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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(332)
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itrsF cnnetsee of teh mse:t eh ash a ekw6e- ihsyort .e.(g 2tg;& w)seke fo sreeinpsdo 1(,) ufliicftyd lsenpgei )(,2 etigfau (3,) csededrea pittpeea ()4, adn poro ra/rtmceyotnecmonino 5)(

rFo a oiaidsgsn fo MDD, oyu deen a 2 ekew iytosrh of 5 fo het SCGPEISA tmspmyso hhwci he meest he( is yoln ngsmsii ciladisu adiioent adn nestrtie in cti.ita)veis Tshu eh eetms the toigsidnac recaiitr ofr a ramjo sverdpiees ioep,dse iwchh nemsa atth tntermeat is dndeiitac wtih an .SSRI

For teh ohret drcviuolaacsra ao,tcfrs the lnoy neos nrveop ot pvemoir moyiratlt are isstn,ta C,iAE BB (esp. ilacrovdel in haetr ,lfiaue)r adn to.nlroacpeison None of eohts weer enaswr ch,soeci so DDM emtartnet swa teh sbte hi.ocec

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umpalumpa  tu,clAyla wteigh slos and sierxeec rae teh onyl ruseeams to edeeacsr roalitymt (torhe hant ntas)sit ni pt tihw paimeidr pdlii abl uev.asl m'I ont aelb ot alpienx wyh a loelracowi- eitd is orgwn it( ohsdlu arcedese edrseh-e-a&gc;titweg myr)to;alit aeymb rehet si on tdreci oconerrital in ncacilil sutesid eenbwe aclerw-iool teid nda yat.irlotm +1
fhegedus  enev hhgtuo i got sthi gr,own i ievlebe i aveh eirgdfu tuo why lcroa-eliwo diet si norwg. nI het ftsir senncete fo eht qonst,uei ti atesst eh ahs olw .eapetipt oS we can tyrpte uhcm rineog idet dna losierac fmro teh ntquoi.ae +1
drbravojose  I nkhti bymea 2 rseay tnex si het key to hcesoo anetpdi snaidet of w-looelcira ichwh aekst a goln mrte to eamk tis tefcf.e +1



 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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Msto fo het tsp saleuv ewre rlao.nm kirginnD ats'wn o,sugeaourt LDL was dlm,i MBI sha ef.ni He did ahev NHT th.guoh Teh isggtbe iksr otsafcr aer teh tfca taht he adh fsdreeuf na IM adn tdsater risgffune eevrse ipndesoesr (ewtghi lxsoa.t/iny)es uTs,h eh si eorm at isrk ofr .uiiceds

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sohaib111  no'tW naihgv na IM eb a rvye big irsk catfro rof ortahne oen n? Ad sloa fi ehty endwat hits eanrsw (eth pdnsettnsar)-i,ea why ldowu heyt juts dda htta hsi LDL is irnsegain ni teh slta ecn.seetn.. +14
dbg  bc 'terehy OsSB dna OsDB +33
doodimoodi  Yhe,a nmeceerddom LDL in lpeepo twhi usorepvi ather orbempl is < 001 zjee +1
asingh  tI si ceesbua fo eht miraefetm fo mrtiyoalt is 2 r,ys evthiryeng lsee lliw featfc aterl +6
benny  ddm iasrnece IM +
benny  epyT 2 dbsieate adn mjaro edseipvrse oresrdid )DD(M are endeninpted nutrocstrobi ot vradlaiosccuar dsaiese adn ot na idearesnc rski of lcyomdiraa inioctfnar .IM() +
drzed  neoN of eth rcauaidraoclvs sootpni oduwl romipev orayimltt nsst(,ati E,iCA ,BB orsnliaootenpc ear teh enos tath eavh neopvr trymloati eif)b.tne oS if ethy adh tup noe fo thse,o I tnikh I udlwo hvae cohsne ttha, utb vgein tath het erst ont'd negcha tyortlima ta l,la I went itwh het .stpnaetssadienr +2
ihatetesting  My tnikghni swa ttha seicn eh ahd an ,MI a bate brloeck udowl emipvor oaylti,mrt nad poprolnoarl is soal ueds sa na .naxctiolyi +2



 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I nhkti ahtt if tyhe dah gsotiehnm kile ntaits" ehpt"yar sa na naserw eho,icc ew uwldo haev an ugametrn for ttha sa ti wlduo redcseea ytmroatil yb hnpigel vneptre ANHREOT ertah t.aktac ow,reevH I hitnk that dapstaneetsnir- yharept lwil do a TLO ot rvetenp diuis,ce ehiwl ma-o3ge attyf icads ytehlha( sa teyh aer) o'ltuwnd od AS HMCU to rtpeenv a areth ttc.aak

eTh enqtisuo is bylascila aski,ng "You anc olyn rricbpees eno fo shete ot ekpe shti uded iveal sa olng sa iblssepo. hWhic oen lilw ehav teh bets ecnach at anglcpiismoch tah?"t

re,hfeToer het arewsn lsoudh eb piarn-seantteds rahy.ept

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bharatpillai  why detsprnnetasai rtyaeph ohhg?tu tehre aer ton ungohe aufetrse gnvie to ussgteg De'H.MD s 65 reysa o,dl not na delrlye giseln mael os ton at teh shghite icaslcsa"l" pinuapoolt ta rksi fo icsdeiu? hte ouiqntse is so m.uiea.uin.Gbgso v IM, o'wundlt cnoirch lcciohlao tkaien esodpierps imh to lteidda paitcod?yaohrym +1
neovanilla  I tdo'n bvleiee tsi' ttah eh ash DMD by hte liclinac ndeotii.nif 'stI omer atth ish oQL sha oblaypbr hndegca arlciyaltds isenc eth MI nad MsI ear srlogytn adatecioss thiw eaecerdsd uooltok no elf,i peyilslace csgnideorin ohw comomn it si to etg a desnoc MI noos atrfe het .rsitf I d'not owkn the ttass on dsueici Iot,pM-s ubt eilngph the pntstiea' dipoeessrn ot eamk mhi rmoe a-pritcvoe to pelh hemfsli npvrete nhearot IM luwod eb tetrbe tnha a" eitd hihg ni eomag 3 "FsA (ta ,asetl itsh saw ym fu,cjiitsntaoi as ernbmou was gsi)yna +2
drzed  Frsit tesneecn fo the te:sm he sah a ee6-kw otrhsiy ..e(g g2t&; wkees) of npeoidsesr 1),( fidlctiufy gseinpel ),(2 itgafeu 3,)( dsarcedee tppaetie 4(,) and poor /eotcmaynocrernnimot o5 ()Fr a nsadoigsi of M,DD you deen a 2 kewe oishtyr fo 5 of eth CESPGSAI omspsymt ihwhc he eetms eh( is oyln isignms udsaiicl oitnaide nad itenrtse in iit.aecvtis) sTuh eh smtee eth doaistncgi iateicrr for a arjmo ierdspseev ,spedeio hwich samen taht eattnremt si endiactdi iwth an S.RIS +3



 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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Cna oanney ieplnax yhw sti' ont axioti?ycln yM lgoic was thsi eddu hsa a mub kircet frmo esipuorv MI, adn hsi HR aws cin/0miw41-hh- ac'tn be dgoo rfo teh old ta.her I etwn /wa iilnctxoay to gbrni his RH nda eaynxti reund ncto.rlo

lWdou an dssnaitntpreae do teh m,ase hs,tu si it a tebtre wsa,ner or cervo a rwide agnre of ?psommyts

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underd0g  An ISSR wdluo rvoce tbho ioresnspde nda txeniay. +2



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