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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 ayrzc or ddi wdroUl not veah a qsuniteo ahtt sdttae Satsint rea het stmo efitefvce ugdr esargdrels of elanibse sp.ldii Tish giolc trewh ym ffo.

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adisdiadochokinetic  uYo era ton .acryz I ogt hist nteusioq nowrg ofr eht mase onaesr tbu 'ehres hwy I nkthi BEMN saw inogg hiwt irb.tefsa oYu cna ues eht dwleFeradi oaietqun to actlaulec LLD relohotelcs mfro het suelav eyht gv.ei Tihs neoqiatu si D=LL tloaT HstLlro-hDelCeo etoeolgiC5sh(ed-lries.crT)ry/l The ierr/dcTyeligs5 mret is na maeiestt ofr L.VDL If you tlcucelaa it in siht saec you egt an LDL fo 120 chhiw is yrmfil nrlaom adn htsu the teantpi luwdo iblynsesot ton ftienbe rofm stitan arepyth. +14
hello36654  mgo wnhe teh ellh am I inggo ot beememrr shti otniqa?ue Js,ssusessuss hist dkni of satldie eksma em tawn to egvi pu on ESPT +4
almondbreeze  erH lgao DLL slhduo iltls be ,l0;t1&0 cb esh sah 3 HDC ksri eie lntsqv(ua37ltg/02w17/#af30/hopwwr2t0a81.1ppf23at:002smhf0p0-p/.ta18./0/pHCD ) riks =ivehuaenlqtet rjaom kisr aosfrct tath mofdiy LDL oalsg ) 1 et&,Mg5;(4ga ,g5;&tF)5 )2 nisomgk us,satt )3 9,0he(t0p)4esn;y1ogt/irn& )4 wo DLH velel )l;,(&40t dan )5 lfyiam so.irthy (p/2t-#4r8tm1/..l00t0hce7/pgs1pop0.awa/w/:h2f3/sawf) +
almondbreeze  ol*w LHD elrl( evefre to ebalt 3 fo teh rceta)il +
makinallkindzofgainz  eTseh sygu rae ttingih pu n-ntteledeilavg roacivrlasaudc kris roafct nscl,itoucaal enhwelmai I ecikdp stisnat useabec I thkin I rrmbemee thta ehty ehpl the htrae +14
jimdooder  oS I eendd pu ggnio iwth teibrsfa buseace of hre gea 9(.)3 I yvugale rbeeremm gbeni hutatg htta stntias ear elalyr lnyo moenmceeddr fro petainst &4;0gt esaecub eht igb dsuyt ttah mcae uto abuto tmhe was in teh 405-7 age uo.rgp I itknh tsih tmigh ebiuctonrt ot the qeitsoun ubt 'mI nto ytollta urs.e rppPnandg.ian:tv_trikyteoaptiS//.ieonketisrwiwh#irime// +
ytho  sTih uosnqtie eirdpsin ym esrnec name +2
cbreland  ttSsa"ni are ywslaa eth aresnw", a"tF aeFmel 40 "lteiF,er "Fbrsiate acn aesuc on".lsegastl I eefl eidl ot +
brise  m'I not ersu fi itsh qeousint is etrc.cor I eshco ssiantt dcaincorg to awth na ngdiaetnt odlt em nad ODRLUW 2, I jtus etwn kbac ot chkec dna on ourlwd ,2 uyo nyol nodresic nigvgi serfbtai fi riteh TG lelsve era bevao 0,100. So idk wtha eht mbne si mknogsi. rO fi drtoocs talaulyc retiw teesh oi.qtesnus +
kavarthapuanusha  yhW ear ew nogig rtaswdo tpiomceacdl enat?s?iuqo eW ehva erceeads idtsrercyglei nad enecaisr ldh rtreoheef tiebfrsa ... fI ti weer edncrsgaie DLL neth dwluo og for .atni..sst lnOy nrsaecie lhd ylmani og for cinnai ..its ni rwould dna fa +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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oiblezfFrmi si a ferb,ati used rfo ornlewgi TG ese.lvl

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mousie  I olas secoh Gmeibfrilzo too euasecb sti het tbes TG wreolngi udgr itdesl utb I nac see erewh hrtee githm eb omse dre lafsg rfo isth ugrd in eth yaw heyt edask the qeu.stoin.. 40 yrea lod obsee wonma wtih oems pruep madblaoni anpi ..... HEOLL LLAG SESOTN ihchw si a oommcn edersva teuoomc of beit.saFr +11
uslme123  lleW I 'niddt aanwn iveg a ,atf fyrt,o flaee,m atth oessmk a rfbtea.i So a atns,it rfo ,em asw eht sbet txne t.npoio +9
whoissaad  Used asme eionsrnag to eocohs .taisnts btearFsi aer eht amin rgdu of oihcce orf yyeghmeaidircrreilpt utb vinge erh psm,oytsm nstista mdea mreo nese.s yhW od tyhe od shit ot s..u. +
roaaaj  htwa a crtyki outns!iqe reeth rea pmiltelu sraftco houdsl eb tekna in nrne.ostdio.iac hes ash eemactgiliyrdri whchi tup hre in krsi fo aipc,nretisat and osmt iymptorntla ralthceoeirotcs ,desseia adn all of taht wudol ihgwueot eht ksir of nviigg hre alnes.otgl +
paulkarr  eahY I had ttaisns tlescdee nltilyiai baceseu ns"taist era aaswly eht "naserw but ehnw I wsa htem gtasnit fisrt neil rcyente"l aidoedgsn iwth hrpey "TG I rufeigd hsti ofl-ulwop saw yerlpu to sadreds t.tha So tarieFb is eth bset .evom +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 ktinh its aecseub she ahs a hx fo epcitp culer siedsae tea(tds ni x)h that si lyrerntcu afrgiln up d(mil raigectisp ennetdssre ot depe pliaa)potn.

Teerh are ugrd -tinea-r-nitsoc intvstraAtao oceih(c ,A) iwhch si a P3AY4C ts,rtuaseb hdu'nlost eb used thwi h/aieoiynsrmloCrmct rohet ncotaiitbis edsu to tx eppcti CrA/sc4euP3Yl ir.hbiotnis

erdnU nwrignas dan rstpua,ecoin apeg ,1 -DA F5/raat._deu/ccwvd2btpws/os0tffadg02s/:dao.290lp6agddlw70lh0b/fls/tcs.a.sa0e mdg2rea.s8/u/t/:l.wpah?rridun/ys3t=-ilepromldwtiwrpgtubd3

I( laos got teh oqessntiu gornw dan heocs ttos-vtaA-rnia stih si jtus ym uesgs!)

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peqmd  gedrAe got eht squetion gonrw rteH..o.'soe whta I tog mrof Dr. eUdotatp .IDD DLRT sacdeenrI rksi of haodRb si rseow tanh eiseacrn ksri fo .lnoesltsag t" erCconurn sue of icyrchotliranm ro ncryiroymteh gorthtee ihtw vnmsaat,isit oviaatlnts, ro ovtasntaiatr wsa aetsoadisc hitw an serndaice rksi fo onistizhlaiaopt for oosriamylshbyd 22,.R(=)R eautc ydnkie ryinju )1=R(R8,. ro alcau-lse mritlyato =)(16.,RR sa dcempaor ot rnneuoctcr ues fo moatrinyizhc tiwh teh stnitsa" +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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nyltheso tjus mrebeemr bsFtraie rttea elideriyrgayitrcpmHe and evom .on oTo amyn qsoesunit oot tletil eitm. I ma a ooCl eMd tStendu tbu I ma on feLi 9. sheraceR tani gib tbu how teh ukcf ogt .emit By mite ew all lonisg so ill epoh y!trngi tsnnieiE asid cicsnee is a tgera hgitn fi eno dons'te ekam a ginvli otu fo .ti I lpna on miakgn a livgin out of deeiinmc nad buy ym momma a huos.e I am a arle eettrs ikakn I maec to afr to go bkca eohm yptme ndha.ed yM mmaan ionhgp ehr osn ngo eb eigmohtsn neo yad atnc tle erh wn,do ehs csacriifed a olt for !su

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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licrHrmteiriydyegepa is lawysa etrdtea thwi Feritsb,a neev ghuoth ehs si gniomc rof a wolofl pu ixtnonmaeai nad tconrtcneioa of sGT is 305 kepe ivging zbleiGmirof a fate.rbi

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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elicyrdeimrgiayHpret is lsywaa daetter ihwt rsate,Fbi eevn hutohg seh si icnomg rof a owllof up teimxnaoina adn ctneiorncato fo GTs is 035 peke vggnii zboGmiirefl a .beiatrf

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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cnNiai cna uaces ,mlhayepircegy nlgufi,hs and tu.go SA'INsD can retat .gout inAisrp ta high cnasnetnortcio loas sihbiitn nealr tepoonr,sabir btu it niitbshi eotnicser at olw vsllee. I etnw ithw pasrini ervo eotniachepman b/c ohuhtagl phnitmnaecaeo si an sanagecil ti ackls ilniaatf-ntaomrym .yvttiica

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redvelvet  isth si ton taht qiousnet ): +6



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