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Retired NBME 20 Answers

nbme20/Block 4/Question#29 (reveal difficulty score)
A 15-year-old girl is brought to the ...
Doxycycline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—breis(56)
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eycxionylcD si a ectTnyilrace nidbs( s30 utui)bns adn si duse fof blale rof rmaettten fo nA.ce anC uaecs sirootilndoca fo eeth,t adn si konnw to be SOT.PNTOSIVHIEE

Tshi teaipnt adh dieffsu eyemhatr and lmid meade vero hre feca dna ei,smtxetrie osmt ilelyk romf usn upsroxee iwhel giben on eth med orf .ceAn

FA 0912: pg 192

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Tetracyclines most common adverse effects are nausea/vomit/diarrhea and photosensitivity. Can affect bones and teeth of newborn if given to pregnant women. Also this drug class covers GAS, GBS, +/- MRSA, respiratory flora and intracellular.

Why Cipro is not the answer: Macrolide covers GNR + Pseudo, therefore not a treatment for acne (skin flora). And common adverse effects are C.Diff infection, QT prolongation, tendon rupture, teratogenic effects.

+4/- lilyo(94)


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submitted by โˆ—hayayah(1212)
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nA desreav ftfece of yndliycoecx si ihsytn.vtieitopso

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rio19111  Why ont pCoi?r +1
raspushok  iWhch nboisctiita nereasci shaoes?ietlovSivpytnerti atinibcito cslseas lomnmocy uceas esp,iivtooyttihsn nidniulgc tcieayltrcesn oeyxy,cncil)d( ooslqunien xlfopo,arc(cini )rcnnfo,xiola and idlhpemounsas eotmre/phaiumerloihz(sa,xlofttm lszeuaisn.afa)l heT rttlcaneicey yimoicenlcn si tno eelyalnrg sdcotsaiae with inpHehiy YWot.tsositv ont andm p?iocr +
medninja  I tkihn ti si eaucbes priCo is not clmmnoyo sedu ofr cnea aemtrettn +4



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submitted by โˆ—lilyo(94)
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etcrsilnacyeT msto cmnoom esveard fsetecf era hia/umt/anoresiadvare adn .oihstiypteiovnts anC atfecf nseob adn etthe fo nnbweor fi given to rngtnepa o.mwen soAl hsit rugd slasc rcveso ,GAS GBS, +/- AR,SM oiserapryrt aforl and rlalacnretli.u

Why pCrio si nto teh :esawnr lMrdceoai oecsrv RGN + udesPo, oferehert otn a teetrtmna fro cnea sn(ki fla.)ro Adn ocnomm rsveead ecsfetf aer CfD.if t,inencfio QT olinootrpng,a ondetn ,uptruer girtoenaetc ef.tcesf

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submitted by โˆ—drdoom(1206)
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tdde[]lee

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