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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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mA I racyz ro ddi lorUwd ton evah a ouistqne ahtt tsdeta santiSt ear eth tmos fcfveetei drug rslseregad fo sneebali ipdi.sl hTsi iolcg hterw my fof.

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adisdiadochokinetic  You are nto y.cazr I otg hits qntuesio rgown for eht amse sronea utb 'sreeh hwy I tnkih NMEB was igogn htiw .srfabtei uYo nac seu eht dFdeiwearl eaoqniut ot ulealcatc LLD hslrotceleo mfro teh usvael etyh .igve sTih oiqaneut si DL=L otTal shCoHlDot-eerlL d)lCerr.lg5rloeiishTye(/steoc- eTh rceTreisy5l/idg term is na etmaitse fro .VDLL fI uyo eautclalc it ni hits cesa oyu get an DLL of 021 ihchw is ifylmr amrlon nda uhts hte iptaetn would olitbnyess not etinefb ormf itsnat e.thyapr +14
hello36654  gom hwne eht hell ma I inggo ot eebemrrm itsh q?niteaou ,ssussJsessus sthi kdni fo lteasid kames me ntaw to vegi pu on SETP +4
almondbreeze  Hre glao LDL lsdhuo listl eb t&,;010l cb hse ahs 3 DHC sirk t eulsaqvn(eiwpt/p0t0h1/.po/82f1a121t#a3/h80fws.w7/l3-m.22t0f3aa0ppg:000rp7/ C)HD srik euelvtehita=nq jmaor risk tfsacor hatt yfdoim DLL gloas 1) &tM;,4ge(ag5 ,)tg55;F& 2) monkgsi s,attsu 3) s(t0e);ypehrt,i01o4&ngn/9 )4 wo HDL elvel (t,4)0;l& dna )5 iafmyl rios.yht (sh230wp.f/g7f0p./s4w//t20m0etlo.w81p-hap/a1ac#t/:r) +
almondbreeze  *olw HLD lrv e(reefel ot lbaet 3 fo teh eartcli) +
makinallkindzofgainz  heTes guys era hiinttg pu neltvgl-edinaet lisuaoacdrrcva ksri fotrca t,laiusncaolc inweeamlh I icpedk stntias baeseuc I nkith I reembemr ttah yeht elhp hte erath +14
jimdooder  oS I endde pu ioggn ihtw ebtiafsr aesecub fo her ega 93).( I vualyge mmbereer gebni guhatt ttha antitss ear laelry oynl dmndoeecerm rof pstenita gt4;0& buacees hte gib tysud htat emca uot aubto temh wsa ni teh 0745- aeg g.opru I nhtki tshi tihmg ecuonitbrt to the osqintue but Im' ton ttoyall .seurp:gp#i/pire_wvetiwarnoSitnrokeisrt.aiyietPk.hit/adnm//n +
ytho  Tshi uiqenost snrpeiid ym rsence enma +2
cbreland  Sitats"n are aywsla teh asw,ner" taF" Feeaml 40 l,eF"eitr baFt"isre nca asecu slntogl".sae I lfee dlie to +
brise  I'm nto rues fi tsih osnequti si coetc.rr I ohesc naitsts ndcragioc ot wtha an igttnndea tldo em and WLDORU 2, I tsuj twen kbca ot ehckc dan no dulrow 2, oyu nloy iordnces iinggv btsrifea if tiher TG eslevl are obave 01.00, So dik hwta eth bnem si i.ogsmnk Or if tosdocr tyalaucl ritwe teseh itsnuesoq. +
kavarthapuanusha  yhW era ew ggnoi sowtrda cameitcldop ounsqaeti?? e W hvae reaeedsc egderisiclryt nda cseiaren dlh rherfeeot afitrsbe ... If it erew isncradege LLD tehn oduwl og orf .nasitt..s Oynl rsnceeia lhd lyiamn go for nniiac ..tis ni louwrd nda af +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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Fzmelfiiorb si a aitebrf, sued for eowignrl GT .slvlee

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mousie  I osal ohces blfremGziio oto eacbues ist the etsb TG egrolwin drgu ltesid but I cna ese rewhe reeth githm eb esmo edr gflas rfo hsti gudr ni hte yaw ehyt edska eth si.te..onuq 04 aeyr old seeob woanm hwit mseo rpuep nbdalomia naip ..... LHLOE ALGL OSSENT wihhc is a mnmoco revased ctoouem fo irsFteba. +11
uslme123  ellW I idtn'd waann gvie a af,t ofrty, aemfle, hatt oskems a eirt.fab So a it,nsta rfo ,me aws het steb ntxe n.ptioo +9
whoissaad  Udes emas nagoirens to choeos tsa.ints rsbiFate are het aimn gdur of ceochi ofr apmtleyriryrciegdehi tbu engvi rhe symt,omsp tssnati edam reom seesn. Why od ethy do thsi ot .su.. +
roaaaj  athw a rcyitk sei!qount ehter are leltipmu aroscft hdlosu eb kenta ni in.ncto.edisroa she ahs aiytgclmidriere hwcih ptu reh ni ksri of ,aeintpcsirat adn omts pymoiltrant orerthitscleoac i,eseasd dna all of htta duolw owheugit het ksir fo vniigg ehr ga.ntleols +
paulkarr  hYea I dha tasnits tecdsele iynailtil eabcues sis"ttna rea aylwas the era"nws utb nhwe I asw meht ittgsan rfsit elni e"ncrlyte anesdoigd thiw heryp GT" I gurifed htis ooul-plwf was yrleup to asddrse .atht oS reitabF si teh best .mveo +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 tnhik tsi ubacsee seh ash a xh fo eptpic uelrc seieasd sdt(eta ni xh) hatt is cuetlynrr lgrniaf up md(li atripseicg nersendtse to eedp pnptloa).ai

reThe aer gdur sit-ecn-orin-ta tsAnatiovatr ech(cio ,)A hihwc si a YPCA34 ,testusrba suo'nhtdl be usde tihw lmieiCrrohtns/yoamc treho ciitbaniots seud ot xt pitecp ucC4PY3lsrAe/ iih.btsniro

nreUd anrwsgni nad enospaticu,r gpae 1, FD- A20dest0.cfttg//w6d9alsrs/wsa5ll/.dadcgf2/ae/cpshd_vs.aot7u0b.pb0o:afa0w02dl lwbdahiny.otarrturu2ru3t/?smlpwpl//mteeii=dgwgsd/-p.d:83r

(I laso otg het ouqssteni gnwor and ohecs ttAans-vrtiao- isth si tujs ym s)s!eug

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peqmd  drgAee tgo eht untieqso gwrno .r.seo.'toHe awth I tog ormf D.r Upatdoet .DID LTDR aIceedsrn rkis fo hbRdoa si erswo naht raseceni skri fo agslolsnt.e C"ue ornntcr ues fo ncyliriotcarhm ro rhtyricenoym tetregoh twhi m,tinasatvsi tt,savnioal ro astvintaatro asw tdaaoscise whit an cneaiesrd skri of paiatzotisonhil ofr mriysodybsloha 2=.2RR,() uaect iydenk urnyij ,)1=R.(8R ro -suallaec ormattlyi 1(),=RR6. sa edpcrmao to rrtcnuncoe esu fo ichnoriamytz itwh eth isntast" +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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heoltsny stuj mbreerem rbiaFste teart erlpiytagreiiHymdecr dna emov n.o Too many sniuqoest oto letilt .temi I ma a ooCl Med endutSt btu I ma on Lief .9 aeecshRr ntia gib but how het cukf got .itme yB imet ew all iosgnl so lli poeh yr!gtin iiEsnetn asid sncicee is a eratg ighnt if eno ndoe'st meak a gniivl uto of .ti I lnpa no gimank a giviln tuo fo inmecdei dna uby my momam a heou.s I am a laer etsert ainkk I aecm to raf to go bkca oehm mtype .hdnade My amnma onhipg rhe son nog eb gimhsoent eon day cnat elt erh ,nwod seh eascifircd a lot rof !su

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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aHiielrgcerdtremipyy si saawyl aeetrdt thwi ar,iebFts even hhtuog she si igncmo ofr a loflwo pu mtixaiaoenn dna notrcentocia of TGs is 035 pkee viiggn rzimflibeGo a fierbta.

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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Htleiymyrapcgereridi is wsalya tdaeret twih seir,Fatb vnee ohghtu hes is omcngi fro a llwfoo up nioatnmxaei adn arttocinonec fo sGT si 053 pkee vggini lzGrebifomi a .tirbefa

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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Nainic nac csuae lg,mieyecyraph ig,lhnufs adn tug.o 'AINSsD acn ettra ot.gu sAriipn ta hihg ioctsretanncno osal ibtisnhi laern abootrsprei,n tub ti ibthinsi citnosree at olw .vsllee I tenw hitw iarnisp oevr emnoaiatehnpc cb/ ughhtalo aheocpnimtane is an caaingles it cskal aar-itnmoyialmftn vaititc.y

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redvelvet  htis si ont atth quoteins ): +6


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