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Retired NBME 20 Answers

nbme20/Block 2/Question#48 (reveal difficulty score)
A sedentary 50-year-old man with hypertension ...
Antidepressant therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm

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 +13  upvote downvote
submitted by โˆ—drzed(333)
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Frist ensenetc of hte s:tme he ash a e6-wke tiroshy .e.g( g2t&; e)kswe of nederpossi (,)1 ictfiuyfdl ngielspe ,2() eftugai 3),( cersddaee titppeae (4,) dan opor toymermair/onntceonc )5(

rFo a asdnoisig fo MDD, uoy ndee a 2 week hryitso fo 5 fo teh APSCIGSE mtmsysop hhwci eh stmee he( is yonl ginsmsi asduclii oatdeini and nisrteet in )itcietsiv.a ushT he tseme het tdsiiognca ariiretc ofr a mjroa sreepsevid so,eiped hihwc esman atth ttnmraete si edtndicai ithw an .SSIR

roF eth heotr crrvoaasilcadu farsoct, the ynol snoe ernovp to ripvoem mattiyorl era tsinsta, EC,Ai BB p.(se valirdleoc ni heatr r)ufiel,a dna coierapnonostl. neoN fo seoht rewe arswen choiec,s os MDD nemtetart saw eht bset e.hiocc

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umpalumpa  Aayucllt, whitge lsso adn sxceiree aer eth ynol sresemau ot aeresdec roytltami (rehot tnah asnttsi) in tp hwti idprmiea idlip lab us.lvae I'm tno ebla to nialpxe ywh a rwoa-icelol edit si wrgon it( hsodul deesraec ethse-eg;aerdi&wtg-c ltor)y;iamt bmaye herte is on ercdti ictlrorenao in lalccnii dessiut beneew -cleiwoarlo ietd dan mtoya.rlti +1
fhegedus  vene uohgth i gto tshi rngw,o i eevlibe i hvae eirfugd otu ywh -loaorelwci diet is nw.gor nI the itsrf cnenetes fo eth itsno,euq it tsaets eh sha wol eatppte.i So ew cna eytprt chmu eigonr ited nad clirseoa rofm hte au.eiqont +1
drbravojose  I khitn abyem 2 ysera ntex is het key ot cohsoe pedtina tisdnae of reoawcol-il cwihh estka a lgno tmre ot emka its cffee.t +1



 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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sMto of hte pst uaevsl were .nralmo rinDking tan'ws geto,rsouau DLL swa mli,d MIB ahs in.ef eH idd vahe NTH g.hhtou The tebggis kris carotsf rae the cfta htat he dah edffesru an IM nad dsatetr guerinffs eesvre esediprnso tw(ghie xssyt.ialne/o) hu,Ts eh is rmoe ta skir fro dcisuei.

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sohaib111  'tonW ihngav na MI be a yerv ibg kris ftorca fro orhneta one nA?d soal fi yeht antdew hist asnrwe te(h ,apnis-rntaesdet) ywh olwdu htey jsut dad atht ihs LLD si snaneirig ni teh tals senteec...n +14
dbg  cb yhrt'ee OsSB and BOsD +33
doodimoodi  eaY,h onreddmemec DLL in opplee whti rpeuviso ahetr pmrboel is &t;l 100 ejze +1
asingh  It si ucebaes fo hte riteemafm of lotrmiyat is 2 rs,y inrvtehyge lese lilw tfcaef aetrl +6
benny  mdd cisaenre IM +
benny  Tyep 2 estibeda nda jmaor rspveiedes rrsoedid D)DM( aer nndenteidpe tnorbcisruot ot rccadsoiuvaral eisaesd nda to an idaersnec ksri of crliamoday aincrfntoi ).MI( +
benny  .phC/p/ht.0milr2cnnwbnsMP/m.tactw33.v4wcsl/o/1:igie4/ +
drzed  Nnoe fo het ovuacsrrlcdaai poitnso wldou miepvro timtoaryl tsa,nst(i iCE,A BB, oesncrnpoaoitl rea eth oens thta evah vonper rtoiltyma n)ite.feb So if tyeh ahd utp noe of ,ehost I khnit I dlwuo aevh esnohc ahtt, btu egvin tath eth ters nod't gnchae oltmtryai at ,lla I entw tiwh teh snpnssdtaieaet.r +2
ihatetesting  yM gninthki asw that ncsie he adh na M,I a aetb rokbelc wdolu meivorp ,airytltom nad olanpolporr is oasl sdeu as an naciiolx.yt +2



 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I nithk atht fi teyh dah soteimhgn lkie tt"inas y"paetrh sa an wensra hic,ceo ew loudw vaeh an emrgnuat fro htat sa ti lwodu readcese rltyomtia yb pehlnig nrveetp AOHRNTE etrha .attcak vweHr,eo I nhitk htta eepndarstnats-i hyperta lliw do a OLT to nervpet deiusi,c hiwel oagm-e3 tytaf idcsa halhyt(e as htye are) ndtul'wo od SA CMHU ot nveeprt a teahr tck.ata

The uisoneqt is slalaiybc gak,nis o"uY can only erprcbies noe of htsee to epek hsti ddue veila as olgn as bo.ilesps cihWh neo wlil have the sbte hnaecc at ioipcnhgclmas th?a"t

,eroherTfe eht aenrws slduho be aatesrnns-etdip hery.apt

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bharatpillai  wyh sandtripensate yeprtah ohuht?g ereht rea otn uegnoh esarfetu ignve ot sueggts .sMD'HDe 56 raeys d,lo not an rleydle gielsn male so not at the gsethih lalsi"casc" pputaiolon at ksir fo iecusi?d hte qisueont si so v us.meGigou.n.aib I,M o'tdwunl rchconi lcihaoolc tinaek rsespopedi hmi ot dileatd pdhyiam?oyaorct +1
neovanilla  I tdon' eveleib ts'i ahtt eh ahs DDM yb hte nlccilia .nionfediti s'tI erom htat ihs QoL sah rybpolba hecgadn tcrdiylaals esnic eht MI dna IsM rae stnryglo actdsseoia hwit dsredceae ukoloot no elfi, esepliyacl iegncoisnrd owh omncom ti si ot tge a ndesoc IM oson atfer het trf.si I ntd'o wnok eht sstat on edicius pt,MIs-o utb peighnl het npateit's sespodiern to maek mhi orem i-oaptevcr to help ifmehsl pneetvr hnertao MI dlowu be tetber nhta "a idte hgih ni agmoe 3 A"sF a(t eslat, sthi wsa ym itsctiu,nifajo sa uomnber aws ngy)ias +2
drzed  rtiFs sentecen fo teh m:est he sha a 6e-ekw rsyihot .e(.g tg2;& )eswke fo ieordnpess 1(,) ityduifflc ispengel ,)2( aigtefu ,)3( desecader ttpaieep 4,)( nda poro crtmcanmoot/reenoiyn rF()o5 a doginissa fo DD,M ouy deen a 2 ekew shotyri fo 5 of het SEPGACIS mpmsosty ihhcw eh mtsee he( is olyn niimssg acslidiu ondaitie and nritstee in )siiciea.tvt sThu eh semte the inacitgdso cearriti for a omjar ssprdeivee peie,ods hcihw nmaes htat ettmetran si dctidenai wthi an SRI.S +3



 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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Cna nneaoy xlpenai why st'i otn alycniotx?i My lgoci asw hsti eddu ash a mub iecktr mrfo uveirops M,I nad shi RH saw -1hm4icw0n-hi/ 'nact be oodg rof eht lod .earth I wnet /wa ioncatlixy ot gnrib shi RH dan exiytan rednu onocr.lt

udWol an tsndteieparsan od eth a,ems s,thu is it a reetbt esan,rw or rcveo a rwdei nraeg fo tysms?mop

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underd0g  An IRSS ouwld coerv boht rdpsnseoei nad ta.iynxe +2



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