Step 1 - NBME 23 - Question and Answer Discussion

Hello /r/NBME,

This post will contain the answers to the Step 1 - NBME 23 Exam for educational discussion purposes. More info may be found here.

Please remember to read the following rules carefully before contributing:

  1. Read the Comment Rules and Policies found here.
  2. Do not quote, link to, or otherwise reproduce any exam content.
  3. Paraphrase as much as possible.
  4. Remember to be kind and thank you for your contribution in advance.

Block 1

  1. Absence of germinal centers in lymph nodes
  2. Pons
  3. Area labeled D (Spinothalamic tract, right)
  4. It increases plasma concentrations of other PIs also metabolized by cytochrome P450
  5. External anal sphincter
  6. Area labeled B
  7. Neck of the fibula
  8. Extracellular osmolality: increased, Extracellular volume: increased, Intracellular osmolality: increased, Intracellular volume: decreased
  9. Fractional excretion of sodium greater than 2%
  10. Bacterial pneumonia
  11. Epinephrine
  12. Inhibition of prostaglandin synthesis
  13. Triglyceride
  14. Prevalence: above the standard; Incidence: above the standard
  15. Ablation of the atrioventricular node
  16. Heart rate
  17. Metastatic breast cancer
  18. Osteogenesis imperfecta, type I
  19. Because irradiated food is not radioactive, you will not be exposed to ionizing radiation by consuming it.
  20. Heparin-induced thrombocytopenia
  21. Calcitriol: decreased, Parathyroid hormone: increased, Inorganic phosphorus: decreased;
  22. Accompany the resident while the resident obtains signed consent
  23. Hypoglycemia
  24. 1/150
  25. Pelvic splanchnics
  26. Subacromial bursitis
  27. Yolk sac
  28. Retroperitoneal fibrosis
  29. Inspiratory pause on right upper quadrant palpation
  30. Area labeled H
  31. Magnesium ammonium phosphate
  32. She expresses clear and consistent values
  33. B-Myosin
  34. Cross-sectional study
  35. Hepatitis B
  36. Perforated peptic ulcer
  37. Fibromuscular dysplasia
  38. Serum sickness
  39. Area labeled C, Cranial nerve 8: vestibulocochlear
  40. Immune destruction of platelets
  41. Arachidonic acid
  42. Medial (internal) rotation
  43. Erythropoietin
  44. Meningococcal meningitis
  45. Area labeled B (PCT)
  46. Labile cells
  47. Leukocyte alkaline phosphatase activity greater than 250 U/L
  48. Galactose-1-phosphate uridyltransferase
  49. Amplification
  50. Spironolactone

Block 2

  1. Multifactorial
  2. Liver - A 21-year-old man
  3. Ipratropium
  4. Coxiella burnetii
  5. I
... keep reading on reddit ➑

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πŸ‘€︎ u/nbmehero
πŸ“…︎ Jun 17 2020
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DAD JOKES ARE NOT DIRTY.

Go post NSFW jokes somewhere else. If I can't tell my kids this joke, then it is not a DAD JOKE.

If you feel it's appropriate to share NSFW jokes with your kids, that's on you. But a real, true dad joke should work for anyone's kid.

Mods... If you exist... Please, stop this madness. Rule #6 should simply not allow NSFW or (wtf) NSFL tags. Also, remember that MINORS browse this subreddit too? Why put that in rule #6, then allow NSFW???

Please consider changing rule #6. I love this sub, but the recent influx of NSFW tagged posts that get all the upvotes, just seem wrong when there are good solid DAD jokes being overlooked because of them.

Thank you,

A Dad.

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πŸ‘€︎ u/Von_Bostaph
πŸ“…︎ Jun 18 2021
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What do you call a man with no arms or legs in a hole?

Phil

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πŸ‘€︎ u/Rumblebully
πŸ“…︎ Jun 30 2021
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Rational
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πŸ‘€︎ u/mainhoonmadrasi
πŸ“…︎ Jun 30 2021
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My wife blocked me on Facebook because I post too many bird puns.

Well, toucan play at that game.

πŸ‘︎ 9k
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πŸ‘€︎ u/Zayan-ali
πŸ“…︎ Jun 30 2021
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There are only two white people in the movie Black Panther

Martin Freeman, and Andy Serkis.

They also play roles in Lord of the Rings.

I guess that makes them the Tolkien white guys.

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πŸ‘€︎ u/jzagri
πŸ“…︎ Jun 24 2021
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My 3 yr old daughter made her first pun today and I almost cried. She was eating an apple and I asked her if she liked apples.

She said apple-lutely

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πŸ“…︎ Jun 29 2021
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What did the left eye say to the right eye when they got married?

'Eye-do'

This is my first post pls don't kill me lol.

The people in the comment section is why I love this subreddit!!

Cred once again my sis wants credit lol

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πŸ‘€︎ u/tieyz
πŸ“…︎ Jun 27 2021
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What was a very common name in the middle ages?

I heard parents named their children lance a lot.

First post please don't kill me

Edit: i went to sleep and now my inbox is dead, thank you kind strangers for the awards!

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πŸ“…︎ Jun 24 2021
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Apologies if it's a bit corn-y
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πŸ‘€︎ u/mediashiznaks
πŸ“…︎ Jun 26 2021
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so many choices
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πŸ‘€︎ u/SailorNebula
πŸ“…︎ Jun 07 2021
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Gottemm
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πŸ‘€︎ u/Un_FaZed211
πŸ“…︎ Jun 29 2021
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Well that didn't cross my mind
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πŸ‘€︎ u/JasonPetreasCoach
πŸ“…︎ Jun 11 2021
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He knows too much
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πŸ‘€︎ u/Potato_salad123
πŸ“…︎ Jun 24 2021
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where do pirates get their hooks?

second hand stores!

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πŸ‘€︎ u/bigus-_-dickus
πŸ“…︎ Jun 25 2021
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I've spent all morning trying to think of a quality pun, just to come up with THIS otter rubbish.
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πŸ‘€︎ u/awesome_smokey
πŸ“…︎ Jun 28 2021
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I've just deleted all the German names off my pre owned iPhone..

it's Hans free now..

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πŸ‘€︎ u/HugoZHackenbush2
πŸ“…︎ Jun 28 2021
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3.14159265387279 snek
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πŸ“…︎ Jun 20 2021
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My 6 year old wanted me to share his joke with you all. What is a horses favorite store?

Old Neeeeiiiiighvy

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πŸ‘€︎ u/WantedDadorAlive
πŸ“…︎ Jun 28 2021
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Did you know 10+10 and 11+11 are the same?

10+10 is twenty and 11+11 is twenty too

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πŸ“…︎ Jun 27 2021
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How much does it cost for a pirate to get his ears pierced?

A buck-an-ear!

I Thank ye kind Matey for the booty! I be truly overwhelmed! Thank you!

Holy cow! Thank you everyone for the upvotes and awards! I wasn’t expecting this!

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πŸ‘€︎ u/motherduck5
πŸ“…︎ Jun 25 2021
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Rock bottom
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πŸ‘€︎ u/Theo19555
πŸ“…︎ Jun 23 2021
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My Son Ate a Bunch of Scrabble Tiles. My Wife is Scared but I'm not...

He should have a good vowel movement. His next diaper change could spell disaster though.

πŸ‘︎ 8k
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πŸ‘€︎ u/hypeaze
πŸ“…︎ Jun 23 2021
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Chinese takeout: $11.77. Price of gas to get there: $3.00

Making it all the way home and realizing that they forgot one of the containers:

Riceless

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πŸ“…︎ Jun 28 2021
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Two drunk guys were about to get into a brawl. One of the guys grabs a stick and draws a line in the dirt and says "If you cross this line, I'll hit you in the face"

That was the punchline

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πŸ“…︎ Jun 29 2021
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I threw up in the toilet
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πŸ“…︎ Jun 25 2021
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Hot
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πŸ‘€︎ u/AlexxFruit
πŸ“…︎ Jun 22 2021
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Saw this on insta @PunHubOnline
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πŸ‘€︎ u/Haidi7
πŸ“…︎ Jun 26 2021
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Had a good chuckle
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πŸ‘€︎ u/LittleBigOwl
πŸ“…︎ Jun 21 2021
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At what point does it stop being grave robbing and start being archaeology?
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πŸ‘€︎ u/Unholy_Jer
πŸ“…︎ Jun 28 2021
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Today on a walk my son was asking about a bunch of plants and stuff, he pointed to one and I said it was a fungi.

Without missing a beat he asks "Daddy, do you know how much room you need to grow Fungi like that?"

I did not know.

So he tells me "as Mushroom as possible!"

So proud.

πŸ‘︎ 9k
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πŸ‘€︎ u/smoffatt34920
πŸ“…︎ Jun 26 2021
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What did Jay-Z call his wife before they got married?

Feyonce

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πŸ“…︎ Jun 22 2021
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So my dad just died because he needed blood and we didn’t know his blood type.

He was so brave and even tried to encourage us, the family around him, with his last breaths. He kept whispering to us to Be Positive.

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πŸ‘€︎ u/BritishTeeth11
πŸ“…︎ Jun 14 2021
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The elderly wife in church turned to her husband and said, β€œI’ve just done a silent fart. What should I do?”

He said, β€œChange the batteries in your hearing aid”.

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πŸ‘€︎ u/BritishTeeth11
πŸ“…︎ Jun 19 2021
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My wife told me to pick up 8 cans of soda on my way home from work

She was pretty mad when I only picked seven up

πŸ‘︎ 6k
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πŸ‘€︎ u/eamonn_russell
πŸ“…︎ Jun 27 2021
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I have been asking everyone what LGBTQ is?

So far no one has given me a straight answer.

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πŸ‘€︎ u/awesumit
πŸ“…︎ Jun 02 2021
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Oh the tangled web we weave ...
πŸ‘︎ 5k
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πŸ‘€︎ u/RogueDisciple
πŸ“…︎ Jun 27 2021
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What is your favourite breakfast food?
πŸ‘︎ 4k
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πŸ‘€︎ u/FabricioPezoa
πŸ“…︎ Jun 27 2021
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Grandma is always saying to me ' Hey what's the name of that German guy again who keeps taking my stuff '

Alzheimer, Grandma, it's Alzheimer.

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πŸ‘€︎ u/HugoZHackenbush2
πŸ“…︎ Jun 23 2021
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How do you track Will Smith in the snow?

You look for the fresh prints!

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πŸ“…︎ Jun 21 2021
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What do you call a mom who turns into a dad?

Transparent

(sorry it sucks, it's like 2:30 in the morning right now and I haven't slept)

(Edit: holy shit! I wasn't expecting this to get so many upvotes. Also thanks for the awards guys, I really appreciate it!)

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πŸ‘€︎ u/Bangtan_Pikachu
πŸ“…︎ Jun 12 2021
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I’ve got a condition which causes me to make terrible puns.

It’s a dad-ly disease.

Happy Father’s Day to all the dads that get me though my day to day life, without you Dad Jokes wouldn’t mean a thing πŸ˜‰

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πŸ‘€︎ u/WonderChell
πŸ“…︎ Jun 20 2021
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Always part of a classical dish
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πŸ‘€︎ u/ToastyZ71
πŸ“…︎ Jun 19 2021
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Spheres
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πŸ‘€︎ u/gingiviitis
πŸ“…︎ Jun 18 2021
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Found on r/Tinder
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πŸ‘€︎ u/TheDawidosDawson
πŸ“…︎ Jun 28 2021
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This morning Siri said "don't call me Shirley"

I'd accidentally left my phone in Airplane mode.

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πŸ‘€︎ u/1963Jan
πŸ“…︎ Jun 09 2021
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I got dishonourably discharged from the Navy yesterday for accidentally boarding a different vessel.

Oops, wrong sub.

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πŸ‘€︎ u/porichoygupto
πŸ“…︎ Jun 15 2021
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What’s the difference between a poorly dressed man on a tricycle and a well-dressed man on a bicycle?

Attire

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πŸ‘€︎ u/RodimusMajor84
πŸ“…︎ Jun 26 2021
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