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Retired NBME 22 Answers

nbme22/Block 4/Question#46 (reveal difficulty score)
A 39-year-old woman comes to the physician ...
Hemoglobin 🔍 / 📺 / 🌳 / 📖
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 +12  upvote downvote
submitted by ∗johnthurtjr(168)
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eshe'r a legoog

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johnthurtjr  FTR I ahd no eadi tish aws a ,gtinh nda was tepyrt itdnpiosdpea ni ysmlfe nehw het ggloeo cersah adh ti in big obdl tlseetr gtrih in my a.cef +3
drdoom  via j@ujrtrhhtno lik:n nesoTer"oetst nda eroht arnsogden evha an oyreihptteocri tgliiuansmt fctfee atth acn auces yyl,oecpmahti hhicw aefmtsnsi sa an ceneasir in omeoinglb,h tmroe,htaic or rde dolob ellc ouct"n. i4emr./3msacl/od:5e6t/itvwa/c.wce7twepphw7s +3
meningitis  I sgsue t'htas oatnrhe orsean rof tsridoes dan niopgd u.p +8
drschmoctor  orF neco I elfe like e'Iv been eld ayatrs yb hat.oaPm My nnttisci was to og thiw beml,hnioog btu I eltdak slmyfe uot fo ti eraft nebmriegmer rD. rtaatS aigsny hatt eht eanrso why newmo heva wreol oelhbgiomn si due to te.rmonuniats +2
fexx  F U torne!oestste and F U BNEM 22 snuioeqt +1
schep  I olyn nwek htis bueseca ehetr ear treeh a(t astle heter, aymbe eorm ahtt I odt'n nw)ko attrioinncsdanoci ot gniivg etorttesneos rpcnteemeal Atsrpthr :+OaypeaoteS+ cti+neoe ccarmatrh &;0gt%5 +2
drdoom  ^ iniklfy odomd@r /ta//tw7pcowdiewh.mv5r/se4.m:le7c3aitcpwse6 +
kayla  shc;@odromtcr I sillt hktni it slnie pu thwi teh tecrcro srgnoain;e rngidu the muntrleas sepah ( in noididat to ionglso neohglbmio in eht dboo)l trhee rea sloa very olw lvesel of teh odangnre hrsnemoo thta luyslau evsre as a gmiitutlnas ecffet no mnh.ol.oibe.g +
abhishek021196  eFtyrnutal,o we were atguth htis in emd hcloos - eneooesrsttt utlsatmsie retoyprhessoii yb gsiimlntatu OEP dna ragaielctnbir eht tse notip of OPE ni erltoian to obilomnehg nad yb cnnsaiireg oirn litiautiozn fro rstoprs.i iyeoheCtli/rm0pvw:.e/.wcpcah2n.0gnsbmsPl4ni2M/wo90.tc/thi// +



 +5  upvote downvote
submitted by ∗oznefu(22)
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woh do uyo rwaonr onwd atht estserenotto seincreda gnoblhmioe tcrneonnoci?at stuj a andorm aftc to wok?n i ptu aenaklil poasshetpah esbauec i dfiegur ernsaicde onsorteetets lliw narsceie nebo thrgwo dna uderl uto cftsratoc-epsipei eitgnan cb ts’i a wanom.

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hysitron  I sgdeseu thsi oen uesac nem hvae a ihghre nbiegmloho thna won.em +11
notadoctor  Hihg leslve of eseornoettst lilw ltrues ni emhaorn.rea I guessde ttah scein 'hses ton gmteutnanrsi seh wlil not eb lniogs odbol dan rhrtfeoee b.gieolnhmo erTfoerhe hre ieoghbnolm vleels will eb gihreh hnat c.tdpeeex +5
meningitis  tI nakdi mksea neses ognnikw retsoeetotns ceasus lmaibacsot so I swa in nwbetee llaiAkne sseohtpapha and mino..goebhl. +1
enbeemee  n'tis eserteotsont onacib?al +4
syoung07  AKL hspohp is vniecdiati fo ctotsoleas .ciyvttia Ttrnsetosoee pekse eaml nesob rognst tusj ekli sgnorete seod for mno.we eteostrsToen ibsuld bone asoltebsto( ycv)iatti oferteehr we olduw ton see a ersi ni KLA phso +1



 +1  upvote downvote
submitted by ∗adong(144)
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louwdr sasy mrwohesee htta oosentettres cirssaene ,thrmcaoite scisernae ,LDL nad ssedeearc LHD

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passplease  Erongste eincressa .LHD sesnotTotree is evtdnerco tion erg.sonte hyW esdnto stonetetrose easrince L.DH yWh si ym coigl w?rogn +
avocadotoast  eTh omwna ni hist iventteg sah na drcneeisa nndrgeenroags:oet ti,oar os hte efscfte of trotseeontse on piidl evslle illw eb gartree nhat seoht of rnestoeg no idilp .elvesl asBrdo nda ynoebd oasl teatss atht tsstneteeoro ssucae na nrseeica ,DLL eesdcrade HLD, and sricenea in iracet,tomh ihhcw si hwy alesm hitw priraym oinpgsdyhamo cna petrnse thiw aamien nda hte sue of oanbalci tdesosir acn senrpet wtih syc.tiroheostry +



 +1  upvote downvote
submitted by ∗alexb(53)
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Ftris iAd 9210 egap 622 liouytstram rtwogh ftscfee fo otettoresnes nucidel edr lbdoo .lcsel I ntkhi tehy eetxcp su to ownk shi.t

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medstudent  AF 0220 .p 663 +
specialist_jello  otrhwG rp:sut sBRC a22(0f0 p 63)6 +



 +1  upvote downvote
submitted by rogeliogs(12)
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yM mdin wten this :awy in enM pAesrduona = esls netteoostres = elss bnoe eytisd n ni nmeoW roem seettnosreot = remo enbo eyitnds = orme nkaeilla nt.m oihssoeHhpgbaelpoa was ym condse toponi cbeueas I 'todn aehr oto chmu btauo aenaim ni ospt mnpseueoa ro sopt ,pdeurasano but osdbn yidtens si a gib lead rteh.e

lhab.

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 +0  upvote downvote
submitted by ∗sup(31)
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weomoSh I asw abel to oeivcnnc msfyel thta ridcaesen eortnteetsos ;--&tg radeecesd nsregote -&t;-g rdeedscae gvetniea kedafcbe on S/HLHF inseorect &tg--; eedacsinr HS.F eoDs ynonea aecr to ailnxpe why hits cogil is og?wrn Thnksa ):

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btl_nyc  eTh ecrdnasei tsensttreooe si oamdelieztb yb goranlsau llesc ot rogsente nda by adoepis ueisst ntoi teer.sno toBh feed abck no eht hhumltapoyas to iibitnh HFS &p;ma HL ,eocnrties but HFS si mcuh rmoe seviitsen ot ebedfkca oinihtiinb than L,H aicnsgu an rdinaesce HS/HFL rtoi.a +1
impostersyndromel1000  us@,p i ddi the mesa ithn.g adH on edia ettoeseotnsr adn nasedgron nca niasrece peo +



 +0  upvote downvote
submitted by ∗johnthurtjr(168)
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ere'sh ahwt I udnfo

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 +0  upvote downvote
submitted by ∗asharm10(37)
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st'I na ilanabco me,orhno culems amss, BRC mass lliw n.asierec

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 +0  upvote downvote
submitted by gokings2021(9)
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enM gllareeyn vhea a ghrihe RBC msas ,meriatc(oth n,hbmiologe e)tc adn it is gttouhh to eb etraibdttu to iherhg serettoosnte lve.les She ash hihg oeesttsrteon so uoy can uasesm the mase fro ehr. Tihs si ni ,ankiZ so ti must eb ni FA ro hPmoat.a

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 +0  upvote downvote
submitted by ∗medstudent(18)
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oFr all werndogin hyw eetttsosreno de’ston sucae an asecienr in lak o,sph I dnfuo htis cltiear htta laaclisyb assy nme wtih wlo etsrsnetooet have ghih eiaklaln eassthoppah nad akwe ens.bo

/ee-.letw-isn-antnmiase3nt-u/0chssrr-s:eltsinsl-eeoop/5oesdkiwr-/eeoeoelshacl.aoaytd.wtr2einfnts-/1pe/ehpstbhloewl-m0tedutashn--eo-nyncrdpo

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 -1  upvote downvote
submitted by ∗medguru2295(64)
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BHT I lnoy gto hits bc of eht ortsycoevnr whti eLcan tAgrnorms dlboo dngpoi. DkI the meinchsma ta all. ,uBt it illw lhep yuo lal rmmeerbe isth wsntisuranoe/.eq

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 -1  upvote downvote
submitted by yobo13(5)
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saEy :ywa abL ueval.s hTe nlyo one that meda w/eessnsa ferfndeit fro mne vs weomn = Hb

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 -1  upvote downvote
submitted by ∗nwinkelmann(366)
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I idenreetprt the etpniat ot ahev PSOC simtir(uhs, o,hemreaanr anarivo )msas hthuog the urpes etevdlae stroetsneeot is oemr rineconngc fro ncre (erp tshi atericl: itMb/g.pvcli9rswm0/n/a.1now/t6lCic://mhep.s7P.wh0tc6n.) If the tnpaiet ahs O,CPS hse is lykiel besoe nad ta hrehig srki ofr LNFAD cwihh can eb ateisoacds whit ealeevtd inlaelka ohphsaatspe, ilipd ,ictanlmuoacu nad dlaeteev oetsnsrte,ote tub not EUD to anridngoec fseetcf smeu"(r eroadnng selvel ewre nto oasedctsai hwit the epencser of LA.DFN Tsih is rnciitdley dreciomnf ihtw ruo uretsl no oet.yeppsnh ealmy,N trhee si on edfcfeenri ni NALDF ecvreapnle eetenbw nryedacipregho,n adn peycnhngoianernodr- or tedpciuorver POCS hoynspet.pe DNALF si insecddreo a tciphea oceonpmtn of iceotalbm nyosemrd ihwt a etnacrl htegipoacn erol of iiunnsl astecisrne htta lsoa eaffcst eth atpa-hhal-novpryooatmyuariiit axsi in jbetscus twih .P.OSC. ryocHdpeeignanr taets mya be ued to nnsuili "sesairten.c Gtp//WtKh.ybi:/tjyF2l.)

e,hnT sa adsi yb ny,bl-@ct vldeetea nseresoottet ni a emalef si dcentrevo to sotenger dan erostne and fcekdaeb niihtbis het yhmpthulsaao adngeli ot careesded HFS dan HL vse,lle tub HSF si iihdenbti ,meor os ehter si an esdeicnar SH:LHF .itrao

,lyaFinl agidrregn PSA hc(ihw eosd ourcc in meow,n how kwn?e )l,ol hte inteoorcalr enbewte ettsooensrte dan SPA in emn si tllis tytrpe wkee ni( hits udst,y rheet aws lyon a teilronraco dan a wake noe at t,hta rtefa eaalrviitmtu alssynai njudistag rof arelves ntighs hpPww6cslsc4Mo5t0v.tgwc3ptm/ali5/in0:/hnb/imer//...nC) so etreh is itifydelen nto a lrotcianeor in omew.n ,Herveow pre stih dtsyu (t8et21v0h/wcnnodiwbp/n:.ib/smm/.pulhg9/4.6w.) heret yam be an coaitssoian nebeewt rnictae aonedgrsn n(to tneoetrote)ss dan SPA in mneow.

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