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NBME 21 Answers

nbme21/Block 1/Question#39 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Genital herpes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +44 
submitted by โˆ—lsmarshall(462),
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Urea clCye risoseDdr ;t&g tadsloeI rsveee yeohaipnermamm gt;(& 0100; ,ie.. no eroth reesve cbmoltaei stenrsiubacd

eihnOirtn rbsctaelnyaasram icnieycedf t&;g mo(st cnommo uare lecyc s.di) tricoo am/auriiadaecicdi, rpeyanhmmiameo

aicOgrn icmdaeisA ;&tg prHmaenemmo,iay gpan-iaon ,caidssio kotsise (omrf gmyopih)alcey

Mudie-cnimha cla-CAyo ghndoaeydsree ienccifdey &tg; mneeiaormypH,ma cotykhoeipt heyympogiacl ns(ee in iidoxotn-ฮฒa sdrdso,eri TECEXP aryodylntehpkerdu)soo

Lrevi tsycdionnuf gt&; m,epHaeamimoynr FsTL smseed u,p lerod pt.


 +35 
submitted by โˆ—madojo(208),
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Kwno rouy DT'Ss yabb ;)- ggion( ruhohgt rveey tohre cecoih on tish noe:q)iuts

  • cBteraila isgvnsiao seacdu by nrallgadeer vgainsalil. Se a ni,ht fof twhei giaehdrcs dan syifh lsmel ihs(f ni hte aren.g)d srhT'ee no aitmnfnomail Lab if:ingdns Hp raetger anth 4.5 j(tsu ilke r)imsico,toaishn dna a iptveois ihfwf tste whit HOK. Stme lwli asy gtmonehsi taobu aosmlorudo ghscairde nad wohs teh monufsia ELUC LLSEC if we are cl.kyu oNt teh wnsera orf shit ionsqetu lusbooiyv aseecub we udlwo tno cxetpe leecissv ithw tshi reaciblat .seiades

  • daidsaCisni is noggi ot be yruo ikcth oategct csheee acsdrighe, itwh nimaaolnim.ft laomrn Hp ees hpespydoahe.u eTatr thwi tacloip ya,nintts or raol lceulanozof lsusen uo'yre tagnenrp atnh seu o.izaoCtrellm Aagni otn inogg ot ese yna veslc.eis

  • Criahcdon pre lurowd is adesotasci wtih Hlmsphaoieu cydirue uoy lwil aehv a eDpe rultnepu uiaplnf lcuer twhi iturvepasup d.iepsnihtlmya liWl eb todl ttah inatpte ahs unlpafi liinganu od,esn ehrte amy eb ltpmiule eped eucrls twhi -golywlryae t.axedeu You od cry ihtw H. RduiCY ihTs ldwu'ont eb true rfo hawt our niatept sah in itsh ntiseqou aebuces ew ne'rta ldto of nay iulginan ah.eanpdoty a nlik to a nrhcaoidc DVA

  • aiadhylmC staihtmaorc sesuac gmolonrhapyluam enevmrue cwihh is mlsal shllowa serlcu, pas,nesil ubt tneh eht aglre uaflpin sdcecleoa nniiglau hlmyp nsdeo aak EBOUSB. omdrapeC hitw negoroanh eth eharsgidc si oemr tnhnrei adn tye.arw gnAia ton hte esca rhee as sit flnpuai dan on tnmeoni of ayn OS.UBOSBE eTh radgcsehi in ornohgare si rmeo .terihck Boht dlae ot D,IP teart fro hobt scbueae ccnoonfeit si .oommcn Whti htbo epiantt aym aveh oems rsot fo pani ro bngirnu iassotnen nopu nanruito.i reeSilt riuapy tguhho fro ho.tb

  • ydlmnoCoa iatamcmucun si a oaminetftnisa of HVP 6 + 11 ital(eng swa.rt) eTyh kloo liek igb cuolel.srfwia hiTs is ni nsttroca ot Cnyldomao aalt thta you see ni sphyslili chhwi is ustj a eltrfta taetl bonwr gionolk euma.lc

  • leaitnG rHseep (teh snreaw ot the tenuioqs) ilwl tersnpe tihw lpmtuiel fpilnau pacsirfeilu leiesvsc ro nlcsoiteaur htwi ltstoinnocutia pmtsyosm ver(e,f ae)slaim tJus istf eerbtt htan lla the trhoe osichec I nra thuhg.or

  • lypsilhiS si teh naesislp .ccenhar UW rbdesesci ti sa a ig,snle tndiuaedr lewl imdrebrucccis el,urc ihtw a aenlc e.asb eeS ocrkwserc aogsnirsm no FD croys.pmcio epeK ni mdin trohe psaeslni ueslrc rae mauloohygpnrlam eunmreev fo damilyca utb( eht uosebb rea atswh upailfn tno het elc,ur) and alramuong ginlaenui dnison(aosov - blkeillsae u)ograansimtl utb htswa hrmalkal btoau hits noe si thta its pleasnsi ttiowhu tphneyyaohalpdm

nI o,shtr eb .sefa

drdoom  this rtwuepi- si AEMOEWS ... tub it osla mead me vo.itm +1  
b1ackcoffee  This is ,msoeeaw weptu,ir tno het ts.sd +1  
lovebug  FA 1920 pg 4.8I 1 umdems pu 'sj@dooam mmn!t oecshit tpainte vahe etilupl"m, etenrd vileessc adn lad. eu"ncr ctsna lnagaiv . )rihgesdcaA cBaateirl gsinvisao ;t&-g ON celvsei ;>- o/ )Br sidiandsiaC &-;tg NO ecelvsi gt&-; o/C)r Chicnrado t;g-& suohld aevh guniIlan taophndyeA gt;-& ro/ )D .C httmcasiaor &g;t- hvae Large alpnufi galunini LN >- ) /Eor yooCnamdl autaincam gt-;& Bgi ellariwoCfu &-;gt /Fro) latGne heprse &g-t; Y!E)!S!G aerrGnoho ;t-&g ON leeicsV, rcyeam reptnul egahscird -g&;t ) /Hro C. maoshrttaci aigan ems(a as )D ;t&g- I/r o) Ssiyplhi -t;g& lsspinae rencach ;&t-g / J)ro osiaichrnsimTo &-;gt rryabwrste xcirev, lmiote in etw pepr -gt&; knaosh /tr ojom@!da +  
homersimpson  toaGt loev the BESBOU +  



 +3 
submitted by gabstep(15),
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FA 2091 :g8p14 tenGlia shpeer ersntesp htiw apunlif lvavru ro ccavlrei eseilcvs nda ruls;ec acn asuec yctsesmi stypmsmo scuh as feve,r ceadh,hae aigmlya

sam.l  het oiuqntse tmse tastes a a" entcs gaainlv hsgdarc"ei si ttha a ttodricsar ni eht .tiueosnq +  
kentuckyfan  Sn"act" anmes veyr ietlt.l +1  



 +2 
submitted by โˆ—tissue creep(132),
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If nbdoyay sha a oodg yaw of emtsegieiu/ggbiirdnmnrhnsi lal the tinedeffr pterasennsoit rfo enliatg ,rsose d'I eprpcaaiet the ph.le

hungrybox  sPl stop sa a retspeaa otps adn not a mntcmeo to htis .oth The otnmtagrfi fro tehse omesmntc sxu +1  
whossayin  gAinmssu u vhae o,dUrWl ujst ptey yaelxlsu dttsrmetian sc..nitenofi ttha ablte si the sebt MIO +  
lumd  anTkh uoy os hucm rof eht it!p diDt'n onwk hatt ouy anc aeshrc for ciispcfe icsopt in U.W +  



 +0 
submitted by โˆ—yotsubato(1195),
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yhW is shit ONT hrn?caiodc heTser hntogin hree htta esrul it u.to

drachenx  cadiorCnh is ecdierdbs sa na .uecr.l wshlit ni shit esitqnou yeht ednmntoie vs"ecl".ies eytPrt ucmh ynlo rhpees si sercluvai +6  
whoissaad  yThe mtnedneoi lursce .oot I ecsoh dnoacrhic sa ll,we oducn'lt dfni a cule to eulr it .tuo oAls ohttghu csae""hgidr swa topnigin ouy satwrod a iebcltraa n.niceitof tBu essug 'mI nrgwo :) +  
emmy2k21  I khnit MLMEBS/NUE sritwre akem hte aspunmstoi eth tatniep si ni ecmAari usseln fiiecspde iweohtre.s oCnchrdai si nto ocomnm in het .US fI het uetinosq etsm nsienomt a ngvoeelpdi r,ocyutn then crhdcinoa nac ekam uroy nifirdltefae ltis. +1  
selectuw  fro cah,inocdr tereh mya eb a einomtn fo iailnnug ahmaleytndhopyp +2  
samsam3711  losA hwit cncradhoi nesuqotsi they atnw you to drifaetfeiten it nwebeet oirhdccna nda pi,syhlis e.(g nafuPil .sv sa)psnlei dan si uylsula srdcdeieb sa a cumh grlear rcuel htat is aiunpfl no(t auiervcls sa ni thsi onsuqt)ei +  
suckitnbme  losA bleevie tath richocnad deso tno tnesrsep iwht tesscmiy opmmsyst ekli ni isht entei.gtv +  



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