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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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xcicyelynDo is a yctarclTieen i(dnsb 3s0 sbi)nutu dan si ueds fof llaeb rfo retemntat of eAnc. naC eucsa cdoltsinoiaro of t,eeht dan is noknw ot eb SISETHTIOENO.VP

Thsi aitnpte dah seuiffd hyatreem dan imld eedam evor ehr afec and eetsi,emritx otsm ilylek omrf snu epurseox lhwei bgeni on hte dme for cnAe.

AF 92:01 pg 912

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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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submitted by โˆ—hayayah(1212)
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nA dsvreea tffece of yxcndoeylci si evtiinpi.tyhoosts

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rio19111  yhW ont Copr?i +1
raspushok  Wcihh atnictsioib reasenci itiptnsetoiv ehryalov?sSe biactoinit esasslc mcnmloyo ascue tipyvsntstoiih,oe ciudgilnn tiscencleyrta yndxlecci(o),y lqsuinnooe iraco(plicxo,nf olxoncafrn,)i nda aloemdsphunis meriairtxzofu/tlhh(lae,oeoptmsm iss)la.zeflunaa The atntyicelrce nyomclnicie si otn eanlyelgr tascsaeodi tiwh .oeoitYhi pHvssinyWtt otn andm opr?ci +
medninja  I kthni ti si ecbseua orpCi si otn cnomoylm dues for nace atrmteetn +4


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submitted by โˆ—lilyo(94)
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eiaeTyrlstcnc smto oonmmc ervadse fseecft aer vrnmtoadurseh//aeiaia adn ipsyntit.thsooiev Cna ceftaf ebsno adn tehte of neornwb fi neigv to nngptare eno.wm loAs sith drgu csals vcsore SAG, ,BGS /+- RS,AM raorsertpyi frloa nda ur.lcleraltian

hyW pCori si not teh :rswena dcaeoiMrl rvscoe RGN + oue,sPd treehoefr ont a tetmenart orf nace i(nsk oa)lr.f dAn ommocn rvdesae cfetfse era D.ffCi coinn,itfe QT pnnrti,lgooao noetnd rerp,uut rnigatecote fecefts.

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submitted by โˆ—drdoom(1206)
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]edtd[ele

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