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€)

You must be logged in to vote!
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 jsut eknw thta rmspe eden ,foestruc ont urse twha edessai ecsrops isth si hou.tgh He wsa ytterp omanlr so 5a aedcaretsu sn'otde eeprstn ilke tt.ah I tns'aw srue if ehrte swa yan odd esu fo the hoter snas.rwe ereh is a k.lni Flee eefr to ax.nepd

n7iamsolse2.pwto4hxaqug/p.tce2p_.swbc/t/:sw2

uFsrocte skeam up %99 of the urdcgnie agrus prneest in sm.een hTis sarug is eoucdprd ni eth aneslmi .vssicele esDinidihm vlslee of tcfosuer vhea ebne ohwsn to rapllael ngderaon iccfeineyd dan teh teeensostrot e.levl oiFllgown retsteteoson rthpeya, teh leevl fo uefctors .irolteuneahhAsscg eht cerftsuo tste si not ratp of a euornti seenm ,asanlyis ti is usulfe ni ssaec fo oazeamosrpi esaneb(c fo prsem in sene)m. In poasmozerai yserocnad ot eth ebcnsae of ecivsels or fi ehert si an ocrn,otsubti on rfcsoetu si rn.etpse In eaiultcrst iapzsrom,eao sctfroue is pe.etrsn Wnhe pareoomsiza nad wol eesmn mevoul ,sxteis hte euocsrft ttse odlhus lsoa be ,edno no a csoatluteepja nrieu lmpaes ot kehcc rof rgrrdateoe ulcoainj.tae siTh cuorsc ehwn eht tluajacee gose ntio eht lebardd aetnsid of tuo hte .ehruaetT rh eodprcrue rof irgmniedent eht nutmoa fo orucftse ni mesne svvilnoe ghetian eenms ni a ongtrs iadc in hte eceenspr of rnsli.orcoe oscretuF geivs a der rocol foeol(iSfvn oienrt)ca adn yma eb ader in a poemteo.thr eTh lnaorm arveage is L1m/g5d3 tsouce.fr

unscramble the site ⋅ become a member$279$49
sam.l  nkaTh you rof eth iant.nxplaoe 'mI sltil foduecns uabto htis .anersw I was ni wnbeeet cniZ and tu.fcesro ciZn fdecciyein lsoa eerptnss wiht animaos p(g 71 sFtri Adi )921.0 eusortFc is dues orf the eonmvt.em sHi msnhrooe era mnarl.o +4
d_holles  paAetnyrpl btdiae,se osl,uiocnc dna itomlmanaifn nca lustre ni โ†“ ufcorset in pr us.Mmsaes et la, Fter rettS 2,5 9417 g1/-.ot2eip24(fwp1st2d/t8Sftcr0:9rera-53stwrh0l/.e/1t0/06)w +4
cienfuegos  hTansk lla for the ,ifno ckuiq note on teh cniZ pyrel baveo .Sm@a:I naosima = oslt snees of ls.mel +
sam1  Gtrae dinf o!y I velebie sthi qoeuistn swa uldglnai ot csticy irsfsbio and eth nlgoiaenct nbsceea of eth sav .erfedsen eeHr si a kinl ot a JEMN aiectlr tbuao it o:web ll///t6.d5i96fN1rE0J0ww20/.83/owg2n179M:t71/0m.1hsple10ujo +1
burak  zcin yciiedencf eaucs .paoohdyismgn rehet si no ympndi,agosho mrssep aer de?admga +
fatboyslim  S1ma@ utb yictsc bsiosirf ilwl hwos rbnoamla phclayis idnsnfig ,glinb(cbu plnmryoau cclkares cet.) The ioqusetn says phisacly aemx swhos no btla.eiomiansr +
pg32  esdfonuC sa to hwo we cna uerl otu z..nc.i mrFo tnaaesdmc.eymolciwod: Zc"in also yalsp a lroe in hlehtya serpm uonirpcotd. ircdoncAg ot a 1802 eewvri ciltear ni het unoaJlr fo Rctroudenpio dna erfiti,tIynl zcin edyfceicni may btreounict ot ropo esnem lqtiayu nad ieir".ifltytn +
bekindstep1  2@gp3 I ma not rseu of woh cniZ truitobsenc ot sperm i,urctodpno tbu the eioqsunt aws agiskn atbou lsnrioimbtaea ni the meesn nda courtefs si etnrsep in hte n.mees yeMba cniz lpays a oerl in srmpe odepetlvmne roefeb it is eimxd ni whit emesn nad os eno tihw zcin iyieecdncf t'londuw heav low in iczn in theri snmee hp,prsea utb ti reiht oodb.l shiT si jsut a hyssheotip ho..ut.h.g +
brise  ^^ ehYa t'saht woh I lurde it ou.t Yuo anc infd uesocrft in eht ms,een ubt uyo owl'tudn eb eabl to dnif incz in hte e!mens It mgith elhp eth epr,sm tbu 'its ton igong ot eb lcilihgn itwh temh +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)

You must be logged in to vote!

 +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

So I kedloo inot sthi therruf oot eceuasb I retypt hcmu wonk ghotinn uboat teh akem pu of emnse. rmFo teh cererhas I ,fnuod sa sa tteasd lwobe by y,o creofust si teh somt taiptnmor osutcetnint fo msnee ni smtre ro spmer c.otfinun oeBwl is oiinmfrtaon I nufod ot sedards het otrhe rwaens i.csoehc

Zinc fcieyencid in( ,me)urs erp FA, sah bene imctedalpi ni yleedda odwnu agnlhei, sprpeesuds iiutmymn, lmae onaygp,dishmo drsdeecea ltdua iarh ixa,r(layl ca,ailf u,ib)pc asdiug,eys aa,smino odrrtticmmaseia eprtcaioehnat te(cefd in slnitintea zcni s,at)oiprbon adn may esoedrpips ot hlciacloo .crirsihos AF d'dint icfsype teh llvese ni the ,nmese but rpe the oelbw ial,rcet emsilna nzic nctenot saw nfodu to veah nor toreralionc ot meesepmnr/s ./vlytcvtaecliiete/ I notd' wkno if we're uedopssp to wkon ttah, utb own I do, .oll 7/uh350ilno/.:ewb..vndg/mtmnw.t35hcpb/siwp7.

sA gbyrhunox i,etnoemdn umlenelsi is ynlo ntimeendo once ni FA sa a mneatetrt ofr itean, os I ekoldo ntio ti erhf.urt enmSilue si a ntcoetn fo eenm,s tbu evslel yrva so uchm atht ti vseser on octpgsniro llnacci nleercvae to lneiyfttir,i rep thsi rial:ect v.p.tcwwgmnmo.iw23t0:/ih2h/b3.usneln/b15pd/.

oT elru out all of teh ssnaerw su(cbaee I tnid'd leyrla kown anthgyin autbo teh talyiuq fo ee,)snm I ndfou siht y"B stitsitt-cas, rtehe was no gicsfinitan rdicfeenef ni hte mnsee aN oinrcocetnatn amogn teh eefdnfitr spuorg (7 ugsrop ltoat sabde on mespr u)cn,to itagcdiinn hte intagsicnifni relo of Na in smrpe lm.oii."tyt 1l.2bw.:h2/w.wsm7tin/bpnt1ndeh/cio/.ugp5mv.

nlalyFi, I o'tdn nhitk the -a5plah cdsauerte eenmzy is tcaulyal in m,nsee ubt I ucold eb .wrgon ihEtre way, it l'odwunt eb amoayrlnbl etaleedv or lwo if het tosetorsente lvseel rae aln.rom

unscramble the site ⋅ become a member$279$49
bartolomoose  as epr loja,gn nulmeise is elvvdoin ni ltanuoetghi odxaeiesrp +
chandlerbas  ieulmnse sah a role in igtoanetluh eape.roxdis xseces eileumns = lacigr ,tbrahe ahri s,osl dan lani sng,hcea tmigh ese reehrlpipa rheotyuap.n fccdiiyene pt( no N)TP = tdleadi mtcaaoyrhpydio +
chandlerbas  sola zcni dsia in repms iolimytt vm4.icw:/P/w7hpwn3t7t1ngss8//.eMmCncp.ib//h9c.ailrlto athts wyh i hseoc cniz utb erwerathrv mi roev ti +


You must be logged in to vote!

 +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

Acocnirgd to eht MLES,U uslmne'esi yonl esu si ni mnisuele lsudefi sa a atteremnt rof a sfungu eldcal iMzlesasaa pps en(iTa eoc.s)orrlvi

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +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

setl divao olgn epalanstxnio hllas we .

t.p ithw ryfii.ltietn uckiq stte in fwe dcsseno = mesne stfoeurc

aftc : smlneia celvsie skame .reotusfc

ircotbunots of aliesnm slivcee or ctgnnlaoei asneebc = olw outfcsre ni eemns = omaeicblt cemlbaina &t;g cfifevntiee reiogepsaetmsns

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +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 ndeaoesr hhgurot ihst neo ceins I rneldea ahtt aimseln islseecv leahiyv esu ioSbtolr enDeasdrgehyo adn( sriaoev &ma;p rilve I lvebeei t,oo) chhwi anems yhte roapblyb vahe a aruiltaclypr ntmpatiro nede ofr eFucots.r So obmanlra utcserof ni eemns si yolbbapr nto a oodg sni.g

.P.S I edonrw if eth necitsan idd teh tst-tesaet no hist en..o. (dms eee ot kwor ellw ofr bateisde)

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +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

sedaIecnr WBCs icdietna legtnai m/amitncainnit,onlffoie ihhcw cna adel to orpo esnem aultiqy edu ot eth rcndooutip of vcesexsie arcevite oxnyeg ecspesi yb ctlyos.ukee

nbsAte ecfturos cnratontnocie si an ticndnaoii of a otainelncg eesbanc fo vas aiesefled/srmenn esic,eslv wlehi sdeecdear trucesof atcncerotnnoi yma aeiincdt na ucjayoaterl dutc .rctbnosiuot

pH g;&t 0.8 distaenci lamoamintifn fo eht toaprs,te lmeains rca,tt ,ddpeysiiim .cte; Hp ;lt& 72. stadcneii elsimna csveile ofsuyncndti ro citosrbonut fo teh ocjrltayuae .tsudc

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +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 edlkoo iont tihs etrufhr oto euebcas I rtepty uchm nwok gntnoih abotu eht keam up fo es.men omrF hte rcaehsre I fn,odu sa sa tsdeta wbelo yb y,o otruesfc si the otms rmontptai tsinunoectt fo esenm ni mrset ro mepsr cf.tniuon eloBw is oorinitmfan I ounfd to radssde the hotre eswarn c.ohscei

icnZ cceedifiyn i(n s)urme, rpe ,AF sah bnee dceimiplta ni elyeadd dnowu ,ienglha pdseuesspr umimy,itn lmea hdnspiao,gymo dcraseede tauld ahir lxy,r(alia ,laiafc pui,)cb gsie,suady ,nmaisoa omtsemdraiacrit reniectaopaht dfecet( in naiitlestn nicz isb,)onpaort nda aym pirseospde ot lhiccaolo rhsoriics. AF tdnid' secyfip the ellesv in het ,nemse utb pre hte oelbw tciarel, esmialn nczi ntnoetc aws doufn ot heav nro ecorlnrtaio ot sm/eesrmpen ttc.ac/ieytvee/ilvl I 'dont owkn if rewe' osdupeps ot nowk t,tah but won I do, o.ll whc.t0.37//e.mn7utwlop.gip/5/:mnibvd3hwnsb5.

As rhbynxuog io,nnedmte ullieemns si lnoy dnnetmieo oecn in FA sa a mteratetn for ,teain os I kdoeol iotn it .ehfrrtu Smeeilnu si a ottnenc fo ,eenms but vleels vyra os umch taht it seserv no gticsrnoop illcnca evclneare to y,titileifnr per ihts eilrcat: e.wdt0img3/i.1hun5nw23p/h2/:.bvcnmslpt.wob/.

To erlu otu lal fo eht seanswr cauee(bs I 'ndtdi rlyela onwk hytngina utoab hte ultqyai of ems),ne I fodnu siht y"B ,atiscsttsi-t rteeh aws on gfniisaicnt enrifecefd ni eth mnsee aN tocncnnriateo omgna hte feertdifn ourspg (7 ugsrpo latot absde no pserm t)no,uc iicdngtani hte iafincistnngi rloe of aN in mpesr tltioi.my". dtbgpnc/n5.hwiwu7.ils/2n.ew2m1ot//.b1m:phv.

aFyil,nl I o'ntd tnihk teh ph5laa- asetuercd nyezme is utlaaylc ni s,emen tbu I oclud eb .onrgw Ehetri a,yw it nuotd'lw eb alylnmarob deeavelt ro wol fi the rentteetssoo elsevl are r.lanom

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 -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

uoy lla ear noilkgo ywa oto dpee otni t.sih

ihTs saw a eimspl catf acller uniqs.oet eWnh ouy see meesn + eiytrifilnt in a ntqousie dan tuesfocr ni eht wsanr;es tis ensem = toescurf

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

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!