NBME 17 Immature lower esophageal sphincter (NBME Answers)

NBME 17 Answers

nbme17/Block 1/Question#8 (reveal difficulty score)
A 6-week-old girl is brought to the physician ...
Immature lower esophageal sphincter 🔍 / 📺 / 🌳 / 📖
tags:

+10 upvote downvote
submitted by ∗andro(269)

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lDnrffaetiei gasDisoni of bwrnenNoatNoel/a gntiomVi

ngeni-B gaaroehptselgaos flxure ( ei. reumiamt erwlo alsehgaeop ipestrnhc )ttaigugeirnor of oofd lrhtoys tfera ndigfee .
No uetfrrh stmmspoy , elthhya icrlendh hwit ormlna eepnlvomdet

toHryhce-ppri picyolr stionses
rgtniuoigeRta - erctlejopi bninlsoiuo mgvnitio rylteteecol seaclabimn ( aislaslko and aeylkhpoaim ) * payhcisl imxatneioan yma rlevea an ieolv assm on ailnaptpo of ergtuimpasi
tpy*ically rttsas frmo entwbee dn2 adn t7h weke fo gae

tiuM-dg slvuovlu /rotnaMatilo oeD/dualn iartase * osuibli vinmitog * dobmaianl dotiteinsn * iagImng amy varele ssing klei eht uobdel lbbube sngi ( dunodael aairtse ) tce

:oteN Teh istl is nto ivhtsaexue as ehter are ynma eomr secuas esiadastoc whti reonwbn imivitnog

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covid_19 To dda no to Bneign ER,G I cnuodt'l fndi ahtgiynn in a osyurrc olko ougrhht AF adn osal didt'n konw atth GRE aws a ihtng ni onesenta, so I fodun siht nice nad eiconcs tleacri ni teaTD:oUp /olgtg:enc.nlrteiepaurstwtno-rtiowumxpaompststoenaade/-hae/uw-tr.sefc-nfta/shp +

i_hate_it_here I 'tnod snednrdaut yhw alaoEpehgs apsms n'ist rghit +1

topgunber I udwol asy goheepasal mspsa woudl suaec tiademmie egtrnogutriai ro ntiiyibal to woallws proeyr.lp so we uoldw be inlgkoo ofr sgpaad.hyi +4

nikitasr27 nI rlegane sntoeean veah na ueriammt vsouren tsyesm (..eg nkis)biba and I ithnk htta osla slapeip to hte ASN. Taht’s hyw oyu ees so yman oeTYuub dvieso of iabsbe mtiginvo otu of hte uelb wothuit vene ncngihga hriet efca enxpsioes.r I odtn’ wnkoo, easbib are idrwe +1

pakimd si ueiamtmr haaolepegs icentphsr het anoers hyw bieasb ipst up ilmk whne tsrepna rbpu etrhi bibas?e +

chaosawaits bieasb purb pu iethr lmik ecbaseu heyt lolwsaw oot graegsielsyv hwne yteh fde.e uripngB thme esphl teg rdi fo smoe of hte ari ni terih amtscoh nad lesph penvret etniintosd mfro too umhc ,rai yehbter lnviegeri fo ttpanileo amscoth n.sipa +1

I don't understand why it would be immature LES and then start acting up now?! Shouldn't she have symptoms since she was born?

+10/- brise(86)

+2 upvote downvote
submitted by medbound57(8)

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I ktihn ahtt teh wrsaen is not crilypo soisstn,e hihwc tssnerpe twih CEOITPERJL nlo-biiuons vtiomnig 46-swk silcacl(ylas frtsi rnbo bbya .yo)b

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+0 upvote downvote
submitted by sschulz2013(7)

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s@ribe - I hkitn ti is hte esam cetncop sa het ypoclir ihc.trsnpe nI lyporci sse,otsni it aetsk a few ekews rfo eth ulsmec to alctylua orgw goheun to ucase an noit,bsruoct so pehsapr hte asme tnccpeo aeppils to het LSE -slumec 'htsna ahd meit ot grow ehnoug ot kpee cmastho nsocnett frmo igitegagutnrr ni a oenn.brw tahT luowd kame eenss hwy ti odulw rlseeov eorv .itme Jtus a hg.uotht

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feochromocytoma utB wyh did it espnert lyon efrta 5 weske ro os featr ir?htb +

chaosawaits I loginayilr ahd tauemirm" ES"L lntui I ttuhhgo too hrda oabut het etla soetetrinpan aftre( 5 ees)w.k I aeordsne a akwe LSE odluw nrpetse icens hitbr tbu pgalosahee sssmpa culod pehpan ryapdcoallis adn rrteeeofh edacgnh my raesw.n MFL +

+0 upvote downvote
submitted by ∗imgdoc(183)

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tJus to add to hawt retsho evah erylaad lboateerda pon:u

psaEloehag aspsm - ulaeigrrr deransdzoiig nonrstoitacc of aeglosphea ,stlmcuareuu ouwld aceus dpy,agisha or eetidimma nuiertoitgagr in shit wne onbr. isTh lwoud obylrpba anhpep twih yeerv dfe.e

Gtu attnmlarooi td(guiM irnotmltoaa) - etrpesns thiw iuboisl movtgiin ude ot luoddena otontursbic iav Ldad andBs mf.roinoat

aaTeegheohcplaors aeatsri - dwluo ptseren ihtw ,aiysscon odolnigr, adn esexesvic c.gnoghiu Air dulwo be etpsrne in eth ms,athoc dna tca'n pass a girastaonsc bute hoturhg ot eht .stacmoh

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