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Retired NBME 20 Answers

nbme20/Block 3/Question#13 (reveal difficulty score)
A 45-year-old woman develops proteinuria and ...
Tubulointerstitial nephritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +3  upvote downvote
submitted by โˆ—hayayah(1212)
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eucAt itnlrteatsii ranle iamninoaml.ft Puyira sia(lclycsla lshnsipo)ioe and eaizomta gnccourri faert totaaismdiinrn of urgds atth tac sa stneph,a dinigunc esvpryyestitihin g(,e r,tscieiud A,DNSsI iillnnpiec sva,vitdriee otnpro mupp iroistbni,h amipfinr, solo,iqunne nmds).foiasleu

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hungrybox  utB ohw si a rye2-a itoysrh cea?tu +4
jinzo  erthe si laos " oncChir eartslniiitt aisedse " +4
targetmle  i got it nrogw asuecbe ehert snwta h,ras alos hteer saw iraor,etunip ntsoed it eanicidt relrlmaogu vnnmle?oteiv +2
zevvyt  Got ti onrgw oto ucz of tha.t uBt rhtee nac be inruieorpat in hsn,eiitpr jtsu ont as hmcu as ni opeticnhr odrysmn.e I seusg ha'tts osunicnfg ucz htis yept fo terpisihn t'nsi odregup hitw het hoter rctpineih otocisnin.d +1
lovebug  FA 9102, ageP 195. +

I think this can either be acute or chronic tubulointerstitial nephritis. According to MSDmanuals, 'acute' TIN symptom onset can occur 18 months after NSAID use. The classic triad of fever, urticaria, and eosinophilia is only present in <10% of cases. Also, they can have proteinuria (<1 g/day) or even nephrotic-range proteinuria (>3.5 g/day) if it's caused by NSAIDs.

+2/- fatboyslim(118)

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 +3  upvote downvote
submitted by apple222(3)
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ieartpuiorn + hr,aatuime hroccni aseilagnc uebsa -gt;& lraen aralplpiy rscseoni , iwhhc nac eb a oporgrsnies rfmo tecau tinrttasiiel ietihrpsn decddignu-ur( vystpnihyeeiirst ginlivvno eth rtiietimunst dna buutl)se

a91thPaom 2p17

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