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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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tousllnaaCic rof dda. eTh ptbilbrayio fo eht hafret inbge a carrire si /32 ncesi it si wnnko taht he te’dsno aveh eht dia.sese hnTe teh lobirtapiyb of him ssngipa ti on to shi dik is 2,1/ uhs:t

  • Pilaibyrotb of add neigb errriac = /23
  • oarbPltibiy fo dda sagnisp on dseaise llelae = 21/

Coctsaaillnu rfo mom. ihtW the neyrea-rHgdWbi pnPieilr,c you acn urefgi uto hte aiopbritbyl of eth tmeroh ienbg a :cerarir

q = 1q)04(r0t/,00s = 002/1

S,o 2pq = 2 * 00/12 * 91/0029, ichwh si rpxopa 1010/.

Fro het dhcil to egt eth lleela rmof mom, otw ingths dnee to ae:ppnh ()1 mmo muts eb a rrrceai otetze[]eg”“rhoy nad ()2 mom tusm sasp het elelal ot cdlhi:

  • roPbbytaiil fo mom gbeni eirrrca = 001/1
  • iyolrPaibbt of mmo spigsan no dasiees aellel = 2/1

itgnuP it lal oethrteg. wN,o ebomnic lla reh:ttego

= olbaybirt(pi fo dda ngibe iea)crrr * a(tbyoilripb fo dda iasgnsp no saeides lle)ale * pilbyrbio(ta fo mmo bgnie icerrar) * boiy(tapibrl of mmo psigsan no disseea lle)lea

= /23 * 1/2 * 00/11 * 2/1
= 1 in 060

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kernicterusthefrog  To uoqte yhroTg h,Tor grad qu:nee ,e"w e,ssJu osg"rs +52
niboonsh  Tsih eouqitns keasm me nawt ot vimot +14
drdoom  oll +
5thgencephalosporin  yaok oww +
tekkenman101  Yuo anc ekam shit a lto qiecukr by igsnu ilemsp relsu for mltoosaua rcseevies se. ssdei1)a eUfatncdef netrpa twih dctefaef gnaeiel illw be a icerarr 23/ of eth item )a2A)( yercfnequ in punoipotla si espru low so yuo nca onrgie P dna sjtu ues )2q( ni rrdoe ot laacutelc rrecira fc.urnyeeq oS kaet het eqausr root fo eht ooyghuzosm seecvresi eurenfcqy /(0)0041,0 and usjt lupg it ni: 05(02.) = 10) 3. The sodd fo ehitr ichdl eibgn ffacteed tiwh hte tow rneastp bgnei dsasmeu hheiatltpcyo rsreacri si /14 (aa) or Dsd ..a'52 acerrri ecchan )(/32 x oMm's crreria nhceca (.0)1 x 'hicdsl eccahn fo nbige cverssiee .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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aMenldnia :isetGecn

anM sah /23 eacchn of ngebi a acrrir.e e(H sedo not veah the e.eds)ais moWa n reirrca kris tsum be eclctaldau hwti 2p^ + 2pq + .2^q ^ q2 = 00/,4010 q = 1,0/20 p is hrulgoy = 1q 2p = 1/010 = arCrrei cruefqney .

Rkis fo iagnhv a hclid usht aqsuel /23 x 101/0 x 41/ = 1/0062:eBs/ua3c e = Man earrrCi ksri 0011/ = leaFem ireaCrr 4R1ik/ s = caCneh ehty aehc assp no het vecsirees egne to ihrte pfognif.rs

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hello  eeS my xnapnateiol if ouy ende remo dwosr to neliapx isth liaennopatx +2


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 +3  upvote downvote
submitted by hello(429)
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hsTi eht saem sa pyo@seamy'cnk inpxatnaeol hitw mero nitolnexaap seoht taht edne .i..t

hTe ntaipte is fteefudacn yb hte acrarlupit luaoosatm csrseieev aiessde nda sih brhorte sha het osloaautm rsceivese sieased -;&-gt shti nasem hace of ierth eapsntr rrasiec eth AR ella.le oNw, ofr teh naittpe ot eb fafcndeteu enivg htat htbo sih asetprn vaeh the AR laell,e it nsmea taht eth pnaeitt ash a 3/2 hcaenc hatt he si ilyeusoalunsmt fdfecetanu dna a rareir.c

ehT 'iastenpt apntrre si uenecdffat adn loranm riWbnaeydeHg-r ectsinge a(s aedtst in eth .mo.pnh)rebewl stih si elciflsyacpi ,ndmeiteon uoy rea ot mseaus ttah teh terranp ahs a errirac fcnqeyrue fro teh RA lelea,l hchiw aquel ot q2.p

Teh aeiesds sha a enfreyuqc in eht atuploiopn of 0./10004 Thsi is ^q2 tg;&-- 2q^ = /04000.1 violngS rof ,q yuo egt q = /.0012

iaerrCr erencyfqu si .qp2 oeHrwev, rfo a aerr d,seaesi 2pq ≈ q2. ,So eht erriarc feycnrque for eth raptner = q2 = 2 * /0021 = /1.100

ow,N teh Q kssa oatbu an fgpsniorf of hte ptetnia adn his rrteapn iebng tdefefac, os ot eavh na cfdefeat hldci, treeh si a 41/ enchac of vnigha na cedatfef ldcih (sbaceuse eht ettainp and teh rearptn tobh ehva a 2/1 accenh of spagsni the ellale -g-&t; you euiltlpm sthee eertotgh 1/2 * ./)12

o,S lyptluim 3/2 * /1001 * 41/ = 0610./ shiT is (eapniPtt enibg a rieacrr) * (rpnrPeat ebing a crea)rir * (iagvhnP na ftedafec nsffigrpo rht)gt.oee

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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Teh albyorpitib fo het efhart gebni a crrraei is 2/3 nsice ti si wknon tath he sde’ton veha eth eassie.d Tneh teh oibatpribyl fo him psgasin ti no ot ihs idk s:i

/12 * 23/ = /13

iWth het rnHib-Wgereayd p,licreinP oyu can ufegri tuo eth oibltybiapr fo hte rtomeh neibg a recri:ar

q = 04t(/0r,)0sq01 = 0/120

S,o 2pq = 2 * 01/20 * /009129, ihhwc oparpx is /1100, nda het batipobirly of teh ilhdc ttegngi shit ealell is 01/01 * 21/ = 002/1

h:sTu

0/201 * /31 = 610/0

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brill45  uoY idd ihts rtgih but I hnitk edam ti a tib eorm lccoimeaptd anht nddeee to be. oT rfuegi otu eht ilhoedkoil fo a amndro opnsre in eht onpitoplau pngsais on a sveesrice ll,elea ouy jsut ndee ot od utrar(s2qqooe) to gte to .q Adn jstu ues ttah q to ulmitlyp itwh eht /13 you ogt eearir.l ehT q vaule tslel oyu hte lelela yrneucfqe ni het tuoanpiol,p therhwe eth eprnos is a crriear or ymsuoozgho veciesser t.hbo uYo iltsl gto ,it btu sjut etilgtn you wnko het esarei ortue in asec uoy ese ti nag!ai +2


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 +0  upvote downvote
submitted by kdckjn(0)
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why eerht is rptaobiibly fo fhaert ngbie a rearicr is 23/

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drdoom  We smusae shti is a ivsceeers deis.aes In treho wors,d uoy tnsaeifm het ieassde fi you hrienit a esaesid e,allle ,d rofm your ohrmte nad a aesieds lee,lal d, ofrm oury a,thrfe ginivg oyu an lellae igarnip neeodtd yb dd. dd = yuo ahev eth eeasd.si The eartfh deso nto ahev eth sd;iaees htsi sname sih eyepotgn acn nlyo eb 1 fo ehtre t:inghs ,DD ,dD or .dD That i,s DD = D frmo ish ,dda D ofmr shi om;m dD = D fmro ihs dda, d rmfo ish mom; or Dd = d rfom his ,dad D rfmo ihs .mom Nocite thta in lnyo owt of ehest 3 sslbpeiisoiit seod eth rfehat yetai(nptlol) aehv a dsaeesi lallee )d( that eh mhtig sspa no ot shi rnep.ogy +

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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