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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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tAuec ilnrtaisetti alrne mmtnnif.laoia uiraPy yl(lasascilc ihspol)esion nda iazeaotm rcuoncgri efrat dansmoitrtinai fo sudgr taht cat as eahpsnt, iiucndng psviesyhettyrnii ,g(e ,tesiirudc sIN,DAS lpieinlcin ,detisrvaeiv ontpor upmp ,hisoiitrbn iapmnfr,i nqnoleo,ius nuelfsao.idm)s

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hungrybox  uBt owh is a ar-ey2 ithryos c?atue +4
jinzo  rtehe si aslo " Cciohnr etsitiartiln sdeaies " +4
targetmle  i gto ti wrogn ceasbue there asntw sahr, salo rthee swa ,eptrniruoai tdenso it decinait ogmluralre niovmtn?elve +2
zevvyt  Gto it ognwr oto zuc of h.tta tBu reteh nac eb tpaoerinuir ni piitnhr,es utsj ton as chmu sa in tnrcoeiph sdon.meyr I ugses tsa'ht onncfgusi zuc tish yetp fo nerihtips 'snit ugeodrp tiwh hte oreht pritihnce noitc.donis +1
lovebug  AF 2,910 egPa 91.5 +

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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rutiiorpaen + aeau,rthmi nhciorc aialsngec saeub -tg;& larne ailalpypr isesocrn , hwcih cna be a neoorgrpssi frmo tucea tistrienialt nriihetsp (iucdnd-uegrd tsystihieyrnipev linvignvo eth tuimienttrsi dna el)tusub

aotaPhm19 1p27

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