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Retired NBME 23 Answers

nbme23/Block 2/Question#39 (reveal difficulty score)
A 39-year-old woman with obesity and recently ...
Gemfibrozil ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm lipid_disorders fibrates

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 +10  upvote downvote
submitted by โˆ—monkd(21)
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Am I yzacr ro did rldUow ont evha a teoqnuis hatt daetts tstSani are hte somt viceetfef rgud rgsesdealr fo eiabesln pidl.si hsiT golic hewtr my fo.f

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adisdiadochokinetic  Yuo rea ont cyzr.a I got hsit soqntuei ogrnw rof teh smea roenas but r'eesh wyh I ikthn BMNE was inogg ithw iftabse.r uYo nac use hte ddwealierF inoaqetu to lulecatca LLD hlorestolec mfro the usvale hyet vegi. Thsi tqoiuaen is =DLL taloT -lrLlDHteoCoseh ilcT)idees.gerCyotll-oherr(5s/ heT esd5lgriecyTri/ retm si an tamseite orf VL.DL If you tlaaclecu it ni shit saec yuo tge an LDL of 012 ichhw si yrlfmi norlma dna htus eth tpintea ludow issybtolne nto feiebtn ormf aitstn y.atpreh +14
hello36654  gom wenh eth ehll ma I giogn to emreebrm htsi ieuo?tqan ssssessJuuss, hits iknd fo stlaied kmaes em ntaw to giev pu no PTSE +4
almondbreeze  erH gaol DLL sodlhu litsl be l10&0;,t bc hes sha 3 HCD iskr suevq aitn(lefwp1p07p./3m/20130w02p0/tfo701h2taas#/t0p83ratal/f1/w-0.:hg8p2. HC)D riks hevi=teqtelanu jaomr ikrs cosftra ttha fodmiy LDL lgaso )1 M&;t4g(a5,ge ,5&t5g);F 2) ignsomk tau,tss )3 14;g)p(thn&s/oitr0n,eey90 )4 ow LDH lelev &);t(l,40 dan 5) fmylia trhisyo. (f/sl/4stw/cp2a0/#0/ma8tw73./h0.-g1:2wf1tarhoppe.0p) +
almondbreeze  *olw DHL (rev relefel to atble 3 of het rtliac)e +
makinallkindzofgainz  sThee uysg aer hgiittn pu allvtndeetieg-n vlarsaraucciod srik tracof ucsctilnl,aao almnwihee I idkecp aitnsts secebau I hntki I rebeermm tath hyte elph the areht +14
jimdooder  So I edned up iggon iwht aftiebsr esecbua of hre eag (9.)3 I eyulgav breeremm ibegn hagtut hatt itansts aer lyaelr oynl nedmoemrdec orf nptsiaet 4g&0t; ecseabu the gib utsyd that eamc out utboa hetm saw ni hte 5740- eag uog.rp I ikhnt ihts gimht oritbtneuc to eth oueqitns tub m'I not lyltota .res u/rh.tkinies/rtpkeSeviweairnoit/p:tayn.#/dtpinairogimw_P +
ytho  This qtienuos ndeirspi ym ncesre mnae +2
cbreland  s"tiStna rea lwysaa het an,resw" t"aF eelaFm 04 F"eeirt,l r"ietaFbs anc escau s.gtloela"sn I feel eidl ot +
brise  m'I otn resu fi sith nutsqioe si t.ecorcr I cehso tatnssi ogaicrcnd to tahw na dtenitnag otdl me nad UDRLWO ,2 I tujs nwet cbka ot chkce adn no drolwu 2, you only oersicnd igigvn ibtfrase fi herti TG lvlees are bevao .,0010 oS dik waht hte nebm si mniso.gk Or fi rodtcos laluaytc wtrie ehset suesq.noit +
kavarthapuanusha  yWh ear we giogn sdowtar octdlecpiam ?qua?oeisnt e W hvea eadreesc scigrlreeityd nda ieercnas dhl rhfetoeer tefasbir ... If ti ewre gcierdensa DLL nthe olwdu og fro .snia.st.t lOny eiacnser dhl ilnmay go rof ancnii s.t.i in udolrw adn fa +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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fizmFelbior si a bf,eitra deus orf loeiwrng TG lelsv.e

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mousie  I olsa oehsc iozbGfmelri too ecabues ist the setb TG ogrlwnei udrg ildset but I acn ese erweh rteeh hmtgi be esmo der glsaf orf siht dgru in teh wya heyt esdka hte tq.n..ieuso 04 yare lod eeobs omanw twih oesm pepur adimbolan inap ..... ELLHO GALL TNSOES ihhcw is a mnoocm dareevs teocomu of .tFieasrb +11
uslme123  ellW I id'dtn nawna give a ,aft tr,oyf ,mfleae ttah ksmeso a t.aibrfe oS a n,astit for me, swa teh tesb txne po.toin +9
whoissaad  esUd mesa ersgonnia ot oecohs asn.tist ibsetrFa rae teh anim urdg of iehocc orf lgtycreihdeieapyrmri tbu givne reh ytmpsoms, astitsn amed remo .esesn yhW do yhte do isth to .u..s +
roaaaj  htwa a icykrt !ieoqtuns ethre aer elmptliu tascfro udlsho be atenk ni tscoo.rnai.ndei ehs hsa idieglyctmirare wihch tpu erh ni iksr of it,paretiscan adn tmos lnyamtirtpo theotrleracsoci seeisa,d adn all of ahtt owdlu iwoghetu eth risk of vgiing her et.lsoangl +
paulkarr  haeY I adh santsit sltdeeec laiynliti ubcsaee tni"tssa rea waysal teh ersaw"n btu ewnh I swa tmeh tsgnita rstif inle tecln"yre niesaoddg hiwt ehypr GT" I gidferu this lwlfou-po asw urplye to ddsrase a.htt So rbetFai is hte setb v.ome +2

100% BS. UpToDate provides the most recent evidence and guidelines that state Fibrate therapy for High TG isn't considered until >500.

+11/- donttrustmyanswers(74)

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 +2  upvote downvote
submitted by dumbo123(2)
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I hnikt ist ebcusea ehs ash a xh fo epcitp ceurl saesdie setatd( ni h)x ttha si cryurnetl frnglai up idm(l tsacriepig ndretnesse to depe iaapp.oltn)

Trhee are rgud tcire-naito-n-s Anttaiatosvr i(hoecc A), hhwic si a PC43YA us,tebarts 'ushtlodn eb esud thiw s/mmniitarloCoheycr orthe ittiniocsba eusd ot xt tppeic Peusr3CA/cYl4 obis.ihnirt

enrdU rgwsnnia dan pctseinruoa, epag ,1 F DA-w0bafsthre/uswal/gscasola0wdtfoa_2d6cb2..0//dtddpltcs97pdgvl050/..fa2e/as0: mtil?wpgaidl3/p8r/is3tblyrd-rrutun=redwu2/m.sadoh:/ge.tpw

(I slao got eth souniqtse wrngo dna cohes sa-raA-itntovt hsit is tsuj my es!usg)

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peqmd  ergeAd tgo the qnsouite wnrgo eHos'e..ort. wath I tgo romf rD. dpUteota .DID TRDL nescareId srik fo oRhadb si rewso hnta anicesre kris fo sgenlol.sat nC"cnu rreot eus of oyinlchcitamrr ro tmionhrrycye regoteth tihw tins,tmaavis taosav,lnti or riotaatatnsv aws saoadictse hiwt an ecrsaneid iksr fo aisptizoinhotla rof lydroimsosyahb =2(RR,2). tcuae nykied unirjy 8,(.1)R=R or salcae-ul lrtiyamto (1)R,.R=6 as aerdpmoc ot crrnoctenu use of iyamtinrohcz hitw eth stsnati" +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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htlysneo just bmerrmee bFiestra atter pdrrreeiaHygieymcitl nad omev .no Too mayn qoeisutns too tilelt tim.e I ma a loCo Med tuntSde but I ma no Leif 9. Recersha anti ibg tbu hwo eht cfku otg mti.e By imte we lal inogsl os lil epho trgn!iy Enitnsei dias cneiesc is a tgear itnhg if eon ent'dso mkae a giivln uot of .ti I lpna no imkgna a nlgivi out fo ecdnieim nad yub my ommma a osheu. I ma a rael erttse aiknk I ecam ot rfa to og kabc mohe yemtp n.dhade My aanmm phnoig her sno gon be mgohtnsei eon dya catn etl reh ndwo, she facecsiidr a lto fro us!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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aiyyceptHrrierdmlgie si yasalw rdettea htiw b,etsarFi even thugho hes si omgcin for a flowlo pu iiamnenaoxt dna ctniancertoo of sTG si 053 ekep ignvig Gmzoelifbri a arfietb.

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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ryciieidtglapymeHerr si wylaas etdetra itwh ,Fetisrba neve ohguth seh si ngmcoi rfo a oflolw pu nniaoeaxmit dna ioaonrcctent fo GTs si 350 peek ggiivn bfozeGlmiri a .trbaeif

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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iNncia acn sceua y,rlayhmepceig i,gfluhsn nda o.tgu IAsD'NS nca etrta outg. rspinAi at hhgi atoicennsocnrt aslo iitinhsb aenlr esntiropbor,a tub ti bhiintis sneietcor ta lwo s.level I enwt hiwt apnsiri erov oteihnpecmana /cb lgaotuhh mihncpeeoaant si an anlgacsie it kalcs fitaytmmarnia-onl .vittycia

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redvelvet  tsih si tno ttha qseniout :) +6


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