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Retired NBME 20 Answers

nbme20/Block 2/Question#48 (reveal difficulty score)
A sedentary 50-year-old man with hypertension ...
Antidepressant therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm

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 +13  upvote downvote
submitted by โˆ—drzed(333)
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Fitrs nestenec fo het tm:se eh ash a ee6w-k iyrhost ..e(g &t2;g sek)ew of ordspneies )(1, ytlfifucid egepslin (),2 efaiutg ,3() dsaeeecdr aieettpp 4,() adn orop raorntotcoenniemcym/ )5(

Fro a dsgsinaoi fo DDM, ouy eden a 2 kwee ityoshr of 5 of eht ASEIPCGS mtomspsy cwhih he meest (eh is ynol snmgsii lidcausi tndoeiai dan eetnitrs ni c)taieti.siv shTu eh emets teh dagsonicti icarriet fro a ormja ervdsepesi eoisepd, hhciw amens that eretntatm si ainedcdti with na RI.SS

Fro eht rtohe luasoaarcircvd catsro,f eht lony enso nprveo ot eovrmip liayotmtr ear san,tist ,CAEi BB sp(e. voiadcrlel ni ahtre ,re)uaifl nda on.tlsicrpeoona Neno of soeth eewr snerwa eich,cso so DMD rettantem asw the btse cheoci.

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umpalumpa  lcuyaA,tl twegih ossl adn eiexsrec ear teh noly easeumsr ot rseceead tliytamro (toerh ntah )ttssnia in tp with prmeiida idilp lab lseu.av m'I nto ebal ot lexnapi wyh a olc-leaiorw etdi si wrgno i(t hdsuol esredcae dwh-eegsttreg-&eci;a ;l)ttiyomra ybame rheet si on ertcdi aeoirotlncr ni licacnil sidtsue bneeew -oloilewrca ited nda artoiymtl. +1
fhegedus  eevn htouhg i got shti o,nrwg i ivlbeee i ehva fedrgiu tuo ywh looilcaer-w ietd si wg.onr In the sfitr teencnse fo eth esitq,onu it esastt he sah lwo eap.ttiep oS ew cna yttper hcmu roigen tedi dan saieclor rofm het ueoq.anit +1
drbravojose  I hintk emyab 2 rseya exnt is eth yek to eshcoo adinpte senitad of e-olwcrialo wihhc eakts a onlg rtem ot kmae sti etfe.cf +1


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 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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Msto fo eht pts alvues erwe lon.amr nngriikD asnw't oogurtusea, LDL saw im,dl MBI has .fine eH idd ehav TNH ohhgtu. hTe sgietgb kris rfoatcs aer eht fact ttah eh adh sdeffeur an MI and sratetd erfigusnf eevers iessnrpedo thew(ig )et.xi/alssnyo sTuh, eh si roem at risk rof siiudc.e

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sohaib111  Wnot' nvhgai na IM eb a reyv bgi skir trcfoa ofr roahetn eon d? nA laos if yeth wdetna thsi rnesaw t(he eneiss-r)ata,tdnp hwy ulodw yteh ustj dda ttah ish DLL is risnieagn in teh aslt .teenec..sn +14
dbg  cb yetrhe' OSBs nad OsBD +33
doodimoodi  aeYh, dmeoeenmcdr LLD in peeopl iwht usiovepr atreh elrbmop is l;&t 100 ezje +1
asingh  It is bseaceu of hte eiermftam of rlyaomitt is 2 y,rs hietgervny lsee wlil fetfca ratel +6
benny  mdd sceniera MI +
benny  pyTe 2 tebideas nda jmroa riesdepves rseioddr D)(DM ear entepenndid tioscbrnourt to raaavcrlucsodi eesiads dan to an iecsaenrd rkis of ardlyioacm nnitifrcoa MI(). +
benny  .hv/3hi:m3c/wt/CnowiPnistg.p2cc/str/newp.m1aM40ll4b./ +
drzed  noeN of het liaoaccrdrvasu tnosopi olwdu rpivoem ilatrtymo ,stnst(ia CEA,i B,B ancpiosontlroe era eht osne ttha haev onvper olartyitm infete)b. oS fi ehyt adh tup oen of t,esoh I htkin I dwolu eavh eohcsn ht,at tub veign atht hte sret o'dnt ecnhga oyimtlrat ta l,la I entw hwti het psaasredtn.nties +2
ihatetesting  yM kgninthi wsa taht incse eh hda an M,I a teba kobcrle dulow iverpom rt,oltiyma dna npaloloropr si sola dues sa na .lanxoiticy +2


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 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I nihkt ttah fi etyh adh osniteghm eilk attsni" "arpteyh sa an ewasrn e,choci ew dwlou heva an mautregn orf that as ti uowld ceaderse tylrotaim yb plgiehn pneevtr OATHNRE taher ktaa.ct er,weHov I intkh ttah -etnadtsrnpseia aeyhtpr lwil od a LTO to treepnv iiduecs, lehiw e-a3gmo ayttf asdic ylhat(eh as tehy ra)e wn'doutl od SA HCUM to entpevr a ehrta ckt.aat

eTh uqnoitse si ibycslaal iknag,s u"Yo cna oyln serirbpec neo fo eseht ot epke shti eudd lvaie sa olgn sa sosepl.bi hciWh eon wlil aveh eht best ecanhc ta cmagoisplhcin tt"a?h

ee,Trhoerf teh nerasw dlhuos be eis-raannsdpett eat.rhyp

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bharatpillai  yhw pestnsdiaertna etyrhap tohguh? teehr rae not egonuh uefseart ingev to seugtsg H.DMsD e' 56 esyar ,ldo not na lydeerl ineslg mael so ton ta eht siehgth sa"a"lsclci aoitppounl ta ikrs fo suiec?di eth uqsnieot is os miGn .aug..voeuibs IM, don'utlw cicornh oolhcacli anetki eirdpoesps ihm to leddait aodhyaptyc?mrio +1
neovanilla  I not'd ebvieel sti' htat he sha DDM yb eht niclalic ftniionide. ts'I eomr htat ihs oQL sah alorbbpy agdcnhe ylatalrdisc nsiec eth IM dan MsI ear lgtnyros ostsecaida hwti deerdacse oultook on ,feil lceylipsae ongdsinrcei who oommnc it si ot teg a dnoesc IM osno aretf eht .stifr I nod't wokn teh sttsa on cuidise M-,ptsIo utb hnipgle hte te'ntipsa inpderoses to kmae mhi mroe ptvacire-o ot help sfhmeil vetnpre honreat MI wudlo be etbrte naht a" tied hghi ni eomga 3 F"sA a(t l,tsea hsti asw my ,tutfciiosjina as mnbuoer aws anygi)s +2
drzed  riFts cetnenes of eht :mtse eh hsa a eew-6k ystiohr (g..e ;&g2t )wekes of pndrsseoie 1,() fiyucflitd esglnpei (,2) atgefiu 3),( arseceedd tpeipeat (4), nad orpo oo/ycctamnemrotnnrei Fr5(o ) a aoisdgins of ,DDM you dene a 2 ekew iysthor fo 5 of teh ECIPGASS tpysmmos iwchh he emest (eh si yonl sgimsin iascldiu noatieid adn setrenit ni tise)vicit.a hsuT he smtee eht iangodscti ectaiirr for a orjma esrvedsepi iespe,do ihwch naesm hatt atermtent is etcidinad thwi na SIS.R +3


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 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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naC enayon anxpeli hyw its' ton ?ocinialytx yM gcoil was hist ddeu sah a mbu cterki mrof rosivupe ,IM dna shi HR swa hiwc-mn0i1/-h4 cnt'a eb good rfo hte odl eth.ar I enwt aw/ iictoyxnla ot bingr hsi HR nda exnytai erund rool.nct

oludW na nitsanatdpseer do eht eas,m su,th si it a etrebt ,wsarne or ervco a idrew anrge fo ?mstmysop

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underd0g  An SIRS udolw ovrce btho diesoerpsn adn eiytaxn. +2


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