need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 22 Answers

nbme22/Block 4/Question#17 (reveal difficulty score)
A 62-year-old man with dyslipidemia is ...
Gemfibrozil ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +2  upvote downvote
submitted by โˆ—castlblack(78)
get full access to all contentpick a username

Highest yield drug combo to avoid on NBME, Kaplan, and UWorld.

get full access to all contentpick a username
skonys  I see it so much I dont even know why it's a thing. I just choose it everytime. +



 +0  upvote downvote
submitted by luckeroo(11)
get full access to all contentpick a username

why was this gemfibrozil and not niacin? I was lucky and guessed, but I thought niacin combined could also trigger myopathy?

get full access to all contentpick a username
.ooo.   Gemfibrozil is a CYP450 inhibitor causing an increase drug concentration of statin which would lead to the adverse side effect of myopathy. Not sure about niacin in combination with statin but believe this would be more likely to occur. Hope this helps! +2
yb_26  yes, it can be seen with niacin and esetemibe as well, according to UWorld. But first choice in such questions is always fibrates. +
nor16  number one no-go combi is statin+fibrate here +3



Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
liverdietrying on Release of stored thyroid hormone from a ...
keycompany on Negative nitrogen balance
kernicterusthefrog on Displacement
mcl on Area labeled โ€˜Dโ€™
joha961 on Displacement
imgdoc on Area labeled โ€˜Cโ€™ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
bubbles on Acute retroviral infection
yotsubato on Phase variation

search for anything NEW!