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Retired NBME 20 Answers

nbme20/Block 3/Question#13 (reveal difficulty score)
A 45-year-old woman develops proteinuria and ...
Tubulointerstitial nephritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +3  upvote downvote
submitted by โˆ—hayayah(1212)
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uAetc nrttsiatieil arenl fmlniatani.om uayPri csalics(ylal hioinpessol) nad eotimzaa coirnugcr retfa mitidoannsiart fo usgdr tath tca sa hnetps,a cdunigni teyiitvhnyespisr ,(eg ritcesdu,i ADIN,Ss pliilnnice d,ersivaevti proton pmup oi,ibnirsht m,priianf qsinoeno,ul )ufinsaldemso.

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hungrybox  Btu woh si a a-r2ey ostiryh ue?tca +4
jinzo  ehter si losa " hnoCrci tttilseraiin asseied " +4
targetmle  i got it nrwog asebeuc htere naswt srha, lsoa ehert asw ,eanptoiuirr esotnd it tdiaicen lmeraglour vneevion?mtl +2
zevvyt  oGt ti ngowr oto uzc fo that. utB trhee cna eb iprrtiounae ni ,iinpteshr utsj tno sa umhc as in oictrhnpe .moreysnd I suegs h'tast nnufgocsi cuz shit type of nterhipsi it'ns gdpeour htiw eth thoer crnehitpi icd.ostnino +1
lovebug  AF 921,0 geaP .951 +

I think this can either be acute or chronic tubulointerstitial nephritis. According to MSDmanuals, 'acute' TIN symptom onset can occur 18 months after NSAID use. The classic triad of fever, urticaria, and eosinophilia is only present in <10% of cases. Also, they can have proteinuria (<1 g/day) or even nephrotic-range proteinuria (>3.5 g/day) if it's caused by NSAIDs.

+2/- fatboyslim(118)


 +3  upvote downvote
submitted by apple222(3)
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anotepuriir + eimatruha, cocnirh alingcsae besua &;-gt anler lrppailya sisceron , chwhi can eb a rsopiersnog morf tauec rtstnaeiilti espnrhtii idnceuudg-r(d istrenpeyvhitisy ilnoivgvn the mitisrtunite dna teuubsl)

omaa1tP9h p271

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