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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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latnuociCals for dad. ehT pliybrbtaio fo the earthf eigbn a crreari si 3/2 esicn ti si nnwko that he ond’ets ehva eth eiaes.ds nehT eht babpoiitylr of him spsagin it no to ish idk is 1,2/ hust:

  • Potrliayibb of dda nigbe eiarrcr = /23
  • tybroaiPilb fo dad spsngia no eeasdsi llelea = /12

lsoaCtanlcui rof omm. ithW the r-WybgedeiHnra lirnce,Pip yuo cna rgieuf otu eth ltaipbrioyb of the mrhote nbeig a i:craerr

q = sr01,4)0(0tq/0 = /2010

S,o 2qp = 2 * /0102 * 01299/0, whhic si oxappr /0.110

oFr hte hdlic ot egt het elella fmro mm,o tow gshnti dnee to :npeaph ()1 omm smut be a eicarrr etr”yze“ego]to[h nad )(2 omm umst ssap teh eallel ot d:hicl

  • Ptlibroaiby fo omm neigb rcirear = 10/01
  • aybPrilotib of omm iagpssn on adsesei leella = 21/

nuPgti it all hgreetto. ,owN bmenico lla ete:ogthr

= byaripi(oltb fo dad igbne )cairrre * iptlbaybrio( fo dda agspsin on esseaid all)lee * o(ltarpiibyb fo mom begni rirera)c * ybbpaoiri(tl fo mom pgsnsai on edssiea e)allel

= 2/3 * /21 * /1100 * 2/1
= 1 ni 006

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kernicterusthefrog  oT qetuo hgroyT Thro, dagr que:en e"w, sJseu, sg"sro +52
niboonsh  Tish outisqen emsak em ntwa to motiv +14
drdoom  oll +
5thgencephalosporin  aoyk oww +
tekkenman101  You anc mkea this a lto qiurcek by gunsi pimels lruse orf taoauslmo isscreeev )1se sea.isd eefcUafntd ratpne htwi efecdaft ianelge will eb a ciarerr /32 of eht etmi (2)a) A qyrecfune ni untalpiopo si ursep olw so uoy nca ginoer P nda ustj use q)2( in rrdeo ot ectuclala racierr fr.ueqyecn oS teak eht qsruea rtoo fo hte msyohguozo rseveicse nucrfeyeq )(04/0,001 dna sutj pulg ti :ni (020).5 = 0)3. 1 The odds fo irteh hdicl egnbi edetffac twih het owt tsrenpa nigbe mssudea ttliechypoha iraecrsr si 4/1 a)a( or a.d s.2D'5 rcairre ccanhe 2(3)/ x Msmo' ercarri hnaecc .)0(1 x di'cslh canehc fo nebgi seescvire (25.) +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)

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 +4  upvote downvote
submitted by keycompany(351)
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aeMlnidan eGsinet:c

aMn has 23/ canech of bgien a .erriacr e(H dsoe ton ahev hte easesi)d. ona mW iacerrr kisr mstu eb eucctllada twhi ^p2 + p2q + 2q^. ^2q = /,040010 q = /02,10 p is lourgyh = 2 1qp = 1010/ = arrCeir qfueyecnr .

isRk of hvgnai a cihdl hsut lqusae 23/ x 0110/ x 41/ = 160/0s:c3e2/uBe a = nMa rCerria irsk 1/0 01 = mFelea reaCrir 4i 1Rsk/ = hCenca yhte aceh ssap on het rssecivee geen ot itehr gorsffi.pn

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hello  eeS ym xanialtenop if uoy eedn omer dwosr to elpinxa shit eiaotpnnalx +2


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 +3  upvote downvote
submitted by hello(429)
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hTsi teh msae sa @ksmpenyyo'ac tlonaaepnix hwit meor olatnanpiex esoht that eend i...t

ehT tietpan is daefnctefu by het alrcuatirp oaulamtos sseeircev isaedse dna ihs rohbert sah eth stmuoolaa irsesveec disesea -t&g;- iths manse chae fo ireht eapnstr isacrer hte RA le.llea w,oN fro teh taipten ot eb enadcfftue viegn atth thob sih sprenta ahev the AR llele,a it seanm ttah eht ttpnaei has a /23 acchen ttha eh si euoysusatlmiln enfctaeufd nad a erca.irr

ehT tep'antis rnterpa is tfndcueafe adn oamlrn eHye-idWbrgarn icnetsge (as dttsea ni het p)erl.nhomwb.e ihst si cyicseiflpla ,eeionmtdn you era ot masuse ttah eth trenpar ash a aricrer nerucfqye rfo het RA e,lllae hchwi qelau to p2.q

Teh aiesdse ash a cfureenqy in eth lootuinppa fo 01.040/0 siTh si q2^ g;&--t 2^q = 0010.04/ olivgSn ofr q, oyu tge q = .200/1

rCearri fqrenecuy is .2pq wHorvee, orf a earr ssed,eia q2p ≈ q.2 S,o teh rcerrai nucreqfey ofr eth nertpra = 2q = 2 * 21/00 = 0.1/10

oNw, eht Q assk obatu na osnpfrigf of teh eanptti dan ihs rnraept nibge fecdtaef, os ot evah an tcfeaefd cildh, erhet is a 1/4 ehcnca fo ginvah an etafcfed icldh euscbeas( teh iaetntp adn eth ptraren tohb aehv a 1/2 hccnea of snagspi the lellae ;g-&-t oyu leuplmti sthee teerhtog /12 * ).21/

oS, upyltmil /32 * 0/011 * 4/1 = 1/0.60 hTis is teai(pntP ingeb a erair)cr * te(nraPpr iegbn a rira)ecr * nvPgiah( an effcetad gipnforfs ee)toh.tgr

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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hTe rtpbibloiay fo hte rfeath giben a riecarr is 23/ ciens it is nkwno hatt he ds’neot ehav teh d.asiees nheT eth ltbbrayoiip fo imh psinasg ti on to shi dik :si

1/2 * 23/ = 1/3

iWht hte d-berrWHigneay rinelPi,pc oyu cna ruifeg tou eth pltrbyaboii fo hte eotmrh negib a ecri:arr

q = trq0001/4(0,)s = 2010/

S,o p2q = 2 * 2/100 * 01920/9, ihhcw xpoarp si 1100,/ nad hte piolbabrtyi fo het dclih ggietnt ihts ellela is 1001/ * 1/2 = 21/00

:Tshu

0120/ * 3/1 = 010/6

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brill45  ouY ddi iths thrgi utb I thikn mead ti a tib ermo alecopdctim ahtn ednede to .eb To frgieu otu het ldohikeiol of a ramond rnoeps in eht utlipoopan spingsa on a iseeecsvr ell,eal uyo jsut dene to do o2reuqsqa(o)rt to egt to .q ndA ustj use taht q ot ypilmtul whti teh 3/1 oyu tgo .aerirle eTh q ueavl estll oyu teh leaell uqnfycree ni eht iptuaol,pno herewht the psoern si a cerarri ro omgooyushz eseriescv hb.ot You illts ogt i,t tbu utsj gitlnte oyu owkn het raeise teuro ni saec oyu ese it naiag! +2


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 +0  upvote downvote
submitted by kdckjn(0)
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wyh hrtee is arbpobiyilt fo tarfhe ginbe a rcaierr si 2/3

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drdoom  We sumsae ihst si a eivscesre dse.isea In toerh w,rosd you tinmseaf teh sieesda fi yuo nhtiier a eidases eal,lle d, fmro ryuo rmhteo and a sedisea a,lelel ,d frmo royu ,aftrhe gnvigi uoy na aeelll naipigr odndtee by dd. dd = yuo evah eth .esiades ehT afthre seod tno veha teh seasedi; hsit maens sih yenpegot nac lyon be 1 fo ereth gnhtsi: DD, D,d ro d.D tTha ,si DD = D ormf ihs ,dad D ormf sih mom; dD = D ormf ihs ,dda d mrfo hsi m;mo or Dd = d omfr shi dad, D omfr sih m.om eNtcoi taht in ylon wot of htees 3 spbeoitlssiii sdoe eht farhte ptatioyl)ln(e eavh a eiassde eellal d() taht he gthmi spas no ot his noypre.g +

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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