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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lDefeinftair ssniaDogi fo ornaweotnabeNNl/ tnigViom

ngnBei- olraseapstgogahe xelfru ( e.i imrematu loewr elsphegaoa rietcnhps )auirggtteiorn fo odfo ryshotl teraf edgifne .
oN rehfutr opmstysm , alethyh iclhdner whit lamonr mltndpeoeve

yehoirHrp-cpt ripycol setnisso
toegitanRurig - peojetlicr ioslonuinb ingovmit lrtoetleyec baalmicesn ( lisaklaso adn iaaepymlokh ) * ahyslcpi anmnatoieix amy elearv na oeivl amss no oinalppta fo itprsueagmi
cyl atlpyi* ttrass fomr ebnetew nd2 nad t7h ewke of gea

-dugMti svuovllu oMa/olanittr D/uldnaoe ietrsaa * bouiisl omtniigv * dmaboilan tdoiintnse * igagmIn aym evrlea issgn lkei hte delobu bubble gins ( duedolna aaesitr ) etc

:oNet hTe ltis is tno sexthvueia as heetr aer ymna rmeo cuaess ssaatcioed wthi noenwrb iovtiimng

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covid_19 To dda on to enngBi ,GER I 'nocltdu dfni antigyhn ni a ocrruys lkoo touhhgr AF dan also i'tdnd know hatt RGE asw a inhgt in nns,taeeo os I udfno itsh neic adn eicnsco tcirale ni opeU:DtTa anoe:.pusnet-nwe/laf/msa-ttptge-tenspd/fhp/a-hrswttolaiurcmtre.iconaotwrexgosu +

i_hate_it_here I dto'n utnaerdnds hyw aEpeaslhgo psams n'tsi trihg +1

topgunber I dulwo sya oaepslgeah mssap uwlod euacs dimaietme iiotunegtragr ro ynatibiil to wlaowls yrprlp.eo os ew oludw be onoilkg rfo ap.higasyd +4

nikitasr27 In aerlegn oeastenn ehav na ierummta sunerov sstmye .e(g. ibibnkas) adn I nthik that asol eipslap to eth AS.N a’sthT why uoy see so amyn TuebuoY voedis of biseba vnomitig otu fo the uebl uhotwti enve iacnnghg rieth ceaf reispns.oxe I d’ton owkno, esbbia rae diewr +1

pakimd is mmiturae aleeagpsoh cnprhties the oearns why sabeib stpi up lmik nwhe nepsart bpur hrtie esi?bab +

chaosawaits siabbe rupb pu reiht ilkm seuacbe yhte lsloaww oto grsiyeleavgs ewnh yeth .defe uBipgrn hetm hlsep gte dir fo smoe fo eht air ni thire hmtocsa dan hslpe trpeenv tindeitsno form oot mcuh ,ira byeerht gervlinei of tnoepital ahocmts anp.is +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 nktih thta eth newras si nto lpcoiyr ,ietssons hihcw sprenset hitw LCPETEIORJ bisouonil-n igtvonim sw-46k asl(cilsycal tsfri robn yabb )y.bo

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submitted by sschulz2013(7)

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besi@r - I nhtki it is het mase tecopcn as hte lpycori etnphi.src In iyocprl ,istsseon it steka a fwe eksew fro hte ucmels ot cyaltlau wrog oenugh to uaesc na usnbtcr,otoi os eapshrp eth sema cneptco pielspa to the ESL leum-cs tan'sh had temi to orwg unghoe to peek smthaoc ntscteno mfro grigitrugante in a .nbnreow aTht ldowu amke essen ywh it lodwu lseeovr rvoe i.etm usJt a .thoutgh

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feochromocytoma utB ywh ddi it preetsn loyn ertfa 5 ekesw or os traef h?btri +

chaosawaits I iygrlinaol ahd uitam"emr SE"L nuilt I hutgtho oto hadr tabou eth teal nntrstopaeie aeftr( 5 .)ekwes I ernsodea a ewak ELS ulwdo esentrp since htrib but hgoeaeplsa smsasp dcuol enapph acdyplolarsi adn hftereero cdhegan my nrs.ewa FLM +

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submitted by ∗imgdoc(183)

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Jtsu ot dda ot waht oestrh have aderaly aatroldeeb :noup

losehpaaEg aspsm - erilrruag ndziaeorsidg atocnirnstco fo ohaeaspleg tcrelmau,usu lwdou sacue yisgahp,ad ro meiaidmet egrurngtitiao in hsit ewn nbo.r Thsi uwold ylapbbor napehp iwth yreve efed.

utG inatmratloo tdi(Mug ra)omiotalnt - etnsrspe htwi lbisiou nigtimov ued ot uaelnodd tconruotbsi iva addL dsaBn oanmrtfo.i

csheoepaThagealro rtaiesa - wuldo tspeenr hwti ,oacnsysi rdilo,ong dan ixcseeevs ichongug. Ari dwluo eb reenpts ni hte c,hastom adn antc' sspa a iscaartngso uetb rhhugot to eth tco.mash

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