1 nad het ipilbytraob of teh lcidh igetgtn hsit lallee si /1010 * 1/2 = 1002/

:ushT

0012/ * 13/ = 6001/

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brill45  You did hsti rhigt ubt I kihnt amde ti a ibt rmeo ctdolcipmea anht deeend to b.e To gireuf uto het oliheolkid of a mnardo seonrp in teh ptnoapoilu gsnsiap no a ecseesirv ,elaell uoy utsj eden ot od 2equ(oosraqtr) ot etg to q. And sujt sue taht q to lumilypt htiw the 13/ oyu tog laeie.rr The q vauel llset yuo eth elella enruyqfec ni the tolppoaniu, rehwthe het nrspeo si a errriac or yzoguosomh veiesesrc ob.th You tisll gto t,i tub jtsu legtnit you onwk hte srieae ruote ni csae ouy ese it a!inga +2



 +0  upvote downvote
submitted by kdckjn(0)
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yhw erhet si aytiilorpbb fo tfaehr nebgi a rrecira si 3/2

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drdoom  eW emsaus ihst si a rvecseies se.adsie In ehtro ,wrosd ouy tefnasmi het edsasie if oyu trhiein a esseida lleal,e d, frmo your trhemo dna a siaeeds ,llelae d, rmof uoyr aef,trh gngivi uoy na ealell arinipg deenodt by d.d dd = uyo evah eth sseid.ae eTh rfeaht deso tno ahev eht idsae;es isht eanms sih epteyogn can lyno be 1 fo ehetr tg:snih ,DD d,D or D.d aTht si, DD = D from his da,d D omrf ish mo;m Dd = D omrf hsi dda, d mrfo sih mom; ro Dd = d mfor sih ,add D mrof ish o.mm cteoiN thta ni lony otw fo etehs 3 iseblitsiospi esdo the teahrf pyta)(elntoli eahv a sedeasi elllea )d( atth eh himtg pass no to ihs ng.poyre +

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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