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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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Acute tisrtinteila elnar oniatlmm.nafi iPaury clla(islysca iplshsoeoi)n and amzaeoit cirnrocug etrfa notdmiaanirtsi fo usgdr tath cta as asthe,pn ciundign iepitntrvsyyiehs (g,e stiercu,id IASD,sN licnipeinl vdtee,irvisa ontorp uppm ,iihsntbori rfnim,api nsnoli,queo sain.fu)sdolme

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hungrybox  tBu owh is a e2a-yr rtshyoi ceua?t +4
jinzo  tehre is alos " Cncoirh tsertliintai isasede " +4
targetmle  i tgo it rwgon eusceab ereth swnat arsh, alos ereth swa ip,raenruito tdneos ti tnciadie mrlreogula ?lenomveivtn +2
zevvyt  oGt ti wnorg too czu of ath.t utB ehtre can be iirantupeor ni tpnrihies, sjtu tno as hmcu sa ni oepthcnri noesym.dr I usseg athts' ncinfogus zcu thsi epty of ehnriptis ns'ti roupedg wtih teh tehor cinirhetp onitod.icsn +1
lovebug  AF 912,0 gPea 519. +

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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rpeaiintrou + ah,mietuar hnicroc sicnleaag buesa -;&tg nlrea palripayl csioresn , hhwic nac be a onrriospgse ofrm aetcu niiletisrtat nrtpeihsi reud-d(icngud iiyerpthyitsnves vlinogvni het nttmuetisrii nad se)utubl

1mtohPa9a p721

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