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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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Atceu rinettiiaslt earnl mifon.nlamita yiruaP ccsalsll(yia ossieliop)nh and aetmzaoi uncicrogr teafr inotnisarimatd of gusdr taht act as ,tanhsep nudgcnii ytieyhpeinsirvts g(e, e,rtsiidcu sDI,ANS cnpeiinlli eriiadv,tevs tpoorn uppm inirh,tbsoi niafmir,p nqoonleius, snu.oemlfdsai)

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hungrybox  utB hwo is a are-2y yhsrtoi ateuc? +4
jinzo  teehr si aols " hrcCoin itrttnsaeiil sidease " +4
targetmle  i otg ti rgnow eecbuas eerht wnats hs,ra aslo rthee was teroa,ruipin stoden ti eanditci ureolragml v?enelivnotm +2
zevvyt  oGt ti gnwor oot ucz of tth.a tBu ehter can eb oriirpnteau ni ,ehristpni utsj not sa chum as ni irhpecont os.yrmend I uessg h'ttas osinfungc uzc sthi eypt fo irphienst itns' roguedp tiwh teh toreh piirnehct isconn.oitd +1
lovebug  FA 09,12 Pgae .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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aenptioirur + himua,aert crichno anasligce abues &-g;t anler lyraplipa ssenorci , hwhci cna eb a irnossergpo rofm utcea rtsiaetiiltn npihriets c-du(nddriueg hisyeisinpervtty lvnvgnoii the iutsetnmiirt and ut)bsule

o1m9atPha 7p21

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