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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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Fitrs nseetnce fo the ste:m he ahs a e-6kwe sothyir .g.(e 2g&;t wes)ke of onedsprsei ,1)( flyictfdiu npeglies 2)(, tifaegu (,3) easdedrec pietatpe 4,)( nad oopr renacmrotinotm/necoy )5(

orF a snoaigisd fo DDM, oyu eedn a 2 ekwe ihsyrot of 5 fo the EPACIGSS styomspm ihwhc eh steme (he si olyn igsmsni usliiacd atniodie nda srtnteie ni icevaiistt). hTsu eh tmees hte odtinaicgs criretai fro a jramo ievrpsesde e,peoids wchih nesam ttha etnamtret si catdidine thwi na IR.SS

orF het oehrt dovauaclcrisar ctas,rfo the olny ones norepv to ormipve matyitrlo era ttisas,n EiAC, BB (p.se ocerivdlal in atreh u)rliaf,e adn o.olpcsnnatorie enNo of tesho eewr rnwesa hecisoc, os DMD termentat swa the etsb hioec.c

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umpalumpa  ctula,Aly giwhte loss dna rseexeic rea teh nylo asrseemu ot crdsaeee otlyraitm rtoh(e atnh isatnt)s in tp ihwt pmeidira pidli lab l.sauve mI' not ebal to peniaxl hwy a -wolralcioe etdi si nwrog (it odsluh edraeesc gstherwie-cegtad-&e; ;ittm)lyaro aybme hrete is on etircd ncreriotoal ni lccilian sudiset weenbe lowreclai-o teid dna otamlriyt. +1
fhegedus  nvee thhgou i tgo tsih ,owgrn i lveieeb i hvea dugefri uot why rleool-awic idte is .gnwro In hte tfris etnesecn of eht neuqtsoi, ti taests he sha olw epi.aptet oS ew nca rtptye hmcu ernoig edit nad coilesar fmor het etonuq.ia +1
drbravojose  I hkitn aebym 2 eyras xnet is eht eyk to hecsoo teipdna esdanti of -llwieraoco hwhic eskta a lgon remt to emak tis .ceteff +1



 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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otMs of eth pst vesual reew mn.oarl rnnigiDk awns't oeuasgut,ro DLL saw idm,l IMB ahs fi.en He ddi vhae THN ht.oguh Teh igbtges rski frsaotc rae the tcfa ahtt eh dha fudrsfee na IM dna rdsteta ruffsegin vseeer sepserdoin eghiwt( lexsy.sota)/in sTuh, eh si rmeo at rski ofr u.cidies

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sohaib111  'Wnot vnghia na MI eb a ervy big irks rcotfa fro reoahnt one And? oals fi htey adnwet shit sanrwe e(ht -tetp,ssainaen)rd hwy oldwu yhte utsj dda thta his DLL si eriginsan ni teh tlsa e..estnne.c +14
dbg  bc 'rhyeet SOsB nad DBOs +33
doodimoodi  hY,ae edeomcemrdn LLD in ppeloe wthi irovpesu etarh bmeprol is &;lt 010 zjee +1
asingh  It is eucbaes fo the mtimrafee fo mitltryoa si 2 syr, gryentvieh eles iwll eaftcf lraet +6
benny  ddm nrsceeai IM +
benny  yepT 2 asdiebte and oarjm drvsseeeip rdeodsir M)DD( era etenidepdnn snborucirott to oavcarcsdaluir sasieed nad to an cesiadner rkis fo ryoicaamld fntoiircan M.I() +
drzed  eNon fo eht cirsaravdoaucl spoinot louwd oepvmri mitotlayr tsnas,ti( C,EiA BB, cisotpnoaeornl rea teh oens ttha heav rnpoev ltoratmiy f)eibe.tn oS fi yhte dha tup one of setho, I ntikh I wluod eahv shncoe tth,a tub egvni that eth esrt nd'ot cnaghe yotamirlt at lal, I newt twhi het nsntadpseaster.i +2
ihatetesting  My nikngiht aws ttha isnce he dah an MI, a etab roebckl owudl mvrepoi matty,irlo and orpoaonlplr si aols dseu as an ln.yaitcixo +2



 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I tkihn hatt fi ythe had msinoetgh ekil tastni" "tyeahpr sa na rsneaw cheio,c we luodw aehv an rtunmgae fro ttha as it ldouw scaereed olatmyrit yb gipnelh tvrepen ATROEHN ahret ctak.ta ,Hewerov I nihtk taht deaseainrs-tntp apretyh will od a OTL ot nvteerp icsed,iu ilewh ageo3m- fatyt iadsc alhey(th as eyth ar)e t'nldowu od SA CMHU to rnvtpee a taehr tctaka.

The uotiqens is cialasbly igk,nas Y"uo anc nlyo brceespir neo of seeth to peek hsit uded aievl as gnlo sa b.leoipss Whihc eno ilwl evha teh ebts chnaec ta ciiocmgshnpla t"a?ht

Treeoefr,h hte weanrs hlusod be aaipsrnstdne-et .ahretyp

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bharatpillai  why tnnisetarpsead yphtare uoth?hg there are ont gonheu atsefeur neigv to tgugess e.M'Ds HD 56 aryse ,lod ton an lldyeer liesgn lmae os nto ta the eihstgh lsasacicl"" liaptonupo at ksir of csideu?i teh onsieqtu is so nuuaG.m igeios.bv. I,M dwnt'ulo hcniorc looahlcci etnkai esppseirdo hmi ot daedtli thomiycpoydraa? +1
neovanilla  I ton'd eeeilvb i'st ttha he ash MDD by eht inlclica efinnti.oid sIt' erom hatt shi LoQ ash obplbyra agncdeh rltasicylda cisne hte MI and MsI era glrstnoy sdaeitcoas itwh cederseda looktuo on iel,f ilesceplya isnndirgcoe hwo oocmmn it si ot etg a edonsc IM nsoo aerft eth rits.f I t'ond owkn het atsts on isideuc Mt,Ipso- tbu hipnelg the ttapesi'n posdreensi ot emka imh moer acpritv-eo ot phel hfiselm erepntv hrontae IM lwudo eb tbtree atnh a" teid ghih ni omeag 3 "FAs (ta ,saetl iths saw my uaotjiii,tfsnc sa nbmroeu saw sai)yng +2
drzed  Ftisr enectnes fo eht :etms he ash a -6keew roiytsh (g.e. 2t;g& ese)kw of osdrnspeie )1(, ftlcdifiyu elnispeg ,)2( eatfiug (3), dcreeadse ittpeepa (,4) dna poor ormanmy/tcnontceieor o()r5F a sgidonsia of MDD, uyo eend a 2 keew rstiohy fo 5 fo teh SSAPGECI pmotssmy whihc he etesm h(e is lnoy nssgmii adiulics tiadeino nad iretestn in siev.)tiacit suhT he emset teh oitdnsigac itraceri for a mjoar deviepsesr si,epdeo hhciw neams taht rmtetenta is ieidtdnca ithw na RS.SI +3



 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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anC noyaen ixapnel wyh 'its not oxycnia?itl My gloci was iths deud ash a mbu tecrik rfmo ipoveurs IM, adn his RH saw /w0im--n1ich4h 'cnta eb good fro teh odl hreta. I enwt w/a aycinxilot ot gnirb his HR and xityaen endur tcnl.oro

Wlduo an stiaetpndnasre od teh sa,em ust,h si ti a btrtee ,enswra or voecr a deirw enagr of ?sypmtmos

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underd0g  An SRIS owlud orcev boht derinosesp dna e.axntiy +2



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