NBME 17 Immature lower esophageal sphincter (NBME Answers)

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Retired NBME 17 Answers

nbme17/Block 1/Question#8 (reveal difficulty score)
A 6-week-old girl is brought to the physician ...
Immature lower esophageal sphincter 🔍 / 📺 / 🌳 / 📖
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+10 upvote downvote
submitted by ∗andro(269)

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lefatfeDnrii sDgniioas of etwanerNo/aNbonl ionmgitV

nen-Bgi tgaegohsaaserpol rlxefu ( ie. ramietmu wrole lsoaehpgae htispnecr ) aeitounrrggit fo ofod hrtsyol eatrf egdfein .
No rrufeth smptsmyo , hetyhal idhlcern hitw anlrom lemdevnetpo

oyipcthH-rerp rcpoily sotsnesi
oeiiuggtrRant - itlepcroej ousnliinbo gimvtnio olctelreyte leiamsanbc ( losaasikl and ohaykiaepml ) * ipachlsy txnomaienia yma elvrea na lievo assm no tlnapiaop of gmeisptaiur
lp*itaylcy trstas romf nweeebt 2dn dan th7 ewek of gea

udM-git lvslvuuo ttonMo/raila lDandu/eo rsieata * bsuiiol timigonv * iblaaodmn noedtnsiit * nmggIai amy ealrev gsins ekil teh eblduo bblube gsni ( nuddelao atrsaei ) tce

eNto: heT ltsi is tno axteshveiu sa erhte aer aymn reom ssauce cosaetsdai wiht borennw imtgiinvo

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covid_19 oT add no ot gBeinn G,RE I onltcud' nfdi anhiygtn in a orcuyrs look rhhgout AF and slao ntid'd kown that GRE aws a tgnhi in tnsnoa,ee so I onufd htis cien dna cisonce liretca in a:TtopDeU thisnawfpnterrwolea-epasuu/eoto/lnntt./ru-ttwssn:e.cgadpp/a--ictfmetmhaogxsroe +

i_hate_it_here I od'nt rnsddtneua ywh gasaElepoh pmssa isn't hirgt +1

topgunber I udowl ays eseahopalg mpsas odlwu caseu tmimdaiee rtoignrgiaute or abiitinly to wwlosal pl.perryo os ew wloud be onioklg rfo .yhgaidsap +4

nikitasr27 In eelrnag stonenea veha an erumiamt uoevrns ytemss .ge.( kn)bbiias nad I ikhnt tath oals pipesla ot hte .ANS asTt’h why ouy see os anym bTeoYuu esivod fo absbie nivgtimo out of hte uelb htwoiut neve angncghi tehir afec rse.pnsxeio I dt’on k,noow sabieb are dwier +1

pakimd si rmeaitum lgaophasee eihnctsrp het nsreao wyh ibasbe tspi up likm nhew eapnrst rbpu itrhe babis?e +

chaosawaits baesib rbpu pu rehti mlik saebecu yhet oswlawl oto ggrayislevse wehn hety f.ede rpgBiun mteh hplse teg idr of meso fo eth ira in ietrh caomhst dna lepsh trevepn toeisdnnti form oto mchu a,ri btehyre ilgeiervn of oeialnptt samhcto a.pisn +1

I don't understand why it would be immature LES and then start acting up now?! Shouldn't she have symptoms since she was born?

+10/- brise(86)

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+2 upvote downvote
submitted by medbound57(8)

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I tkhni tath eth wnraes si ont ilypcor e,sitsons wchhi trsespne wtih OCEIJRPTLE oiu-ninlsob igvmniot s4-kw6 yiaalc(lscsl srift orbn aybb oy).b

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+0 upvote downvote
submitted by sschulz2013(7)

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eisr@b - I itnhk it si het asme noctpce sa eth oripycl rep.stnchi In cpilryo sistsen,o it aetsk a wfe eewks for the ulecms ot lctaaluy ogrw goeunh ot saeuc na ootn,rsbctui os phprsea the esam ntceocp elsppai to the ESL m-uclse tsna'h dha miet ot gowr oughen to ekep oahmcst encontst mofr ngritgriatgeu in a .bonrnew thTa lwdou kaem eness why ti doulw rseveol orve et.im tsJu a ohtt.ghu

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feochromocytoma Btu yhw ddi it esnrtpe lnoy ftrae 5 weesk or so reaft ?htrbi +

chaosawaits I oilrilynga adh mu"rmaiet S"EL uilnt I hoghttu too hdra taoub teh alet eaentnrtiops tfrae( 5 e.wke)s I esdeoanr a wkae ELS dwoul rpentes nscei tbirh tub olspeageah msspsa ldcuo npehpa lrslacpaodyi nda teereorfh echangd ym na.resw MLF +

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submitted by ∗imgdoc(183)

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stJu ot dad to waht hotrse ahev yadrale ltrodeabea ou:pn

oghlapaseE mpsas - rgelairur gsiondeadizr cttooannircs of heegaasplo auu,mltuserc duwlo caues gsaipyhda, ro mieiemtad teigonrratigu ni tsih wen bron. isTh uwdol oyblbrap naphpe wthi rvyee deef.

uGt ttnilomoaar guMi(td aoi)otmtrlan - nsptsere iwht ilbsoiu mioivntg ude to dlaedonu suintobtorc iva Ladd Bdsan onior.tmfa

espacaTalegrooehh aetisra - doluw reetspn wthi ansicoy,s ood,ilrng dan xseeveics i.gnohcgu rAi wluod eb trpeesn ni het octsma,h adn nc'ta spas a snitsargoca eubt trhghuo to eth oa.smthc

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