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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 itilttaisner lerna mniamlti.anof iruyaP scyl(llciasa inpos)lieohs dan aaietmzo corucirng tfrea inmadittnsairo of dsugr that tca sa het,pasn ndugiinc ehipitvsersiyynt ,ge( ,curidtsie AsDN,SI ipenlicinl rvtied,avise oportn pmup i,niorihbts rnipaf,mi q,nonuioesl me)osis.nfulda

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hungrybox  Btu how si a ea2-yr ytrsiho c?eaut +4
jinzo  hrete si asol " noirhcC nitrttlieisa iedesas " +4
targetmle  i gto it nrgwo abseecu etreh astnw rh,as alos rhtee wsa nuto,aprieir snetdo it diinaect lrlmeguroa einomvtveln? +2
zevvyt  tGo it rngwo too zcu of tht.a uBt theer cna be riuinetorap in p,eirisnht tsuj otn as hmcu sa in pinrcteoh ysmednr.o I usesg tath's isgcunnof ucz hits yetp of heniirtps tsi'n pureodg whit eth terho hricetpni isdonont.ci +1
lovebug  AF 9,201 Pega 195. +

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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rnpoearitiu + trh,iauema hcnroic sagicalne aesbu t-&g; ernal lpayliapr inorescs , hiwch cna be a rprssonegoi mrof aetuc itenattsilri tpsrinehi eg(udduridc-n eeptitnirhisyvsy linongviv eth niistetmrtui and ub)utles

hamat91oP 172p

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