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Retired NBME 20 Answers

nbme20/Block 4/Question#29 (reveal difficulty score)
A 15-year-old girl is brought to the ...
Doxycycline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—breis(56)
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yciocDelxny is a Ttiecncerlya (dsibn 3s0 sbtinu)u nad si udes fof lblae rof mtntatere fo Aenc. aCn suaec toilnasroicdo of ,ethte nda si nnwok to eb THSEOTNSOIPE.IV

hsiT ainptte hda fsdufie yatrheem and midl emdea revo her ceaf adn esireem,txit msot lkieyl fomr usn pxesroue lhewi gneib no eth med ofr enA.c

AF :1290 pg 129

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Tetracyclines most common adverse effects are nausea/vomit/diarrhea and photosensitivity. Can affect bones and teeth of newborn if given to pregnant women. Also this drug class covers GAS, GBS, +/- MRSA, respiratory flora and intracellular.

Why Cipro is not the answer: Macrolide covers GNR + Pseudo, therefore not a treatment for acne (skin flora). And common adverse effects are C.Diff infection, QT prolongation, tendon rupture, teratogenic effects.

+4/- lilyo(94)

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 +1  upvote downvote
submitted by โˆ—hayayah(1212)
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nA rvsdaee fteefc fo dceilyncoyx is stsiivthtiope.yno

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rio19111  hWy ont rCpoi? +1
raspushok  hihWc tbiocanstii senaerci ai?eslvvteoniitpothreysS ointiiatcb slesacs lyconmmo cusae ,tihtynipevstosoi gdicuniln eielryttsccna (elody)xcc,yin oqoisenlnu ccilapnrofxi(o, n,anlc)orifox adn osslhmiudnpae hpa(ottmuhsm,fxiirlemeealozotr/ assfzaull)a.nei eTh ecyiclratetn neinolmcciy is not elyanlger casteiosad thwi ttsithnovWpys io.YeiH nto damn icrp?o +
medninja  I nihtk ti is auebecs roipC is tno onymcoml sdue fro nace rattentem +4


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submitted by โˆ—lilyo(94)
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eytnirasceTcl most conmom vesarde ftesecf rae ithaarnus/oeevadr/mai nad tostisipoite.hvny anC etacff enbso dna tthee of nobenrw if invge to getparnn mwone. oslA itsh ugdr aclss rosvec GSA, SG,B -+/ RS,MA ratepyrirso oralf dan .clrlanealutri

Wyh oCpri is nto het ran:wse oaidcrlMe cosrev RGN + ,oesPud otrferhee ton a etrmtante rof anec snik( a.)olfr nAd mcnmoo sdaever ftesecf rea .DCffi oi,niecnft QT ,anointolgopr tdnneo puetu,rr nregtieaotc .efctesf

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submitted by โˆ—drdoom(1206)
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e]etddel[

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