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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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tsFir neecesnt fo het m:tse he ahs a eekw-6 rhtiosy g(..e t;g2& )wesek of rideosnpes ,1)( fyilctuifd sniepgel )(,2 geuftai ,)(3 reascdede ttpipaee )4,( and orop i/oceynntenmomtrrcoa )(5

orF a anosdisig fo MDD, yuo dene a 2 ewek yositrh of 5 fo het AISEPCGS ymspomts cihwh he estme eh( si nloy nmssigi luiicsad aoniidet adn terietns in iteitsia.)cv uTsh he eesmt the igatnidosc ertiicra ofr a orjam esdpvirees epise,do ichwh samne taht eentrmtat si ndtdicaei htiw na SI.RS

For eht rtoeh doaircaacsrlvu ,trcofas hte nyol osen nopver ot iveopmr iyamrtolt ear ,attssin A,CiE BB (es.p coaeldvril ni erhat felaru,i) dna .aoclenronistop enNo of ehsto weer ewrsan ochce,is so DDM rmteaettn saw the sebt h.cocei

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umpalumpa  ,lcuylAat ietwgh ssol nda ercesxei rae the oyln eemrusas to seaeedcr ltamtyroi (rohet ntah ts)insat in tp iwth meipdrai dpili lba sal.uve I'm otn ebal to epxinla yhw a rlocloweai- diet si rgwno i(t holdsu ercsaeed &eget-;diesehwrtac-g )tiymrloat; ambye rhete is no idcter icolrenraot in nciilalc destisu ewnbee iocawr-lleo idte dna mrtaoltiy. +1
fhegedus  nvee uhoght i tgo this nwo,gr i eevielb i have urgefid tuo yhw wo-rlciloae edit is ngo.rw nI het frtsi escentne of hte uetnq,sio it sattes he sha owl .peptaeit oS we can teptyr ucmh ogienr deti nda ricolaes mrof het i.aoeuqnt +1
drbravojose  I tkinh abemy 2 aeyrs xnet si eth eyk ot sooech tdeinpa tasndie fo -clirloaowe hihcw takse a long trme ot kema ist ee.tcff +1



 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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sotM fo hte spt uvleas rwee .naroml iDnnikrg twn'as ser,otauogu DLL aws ,ilmd MIB sha .enfi He did vaeh NHT uhht.og hTe iteggbs ksri ftraosc rae hte cfta taht eh dah rfeseduf na MI nda aetdstr ifnresfug esreve peoernsisd hiwg(et a/nssto.ye)lix ,Thus he is remo ta iskr rfo .iidseuc

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sohaib111  on'Wt gvhina na IM be a ryev gbi ksri orftac orf tnhoera oen ?dAn laso fi eyth taewnd hits arsenw h(et s-a,etednastirpn) wyh uoldw ethy stuj dda thta hsi DLL is igniernsa ni the tals cee.nens..t +14
dbg  cb 'yheter sBSO nad ODBs +33
doodimoodi  ,Yeha ereenddommc LDL in ploeep ithw uirovpse htrae erobplm is tl&; 100 ejze +1
asingh  tI is abucees of eth mmeaitref fo iamttlyor si 2 ,syr yvrieehtng esle lwil afcfte tlaer +6
benny  dmd eanirecs MI +
benny  peyT 2 eaitdseb adn aromj erisesvedp roieddsr (MDD) rae nineedptden irboocnurtst ot arcasuirodalvc sisadee dna ot an dareeicns ksir fo lacaoidrym itcainnorf .)IM( +
drzed  Neon fo teh csluaadcvorrai opntiso ulodw iprevmo taymtlrio t,stina(s iE,AC BB, octnialpoeorns era eht seno tath eavh eorpnv imraltyot be.ifne)t oS if yteh ahd put eno fo oshte, I ihnkt I ldwuo heav ohncse ,ahtt tub nvieg ttah teh rets dt'on hegnca rmilatyto ta ,lla I etwn tiwh teh eetndtrisapasn.s +2
ihatetesting  yM ghkintin asw atht cesni he ahd an IM, a etba kerbcol uodwl rpmovei y,ttlaiomr adn oolrprlnpoa si oasl used sa na ci.tlyioaxn +2



 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I nhikt ahtt if ythe had thsgemoin klie t"intas tyrh"pae sa an narswe ihcoc,e we dwulo vahe an ugamnrte rfo ahtt sa it wolud ecdearse tlimtrayo yb pihelng eepnrvt EORTAHN hreta .atkatc wroevHe, I inkth taht raitteasse-dnnp typrhea lilw do a OTL ot netevrp desiciu, iwleh m-geoa3 fatyt idcsa lhyth(ae as tyeh ra)e lnwou'td do AS CMHU to eenptvr a haret attca.k

The seiqnuot si yclsblaai kna,gsi uYo" anc olyn peesirbrc noe fo ehtse to pkee shti uded evlia sa long sa seibsl.op hihWc oen lliw aehv the bets hacnec ta ispccilhmaong "ta?ht

eTr,rehofe hte sreawn dhsuol eb e-antpsenitrsad rypha.te

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bharatpillai  yhw snattrsieaenpd ythrpae ugohh?t ehter are ont ohengu starfeeu geinv to ustgegs 'D.esDM H 65 earsy lo,d ton na edlyerl englis mael os nto at the hetghis aa"lc"sscli uolipnatop at skri fo e?dsiuic het qoseniut is so vmi.o.suna.gbui eG ,IM nudtw'ol oihccrn alloccoih teinka persosdeip mih ot additel mycyroohpa?dita +1
neovanilla  I no'td eebvlie s'it htta he has DDM yb eht claicnli ineotnf.idi tsI' remo that sih LoQ ash alorybbp hngadec csaldrytali icens eth IM nda MsI rae yolgtnrs tsaseodiac ihwt eeaddrsec ukoolto on fl,ie iyeselplca ngeicsdnrio ohw nomocm ti si to tge a ceodns IM onos faert eht itfs.r I tnd'o know the astst no suicide o,p-stIM ubt enilhpg eth ipttsane' preesosind to kame hmi more pvi-rotaec to hlep emhsfli nvptere ranoteh MI wlduo be ettber ntha a" etdi ihgh in egaom 3 Fs"A ta( ,aelst this saw ym ,itsoiiutcanjf sa obrmneu wsa ngyi)as +2
drzed  rtFsi tscneene of hte ste:m he sah a 6-keew htoriys .(.ge g&2t; )sekew fo odeessnrpi )(,1 lfdtfcyiiu npilesge ,2() fuiateg 3,() adreeedcs petateip (,4) and oorp oitoctycnrne/naoemrm )Fo r5( a dignioass of D,MD ouy eden a 2 eekw sorithy of 5 of eth CGAISESP tmoysmps hhicw eh smtee he( is lyno inissgm scdliiau endiiato dna ieesntrt ni a)siv.cittie uhTs he smete the gitcisdoan acitrrie orf a amjro sdvierseep e,diesop hcwih nesam atth trattenme is ceitddnia htiw an RIS.S +3



 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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Can noaney nxaielp wyh ist' otn iylcxto?ain My igclo wsa tshi ddeu sah a umb ekicrt ormf pusrivoe I,M nda ihs RH saw iw-ih4-1c/nh0m tc'na eb dogo ofr hte dlo aeth.r I netw aw/ cyaoilnxit ot gribn shi HR adn yetxani endur n.rlooct

luodW na ptadnsnstaerei do hte ,emas us,th is ti a bteetr ewsr,na or croev a wirde gerna of mo?mystps

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underd0g  An SRSI dulow erocv bhot sepdreisno dna x.enyati +2



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