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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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Atecu tiritneaslti alrne inifnma.tlmoa yPurai lcias(ycsall ihieps)lonso nad oamezita rgconucri afret nratndimitosia of dgrsu tath cat as sate,phn ndiungic hsrnpyiitesytevi (e,g sdieti,ruc ,SDsIAN cilepniinl rvasditevei, nptoor pupm itniob,ishr ,ifnrapim oo,suleinnq lnuisems.odfa)

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hungrybox  But hwo is a -yrae2 iysrhto ect?ua +4
jinzo  trhee si sola " oChnirc tsartnitilei essidea " +4
targetmle  i got ti gnrow secaube theer santw as,hr oals erhet asw ,arutpeorini tsneod ti itedcian llauoegmrr omeltven?vni +2
zevvyt  toG ti nrwgo oot czu fo .ahtt tBu there anc eb panreirotui in n,trisieph tujs otn sa hcmu as ni hrcientop sodrnm.ey I sgues ah'stt guoinnscf cuz itsh tpey of tipnisreh tisn' ruoepgd iwth teh threo chntepiir sodocniitn. +1
lovebug  FA 0129, Paeg 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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unoreapitir + haertmiau, roihccn inaescagl seaub g-t&; lraen lipyparal ioscnres , wcihh anc be a egnorpisrso mofr eatuc iittsaeltinr pstrineih rc(gne-idduud sireysipyivtneth iinlnovgv eth iirtutsetnim adn uluetb)s

Paa1tmo9h 72p1

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