NBME 17 Immature lower esophageal sphincter (NBME Answers)

Retired 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 🔍 / 📺 / 🌳 / 📖
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+10 upvote downvote
submitted by ∗andro(269)

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afneiitlferD iniaoDsgs of bNn/tNrnalweoaoe inmVotig

ngen-Bi raaggoseopeslhat luxerf ( e.i mieatrum rwleo plaoasghee peictnsrh ) ogngrtirautie fo doof olrstyh reaft fedngei .
No hruterf smymtops , thyealh recdhlni twih oalmnr oleeenvptmd

pypi-rHehcrto rliycop etosinss
gungtrieaotiR - itejoclper olunoniisb givoimtn ctleyteroel bailcmasen ( oilsksala nda hlaieyaompk ) * pcalsihy mitxennoaia aym earlev an ieolv smas on laitnopap of impeuiastrg
*ptyllyc ia astrst mfro ebnweet d2n and 7th kewe of ega

iugM-td vuullvso noaolatrt/iM nu/Doelda areiats * iiobsul oivginmt * domlanabi ttininoesd * iIggmna aym earelv ssgni eikl eth uloedb beulbb nsig ( odlaendu aesrita ) etc

Nt:eo ehT tsli is otn etiuexhavs sa eerht ear naym oemr usseca acdesoaist wthi rnwebno ovinigmti

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covid_19 oT dda on ot ngeBin GE,R I outnlcd' nfdi nhtaigyn in a ursorcy kolo tugorhh FA adn lsoa 'dtind knwo that GRE aws a ithng in ,oetnneas so I uodfn hist ince dan secoicn aretlic ni Upo:eDaTt ainemolo-gpe/cwerl-/.ae.x-satattptasiupothp:eewosthotmfste/acrnunrstdufwg/rnn- +

i_hate_it_here I 'tnod nutndadesr hyw gpahlsEaeo ssapm s'nit higtr +1

topgunber I dlwou ays eahespolag ssamp duolw casue mteidmeia ointgreriuatg or ityiabiln to soawllw erpop.lry os ew oludw eb golonik ofr d.aihgysap +4

nikitasr27 In eearlng ennoetas ehva an iemramtu orsvenu eymtss .e.g( bi)inskab dna I nhikt taht osla piasepl to het N.SA T’hats hwy uyo ees os yanm TuYubeo iesdov fo bseaib vmgoiitn otu of hte ubel itutwoh eevn gnhiangc rihet cefa sn.eirpoesx I ’ndot ook,wn bsieba era wried +1

pakimd si emuatrim hgaleseopa niehtrpsc hte anesor wyh bsabei ipst pu kmil ehnw ratnesp rpub hteri bbsae?i +

chaosawaits bbeisa prbu pu rithe kilm seuceba ehty wllosaw oto ragsseielvyg enhw they ef.de npugiBr tmhe pelsh tge rid of moes of hte ria in rhtei achotsm dan hslpe nepertv dttsonniie fmro too hcum ari, hetyber eiinlvger of enpttiola hcoastm anis.p +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 nihkt ttha het nwears si ton rcoliyp etoissn,s whhci stpnerse with ETREOILPJC snlnb-ooiiu toinmgvi w64s-k c(cylallssia firts rbon aybb o).by

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+0 upvote downvote
submitted by sschulz2013(7)

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@beirs - I kthni ti is the same cnoetpc as the lpcoiry ntscphrei. In olpycri nets,sosi it ekast a ewf esewk for teh uclmse ot lutaycla gwro ghneuo ot uacse na tcisotorn,bu so arpepsh het mase toenccp ppseial to eth SEL ecs-mlu a'sthn dah eitm to rogw eognuh to kpee toscahm stctneon omrf igrairenutgtg ni a ronbn.we Thta wulod eamk esesn yhw it olwud veeorls over ite.m tJus a h.oghttu

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feochromocytoma tBu why ddi ti ternsep olyn teafr 5 eskew or so erfta h?trbi +

chaosawaits I oiginlalry dah raumtmie" EL"S lntiu I uotthgh too drah uatob teh laet eteoparntsni t(fera 5 ew.s)ke I dasoenre a wkae LSE uwldo psrntee nseci tbrhi but ahsgeapoel amspss colud naphpe acriysplldoa dna hterefroe adhegcn ym ewnsar. MFL +

+0 upvote downvote
submitted by ∗imgdoc(183)

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sutJ to add to htaw orsteh have yaalred reoadteabl opun:

esaaElgoph smspa - airreulrg zaedosrgidni nainstocortc of ahpsgeelao cua,etusmrul uwodl cesau si,yghdpaa ro tiamidmee riuttgoenraig ni stih new n.bro Thsi udlow bblrpyoa ppanhe tihw evyre fed.e

tuG aiolamonttr M(tugdi tlmoo)natrai - tseenspr whti siiublo vmgniito ued to aoenuddl buoicrsntto iva adLd saBnd fm.oiraton

Terlheoosahcepgaa taaseri - doulw ntpsere ithw iocny,ass ld,oigorn nad isveecexs n.ucggohi irA duowl eb retsenp ni eht ao,smthc nad cna't pssa a sasacintogr betu ouhrhtg ot hte .osthamc

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