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Retired NBME 20 Answers

nbme20/Block 1/Question#24 (reveal difficulty score)
A 50-year-old man comes to the physician ...
Omeprazole ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm

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 +26  upvote downvote
submitted by โˆ—justgettinby(26)
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olonarIeazct ruerisqe the ciicad nvtnnieemro fo het msothac to be ebb.arsdo rOeelapzmo intbhsii het /K+H+ pupm of hte tocahms, ebhyrte encisradge teh iactyid fo hte sacmth.o So nweh eht epnatti estka reozeaOmlp adn Ieaotrlacozn threoeg,t rnoolataezcI nt'ow eb reaobdbs tnoi teh odyb. tasTh' why ti sha on fefec.t

'tsI ceomrmddnee to akte ceotiimands ta altes 2 oursh iropr to nigakt na idtna.ac

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necrotizingfasciitis  Just dngiad utrspop to eht eabvo stg9bM/.av 6Cnaicnc/7ap /lit /w:.ws.//tloicplrxoenwhP1n73mn 8h.t:meip +4
pakimd  do lla zsoale or tusj rolatanziceo nyol erruseqi na dcacii mtnnoinrvee ot be obsb?dare +2
chandlerbas  jtus ltrncaiooaez dna plzosanocaoe +5
lilyo  nsara,dhle@bc ehwer ddi ouy difn shti i?toianfornm I swa ionoglk eorv itsh no AF ubt eyth do not ietonnm ti nad I wuodl lkie a itb emro tifroonmna.i ansThk! +5
chandlerbas  ahha on estsrs! the larctie eavbo mstitdbeu yb ifasztinniitiesrcgco@ sode a sdntece job ipgnlenaix t,i vhorewe sit ont dgoo no,uhge I kdloeo nito a tbi emro on apdettou btu naws't futilurf in my us.eenvorad !odckgluo +
haozhier  wHo aer ew dspopeus ot know !!itsh It si tno in OLWUDR or AF gir?th +14
kevin  nmeooSe isda ti on r,hee nseci hrtee saw no YCP udcnire of the aernsw ocec,shi het ylon wya ot evne hnitk bouta na ewrnas to hsit tseoqnui wsa ot utsj og whti a sles idicac rnvneomietn form eht IPP tnfcfegai snota.boirp tI asw ypsmli het nylo rlnoesaeab arnesw ic,coeh I on'dt hintk e'stehr yna ywa ew eewr ecetdxpe to nwok of sith tacex nnroaciitet rropi +1
aoa05  lnGoa phamr okbo sstate eht excta meas gint.h ontnCa eb egniv to sttnaipe hitw h.rahiyadrloc +
j44n  -m.ao--huuricsapt-sufen:--pwwiuatsnroacgvna.wnnmrtifchsau/etl/thaemegl/i/twgs +



 +8  upvote downvote
submitted by nadhq(8)
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I lyhgih odtub ttha irtesrw fo iths useitnqo pecxet su ot kown eht tnilreao tewneeb aniezcalroot nda PPI but rehatr if a eantpit has a muudilrtg geenirm gii(lnudnc a P),IP if teerh is on 0p54 eetalrd fstuf ognig dan dugr stboaobirn si fcivdeeet we oudlsh eb sisicusoup of the IPPs. kLie a rglenae elru or gnhemoits klie t.hta

O,seiehtwr fi htye ecxtpe us to nwko eht fciiepsc renaltoi bneweet het o...tw meh hsit uqsotine skucs raleyl dahr t.hen

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 +1  upvote downvote
submitted by โˆ—stepwarrior(29)
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hist is lyrclae trhenoa oen of thsoe atpr ntsuisoeq fro onitheserrvk

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 +0  upvote downvote
submitted by โˆ—amy(4)
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Fnuod siht in dpuaote:t Opmarelezo durg oifr,imaontn os it anc og thob n.w:..scoota.lyIa ae"rz rotPon Pmup srobnhItii aym eirasecn eht eusmr ntoraitcnecno fo naoItrlozc.ea oPornt pmPu iinrhIotbs mya sadreece the rseum orcneitnoncat fo Ian.rotzocael :anMgeatnem xuEepros to ulrTaos drnab rlaaiezotcno aym be eiadnscer by sPP;I odicnrse taeorzoanicl soed oti.drneuc reExsoup to anpoxSor abnrd etoarozicaln capsusle may be acddseree yb sPPI. vGie noaxSrpo arndb aerilzoncaot ta ltaes 2 hrs beofer or 2 hsr ertaf PPIs Rkis :D edoiCrsn htreayp ndoofi"ictaim

orF toalcee,znoko ti ddi say PPI ceeaderss tsi mesru evell

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 +0  upvote downvote
submitted by andremosq(9)
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Teh uednaepasltc tnrfolamiou fo zaointaeolrc sha eebn daocitaess with wdie lavtiiraybi in paasml ncrnsicoteanot ued to vatyrbiaili ni snotoabpir mofr eht tiagtesnnalrsito G(I) .rtcta

duaEsnpetlca lztoanaiorec sqeeuirr an caiidc pH ni the aschmot for hte porpre dtolsuisoni nad bptsrioona ni eth uemodudn sll(am nees.tiin)t

Poront mppu irtbniiho cmdoiaensti nca senecari the tgrcias pH and etbyerh eradecse the linstsduooi fo hte ecsualp nad eth motnau of nrazteiocola baivlaael for stapobnoir omrf the IG ractt orf imssytec el.dryive

ntAh:yoynb .J ui,sBt DM, hmDar,P LANF, AFHA

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 -11  upvote downvote
submitted by โˆ—strugglebus(189)
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Tihs a YPC 450 bihniotir (SCFSICCOM.KAE); its eht O.

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coccidioinmytitties  zoAel,s as a clssa, era 50CYP4 onhritsiib lanufg[ t&g; nm;ahu to vpreten inesrocnvo of easonltlor to loe.est]orrg eustJgt si trec-roc a pHโ†“ is nedede fro oonitbpras adn dti2cPHPaasRn/IA/ are adiarntciotcedn. +



 -13  upvote downvote
submitted by โˆ—hayayah(1212)
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ddA on ot eth rtoeh mnco:mte CASCO.ISECKMF (henIw Am drnignki afGuiprrte ijuec) si hte einmocmn for megimneerbr eht 5YPC04 Iitsrbn:ioh

  • S mudio talrepaov
  • I nziidaso
  • C nmedeiiti
  • K ezaetcoolno
  • F nallzoeouc
  • A ctue lclooah bseua
  • C lmhnopicalehro
  • E irhaohmlcronrn/tciiytycmry
  • S edfniusalmo
  • C ioacfpnixlro
  • O oeapmlzer

  • M doornealizet

  • A aoirednom

  • tarrpGefui cujei
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charcot_bouchard  Ist ton a rcmtocyeho enots.qiu IK aesubce i go t ti onwgr +1
waterloo  otbh zasoel nad PPI biihtin oryoemcthc 054.P So noe 'stni gaiuscn the esro'ht clka of .tfeecf +9
stepwarrior  Np.oe bthgiiInin 4PCY05 would hcenaen the efctfe of ,rieaotnlazco os ttah 'atcn be hte smhi.nmace +2



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