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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +27  upvote downvote
submitted by โˆ—drdoom(1206)
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uaioltCscanl rfo dda. hTe rpiyabiobtl fo eth rhfeat enbig a iacrerr is /32 cisne it si nokwn htat eh oedntsโ€™ ahev the a.edessi ehnT eht iploatibryb fo ihm gnsspia ti no ot ish dik is 2,/1 :suht

  • ilatobrPybi of add gebin rreciar = 3/2
  • iPlotbirbay fo add nsgpasi on sieased elella = 21/

acloCtaunlis orf mmo. Whti het neWig-redHybra irPp,iceln yuo anc ieurgf out hte bilyirapbot of teh ehtmor binge a acrrre:i

q = 4t)(sr00,10q0/ = 02/01

oS, 2pq = 2 * 2100/ * 9/01920, iwhch si paorpx 01./10

Fro teh hlcdi ot get the ellale form mo,m wto sthngi ened ot n:appeh 1() omm stmu eb a erairrc et[oztgyre]โ€œohโ€e dna )(2 mom ustm sspa eht aeelll to i:dlhc

  • yatloPbibir fo mmo bnige rricrae = 110/0
  • oilybtraiPb of mmo igasnsp on saseedi elalel = 2/1

Pigtun it lla tegeothr. ,Nwo ibomnec lal :rgohttee

= bayti(biorlp fo dda negbi raie)rrc * tbryilaobpi( fo dda ssigapn no seiadse llal)ee * orpblbiati(y of mom ebgni rri)rcea * blrpiyot(aib of mom snapisg on sdeasie aellel)

= 23/ * /12 * 01/10 * 1/2
= 1 in 600

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kernicterusthefrog  oT teuoq oygrhT ,Tohr dgar e:equn ,e"w Jsu,es g"srso +52
niboonsh  Thsi insoquet skeam me twan to otvmi +14
drdoom  llo +
5thgencephalosporin  oyak wwo +
tekkenman101  You anc kema hist a tlo kriueqc by nuisg imleps elsru rfo aoasmlotu eseircvse sss.e )1eadi efcnedtaUf atpner htwi eectdaff eeiglna ilwl be a acirrer 23/ of eth etim ()a )A2 cnyqurefe in uppaoitonl is erpsu wlo so you nca rgoien P nda tujs sue 2)(q in derro to utlcclaae ircaerr uecf.qrney So ekat the eaqurs ootr fo het oyzumooghs eescsvire yucqfener )/410(000, nda tujs upgl ti in: (.)0052 = ) .310 ehT dsod fo rithe ihcdl gbnie fdeeactf iwth het wto tsneapr ienbg mseasud hatpclohtyei airrcser is 4/1 a(a) ro a. s'd52.D rerrcai hcanec 23/)( x Mos'm ecrrria cnhace .)01( x chd'lsi cehcna of nebgi esserivce 2.5)( +1

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

+1/- hungrybox(1277)

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 +4  upvote downvote
submitted by โˆ—keycompany(351)
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adaiMlenn isetGnc:e

nMa sha /23 cahcen of nbeig a r.cirear eH( odse not heva het sdsi).eae namo W rerraci skri tums be altcladceu ihtw ^p2 + 2pq + .^q2 q^ 2 = /000041, q = 0/021, p si rhygoul = pq 21 = 010/1 = rarrieC ercfeyunq .

iksR of ghainv a clhid usth selqau /23 x 010/1 x /14 = 10/60c3e:2Bse u/a = Man rirearC krsi 00/1 1 = maFeel erriarC k4si1/R = hnaecC they hace asps on eht essecirev nege ot ehrit gfn.sfpior

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hello  eSe my plexannotai fi uyo eden moer dorsw ot xniplae ihts oapetnlanxi +2


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 +3  upvote downvote
submitted by โˆ—hello(429)
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sihT hte emas sa @opay'cskmyen ontaaplixen htiw ermo npeinltoaax seoth ahtt ende .i.t.

ehT tpenati si nufatfeecd yb eht calarrptiu mosaoutla evcirssee aeiedss dna ihs rroebth sha the laootmuas siscrveee edasesi &g-t-; isth amesn aehc fo teirh anrtpes aecrisr hte AR elll.ae wN,o rof hte patneti to eb edacfnfeut eving tath tobh ihs nsetrpa vhea the AR lalle,e ti emsan ttah hte taipnet has a 32/ hceanc hatt eh si msytuoialenslu deeuffncta adn a ir.rraec

The espitta'n etaprrn si adtfnefuce nad romlna -reierygWndHab eenctsig sa( atsetd in eth .rmw)ne.beophl tsih si felcscypliia onen,itdme uoy rea to aemuss hatt het pnerrta has a rreraci cefnueyqr rof hte RA ,leaell hicwh elqua to 2p.q

The edesias ash a qneceufry ni het npplouotai fo 1.00/004 Thsi is ^2q gt-;&- 2q^ = 001/.004 gnvlioS fro ,q you get q = 201/.0

Crreari yunrceefq is qp.2 reveoHw, rof a rera ,ieaedss 2pq โ‰ˆ .2q o,S eht iarrcre ncufreyqe rfo eht rneaprt = 2q = 2 * 2/001 = 10/.01

,wNo the Q ksas tobau an sofinpfgr fo het ipnteat adn ish atrrenp geinb fetadefc, os to veha na effcetda hl,dci eetrh is a /41 echnac of ingavh an faedtcfe lihdc scubsaee( the etnpiat dna eth nrpetra thbo ahev a 1/2 chacne fo gaspnis the lelela g&;--t uoy uielpmtl tsehe ttrheoge /21 * 21)/.

o,S ilyulmtp 32/ * 1/001 * 1/4 = 16/0.0 This si atet(ipnP iengb a ir)cerar * p(terarPn bieng a )aerrcri * hngiv(aP na teecafdf iffprgnso r)hgotete.

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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ehT obapiiblryt of the aehftr egnib a eciarrr is 2/3 eisnc it si known ttah he eโ€™tndso ahve eth s.aedsie neTh the arlibpbtioy fo mhi saipgns it on ot sih kdi i:s

/21 * /23 = 3/1

tWih teh nirdgreHayeWb- n,icrepilP ouy cna grufei uot eht obatbrypiil fo eht mrtheo ebnig a aicrer:r

q = t,(41q0s00)r/0 = 020/1

oS, 2pq = 2 * 020/1 * 900192/, hhciw xrpapo si 0,110/ adn eth ltbipboyari fo eht ilhcd ttiggen this llleea si 11/00 * 2/1 = 1/020

usTh:

10/20 * 1/3 = 6010/

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brill45  Yuo ddi hits igrht ubt I inkht mdae it a tbi rmeo opccdetliam nhat eddnee to e.b oT ugfrei uot eth lhiioedlok of a mrnaod esropn in the oltoappniu ipngssa on a ieesrsevc ,lealle you jstu ened to do (sorot)raeqqu2 ot get to q. dnA sjtu esu ttha q to tlmpilyu ihtw het 13/ yuo ogt rail.ree eTh q vaule ltsel uyo eth eleall queynecfr ni het tpnpuloaoi, htwereh eht roespn si a eircrra or moogohyusz ecsevseri h.bto uYo ilslt got ,ti tub tsuj letitng uoy okwn the erisea tuero in saec uoy see it !agnai +2


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 +0  upvote downvote
submitted by kdckjn(0)
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hwy rtehe si ibbrtylpaio of hfeart bgein a irrcrae is /32

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drdoom  We masseu itsh si a ceeerviss esedasi. nI rteoh r,wsod uoy tnaifmse eth essdeai fi you iihntre a aesiesd a,elell d, frmo oyur ormhte adn a iedeass laeell, ,d form ryou rh,tafe igving ouy na aellel gpnraii dteedno by d.d dd = ouy vhae eht adie.ess The tfraeh seod nto vahe eht ai;sesde hsti aensm ish toeeypng nca only eb 1 fo erteh htnsig: D,D dD, ro dD. tTah ,is DD = D orfm shi d,ad D rfmo ish o;mm Dd = D rmfo ihs ,add d orfm shi m;mo or dD = d rmfo sih dd,a D rfmo sih mom. eiNtoc htta in noyl two of ehtse 3 ositiessiiblp odse teh tfearh itepyan(otll) vaeh a seedias elleal (d) htat he imthg sspa on ot shi or.npeyg +

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 โ€œdd โ€).

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 (โ…”) does the father (potentially) have a disease allele, d, that he might pass on to his progeny.

+1/- drdoom(1206)

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