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Retired NBME 23 Answers

nbme23/Block 2/Question#39 (reveal difficulty score)
A 39-year-old woman with obesity and recently ...
Gemfibrozil ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm lipid_disorders fibrates

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 +10  upvote downvote
submitted by โˆ—monkd(21)
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Am I rycaz or did lowrUd tno evha a tqoeisnu atht tsteda tanstiS rae eht somt efeifvtce gudr asrdelgser of niebasle iilp.sd Thsi cilog trhwe my f.of

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adisdiadochokinetic  uoY aer nto yzac.r I tog hist ensuiqot rgnwo ofr eht same reonas utb r'ehse yhw I kithn MEBN aws ioggn iwth iserft.ba uYo nac sue the lrwddaeeiF itoenqua to ceulatalc LLD lshoecroelt mrof teh elvusa hyet ive.g hisT tneuqoia si =LDL toalT lerhsoHC-oDetlL iheel)rslseoe/rd.Cyt(-Trlic5og eTh 5cidy/erriglTes mter si na aemisett for .LDLV fI oyu elucaaltc it ni hsti seca yuo teg na LDL fo 201 ihwch si rfmily lraonm and uths eht atienpt lwudo osltinyseb tno ftenieb frmo tstian tey.rpah +14
hello36654  omg hwen eth elhl am I noigg to emrreebm itsh ?aeuiqotn seJsssss,suus stih dkni of diatsel akesm me atwn ot igve up on PEST +4
almondbreeze  Her galo DLL duhsol ltsil eb ,t;l&001 cb hse hsa 3 CDH isrk (vuqaeienlst13..0w7-00lppgt:8230ams80ha/rat1w3a0/ht.ff2112tpwo07#p/fp///0p2D )CH ksri tvunqaiehlte=e jaorm rsik cstrofa that iyfmdo LLD oalgs )1 M&(te4,;g5ag 5;F,t&5)g 2) msnogik ,sasutt 3) ,4t0oiye(;&tn9n1/ger)0hps 4) ow LDH elvel (l&4t0),; dan 5) ifylma trihyos. (tp./w-/0/:11r.pgs/wapf0m0wah/234#tlfe8ctoa0/7shp2.) +
almondbreeze  *low DHL ( eelrrleefv to alebt 3 of het trleiac) +
makinallkindzofgainz  heTes ugys rae ithtgni up elegevnanidttl- asdaciuvrlacro sirk otfrac ilctan,ulcaso mahiwenel I pciked tssanit ubsecea I nhikt I rrbmeeme atth tehy hepl the reath +14
jimdooder  So I ededn up giogn ihtw bseafitr becsaue of ehr age 3)9.( I valeyug mrmreeeb eibgn hauttg ahtt assittn era ayller nloy mcmeorddene ofr apteistn ;gt&40 sueacbe eth gib sduty ttah cmea out atbuo mhte swa in hte 0-745 ega prog.u I htnik isht tihmg bittcnroue ot the oseituqn ubt mI' ton atylolt eru .sri/.toepty_w.ptvitSetorisniiPwn/er/ginraikhmkdi:n#ap/ae +
ytho  hsTi notisque ieprdsni my recsen mane +2
cbreland  stainS"t era slyawa the resn",wa "Fat meaelF 40 ileeF"r,t breista"F cna ucsae ge"ls.tnalos I lefe iedl to +
brise  Im' ont eurs fi shit neoisqtu is rtecocr. I hocse taistsn cdconrgai ot twha an tetinadgn tdlo me and LWUROD 2, I ujst nwet bcka ot ckech dna on louwrd ,2 uoy nloy scnedroi viggni fisbraet if threi TG lsvele rea veoba 00.10, oS dik thwa het bmen is gksmi.no rO if rsotocd yultcala triwe heets ei.soqsunt +
kavarthapuanusha  Why era we gniog dswraot aeidtpoclmc nseoquati?? We aehv srdeaece dyltsgririece and snceaeir dhl hrortfeee eibftars ... fI ti eewr eienrdagsc LDL hent ouldw go rof ti.s.n.sat lyOn aiencers hld mliyan go fro inncia si..t in rdouwl dan af +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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blFizoierfm si a tbief,ar sdue orf gelirwno TG sl.lvee

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mousie  I osal cesoh oGmbfilirez oot uaebesc ist het esbt GT eigornwl rdug lesitd tub I acn ees wreeh ehret tgmhi eb omse erd flags fro siht dgru in the awy tyeh adesk hte qi.oue.s.nt 40 yrea dlo beseo naomw thiw mose rppue noaidmabl ianp ..... LELOH ALLG OTSSEN cwhhi is a mmnooc seaedrv meutcoo fo bsF.traie +11
uslme123  Well I t'nidd nnawa gevi a fta, rtfy,o meael,f ttha skoesm a eatbr.if oS a tt,sani fro em, wsa eht sbet entx o.tinpo +9
whoissaad  edUs seam negornsia ot ohceos insstta. tiFerbsa rea hte iamn dugr of icchoe ofr medgyeiearrhrcpyliti but neigv hre ,tsomysmp nstista dame meor enses. yWh do hety do sthi ot .su.. +
roaaaj  atwh a tkciry qotueins! hetre aer itllupem otasrfc sdlohu be taenk ni ..ionnocdaesrti hes sah imterrcdylaeiig cwhih tpu rhe in riks fo cpr,istieanat adn smto mtlroyiaptn ireaotthslroecc eaesids, and all fo thta dlowu getohwiu eht rski fo ivging erh lgoteas.nl +
paulkarr  eaYh I hda snitsta ecdeltse nlilyaiit ebesuac stnisat" rea aywals hte nraswe" tbu hwen I saw hetm ttsigna rfist lnei ree"lytcn egdosidan tiwh ehrpy GT" I eidfgru ihst o-lpflowu aws luyrpe ot rdassde ta.ht So iFertab si teh steb mevo. +2

100% BS. UpToDate provides the most recent evidence and guidelines that state Fibrate therapy for High TG isn't considered until >500.

+11/- donttrustmyanswers(74)

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 +2  upvote downvote
submitted by dumbo123(2)
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I khtni its aecbesu hes sah a hx fo ctpepi recul isesdae td(seat in xh) atht si rucnelrty lriafng pu lmi(d gceaiiprts eeedsnstnr to eedp l)iaa.onptp

eThre era dugr aeti-c-oinrstn- Aiottnaarvts co(ecih ),A hichw si a CA43PY ,btetusras lsh'undot eb dsue tiwh erntchym/aloCmiosri throe ntitaisocbi sude to xt ictppe AuCPs/3Yc4ler hiisori.bnt

Unred agswrnni dan psir,tauecon paeg 1, ADF-dwvp:srea6l/adgl9_a0dabofgctcfowss/lu0pfda0c0t/tw0ba7s5/has.2/2d/0.l.tdes2. yu.rpwdpri/ll.gaaouns/2t=bmuti3r/ir-3?d8r/wgtdeldsehtpwm:

I( asol got het etsuoqnsi wrogn adn secoh atrA-ton-vaits ihst si just ym )ssu!eg

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peqmd  egerdA ogt teh tsqineou gonrw .erst.Hoo.'e hatw I gto mrfo .rD dtUoeatp DD.I TRDL dcneresaI riks of Radhob is ewosr tnha raenecis irsk fo agosnelt.ls "urocrten nC seu of cilmrtcahroiyn ro rhenoctriyym ertthgoe htiw ia,stmativsn vosnalitat, or raviattnatos asw soecaatdis iwht na nersdiace irks of ztolihsaiipnaot rof slomhyioydrasb 2.)R2R,(= tauec ykneid jrnyiu ,=.1R()8R or -lsaluaec atrmotliy )61,.=R(R as cpderoma to nronuercct eus of oncitihayrmz tiwh eth ttsa"ins +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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htsloyen jstu erermebm Frtseaib traet epamrgiHrytyiirdcele nda voem no. Too myna tiosseunq oot ttllei ie.tm I ma a lCoo Mde uttnedS ubt I am on ieLf 9. rhaceRes iatn gib btu owh teh cfku ogt ei.mt yB imet ew lla lngios so lli opeh itng!ry Eintiens aids cecsnie is a aetgr nghit fi noe dnsto'e kaem a nilvgi tuo of i.t I pnla no kmiang a nliigv out of nmdceiei adn uby ym omamm a ueohs. I am a laer tetsre niakk I cmea to arf to go ackb ehmo tpeym d.andhe My amnam nipgoh reh ons ong be sheotmgni eon ady cant etl ehr ow,dn seh dricecasfi a lto for su!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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ligdrmcyteHaeypirier si lawysa adetter tiwh ie,arbFts vnee htoghu seh si mconig fro a loolfw pu amiaeinoxnt dna onotrantcice fo GsT si 350 epke invggi Gieflzmibro a fra.beti

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submitted by โˆ—avicenna(12)
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yerdpiHlctgrairemyei is aawlys erttade wiht Fiabes,tr enve hugtoh she is gconmi orf a lwlfoo pu ioaxinnmtae adn tociacnenrot fo TGs si 350 epke vgigni ifmoeriGbzl a .ribeaft

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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icaNni cna uscae ecaiym,rlghpey s,hinfgul nda tgu.o DAISs'N cna rttae otg.u rAiinsp at hihg otrnneccnostai olsa inhsibit nelar rbasinoo,etpr utb ti iiibhnts itrncseoe at wol lvesle. I enwt wiht inprisa rveo eatpemohcanni bc/ hugaloht eepomcaihtann is na siealngac ti alskc latyioan-rftmmian ttaiyi.vc

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redvelvet  htis is nto ttha qosentiu ): +6


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