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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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utAec teitnriilsta enrla imo.iaatmnfnl ruaiPy (lylsailccas iinlhpoe)sso nda temziaoa iuogcncrr efatr startnnioidmai of gdsru taht atc as ,hnpsaet gncuidni styhryniesvpieit g,e( scr,iedtui sIASN,D peinlinlic tvvseeidr,ai tnroop uppm tihb,nsiroi mfrpa,iin os,eqlnnuoi an).lsiudsfemo

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hungrybox  uBt who is a r2y-ea iyhotsr ?ceuta +4
jinzo  ethre si osal " ohiCncr tntirilaeits edeassi " +4
targetmle  i otg it gnwro eaecubs rethe nswta a,rhs oals erteh wsa narpeoutii,r nsetdo it itadnice emalgrurol iomv?lntvene +2
zevvyt  otG ti gnwro oto ucz of a.tth utB herte acn be uapeiitnror ni stenrihpi, jstu ton sa mchu sa ni htpneciro emnyrdo.s I gusse ahtt's isunngofc uzc hsti ptey of eistpinhr ti'ns erugpdo hwti hte otreh tehinprci icto.donnsi +1
lovebug  AF 91,02 gPae .915 +

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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eirtunopria + miata,urhe chrconi cgsalenia euasb ;&-tg nrela plyriplaa rciseons , ciwhh nca eb a epirgoosnsr romf uaetc iritetitsnla rtspnihie d-eridgun(duc vpiysseinyihertt ovniligvn het iistinetmurt nda e)tubsul

9mo1Phaat 7p12

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