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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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Aeutc raslteititni erlan fnmi.alotamni iPrauy cy(ialsallsc )selinsoioph and maoizaet gcronurci aetfr atiinstidnmaro of usgdr atth atc as ntpseha, niciudgn ripytiynisesthev eg(, ieitsudcr, I,DsNAS ilnpniliec eeavrsitdiv, noortp pmup rhtio,inbsi ,rfniapim osqu,nlonei sfamio.lenuds)

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hungrybox  tuB hwo is a r2y-ae htriosy aceu?t +4
jinzo  erhte si alos " niCchro iterlinisatt sidesea " +4
targetmle  i otg it owrgn aeuscbe treeh asntw sh,ra oals tehre saw pioier,urnat eonsdt ti dnacitei emagrlorlu tl?ioevmnnve +2
zevvyt  toG ti nrogw oot uzc of at.th uBt erhte nac eb ietuornripa in pehriis,nt just tno as chum as ni oinphcetr moedynsr. I geuss htsa't cngfsniuo zcu this eytp of hisnpietr its'n gedpuro ihwt teh htero rieitnchp tc.snnoiodi +1
lovebug  FA 0912, Peag 915. +

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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ortaeurpini + ,teiahumar hcicron isgnealca sueba ;gt-& elnra laraplpyi nocseisr , hwhic nac be a sriosnporge omfr aecut setiittarlni niptriseh rudedu-dgcin( rivseyihtynitspe vinglinvo het itmsriiuettn dan sbuut)el

atomP1ah9 p721

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