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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submitted by ∗andro(269)

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eftlerfniiDa ssonigiaD of wnbtaNe/arnolNeo iVtmnogi

g-niBne pgoratoeesgsaahl refxul ( e.i metauimr oerlw lpeaoshgae hpsicntre )onrtageirgtui of odof ylroths tefra eeidfng .
No efuthrr ymtossmp , lyathhe lcdreinh iwht mrolan ptedvenolem

eHtpory-chrpi lyicpro tinssose
igieRonutrtag - tejepilorc nboiounisl gonimvit eolettlyerc celambnisa ( iosallask adn kehlapymaio ) * hiaypcls eomixtinaan yam ereavl an vileo ssma no taopnpila of siamtupegri
*cyytali pl tastrs fmro wtenebe 2dn dna ht7 keew fo aeg

-igMutd sluvlovu oMtinaolar/t nadD/eoul tasriea * luoiibs itmvongi * amondaibl edniotints * imanggI may eerlav ginss elki eht boledu lbuebb igsn ( daouelnd eaatirs ) tce

N:toe hTe tsli si nto suexeitvah sa ethre ear yamn eorm saucse cseidoaats with erbnnow noimgitvi

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covid_19 oT add on ot gBnnie E,RG I ludotn'c find tgninyah ni a corsury okol gohrhut AF and olsa n'tddi nkwo ttha ERG was a tnigh in e,sneanto so I noudf stih niec dan oecinsc craleti ni UotT:eaDp -.n-og/txpnrnsauwceiat/me-ngtfwumeaftrwdhu-eatpoooste.as/no/csh:elaepstptrlirt +

i_hate_it_here I n'dto redndsaunt hwy hEloaageps pssam n'tsi thrig +1

topgunber I lowdu ysa haeoeapgls sapms odlwu csuae eemimadti ngutieogiatrr or bniiltaiy to sawlwlo pro.lrype os ew owdul eb loikngo rfo gihyp.sdaa +4

nikitasr27 In genelar aetsneon ahve an emtiamur vsernou mytess .e(.g sknbai)ib dan I tnkih htta lsao peiplsa to eht NS.A ’thasT why ouy ees os nmya YuouebT sivdoe fo bsbaei iotnigvm tou fo the ubel ohutwti neev ganngihc trehi cafe iex.spensor I notd’ no,owk ebsabi era iewdr +1

pakimd is rmimueat opaaeehlgs phrceints hte eosanr why besabi tips pu mlik wneh aprnets bpru erhit bsai?be +

chaosawaits esabib rubp up irhet mlik sbaeecu htye allwows oot gverelayisgs ehnw yeth .feed rnguBip hmet hlsep tge rdi of oesm fo eth rai in tehir smcaoth nda ephls nprteve isotidtnen mfor oto humc rai, yeterbh gleiernvi fo etponliat smhtaco ap.sin +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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submitted by medbound57(8)

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I nithk hatt the nrweas si not riplcyo st,noeiss hcwhi snrsptee wtih ELEOICPJRT oosl-inunib tgivomni 6-swk4 a(lacscylisl tifsr onrb abyb )y.ob

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submitted by sschulz2013(7)

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se@bri - I ihtkn it is eht asme neopcct sa hte ryiopcl tshc.inrpe nI olryicp soeni,sst ti tkaes a efw wekse rfo het smulec to tylaluac gowr engohu ot ceuas an iuosbonc,trt os sprapeh eht emsa epotcnc lepsaip ot eht LSE smelcu- s'ntah dah eitm ot gowr ohugne to eepk cahotsm nescontt mrof rinairttggegu in a nonb.erw aTth lwudo maek ssene hwy ti duolw everlso voer ei.tm Jtus a uht.gtho

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feochromocytoma utB wyh ddi it eespntr ylno farte 5 eewks or so tafer ?ibthr +

chaosawaits I loagniriyl had muetm"ari L"SE tiunl I ghouhtt oot drha atoub teh elat estrnaenipto rtaf(e 5 eke.sw) I neerosda a kwea LSE woudl npeetsr esnci tribh tub phosageale spmass udolc nheapp cplsodialayr nda rereeofth adgchne ym .rnewsa MLF +

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submitted by ∗imgdoc(183)

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uJts ot dad to thaw sohrte heva elardya ortdleabae nu:op

glaEeapohs sapsm - lruergria egznrdaidsoi irncttonscao fo shgleoaepa m,ectausuulr uolwd uaecs shgpai,dya ro eiatemidm eiggruortiatn in itsh wen .bonr shTi dulow lorpaybb hanepp twhi eyrev edfe.

Gtu lotoiatarmn (dtigMu lnaaor)mtoti - rtpneses thwi blouisi monitvig ued ot laoduend tibourtncos vai addL dBnas oan.rmfoit

aeTahosephgorlcae tarsaie - uowdl pteesrn iwth nacys,ois nord,ogil and eceesisxv co.gguihn rAi lduow be tsneper ni eth mcshtoa, adn 'cnat asps a rgoitacassn uteb thohugr ot teh mh.otasc

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