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 🔍 / 📺 / 🌳 / 📖
tags:

+10 upvote downvote
submitted by ∗andro(269)

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afliefienrDt nigoaisDs fo nobeao/NalrNewtn mtnoiiVg

-Benign orgesaatlpeagosh flexur ( .ie ummieatr eowlr eegoaaplsh ptsnrchie )iruogerttnagi of fodo olhytsr feart eiegfnd .
oN ruhrfte pssymmto , lyhteha lihcdenr ithw nmolar mdeoepvtenl

phHpotyi-recr croyilp tsonsies
ittgRgoanurei - rceeotpjil onsuionibl ivnmoitg eecllrtetoy ealimsancb ( aloaslisk dan plkomaieyah ) * hlpscyia eanoinmiatx yam evarle an vlieo sams no anopplita fo iermugtsapi
a iptylycl* satrts fomr wetbene n2d adn 7ht ewke fo ega

uMdt-ig suolvuvl raoMotnaitl/ an/odelDu seatari * soiilub ogvnitmi * oaliadbnm ennitotsid * nmgaiIg amy evlear issgn ikel eht dulboe ebulbb snig ( ledaoudn istreaa ) ect

e:Nto The ilts is otn taxhieuvse as three rae ymna oerm sascue astisdeaoc wiht ewrbnon iotngimiv

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covid_19 oT dda no to ningBe REG, I ocntl'du fidn ithngyna ni a uyrrosc ookl ghhotur AF nda sola dt'idn nkow ahtt ERG swa a hntgi ni sanenot,e os I dufon shit cien adn cncoise ciretal ni UDpat:eTo /txeegrsuur-eawph-atcon-goue/to/stant/a.srpn-tptmpdt:et.hnelewfisiaoaonfclmwsr +

i_hate_it_here I ontd' dtnandurse hyw Eelaaghpso mssap nti's ihgtr +1

topgunber I ldouw yas gaaplosehe mspsa olwud scuea eedtmmiia gorraiguenitt or atlinbiiy to wlwslao pr.pleyor os ew wludo be lkiogno orf psadhgi.ya +4

nikitasr27 In nlgraee aosenten haev na tiemmura ueosnvr ytsesm g..(e s)ibibakn dan I khnti ttha alos lappsie ot teh ANS. Th’sta wyh uyo ese so namy TuYebou voesdi of asibbe imiovngt uot fo het uebl hiutwot evne gihcgnan iehrt efac siropns.eex I nt’od owo,kn beisab are dweir +1

pakimd si iuteamrm heelogpsaa stnpchire eth seanor hwy iaebsb pits up likm wehn trepnas rbup rheit e?iabsb +

chaosawaits sieabb brpu up irteh lkmi cseueab ehyt allwows too yievsgeglars newh hyte efde. urpgnBi htme spleh gte rdi of emso of the air in ihter achmtos nda esplh eprtvne nitidtneos rmof too ucmh ,air rteeybh veinlrieg fo intpeltoa hsamtoc apin.s +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 ktinh tath the erwsna is tno coyplir ssostei,n wihch tresspne htwi OLEERCIPTJ nii-obluons gnmtvoii sk-64w lsc(ilalaysc tfisr orbn bbay b)y.o

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+0 upvote downvote
submitted by sschulz2013(7)

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rie@sb - I khtin it si het same poctnec as eth rpliyoc .iepcrnths In proylci t,sonssei ti etkas a ewf sweke ofr teh smucel ot lutacyla rgow eghnuo to aescu an i,ctbnuroots os psearhp eht msae ctcnope ppleias to hte ELS uce-slm ahnts' ahd item ot worg onehug to pkee oamchts snntcteo ofmr ntitirgguager ni a n.nboerw hTat lwdou kmea sesen wyh ti uldow seerlov veor t.mie sutJ a hho.tgut

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feochromocytoma uBt hwy did it tsreepn nylo afetr 5 sewke ro os earft bt?irh +

chaosawaits I aiilolyngr ahd rieuamt"m "LES lnuti I hhtotgu too hrda buaot eth alet tenstrapeoin a(tfer 5 e.sw)ke I odeaenrs a awke LES ouwdl etpsren sienc irthb tub aepgeloahs msssap lduoc penahp ldpasiryolac nda etrfoheer gandhce ym .snwrea MLF +

+0 upvote downvote
submitted by ∗imgdoc(183)

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stuJ ot dda ot twha etshro ahev yardlae ereaobadtl :onpu

aeEhgospla passm - rrlagreiu gidizsoadern ictoronasctn fo gspeelaaho lcrau,emutus oduwl seuca aidgp,ysha ro dmteeiaim iettginarogur in hsti ewn rnb.o ihTs owldu bpboalry ppanhe iwth rvyee .dfee

utG iaotrlanmto i(dgtuM tati)lnoaomr - nptssere iwth lobiius invgtimo ued ot nodeldau botnscoutir via ddaL Bnsda amroifot.n

geaarhohleocTsaep taaeisr - duwlo peretsn ihwt sacins,yo orndogl,i adn cesvieesx cnoguihg. Air wluod be ptserne ni the a,oshtcm and actn' spas a tgassianorc uetb utohrgh ot the .hotmasc

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