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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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mA I czary ro did lrwdUo otn evah a uqnoiste thta etdast itntSsa era the toms fvcfeteie drgu graerelsds fo iseenbla lp.diis isTh olicg ewhrt my .off

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adisdiadochokinetic  ouY ear otn azcr.y I gto isth neouqsit wgnro fro hte meas enrsoa utb es'erh hwy I tnihk MENB wsa oingg itwh a.ftserib uoY acn use eht aweeFrdldi atoiqune ot clautelac LDL hsoelretcol omfr eht ueslav yeht vei.g shiT eouqtnia si DL=L lotaT LHhoDereo-Cllts lse/yedctr-s)rl5eoCe(ghriToil. heT iTeesild/yr5cgr rtem si an meittase for DVLL. If oyu ccaeullta it in sith caes you egt na LDL of 201 hwchi si ilyfmr nalmor and shut eht etnipat wludo ysblisntoe tno eeniftb rmfo ntsait prht.aye +14
hello36654  omg ewnh teh lhle am I oging to emmreerb siht oueqnat?i u,sesuJssssss iths nikd of lsitade sekam em twan to gevi up no PETS +4
almondbreeze  Her ogal DLL udlsho sltil be 100;&,tl bc hes ash 3 HCD ikrs tsl( eqiveuna1wmp/00#pohrps0t.1221:7//.f3haptlp1tg0./a38f0a207/3wpfw-20/8a0t) DHC sikr iqelevuhtetna= arjmo rski tfocrsa atth mdifoy DLL lsago 1) &4,ggt;(5eaM &,5g;Ft)5 2) mikogsn ttu,ass )3 s)genyh49(;p0rent,oi10t/& 4) wo DHL ellve &l0,(t4); nad )5 miyalf o.srityh (8h#00mo//ws.f0:g./p/wp1r0atse2p.3fpt/1-2h7aw/4ctla) +
almondbreeze  *olw DLH rere vflel(e to tbael 3 fo het talir)ec +
makinallkindzofgainz  eTesh gysu rea htitnig pu egnitnaletl-dev aracdoiulscrva ksir foctra tl,unlcoacasi ewaihlmne I kicdep astsnti bseuaec I nhkti I ebrremem atht yhte elhp eth ehrat +14
jimdooder  oS I ndeed pu gnigo ihtw trasbefi scaeube of ehr ega ).93( I lyeugav mebermer nibge hguatt htta iatnsst rae rlaeyl oynl roeddecemmn for npettsia ;g0&t4 uaecesb eht gib tdsuy hatt eamc tuo aotbu temh aws in het 0745- age .gropu I tnkhi hits tmhgi trebnuocti ot teh niqouets tbu 'mI tno ttoayll ser.urti_titPry/optnippingkma.dv.rw/nk#/:iiwSaierso/nihaeeet +
ytho  hsTi uestoniq pdrinsei ym rescen eanm +2
cbreland  aStsn"ti ear sylaaw eht waes"nr, "tFa ameeFl 04 e,rletFi" "sietarFb nca ecsau slasn.eg"olt I elef dlie ot +
brise  I'm ont rsue if tihs oustqine si ctoer.rc I esohc stsitna nacdigcor ot hatw na inndetgta todl em adn WORLUD ,2 I sujt wtne cabk ot hekcc and on lowdur 2, uyo nyol sinrcoed ingvig bfsatrie fi tiehr TG seevll rae avobe 0,001. So idk athw het mnbe is imokg.ns Or if srdtoco lyltacau werti htese u.ntoqseis +
kavarthapuanusha  hyW are ew gongi rowasdt tmadiplcceo ?aieon?ustq eW hvae saeecder iirelctdeysrg adn ansceeri lhd trhoeeref fersabti ... fI it erew ndeceiarsg DLL thne ludwo og rfo n.s..astit yOln iaeercsn dhl ynmali go fro aicnni .s.ti in rdoluw nad fa +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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rFobeimiflz si a ,fiearbt duse ofr oergwnil TG leslve.

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mousie  I lsao heosc fimblGrzioe oot cbasuee sti eht bset TG woregnli durg lsdtie tbu I can see rehwe eetrh imhtg be semo edr gsalf fro isth ugdr in teh ywa hyet seakd eth eiqu..sont. 40 yare dol eboes wnmoa tihw esmo rpepu lbmodniaa apin ..... OLHEL GLAL NEOSST ichwh si a mnmcoo davrsee tcmoueo fo etasirFb. +11
uslme123  Wlel I dtdn'i nawan evig a t,fa yft,ro lma,fee atth ssmoke a .tafrebi oS a ntati,s orf e,m wsa hte btes enxt o.ntiop +9
whoissaad  sedU aesm eosagrnni ot osceoh .titsnsa etFirasb rea eht iman gdur fo cehcio for lpcrtrdeayhiymigerei btu envig ehr tp,moysms tnstasi dmea reom enses. Why od hety do stih ot .su.. +
roaaaj  ahtw a tickry e!notusqi rtehe aer lemtpilu oaftscr doulhs be etkna ni oiadsn.etrn.ioc seh hsa crirgeeymtalidi whhic put hre ni krsi fo tircipsa,eant adn otsm yotnailmprt saoetcirtrhcloe edesi,sa nad all of that ulwod wegtuhoi het iksr of ignvgi ehr lgoslt.ean +
paulkarr  eahY I dah tstisna tsdeecle ltlaniyii esbeuca t"atisns era alysaw the en"swra btu hwne I saw etmh gntsita strif line ycr"enetl iesdangdo htiw herpy T"G I duiefgr this foulp-owl aws lypeur to erddssa .ttha So tberaFi si eth tesb move. +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 nikht ist csbaeue esh sha a xh of eticpp crleu eedsisa (atteds in )hx taht si ctrynuelr nflragi up idml( paietisgcr ssnereedtn to eped anpo)iat.lp

Tereh era dgru ci-t-ristanoen- rtnaAivostat ieohcc( ,A) hhcwi is a P3AY4C s,eutrtsab ulhnstod' be esdu whti ylcCmntroihemiaors/ ohrte tciibtoinsa sdeu ot tx tppeci AesPYc3ulC/4r btsiiroin.h

Uredn ansgniwr nad orep,ascunti apge 1, -DF Acsfcortd/:.fb2_0afagw2ga2/7wpd/dp6/9c/s5seat.dul0st.ell0a/wdtss00baa0.lvhod l.dry83pw/=rdthuo/iuggrlm/isud:lptsdmwp/t.iteb-e?3anrwra2

(I laso tog eht qsoeustin gwnor dan shoec Avnat-oarstti- htsi is just my sg)e!us

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peqmd  redeAg tog eht usietnqo rngwo tHo..er'o.se hwat I tog omrf Dr. eUoattdp I.DD RTLD nadecsreI irsk of hoRdba si swero naht rsceeian riks of sosa.enltlg rountrnce"C seu fo arcynmitcliohr or yctrhrneoiym etteohgr ihwt mstiaainstv, ,anvtoatlis ro nattvsaoirat aws osdaseatci hitw an cnriedase skri fo aiioilzhnspotat rof slmidrsohoayyb ,2)RR(.=2 tceau dyneki ruijny 8R.1R()=, or cuseall-a atotyrlmi 6.=)1,R(R as armcpode to cerocntunr eus fo nztarhocyimi twhi hte st"siatn +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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eoytnlsh sjtu ebmreemr iFseratb aettr eayrelrymptriiHdgice and mevo on. Too mnya otnsesiuq oto eittll .tiem I am a lCoo deM dtteuSn utb I am on ieLf .9 cRhsraee atin gbi tub hwo the fkuc tgo etim. By meit we all olngis so lil ohpe iyrg!nt nEsiteni isad sicnece si a arget ntihg if neo so'tedn eamk a ilingv tou of ti. I alnp no nmgiak a lnivig otu fo cdineiem nad ybu my mmoma a ohs.ue I am a alre seertt akkni I aecm to far to og kabc emho mypet ehdad.n My ammna hinpgo her son gno be ignmseoht noe ayd natc lte ehr ,odnw hes iesrcacifd a tol ofr !su

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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rrpriemyHcidgyelitea si waayls deeartt twhi tFrb,esia even ghhout hes is ongcmi rfo a olfowl pu ixmaentanio adn itecnrnatoco fo TGs is 053 kpee ingvig Gfibomizlre a fab.eitr

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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yetrHderriygipmeliac si ywalsa tatedre hitw sertaibF, eenv tuhhog she is mcnoig rfo a fwolol pu minxaainote dna eatrocitncon of sTG si 503 epek ignvgi lbeiorfiGmz a fi.etarb

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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Niacni nac uasce e,ylygpmrecahi uhlin,fgs nda t.ogu D'AsSNI can ettar u.gto siAirnp ta hihg neistoctarnonc oasl ihiistnb realn apniesot,orbr utb it bnishiti ceeriostn at lwo eel.vsl I enwt wiht narpisi oevr acimenohpneat c/b uotghalh epoacmitnhane is an csnaegail it sckal iryanatoitanlf-mm yatictiv.

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redvelvet  hits is ton hatt nouitseq :) +6



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