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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 ryzac ro did wlrdUo tno veah a qteonsiu atth satted tsnSita era het somt eeefcitfv gdur dseseargrl fo seiaenbl p.iilsd Tsih cogli rweth ym of.f

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adisdiadochokinetic  uoY rae ont yr.zac I tgo tihs utoisneq wognr ofr teh smea enaors ubt shree' why I nithk BNEM saw gongi with febtiar.s uYo nac sue teh adedielwrF enoitauq to lccleuaat DLL oorlehesltc omrf eht auvels hety evgi. Thsi qnotiaeu si LDL= tTalo hLlloDe-HrsCeto Che.olTc)iis(gel-5sroerteylr/d eTh /yeis5rrgeTdilc emtr is an stemaiet rof .VDLL If yuo lltcaauec ti in shit ecsa yuo etg an LDL of 012 whcih si yimlfr arlmon nad hust the ettnipa oduwl tieoynlsbs nto feebtni rfmo stitna tyepr.ah +14
hello36654  gmo ehwn hte ehll ma I gonig ot ebmrmere shti ntia?quoe esssssssJs,uu tish kdni fo aesditl mskea me ntwa ot ievg pu no ETPS +4
almondbreeze  eHr aogl DLL duolhs tlils eb 0,l;1t0& bc esh sah 3 CHD risk t sa(iveluenq-/hpls0w1/mpat0p.323f#2fw8p00hg3rt00p.t/w/f012pt1.217/aa:0a7/o8 DC)H iksr qhtlueea=tvnie jrmao irsk atrcfso htat fydoim LDL sagol 1) M;,(>e45ga t;5&)5F,g )2 ikosngm ,atssut )3 yh0ronn;9e,4i()&tp0se/1gt 4) wo LDH eellv &4(,t0)l; dan )5 aimylf ort.ihys (3s0h8opp00r.tm4l-/1t//pw:s1wa2a0wpgf/2/h#7ce/.ta.f) +
almondbreeze  wl*o HLD l erfevr(eel ot ebalt 3 fo eth lrai)ect +
makinallkindzofgainz  hseTe gsyu ear ttihngi pu ieeandtetlnv-lg druciacvaarsol kirs acrfot uanitacllcs,o eneaimwhl I pideck intasts uceesab I kihtn I rbmmreee that ehty lpeh hte ertha +14
jimdooder  oS I ndeed pu gigno twhi biafstre eeacubs of her gae 39).( I gleayvu ererbmme ngieb gahtut ttha ttasins rae lralye yoln ddecmmnereo rof aenitpst ;4&0gt bcuseea eht igb sdtuy htat aecm out uaobt mhte was in hte 570-4 eag ro.ugp I khtni itsh mhgit otinrebctu ot eth ouseqtin btu 'Im otn ylattol e u.srvitwor.nrstaeiiay./et#oarP:p_ipng/tenrSwmkihentii/i/kpd +
ytho  isTh qiosentu irpnidse my crnees naem +2
cbreland  iatSts"n ear ysalwa teh "nrswea, t"Fa aFelme 40 iFet,r"le esbriaF"t cna seauc en"asgl.lsto I eelf dlie to +
brise  'Im not eusr if ihst uesqtoni is ecoctr.r I soceh atstsin dirocngca to whta an enttndgia tdol me nda DLORUW 2, I ustj etwn cbka ot chekc nad no ouwdrl 2, yuo lnoy rdsioecn gvigin taebfisr fi eihtr GT lseelv rea oveba .00,01 So ikd wtha teh nemb si smo.kign rO if cdosort aalctyul twrie tsehe usteqnois. +
kavarthapuanusha  yWh are ew ggion wsodtar cmoipdcltae qet?usi?oan We ehav seeadrec ecrtirsdlegyi nda eiransec hld throerfee aitebsfr ... If it weer recegindsa DLL nteh olduw go rof s.isttan.. lyOn crnesiea hld milyan go rof iiannc t.is. ni dlwrou adn af +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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zbeoirfFiml is a aiferb,t dseu for ngrewoli GT evls.el

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mousie  I olas seohc erGmbizilfo too beseauc its eht etbs GT iernglow rdgu lietds utb I can see hwere heter migth eb moes rde glasf fro tshi grdu in teh awy ehyt dkeas eth tnsuo.e.iq. 40 reay lod sbeoe wmnao thwi soem epupr moniabdla ipna ..... EHLLO GLAL SNTOES cwihh si a onmcom vasdeer emcouot fo aFitbser. +11
uslme123  lleW I 'nditd naanw vgie a ,aft oryt,f fmee,al ttah meossk a fabeit.r oS a t,tanis rfo ,em swa eht bset xten iopnto. +9
whoissaad  deUs asem osirgnane to osoche t.isntas sFarbtei ear hte ainm grdu fo choeic for dirtalyrehimicrgpyee tbu vngie ehr ,pysstmom sisttna daem eomr enes.s yWh od tehy do thsi ot ...su +
roaaaj  what a rytkci qtun!oeis heert ear teliplmu stcfaro hdlsuo eb natke ni ina.t.ecsiorond she sha drtlcgrmiyieaie hwich utp hre ni riks fo tnariiaecstp, nad ostm omnalrtypit eaelrstrohocict sed,aise dna all of atth odlwu gweiuhto hte srik of ggvini ehr lgoatnes.l +
paulkarr  Yeah I adh tsaistn eesltdec atilnyiil aeusbce s"tsniat are wsaayl hte w"neras but henw I saw hmte aisgtnt tfris lnie nyreetl"c dgianseod twhi rephy G"T I firdgeu isht oo-ulwlfp swa luyrep to eddrsas aht.t oS ierbaFt si hte ebts eomv. +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 hnkit sit caebeus hes sah a xh of ptepci rlecu asseedi tdesat( ni )xh ahtt is nectrruyl firnlag pu mi(ld iaesciptrg etserendsn to pdee aptip)alo.n

eeTrh era rgud --nsocrntte-iia anAttristvoa (eicohc )A, hciwh is a Y3CA4P bsutreta,s ldsonu'th eb used whit caiieCslrhymotr/nom htore oiiacbtitsn sdue to xt tcipep erPAuCl3sY/c4 nhois.iirbt

rendU asinrwng nda sconpar,ieut pgae ,1 -D FAa5fta2dcdccou.twl0/2h/bw.d0o070l/dtvpgesfabaew6stsg0._aa0srp2ldlf/:/9sdas./ iupw8ldt/tsrgradrowmti.lmrtiau-u/3e/?hpe=gdrws:nl2yp/3.db

I( also tgo eth isuesqont gornw dna secoh onis-tAttva-ra ihts is jtsu ym e!susg)

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peqmd  rgAede otg het nueqotsi wongr o.oeH'.s.rte hawt I tog ofmr .Dr oUttdpea DI.D TDRL Idscraene krsi of abodhR is wrseo atnh eniarsec ikrs fo osllg.tneas rn nouecCt"r sue fo hccmrtnriyaiol ro cmtiryhenoyr rtgheeot with smiats,vtian olnv,tiaast ro tvotrinataas was daetocasis twih an aesnderic kirs of aitiosznatopilh rof roislmaobsyhdy ,2R.(R)=2 utaec edyink uyinrj =,)R(.R81 or escl-aalu aimoltyrt 1RR=(6,.) as derpmoca to crtncruone esu fo amoiihrycznt twih het tn"istas +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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oehstynl ustj eemrbmre sbiteFar reatt lrirHtrgmdeipiecyyea dan evom .on oTo myna uinssteoq too ettill ei.mt I ma a Cool Mde Stntude tbu I am on eLif .9 hrsaeecR tnia igb ubt woh the kucf tgo eit.m yB teim we lal gnlios os ill oehp !ignyrt itnnsEie iads ciseenc si a artge htgni if noe tsneo'd mkae a gnlvii otu fo it. I panl no gmknia a niglvi otu fo iinceemd nad ybu my mmamo a sue.ho I am a lera retest kiakn I acem to raf to go cbka eohm tpyme hda.end My amnma hpinog hre ons ong be nsmtohieg one ady cant tel rhe n,odw hse iaecfrsidc a tol ofr !su

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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cadHriprtlyierigyeme si slwaay dateetr hwti F,ireabts nvee thhogu ehs si onicgm fro a llofwo pu mintnieoaax adn roenitaocctn fo TGs si 503 eepk ingivg iioGezfmrbl a fa.rtbie

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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earirrmHylpetdgyiiec si saywla tadrete htwi aFes,itbr enev htuohg esh is iogcnm fro a wlloof pu aoemtxinnai dna narcetoincot of sGT is 350 keep gginvi fGerilzmboi a irbet.af

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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inacNi can ucesa pgymehce,aliyr nf,ilghus dan .tuog NIsDA'S can rtate .gtuo sAiirpn ta gihh rtocictnnsnaeo osal itinhsib lnera obr,npioretas btu it iishbnit isrnceeot ta wol eeslv.l I netw iwht rinipas evro emoaephanncit bc/ oaluhtgh npomceiatahen is na nigecasla ti slcka -ftomaalimynnatir aivty.tic

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redvelvet  itsh is otn atth oiuqents ): +6



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