NBME 23 Celiac sprue (NBME Answers)

Retired NBME 23 Answers

nbme23/Block 4/Question#39 (reveal difficulty score)
A 44-year-old woman comes to the physician ...
Celiac sprue 🔍 / 📺 / 🌳 / 📖
tags:

+9 upvote downvote
submitted by ∗masonkingcobra(408)

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In taiinodd to hte ivsrupoe pen:xoanlita

She si inor dncfiitee nad cicela efafsct eht ioxmlapr mnudde.uo "I eFcudk iyatnrB"t = orI,n lFe,oat 21B rfo me,unDuod mJnuuej dna ueIml

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krewfoo99 aterG agyolna Bul .tol tujs a irrcent,oco Ftris iAd seatts taht ceCila asiesDe faecfst dstali dueodmun and mxrloipa .emjjunu But ouy rea ir,tgh it wldou still ueasc roni ceedfciiyn animae as ti scfetaf teh ednuoudm. +3

fexx RO you lucdo tujs bmmreere o'Inr iFst 'orB F( ensdlciu aeotlf adn ,aft B sulinedc B21 nda blei alt)ss +8

Y'all ignoring the osteopenia also. All those questions on celiac sprue fat malabsorption --> decrease Vit D

+11/- mdmikek89(6)

+1 upvote downvote
submitted by ∗seagull(1933)

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im' sillt nniovdcec shti si reilabtir bolew .romnsdye enghCa my nmdi.

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mousie ahah I eipkcd thsi oto bc she's .4..4. s'nit ieaccl itsemhong htat oludw eeprnst chum ug??oyern ubt I dotn' iknth IBS wludo csuea an niro ncecfyidie aniema is het htin htey eewr inrgyt ot igve su. +2

sympathetikey fI ti swa BSI, thye odwul eavh nnemotide msgtoneih utaob meht nvhiga abaoimlnd ,ainp identrffe sloot uee,cfqryn dan enth frleei rteaf o,ndaceitef me i.knhst +6

aknemu I aws btweene alccei eprsu dan ISB ubt wath edshup em wastodr ces'iacl aws a wfe h1s :tgi.n ehT oIrn fnyecdeic aiamne (I hintk atth uodlw be iulylnek ni I)2S .B raearthSote hihcw( uwldo saol eb lkneiluy ni . IS3 )B ie-entposOa I swa tihkn matiinv D . edficeny4c akLc fo a pythrcicsia troihsy +6

catch-22 ISB si a saogsdini of nucsei.lox If uoy hv'anet elxecddu iaCcle (adn this 'atcn be cledduex basde no mdeligioeyop en,lao) oyu 'tnac aosinedg .BSI +17

arcanumm I inkth oyu yma heva cusdeonf ti wiht DIB, IBS uwodl tno treensp elki .shti +4

+0 upvote downvote
submitted by ∗notadoctor(175)

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Claeic ursep si a lsbiooramnpat mesnoydr htta uerstls ni hreoatteras dan tlesusr ni nori ieeicfcndy eam.ani As rfa sa 'Im aea,rw none of eth hsrteo reustl in inor cnideeyfci a.imnea I( hda aralceiBt twrheorovg as a scoel oescnd tub I tndo' veleieb atth's stcsiadoea itwh onir dy.ef)neciic

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yb_26 ctrealaib ehgtrwrovo is acidatoses iwth rino ednfy,ceici ubt alos hwit tVi ,fcedi-2nByie1c so I ssuge pst lwil aevh orccycitam aiamne +3

nor16 /Cpown/hsnt.tc:la3irb5mltc1pv3/wm/iwe/h..P09cnig9./sM it.V B21 si yek eeh,r ,rreoemvo no nabtiglo (BIS dan atlbercai orvoertwhg htwi aent. atioll)crigbab ervwghoort si a oscle n!oe +1

covid2019 I rylongw hcose tbcleaira erogw,rthvo ubt htta si nwgor suceabe Slmla nietIents ertaialBc vgreohrtOw )O(SBI smtu be ttiinesadg by .menhitgso Cymmo,nol tcoaiman aatmnbiirloes kiel( ersrygu ingusac lnbid opol omndsre,y cet,uitrssr or iitmloyt sesodirrd atth wloal het oppo to .e~st)~erf +3

+0 upvote downvote
submitted by axsa19(9)

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ehT msets oasl states hatt rlatlae sceht -yrxa swhos imld eoipate.osn alceiC idssaee cna adle ot ortoialnapbsm due 'ist aghtolpoy neitagfcf osatrpinob of netr.utni Cleiac iedasse si oentf a ausec of wlo eonb diysetn dan tiantesp twih alciec sieased vhea an rasdecein racerfut ksi.r iTsh si ttohguh to eb ude ot ackl fo trobaoipns of miatnvi D nda lacuimc cisnaug a crdnyoesa piraho.yeisyrdmahrtp

9oictctMCw1p2v.il/ww/pb59Pntn/chrgi/8:l3m.as//.esmn.h

uhr,Ftoemrre in cecila ssaidee, epariidm iorn ptueak form the auedlodn lnmue is eth sotm iyklel suace sceni rnoI snerte hte ieatiellph lcle fo het eonddual uasomc in surerof omrf guhrhot na cpaali or hrusb oerbdr amnebrme rtrpantos rteonip dretme the entadivl tmael tnpsroeartr M1.D(T)

it./o3g5/ti/s/Pnntmw..wbhce:cwlpalmi5nc/rvp147.h4MCs/

kinTag onti natucco eht ooil,nwfgl bades on hre abl aeulvs hes hsa icrioyccmt aimean geivn erh hionbloemg leelv fo 96. and hre MCV of 47 wichh is ;l&t 80. Lab saleuv fo a pt w/ noIr eicniecydf dwuol be: adsdeecer r􏰂􏰄o,in hhgi IBCT, ecerddsea f􏰂rr􏰄nit,ie csneraide efre yttehryrceo .nhropyrptroipo

FA 1720 agep 3.96

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+0 upvote downvote
submitted by ∗bobsaget123(1)

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iThs is a tgera is.outqen iWht eht noir yeicifcend ie,mana i swa ingnhtik fo e"hewr hte obodl ssol udocl "eb tno so ucmh ewerh ouwdl eht palaoiostbmrn e...b

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