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Retired NBME 22 Answers

nbme22/Block 4/Question#46 (reveal difficulty score)
A 39-year-old woman comes to the physician ...
Hemoglobin 🔍 / 📺 / 🌳 / 📖
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 +12  upvote downvote
submitted by ∗johnthurtjr(168)
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rhee's a ogeolg

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johnthurtjr  RTF I adh no eiad iths swa a ,ihntg nda asw eprtty ndiostpidpea in lsfmey wneh hte oloegg earhsc dah ti ni gbi dblo ttrelse ithgr ni my aec.f +3
drdoom  aiv tnrjoh@htjru :lkni ossTet"rnteeo dan troeh ragoedsnn aveh an oprtocyeirieth siatlnutmgi fctfee ttha can aeucs clyipa,yohmet cwhhi sfnamstie sa na ceresain in ,bomenlgiho ,etioacthmr ro rde lodbo llec tuoc".n weh3.teitw/li/p7/45mwa7rst:eedwca/vocmc.s6p +3
meningitis  I susge sha'tt arhonte rnoase ofr triessdo adn gdiopn .pu +8
drschmoctor  For noec I efle kiel vIe' been del tsryaa yb aom.hPat My ntcsniti wsa ot og twih hebonm,iglo tbu I dtlaek fmelys out fo ti aetfr mrmrieegnbe D.r ttrSaa nsiayg atth eth rnaseo ywh oemnw ahve woler iemhgnlobo is ued to emntsitaor.un +2
fexx  F U !soentetsreot nad F U NEMB 22 tneuoqis +1
schep  I olny enwk shti ueaecsb htere ear heetr at( easlt tr,hee ayebm eomr htta I otd'n )oknw niocoictatiannsrd to ignvgi etrsootenset tmelpncreea ah+As+Ooe Sptye:rr ptat i+ etecrcahnocrtma 5;&0t%g +2
drdoom  ^ ifnkyli d@dmroo ldcess4eea.ritw5.m3w7/c/twpwhv6oetcm/a:7p/i +
kayla  horccm@;trods I lltsi inkht ti iseln pu ihwt eht ccotrre siagen;ron ndiugr eht nmraulets aephs ( ni nitdaoid ot onolsig hgleomoinb in het d)bolo ehter ear olas ryve owl lleves of teh drgenoan noosehmr tath aylusul svree as a tunsgltaiim eeftcf no g.bo.niohe.lm +
abhishek021196  lo,ettaFruyn ew erew aghutt iths in edm osohcl - reesetonstto tlemitusas yteoeohiipsrrs yb imlgtsanitu OEP and erangratbliic hte est ntoip fo EPO ni eailtonr ot mnglohebio dan by iecgsnainr onir izutiinloat rfo rh.seertiiyspoo .0Mw:sh4pp.2higPc/amClr/ect0/wo/bt2v/ic0mtinn9l.n./sw +



 +5  upvote downvote
submitted by ∗oznefu(22)
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hwo od ouy orrwan ndwo taht etesostrtneo srceaendi bmnoghleio nt?teonanocrci tusj a arndom fcta ot w?kno i tpu aklnelia shshapetapo ebsueac i edgrifu craeidsen ttereesootns llwi enrseaci neob wgtrho dna lerud tou f-poptsstercaiice nigetna cb st’i a n.amwo

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hysitron  I euesdgs hist one easuc nem avhe a egrihh ebglmoinho nath owenm. +11
notadoctor  iHhg slevel of eetsenttroos lliw srletu in ehraoar.men I uedgses taht cesin 'hsse not itrtnunamesg hes ilwl ont eb iongls odblo adn ofteererh mgoohe.lnib eheferroT ehr ienhbgmolo levles lwil be rehigh than dtxpc.eee +5
meningitis  tI aindk meaks eessn ngkoniw estetrnoteso sasceu bosmiatcla os I swa ni enweteb kinllaeA hhtapspsaoe dna o.hbe.g.inmlo +1
enbeemee  it'ns trteeneostso inabl?cao +4
syoung07  ALK phspoh si iceatvdini of ltacotesso ittc.aiyv noesortesteT esepk amle noseb gtsron utsj like segreont oeds rfo .nowme esnotreoTtes bildsu eobn ooltte(bass yivtt)iac herterefo ew udwlo ont ees a seir in LKA oshp +1



 +1  upvote downvote
submitted by ∗adong(144)
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douwrl sasy wrheeomes that eetnseotsrto cressaien cahtor,iemt sanreiesc DLL, and eesscader LHD

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passplease  torsengE snreisaec HDL. sestternoeoT is dvretcneo iotn tsee.rngo hyW eosdtn sreeetostont ainseecr D.HL hWy is my gloic n?ogwr +
avocadotoast  hTe nowma ni sthi ietngevt ahs an dcaieerns nedorrsogegtane:n o,iart os het ecsetff fo renotesteots no idilp evlels illw eb tgraeer tnha othes of rgneoste no dipil s.evlle saBrdo dna ynebdo laso tsaets thta oetteserston escuas an ecsenari L,DL cdaedrees DH,L adn ieseranc in tec,mthoria ihchw is wyh melas twhi irmpayr hosimaydgonp acn etrpens ihtw amaien and the eus fo laibnaoc seritdos can petrnes thwi .tosrtirhycoesy +



 +1  upvote downvote
submitted by ∗alexb(53)
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tsirF idA 2019 apeg 226 totyrusaiml htworg fctseef fo orsttstnoeee nucldei edr dbloo .slcel I hktni yeht epcetx us ot nowk .thsi

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medstudent  FA 0022 .p 663 +
specialist_jello  hwGort p:stur sBRC 2002fa( p 6)63 +



 +1  upvote downvote
submitted by rogeliogs(12)
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My nmdi wtne htis ay:w ni Men aopsenurdA = ssle tterssoetone = esls nbeo etdi yns in nWmeo mreo oterstsontee = ermo oebn dynitse = remo aanllkie opghetnoaosbm as.hieHpl saw my oecsnd ontoip uceseba I o'tdn eahr oto uhmc tbaou aiamen ni tsop oeanupsem ro sotp an,epaudosr btu onbds ineydst is a gbi ldae t.hree

.halb

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 +0  upvote downvote
submitted by ∗sup(31)
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oemowSh I was labe to ccienovn myslef thta dereaincs ttoeorstnese -;t-g& sredecead tengores gt;--& cserdeead eivtange eacfkebd no HLFS/H conerstie g;-&-t ecrdseina HFS. eDos enyaon crea to pxinael wyh shit ilogc si ?wrgon aThkns :)

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btl_nyc  ehT csarenedi oeetsotresnt si zbeeidmotla by garlusnao esllc to nesetorg and yb ispdoae usetis noti entroes. hBot fdee ackb no het mosplhahayut to ibiinht HFS a± HL ,rtsncoeie but SHF is cmuh more vssitniee ot adeebckf biotihniin htna HL, ascignu an dnisrecea /HSHFL atri.o +1
impostersyndromel1000  ,su@p i idd the mesa tgn.hi Had no diae ostesneetort dan gdransoen nac cesnirae eop +



 +0  upvote downvote
submitted by ∗johnthurtjr(168)
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he'esr twah I uofdn

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 +0  upvote downvote
submitted by ∗asharm10(37)
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Its' an anblcoia h,noreom uemcsl mss,a RBC smsa iwll nisreea.c

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 +0  upvote downvote
submitted by gokings2021(9)
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neM eegnyllra vaeh a ghihre CRB sams te(,oithrmca ebglhnoio,m )cte nad it is tugohht ot eb drbetutati ot hgrehi setttsnoeroe v.leesl She sah hhig neetortotsse os uyo anc sausem eth easm fro er.h hTsi si in Zi,nak os it tusm be in AF or am.htoaP

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 +0  upvote downvote
submitted by ∗medstudent(18)
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oFr lla nngdoewir yhw eneotttseosr tso’den uecas an ceairnse ni lka o,phs I dfuon tsih ircatel ttah sllaicyba yass emn wiht olw enottessrteo aevh high aelaknli shteahpaops dna kawe be.son

hi-lul--roe--s-soaa-ylimsensopswel/u3ptseohweora--royeaaehndei-pnt2snlceen/e5/.ktowt-ec0:1/ttn.dosndoee.mihnteicse/ets-n0hsnsrrew/tlbpltdaf

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 -1  upvote downvote
submitted by ∗medguru2295(64)
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HBT I lyno ogt this cb of teh rtncrovysoe with cnLea sorAgmrnt oolbd gn.pdio DkI the emihscanm at lal. B,tu it lwil lhpe oyu all eremrmbe iths asui/wqtn.esneor

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 -1  upvote downvote
submitted by yobo13(5)
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syaE awy: abL a.lsevu eTh lyon eon taht edma sasns/eew ffetedrni ofr nme vs nmeow = Hb

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 -1  upvote downvote
submitted by ∗nwinkelmann(366)
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I peeirrtnedt eht teanpti to ehav SOPC tusri,s(mhi hr,aermaoen arnaivo m)ssa thhguo hte surep taeedlev etstnrotoees si remo cnincoregn for encr rp(e ihts :iarcelt .cl9pntnrtetwi0/0cw/Pa/s/i1mv.bw.76s:mp6g/hl./ChcnMoi). If eth niaetpt ahs PCSO, hse si eklily ebeso dna ta hheigr irks ofr DFANL iwchh acn eb saictsadoe ithw vdetalee alaenilk ssehaatopp,h idilp cactilumoau,n and evleaedt rttosee,osent tub nto EUD to nordniceag sfctefe e("usrm nadregno eesvll wree tno iasdosaetc twih hte ecnpeers fo LADF.N Tish is ryiedlntic idnrfmoec itwh ruo lruest on nheo.pesytp yl,emaN heret si on iceenrfdfe in DNFLA rvleeacnep webeetn gepoydnerhciar,n dna ernoh-nndaigonerycp ro erprtoduicve SPCO pnsype.tohe NALFD si siedcdeonr a pticaeh ontemnpco fo mtabcioel odnemrsy hwti a nrtcela ceagtphoni lero of lnisnui arnscietse tath lsoa feaftsc the riamyairp-oayoiatthplanhvtuo- siax in eucssjtb with .SCP..O nirgderaHepycno teats mya be edu to nlsuini tes"isre.acn lF2hjK//Gtyy:bp.Wit/t.)

hneT, as dias yb cltn@y-b, veeldeat entotosteesr in a efmael is rcedoevtn to gsnetreo adn nteerso dna ekfaecdb sibnhtii hte ohaahtumyspl glnedai ot cseredead HFS dan HL le,levs btu SHF is tiinebhid mre,o os ehter is na rdnsaecei H:LSHF .iaort

Fiyal,nl drargeign APS ich(hw edso rocuc in ew,nmo hwo ke?wn ,ll)o eht tooarcelirn wtneebe ttnsersoeote nda ASP ni enm is sltli rettyp weke (ni this tsu,yd hetre swa nylo a oaterocriln dan a eakw oen at ,htat taref itetrmaviaul slyaansi disnjgaut for earevls stighn 003m/pCtc/wt5i.cwl/Pb.5i:nge6csm/npawo.h4nlsrt/ih./Mv) os trehe is fenletidyi otn a ioarnteocrl in onwm.e oHe,vwre erp this ytdus (m.mdi/gb/wnhnt.ls.hboiwc9/08t1p/.2upn:v4/ew6) hetre yam eb na oactniasios neetebw tanrcie easndnrog nt(o netses)otetor dan PSA ni m.weon

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