share email twitter ⋅ join discord whatsapp(2ck)
Free 120  NBME 24  NBME 23  NBME 22  NBME 21  NBME 20  NBME 19  NBME 18  NBME 17  NBME 16  NBME 15  NBME 13 ⋅ Step 2 CK Free 120  Step 2 CK Form 6  Step 2 CK Form 7  Step 2 CK Form 8 
search for anything NEW!score predictor (“predict me!”) NEW!
NBME 21 Answers

nbme21/Block 3/Question#15 (reveal difficulty score)
A 47-year-old man has jaundice. Laboratory ...
Obstruction of the bile duct 🔍 / 📺 / 🌳
tags: bilirubin 

Login to comment/vote.


Tutor box

Members from the Leaderboard offering 1-on-1 help: Want to be listed here? Email us!

 +42 
submitted by xxabi(277),
unscramble the site ⋅ remove ads ⋅ become a member ($42/month)

nholiftgelS  ew py e ,eo.d.hlc(rligc )auigtesm eecdehr→iein s:onas it uPrA eanrddTceo ptesdoic TAcaae ea+ sN→eer+nda KddP/s  ppua2mC+ svftyt dn  oifa→ifiuoic nad+ aN rawte  ohitetn c ll→e clllirsl unlgaewe


 +33 
submitted by hungrybox(1170),
unscramble the site ⋅ remove ads ⋅ become a member ($42/month)

why seylohmis si g:rwno

Teher sdoulh maotsl vnree eb tatisghr pu bbuinlrii ni teh une.ir In ,lsiomhyse eth ecssex bluriinbi is tedeercx in the ie.bl fterA ilerabtca ovosincnre nda kpuee,tra oesm wlli eb dxcretee ni the uiren as lionbu.ir Hero,wev in tcvotubries od,isrsrde eht andgejcuto biublirin ilwl veenr hvea eht niototppruy ot edgruno aibcetalr ienoscrvon ot io/ebrntcurolsi. In siht wya, teh gcdnojtaeu ilubbniri hsa on trhoe awy to eb eexcretd eorht tnha ceilytdr ni teh ieun.r

rsdctei to ulc3a7ana6r// on tddire

skip_lesions  Found a good pic showing bilirubin metabolism +  



 +6 
submitted by peridot(93),
unscramble the site ⋅ remove ads ⋅ become a member ($42/month)

eerH my stab ta isgmirzunma all the i.fon Teh srift aardmig no hsti sbtweie si a esrup lplufhe as w;lle ishT madiarg soart lsehp oto.

ylmlNra,o ibirunilb rmfo teh odobl mtaesr si cgtuonjeda ni teh leriv ot a eulrl-bwoaset r.mfo hiTs esgt dmxie itwh beli to eb eetxderc hruogth the nt.tiesnsei In teh mlsal tentiin,se it sebocme rnoguloeibin, omes of hcihw si xctdeeer by eht ,dyieksn vgnigi pee atth godo ewlyol coro.l oemS of hte onigireunbol rutns itno seitornlcib nad ysast in eht IG to be etcdeexr ni oop,p ggivni popo that odgo bowrn orl.oc

nI ileb cudt bs,orotiutcn ubirlnbii tseg tcejdnaguo to a balw-usleetro orfm - etnh its' .tkcsu It's blneau to eb exdeecrt otni the eetinint,ss alenbu ot turn onti ibrloeoninug ro lornecistib, tc.e jeunatCodg niulbbiri idbusl pu ni hte elri,v nad uayvlleten tegs kbdeca pu bkac toni teh ooldb tamsre weher it meac ormf. ecSni st'i uaotlw-lseber and ngaitolf aonrdu ni ui,riotnalcc it elvealunty tgse ftdeierl yb eth yinkeds dna esnd pu in p.ee niBrilbui si darrke ni clo,or so eth epe dlwou be k.rad ,ewerovH eth lotso dwolu be apel eicsn no enobtcrilsi aws me.ad I eiebvle htat ytsmmsop of ihytc inks olas crsocu in eesth esasc sa eilb tlsas cbak up dan era iptdsoede in nks.i

Hmoielyss si nto the rtccroe rwenas seebcau stmo fo teh lniibbriu is otn eyt undoajcg,et os s'it ton eelarsultwo-b nda s'noted den pu in eht niskeyd.




 +2 
submitted by haliburton(222),
unscramble the site ⋅ remove ads ⋅ become a member ($42/month)

i hntik isht is ecuasbe ilirubnbi si a ueosbll lierv wrabokend rotdcpu of hee,m tbu hsa ton edrntee het cittneooenl/sin for ugt tacibaer rinoneovcs to rnobtsliiec or rniulbo.i oiiblrnu ni enrui si rlmno.a




 +2 
submitted by basic_pathology(14),
unscramble the site ⋅ remove ads ⋅ become a member ($42/month)

Key niotP: ilbiuirBn cna oynl eb ni eht enuir if it s:i (1) gtuacoednj BR, or ()2 eng.nlrbouiio

djntUcagouen BR is TON rwate eubosll dan rhtrfeeoe NCONTA eb ni ei.run iThs si hwy yuo seu hrhatoyepopt ni .igjalrrNeC-ajr necdaIesr dugjtnecanuo RB -t-g&; thoeytpparoh rieeoismsz ti so it eobemsc tawre l.lboues

lovebug  clear and short. good! THX +  
lovebug  as @Basic_pathology said, In Crigler-Najjar synd. Photo TX does not conjugate UCB, but does increase Polarity and Water solubility to allow excreation (FA 2019, 388PG) +1  



search for anything NEW!