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Retired NBME 22 Answers

nbme22/Block 2/Question#7 (reveal difficulty score)
A 66-year-old man comes to the physician ...
Libido: decreased;
Nocturnal erections: normal
🔍
/ 📺 / 🌳 / 📖

tags: erections libido penis

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 +5  upvote downvote
submitted by paperbackwriter(161)
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ESRSIPOL ORF ENBM 21 -- DOTN' DAER AADHE FI YUO AE'HNTV TAENK 12

eAtfr itgnetg it nrowg e(cebaus of het EBNM 21 Q,) I sedortnodu ti lkie hits:

– iidbLo is a onlg emtr ett,sa maening uoyr lbdiio odcul eb ine,f btu aeiynxt in taht TMEONM tgmih caeus hcnocigeyps DE

– siTh ugy has osem saccisl GSI E APSC eiaictrr gongi :no fatiegu (eernyg sol),s elpse udeibnstcs,ra oonitnncraetc bmslrope

– tI yssa he sth'na bene aebl to naiatimn yna incoreet s(v BMEN 21 guy ttha aws leba to remubatsat (shi lgno etrm exs drevi wsa O)K tub hda onerrfeampc tixnyae ni teh emmnt)o

oeefrhTe,r lcak fo xse edivr uedlfe yb spsednorie ;tg--& wol do,lbii utb csoiiyogallyhpl gtonhin nowgr htwi hmi t;g--& mhttiineg teceoinrs

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trump2020  esBsl uoy orf ilgnicnud eth peisrol rnngaiw +2
kernicteruscandycorn  etria@pkrepbcw:ar cski eamn dna eeecrfren +
imgdoc  I hnkit I arwsdnee teh EMNB 12 ,inqutoes dan ftare radineg iht,s di'ntd od iscetju ot eht e.apntoaxiln ohtB isht apettni adn the MBNE 12 tntepai aevh gepnichocys DE, btu het eroans WHY teyh eavh DE is fnftrd!eei nI BMNE ,21 teyh larycel otenmeidn woh eht man bemsarttusa nda has ronmla lonutrnca ionree.sct oS ti asw fsae ot ssaume his lbodii hicwh( si dfitneeliy ediknl ot nrotetostese v)eels,l dan outnnlrac esinecort eewr ,neif eh aym just evha eenb vanhig eacpnrmfore EXAITNY ni ttah aslexu .iiosnsu Thtita amn NMBE( 2,)2 he osla has CGPHYESCNIO ,DE he si psdseedre like rwapaerbpetkcri dexianpe,l sih diibol si ftyiedieln eedcesrad sceae(bu isneeposdr anc eusca sadedrcee ,)blioid ubt hsi lytibia to teg toseneirc iyapiylooglshcl nnlto(ruca enrc)eoist rae telylcempo ef!in NBEM si iktycr ry.ikct +



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submitted by iviax94(7)
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heTre veha ebne a peoucl fo queotssni btoua isht icpto no het reenw ax.mse vIe’ eneb annsgrewi yb qeiugatn ildibo to nreosttteeso lvsele adn unltrncoa ticsereon ot aehtlh of utlauersvac teasror(escohisl ro ont). sI ihts eotrr?cc

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liverdietrying  Wnhe uoy’er ktinnhgi fo liobid, notd’ stuj uaqeet it to eotesrttoens -- eakm eusr oyer’u yswaal egicndsoinr e!isredpons sniposerDe nwfoligol etkors is nom,omc ceayleplis hwti riadulse cpsilahy tsi,iildbya os htsi udowl eeecdsar shi blioi.d rntNlcoau orsecinte etuaqe ot esod“ it luycatal ok”rw? otn sutj het strlevaacuu utb eht ularen uintp as lelw. Fro ,eealpxm ngrdui strpcaomtoyet emadag ot eht liepvc uepsxl envr(es) acn adle to ncit.epmeo ’serThe gnonhit ot sstugge that eh ash alvsaurc or uoolcrngei cleteier isfutodynnc re,eh hwhci is yhw ihs ontualcnr ceitnosre aer ncitat. +32
_pusheen_  i@nvgeirldyteri aWs ti peaurtrem ot samseu he has brleout whti ceoestnri aeescub of aernul gdeaam mfro het rkoste? I ptu olw ,bdiilo owl loaturncn rnci.oetse Is ti uebcsea eht sketor dlesetur in seriihpames dan not utooinacm inyondcfuts or mtenisohg liek t?ath +5
liverdietrying  se@enpuh r,eotrcC yuo tn’wo clclisalsya etg itmnepeoc atfre a ipelghmeci etok.sr His yniiilbat to vaehcei an otieencr si mhcu eomr ykleli ot eb 2/2 ocyiaoslhpsc sfteefc ntah icronga sidsaee. If shit tenegvit asndite iasd taht shti adh tentgo a ytmcpooastetr whit uisltnerg aamged to teh ceivlp ensver htta wlloa fro oceer,itn hent ’idt be a meor fsea icoceh to ptu on unalrtocn einc.ersto +4
fast44  Is eetrh a oived ro esoerwemh atth ansieplx shtee elxsua utsn?iycsfodn shTi eessm ot eb a topci atth pksee etgriaepn on hte wen sm.aex +2
forerofore  e,llw i tuohhg hatt cbeuaes he adh a osetkr eh doulw be lleiky to aehv lsao,eestricrhso hwcih wuold epek oidbil hhig dna udrece cralnontu e,ncrseiot i naikd rendgoi the eohlw ´"esh dsseepd"er tpar fo eht igvnette sidptee ndnusgdtneiar het mmsnhaiec ll.ew b ut rofm a acllnici spneosrdie intpo fo ,wvei fi hsi ieratser aer t,incta dan he si sde,reepds nhte iiobld dlowu eb ow,l nad otnereics esnrpet at intg.h +4
pg32  I cant' ererembm cltaxye ubt I asewr eht equtoins no NEMB 21 het gu'ys fewi ahd deid as .l?.wl.e rO etyh had tgneot drv?icdeo Etihre a,wy he dah osem sllcoaociypgh agagebg as well, btu ihs iilodb aws tllsi lor,anm adn the atnieaoxpnl saw ttah hsi setstoenroet odwlu eb enfi darrssegel of shi eeprddsse .modo So I twne hwti atth ocigl hree nad imseds isth .noeqistu I o'dnt neastdurdn hwo I am epopsusd to gaeug osnsoe'me iodlbi adbse on vauge hisnt ta itreh do,mo ascyeliepl ehwn in oen axme modo sdeo nto seceaerd ilibod dan ni teh etohr ti oesd. +1
drzed  @p2g3 orb loipsesr +2



 +3  upvote downvote
submitted by adong(144)
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ttrePy chum if teyh acn tarbstuaem or get it pu lenao in any way ehirt rntnoalcu sctnueceme oshudl be naolmr nmgnaei ahtt tiher innoitaenrv dan leerxf aywhtsap ear lla tiatnc. oibidL aka esx rediv orfm whta v’Ie nese os afr is rletaed yb ep.sdoeinrs oS ilke ni eth eotisnqu no EMNB 21 eht setm seatdt htat isnregecn fro eiossdepnr swa teigaven ichhw is why iobdli uoldw oals be norlam in ihts asce. If ets’hre rvee a Q hiwt a pddresees ygu dna naomlr abl uasvel nad ylsciaph eam,x stom ykllie ngano be rceedsead obdlii twih onmlra hngit trne ie-ocs rusctoey of xiinu/eusyarujn/adflof

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 +2  upvote downvote
submitted by elf16(2)
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How si thsi ifefrdnte rofm the utnseqio no NEMB 12 in hihwc a re8-6ay ldo anm sloa dah gehycncsiop E?D utB hte sarnew saw alomnr iliodb adn otlannucr rtonics.ee

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toxoplasmabartonella  In atht e,sca his otneeorsetst saw amornl nda he adh no gniss of edie.snrspo heT etsm did sya hsi efwi dasesp ayaw efw hnostm ,oag so i lrolenypas cehos wol obdli,i tub .evehwtra +1



 +1  upvote downvote
submitted by cathartic_medstu(37)
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ngraicO :DE onraml ldo,ibi esdecdrea ocnlrtnau eioesctnr

gocehcPsyni D:E seedearcd bdiiol, rlmano oncrtnaul irnocstee

Got .it

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 +1  upvote downvote
submitted by nwinkelmann(366)
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oS, I ughttoh sthi sutoneiq was preus auveg dna nto ger.a..t that nbieg ,idas gnhvia tetogn ti wrngo adn not eaylrl gihavn a gdoo neitopxaanl for het re,wsan I idd a tiltle hsrracee nda fodun hits ate:iclr R6hw../.n/:sds0jrw1tpSw/.71ha150.tTo/.oalri/g/34oadf11u01p.

sTih was the iman c:suocnloin hT"e ltesusr fo het psteenr ytdus, iedam ta ssgianess eht ecftefs of setkor on lausxe iof,cinugntn evlrae a iiafcngtins lineced in oil,bid lcaiot rueqfce,yn xlause oalasr,u and ttciiaofssan hiwt ulesxa feil in ohtb kerots tesiaptn nda tierh so.eusps Teh restenp lrssuet aols ternsatdeom atht iroddesrs fo sexlau usontcfin rae omts iicsaytnnfgli aiedsocsat tihw uosarvi olpiscshacoy ctorf,as schu sa pta’tiens glerena ttitedau waodrt ,itxasyeul frea of pmtciee,on adn yibatli to sciusds il,eautxys as lewl as hiwt eth rdgeee fo tskoptsero nctliufoan ytdbisli.ai Mooer,rve alxseu cinytsufond wsa lraeetd to het eespncer nda degere fo dnp,rsioese ebdeitas ti,mlsleu and ialrovcadarucs toneciadmi. The gilyeoot ro oicnaotl of eht rskoet and hte negred ro rilamat satsut fo the atepnsti reew not scdotiasea iwht nagechs in seokostptr tyialeuxs ni einpastt ni eth neesptr .syut"d

ogoLkni ta the qouniets nagi,a 'mI engisgus eht uigf"tae adn fitduiicflng elgeipns and aniettgron"ncc etetsnatm asw dospuesp to be a ucle ofr i,dsoeneprs pcylseeail encsi ti edrttsa arfet his .toesrk ,Aosl no iylcahps iarlbenisaotm gesguts nifnituoncg is ntatci dna utsh nalncruot isrnoctee uwold eb vrreepdse m.ylnoral Tihs si jsut sutpi.d

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ls3076  pprtacaeei iths kdni fo tfefro to olok up nroaujl ricsleta ubt ylhensot ihts si otn yellra hatw enmb seasrnw is r.of.. we lousdh be beal to gte eth wenars romf ecopssr of bii/omainncsteial ceeisnc oensccpt adn not rfmo lngoiko up tidsseu sa we byvloisou c'tna od sthi on het etst +



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submitted by ls3076(92)
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sI eerdcasde nrltucona iretecons ton ibselpos ued ot het grncytouiin enbewte ontse of otymmpss and kerost (2 oms sseurv ?)3 egreA that tseeh esoqstiun rea vrey uavge nda nstgu.ftirra otN sure eherw to egt a godo rpasg no hsit lrmati.ae

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submitted by cathartic_medstu(37)
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ulNcotran nlipee cceetnsuem reesemmuatn lhrahp)lypga(o si a estt that suresaem eossonuptan lhygtin inreoscte ni iteeelrc snnftdciyuo iilam(yrpr efmoeprrd ni a seepl o)lyrtbar.oa ts'I uluesf rof tfditnaeeignrif ebetwen goncria rmfo cnyhsgiecpo ereiletc nocinsft.ydu

eVntteig sbirdcese a lssybpoi sdedeepsr tetapin g=&;t ecnspyioghc tcreelei tonysfnicu.d encSi ti is tno an gaionrc uscae of ,DE uncnaotlr rnescioet luwdo be ml.anro cOangri eiegsioolt of DE delincu nneuicgeor ro asv.lcuar

bLiodi arpt cousfens me her.e idbioL enmas uealsx dsreei or ptit.peea I swa itkngnhi esicn 'hse igcmon in to tge ED e,hecdck ti cdenisati seh' tpiepaet ofr xes si eohung ahtt ti daem ihm egt ti ckch.e So bldioi uldsho eb oam.nrl nAy ?hlep

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submitted by mattnatomy(46)
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nAresw = eecDesdar io;bdli nalomr raocunntl siortence

I elebiev thaw ythe rewe gniryt ot dnaiicte in itsh tesiuonq saw cacoyhoPlilsg uxlSea yitsncfoDnu (aak - ceePrrfnoma )Aitx.yen

nI itsh ae,sc it asn'tw so umch eht aronfecremp tath irwrdeo teh na,m utb eh aym be os dsucfoe on sih lehtah ssuise pot(s s,rt)eko ahtt he si blneua ot rrepofm aelua.dytqe ,eoerferTh ihs lauarnt oilbid wloud eb d.eerscade eoewHr,v subecea ts'i neshopcigcy &;amp tno yoilisho,cgp eh olhusd lstil aveh mloran tenhgitmi neeorstic.

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b1ackcoffee  u'tdoWln cyplogahclhsoi DS vaeh ormnal dlibio nda stju mnpfeacrroe yaxteni? +1



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