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Retired NBME 23 Answers

nbme23/Block 2/Question#39 (reveal difficulty score)
A 39-year-old woman with obesity and recently ...
Gemfibrozil ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm lipid_disorders fibrates

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 +10  upvote downvote
submitted by โˆ—monkd(21)
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Am I zacry ro idd lUdrow ont avhe a iontqseu ahtt sdtaet titsanS rae teh most eeiftcefv drug ersdreslga of nilasbee iildsp. Tshi igolc wtrhe my ff.o

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adisdiadochokinetic  Yuo ear nto .zaryc I got hits etuosnqi rgnow for hte emsa noeasr but hesre' hyw I tkihn NEMB wsa gongi wthi itase.frb You cna seu eth aelwdidreF tanuioeq to leuaatclc LDL resleolhcto mfro teh eusvla htey i.egv shiT uiaqento is LD=L tlaoT elDeHCLtrloosh- o.yCTrirg-sosreellh/(cti)5edle hTe d/Tscygeei5rril etmr is an simetate rof .LVDL If oyu latuclace ti ni tshi asce uoy gte an LLD fo 012 hchwi si mfrlyi noamlr dna tuhs eht ptaient lodwu bosiyntels not iteenfb mfro astitn tyrahpe. +14
hello36654  ogm nhew hte hlle ma I oggin to erbemrme ihts nti?uoqea ss,ssesusJsus siht inkd of aletdsi eaksm em antw ot evgi up on ESPT +4
almondbreeze  Hre oalg DLL sduloh lilts eb ,;t&l100 cb hes has 3 CDH riks elnstq ia(uve0p1a7/:0lop0/rp30/s#t1.t.g/3tp00f2/22fw8f0awp8/h011a27a.m-3thwpCH D) risk ui=lttahevqeen rjmao ikrs atcsrof htat odyfmi LDL aslgo 1) &,;g5e4(atMg 5)F,&g;5t )2 gnkiosm stats,u 3) i;to9n,&1/0n)erhsegt0p(y4 )4 wo DHL lelve l(;4,&)t0 dna )5 aymifl ytshro.i (0peth/.8-2lw1/0t.rwoa:appm2ca/pf0/#/7.h/31gws0s4tf) +
almondbreeze  lw*o HDL r(levlfeere to tleab 3 fo hte lc)atier +
makinallkindzofgainz  heeTs gyus are httgnii pu neldt-tavnigeel arvcrocusadlia skri oacfrt ualcot,niascl alheinwem I dcpiek naststi uecsbea I hinkt I emberrme htta ethy eplh the hrtae +14
jimdooder  oS I dedne up ggion iwht aerbsfti euescba of reh gae 9.3)( I algvyeu mererbem ibeng hauttg tath stnstia era ayelrl ynol ddcmnremeeo fro sttneipa 0;t&4g esbacue teh big sduyt that amce uto uobta mhet saw ni het 45-07 ega .oupgr I inkth tish mthgi otneicrbtu ot hte uiqosent utb 'mI otn tylolat .erus atpP.tn/nei.iyarhk/e/ienmtorkrsiiSitoivregpd_wpwt#:ia/n +
ytho  ihsT utinoqes eisrnidp ym cneesr mean +2
cbreland  Ssit"tan ear wyasla teh nwrea",s "Fat eeFmal 04 e"rlie,Ft rse"Fbtai cna sacue et"sag.snlol I elef ldei ot +
brise  'Im not esur if shit seouinqt is rcet.roc I hseco sattisn drniagocc to htwa an dteninagt lodt me and ORWULD ,2 I tsuj ewnt bcka ot check nad no lurwdo 2, ouy noyl sedoricn iigvng abresitf if tirhe GT lleesv are aveob ,0001. oS ikd hawt eht mebn si ikmgs.on Or if srdotco altlcuya iertw tehes situsqneo. +
kavarthapuanusha  Why era ew onggi doarswt locipacedmt quanotsi?e? e W heav ecdserea dsrliercytegi and aireecns dhl eterehrfo btrsefia ... If ti ewer irgncaedes DLL tneh lwodu og fro iss.n.att. lOyn ecserani lhd lmniay og orf innaci s.ti. in olrwud dna fa +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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zieFilfmrbo si a tbfei,ar desu rof enrgwoil GT ll.eevs

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mousie  I laos hseco mlieobrzGif oot besueac sit het estb GT grwleino gdru tledis tub I nca see eewhr ereht might be esom erd alfgs orf hsit drug in hte awy tehy sdeka teh uet...iosnq 04 arey dol beoes anowm thwi emos puper ainalbomd anpi ..... EOLLH ALLG ETNSSO iwhhc si a cmnmoo svedrae umecoto of steiar.Fb +11
uslme123  elWl I 'dditn nawna egiv a ,atf ,yrotf aemef,l ttah soekms a ebaf.rit So a atni,ts for ,me saw teh bset tnxe .oipton +9
whoissaad  sedU emas egnoianrs to hecoos nstast.i itrbaesF are het ianm dugr fo eicoch rof ehcyitagrlpiryrdmeei tbu igevn rhe m,soypstm ssattin edma meor nsees. hWy od htey od ihst to u.s.. +
roaaaj  htaw a ikcytr otienq!us ehret rae ilultmep crtsofa sldhou eb enkat in i.stnidoaoe.crn hes has yitdlierigcarem hhiwc utp hre ni risk of ntceiasr,ptai nda osmt nirymttalpo cherorioceltsta ae,dsesi nda lla fo ttah lwduo otiuwghe hte sikr fo givnig ehr .altlesnog +
paulkarr  aeYh I ahd asttsin eecsetld ltnyliiai ebesuca it"satsn rea alaswy eht ensrw"a tub wenh I aws thme ttnsagi rftsi line "ntycerel ngoasdied hitw yephr TG" I gidufre shti ll-poowfu saw elypru ot ssraded tt.ha oS eibrtFa is het sbte me.ov +2

100% BS. UpToDate provides the most recent evidence and guidelines that state Fibrate therapy for High TG isn't considered until >500.

+11/- donttrustmyanswers(74)


 +2  upvote downvote
submitted by dumbo123(2)
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I inhtk ist secaube seh has a xh of etppci eurcl sesdeia sdat(te ni )xh thta si rturylnce fnlraig up mi(ld aicsegrtip snnestrdee ot peed opa)p.ltnai

heTre rea urgd ctia-n-oti-resn oArtivansatt eh(ccoi A,) ihhwc si a P4YCA3 sre,astutb 'tounhdsl be uesd hwit onihsao/cmrlemytCri rtohe asibitnitco uesd to xt tepipc C/3euscrY4APl t.rsbhnioii

dnerU gwrisnan dna tuoacn,piser agpe 1, A -FD6.rf._0w2daase25tw:so/df0gssf0us.2b/ts9de0.tadlh0wo//va7gdptcllba/ac/p0lacd sehrywrudr/a.u?3mispiewr:wtu-nldr=8/impd/lpgl3tod.t/2agbt

I( laso got het iuqnoetss rowng and soche nirtta-tovas-A tihs is sjtu my !eusg)s

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peqmd  Aeegdr gto het qnoetisu norwg tHe'eor.o.s. tahw I got mofr r.D epUtoadt DI.D TRLD reneIcasd ksri of doaRbh is seowr nhta acresnei iksr fo lsogla.snte cnCr"rutoe n esu fo ncmhlrrtyacioi ro rimcrohneyyt rhottege hwit tntvaiai,ssm ,tailnavots or vtornasaatit wsa aasdtoceis itwh na nrescidae srki fo taophznsiiliaot rof boslhasormydiy =R2,.R()2 uteca kdiney rijuyn 1R,=)8(.R or -lleacsua imatyrtlo 1=.)R,R(6 sa drmopcea to nocurecnrt eus fo iiyzmhocntar hiwt eht tiansts" +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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ohlnsyte tusj eermrmbe staeFrib trate yrmegpiedyrrHeaicitl and vmeo o.n oTo nmay seuoiqsnt too teitll .meti I am a oClo Med tudStne btu I ma on Lfie 9. cheesarR niat gbi utb woh hte ufkc tgo mit.e yB imet ew all islgon so lli hepo t!griyn nEitnsie isad ecsinec is a greta hntig if eon ts'edno make a iilvng uto fo it. I lapn on iakmgn a invgli otu fo emidcnei dna yub ym ommma a h.suoe I am a arle setetr kinka I cema ot fra ot og akbc ehom tepym danhe.d My mnmaa honpgi rhe osn nog be gmeoshtni neo yda actn tle reh now,d seh sdceaifcir a otl orf su!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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Hpyicirregarelmteyid si lyaaws reettda thiw aets,ibFr evne ouhgth she si gmncoi rfo a wolfol pu mniaeaixtno nda occoiaetntrn fo sTG si 305 pkee ggnivi elzfombiGir a atir.efb

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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imHdtrriaipegyryclee si ylaaws etaertd twih ,stiarFeb vene othhgu esh si cigmon ofr a woolfl up txionianame dan tocintnceroa fo GTs si 530 ekep igvngi mobefzilirG a br.tafie

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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iNnaic nac seuca yrelyhgac,eimp gs,lfniuh adn tuo.g sIDNSA' anc etatr .toug risnpAi ta ghih attcnsecroonni slao ihtinbis leran soi,rpnrtbaeo tub ti tbihsiin noiesetcr at wol leslv.e I twne whit prnisai vreo heeonampaitcn c/b utghlhao piehaecnomtna si an alsaeicng it lcask omntfniyma-lrtaai vcya.itti

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redvelvet  shti is not tath nioqseut :) +6



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