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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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tcuAe intalesriitt nelra iomilfantnam. uyarPi cy(alislascl eosil)hsnipo and eotzamia cgirrnuoc retfa idnaroasnimtit fo gdurs atht tca as ,hpantse cidngniu ieitpetiysnvrshy ,e(g riistuced, DA,NISs lcpiinenil tedi,svivera prnoot ppum inbioi,srht frna,ipim ueolqn,ison mdinl.)ouafses

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hungrybox  tuB hwo is a r-2eay hrityos cau?et +4
jinzo  ehert is olas " oChnirc niitrtaetsil desaies " +4
targetmle  i got it wrgno sabeceu reeht atnsw ahs,r aslo theer was ,rnriptuieao ednsot ti naecitid rlaoruglem evilemnotv?n +2
zevvyt  Got ti nwrog oot cuz of tt.ah uBt hreet nca eb ranotuieirp in piensit,hr tujs ont as hmuc as in otrenihcp nmd.eyors I ssueg hatst' snfugnoci uzc tish eytp of npireiths ts'in gpeordu hwti teh etohr hrtepnici .tonidisonc +1
lovebug  FA 910,2 Pgea 5.91 +

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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tuorieairpn + eiat,mharu cnrcoih sagecailn buesa &-tg; ernla rlyapplia scsnieor , hchiw can eb a enoisporsgr ofmr aectu tnistarleiit sihirnpet -udidcnue(grd ipstrevnhytiesiy nloniigvv teh rsitiumittne adn )etusulb

ha9Pa1tmo 7p21

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