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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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cnluoialsaCt rof dda. hTe byaipbrtiol of hte tfearh gbnie a reairrc is 3/2 iesnc it is nonkw taht he ondโ€™ste ahev the sesie.ad Tenh eth biparlbyiot of ihm apsngsi it on ot shi dik is /21, :shut

  • tibilrPoayb fo dad nibge errcari = 3/2
  • Pliroibabty of dda iansspg on adeiess lellea = 1/2

liastColucan ofr mom. iWth the dea-riWeHbgryn li,enpPrci oyu acn efgrui out eht yirbiblotap fo the tomerh egnib a ia:crerr

q = 0)qt,00sr(01/4 = /2010

o,S p2q = 2 * /1002 * 099/021, whcih si aprxop /0110.

Fro eth hcdil to egt het llelea fmro mo,m tow snigth eend to hpne:pa 1)( mom smtu be a arcierr tโ€โ€œrgee][etozoyh dna (2) mmo mstu asps eth alleel ot lh:icd

  • aiytibPlobr of mmo beign rericra = 0/011
  • aPyrltibiob of mom igpsasn no eesisad lllaee = /21

nPtugi ti all rogteeht. Nwo, nemoibc all htteo:reg

= yi(ltriapbob of dad bgnie acreir)r * bto(plbiayir of dda sgasnip no edeasis )elaell * bi(yblipotar fo mmo egnbi rrer)ica * aibr(iptboly of mmo npsisga no issaede )lealel

= 2/3 * /12 * 0/101 * 2/1
= 1 ni 060

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kernicterusthefrog  oT etouq oyTgrh ,hTor adrg ue:neq we", usJse, "rgoss +52
niboonsh  isTh nqotuise sakme me ntwa to movti +14
drdoom  lol +
5thgencephalosporin  yaok wwo +
tekkenman101  ouY acn kame shit a tlo cequrki by usnig milpes esrul ofr stoamoalu eevsecris sseei.as)1d fUfntdecae eanprt twih feftdcae leiegan illw eb a rcareri 3/2 of eht meti a))A(2 ecyuenqrf ni opnolutapi is upsre wol os ouy can engrio P dna juts sue 2q() ni rdeor to ulcletaca arcirer yefn.uqerc So eakt eht erqaus orto of teh oyomousghz evercssei funqeecyr 0(040),/10 dna sjut pgul it :in 05.0()2 = 310.) Teh dods of trehi lihdc gbnie efdfatec wiht eth wot retpsna bgnie desamsu iotahtcyplhe riraercs si 14/ a(a) or d2 '.5.saD cirearr cecnha 3)(/2 x Ms'om airecrr ncecha (1)0. x isdhlc' eancch of bngei svseeicre .5(2) +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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inMaldnea n:sGteeic

nMa has 3/2 cahcne fo bngie a recra.ri H(e sedo tno evah hte aseied.)s Wnaom caeirrr kirs umst eb caaluletdc tihw p^2 + q2p + 2.^q 2^ q = 0010,/40 q = 2100/, p is ylorghu = 1pq2 = 0011/ = iCaerrr cqfryeune .

Riks fo hinvga a chdil usth aesuql 32/ x 00/11 x /41 = /6001a :e/cs3Bue2 = nMa rieCarr rkis 1/0 10 = elFame irerraC R1is/ 4k = ncCeah yhet each assp on het scsveiere eegn to rehti srp.infogf

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hello  See my npeoilntaxa fi uyo deen omre wrosd to aixelnp siht aanxtpiloen +2


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 +3  upvote downvote
submitted by โˆ—hello(429)
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ishT teh saem as mo@yska'ncepy eoplanatixn hwti meor paoilenanxt oshet htat need t...i

eTh peattin is ntefeadufc yb eth uricrtlapa tlsaouoam eresesciv ssaiede nda hsi rerthbo sah eth loaumaots iesrvesec daissee -&;-tg itsh smaen hcea fo eihtr ntprsea irrscae het AR eall.el o,Nw orf the apetnit ot eb fduenaetfc nvegi ahtt bhto ish atpsenr ehav eth RA lee,all it msean ttah eht tnptaei hsa a 23/ ncaehc ahtt eh si allmoniyustesu edneftaucf nad a rrai.cre

The tie'npats aretrnp si necfdtafeu adn larnom eryeiH-bWnragd ticgesen sa( asdtet in teh eh).bwelrp.omn ihst si caseipilylcf e,onemditn oyu era to smeaus htat eth rptaern sha a irercar rfueynqce rof eth RA eelal,l chwhi ueaql ot q.2p

hTe easesid sha a nqeycreuf ni hte puiloaotpn of 0/0.1040 hTsi is ^q2 -t&;-g q2^ = 0010/40. ginSlov orf ,q ouy tge q = 10.0/2

aCrreir reyfeqncu is q2.p Hveoewr, for a rear ,dseisae 2qp โ‰ˆ .2q ,oS hte raeircr cufeyenrq fro hte nraptre = 2q = 2 * 012/0 = 1.0/10

,woN hte Q akss btoau an fogfrpnsi of teh pittnae nda hsi rpaernt binge ftcfdeae, os to ahve na feetcfad h,ilcd ehtre is a 1/4 heaccn fo hainvg an efcfdate hcldi ause(cbse eht pteinat adn eht neatrpr obth ehva a /12 hcaenc fo pginsas het llaeel -&-gt; oyu lmeitulp ehtes etegohtr 1/2 * 2./1)

S,o pymlilut 32/ * 1/001 * 41/ = /6100. hsTi si ttae(inpP inbge a er)arcri * prtrPne(a egibn a rriac)er * aPgh(ivn na efceafdt nsffgpiro t.g)eherot

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 +0  upvote downvote
submitted by beastfromtheastx(0)
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The tbolayiibpr of eth tfraeh being a cerirar is /32 scine it is nnowk ahtt eh โ€™ndtose evah teh eedasis. hneT het opitylrabbi of him nssapig it no ot hsi kdi s:i

12/ * 2/3 = /13

tiWh teh reyibg-deWnarH ciil,rnpeP ouy anc uigfre out hte lioatbrybpi fo eht tmheor ibnge a e:rarric

q = q4(/s)00r1,0t0 = 01/02

,oS qp2 = 2 * /0012 * 920/091, ihwhc rxpapo si ,01/10 adn the rpoyitlibab of hte ldihc nggteti this alleel is /0101 * /12 = 20/10

u:shT

1200/ * 31/ = /1006

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brill45  You ddi iths trgih ubt I tikhn daem it a bti meor pitodmcleac nath ddeene ot .be To egfiru tuo the lidoelkoih of a mnroad soenpr in eth lounoppiat apinsgs no a eecsivers eal,lel oyu tsju eend ot do so2eu(q)rroatq to gte to .q dnA ujst sue ttha q ot lipuyltm hitw teh 3/1 yuo got ea.lirer hTe q elauv ellts yuo teh lleael eneyucqrf ni teh ,tanopiulpo hewhert eht sorpne si a rarierc ro zgoyuhosom esirsecve .tbho uoY ilslt ogt ,ti tbu jtus titegln yuo know eht saerie uorte ni caes yuo see ti a!niga +2


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submitted by kdckjn(0)
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hwy erhet is abtporbyiil fo trheaf egbin a rrecira si 23/

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drdoom  We asuesm tshi si a irssevece e.esasid In threo s,rdow yuo mtenfsai the dsiseae fi you ntehiir a edsseai al,eell ,d fmor uoyr toremh and a easides llea,el ,d mfro ryuo eha,trf gingvi uyo an lllaee iiagnpr ddentoe by d.d dd = you eahv the ses.idea The hrafte sdoe ton haev eth iseesad; tish senma his eoengpty nca ynol be 1 of rteeh hni:gst D,D Dd, or D.d atTh i,s DD = D rofm ish ,dad D romf hsi omm; dD = D mfor ish dad, d mfro sih mom; or Dd = d rmof ihs ,dad D rofm hsi omm. ictNeo atht ni yoln wot of shete 3 esptiiosliibs oesd hte rfahte (openl)tialyt aevh a aesesid lellea )(d hatt he higtm saps on ot ihs nypreo.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 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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