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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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mA I ryzac ro ddi loUwdr tno vaeh a ntuosqei tath tseatd natitsS rea hte msot ietffceve gdur gslsaderer of ilneasbe .psdili hisT lgioc wrteh my o.ff

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adisdiadochokinetic  uoY aer ton yr.acz I tog hist oiqntuse ogwnr for eht aesm aenrso ubt eh'ers wyh I itnkh BNEM wsa ioggn htwi ierbs.atf Yuo can use eth iaeFedlwrd nuetqoai ot ccetaulal LLD scoeretlloh mfor hte leuvsa htye evig. iTsh anqotuie si DL=L talTo loHr-eDLelCoths rc.-/ClrteeslTgsiooeli(yhe)dr5 Teh Teyiiecrgld/rs5 emrt is an etmsaeit orf VLL.D If ouy ellatcuca ti in tish scea uoy egt an LLD of 012 whihc is lfirmy mnoral adn htsu eht ateiptn uodwl syioenbtsl otn neeibft ofmr anitst pah.tyre +14
hello36654  gmo nhew hte hlle am I ggoni to mrmreeeb tshi oetai?nuq sssJu,esssuss stih kdni of dseialt amkes em wnta to egiv pu on TSPE +4
almondbreeze  eHr gola LDL douhls ltisl eb ;1,lt0&0 bc ehs sha 3 HDC rksi iq(lu envtaesg/2.2ptam21/0o80lfh3t:pw.p78p00031pw2-1sa/0af3f/t7a/1p0#/t0wrh.CH )D rski tathlen=qeivue amojr skir tcrasof taht dfomyi LLD sgola ) 1 5eg(4tMg&,a; g;5F5t&), )2 migsokn ,saustt )3 ;snie9t0,p1nh&0t/(go)y4re )4 ow DLH lleve lt(0,;)&4 nad 5) mafyli isothyr. (0m.:fh81po.lwsc-f0#2t0///gtpa1.7r4//hwpw/2paa30tes) +
almondbreeze  o*lw DLH reefer le(vl ot lbeat 3 fo the til)reca +
makinallkindzofgainz  esThe gysu ear tngthii pu getendelalv-itn ascluoiraarcvd iksr trafoc n,atccaislolu nhwaemlie I pecdki santtsi eabeucs I itknh I rrmbeeme ahtt yeht plhe the eahtr +14
jimdooder  oS I ddene up noggi htwi esabtfir sbcueea of hre eag )93.( I vleugya ermebrem igben attuhg thta tstinas are ryalle nylo deenemocrmd rof eitatnsp &0g4t; ecaebsu hte igb utyds htat cmea uot uatob hemt aws ni eth 047-5 ega u.pgro I kinht shti hmgit nbicteorut to eht eniqstuo tbu Im' ont atltyol ser .uwittg/o/ho/yieinrmrrdtri#._Sp.k:iaippisnweeai/tnvnaePkt +
ytho  ihTs seintuqo iineprds my cseern amen +2
cbreland  Sa"itnts rea aysawl teh sw"rean, F"at Femlea 04 l"ieert,F tirbFsea" can asecu slae"o.snglt I efel edil ot +
brise  'mI otn seru fi tsih iqutnose is o.rcrect I cesho tiassnt orcaidcgn ot whta na antdtenig tlod em dna UODWRL ,2 I ujst tenw bkca ot hekcc nad on oudlrw ,2 uoy nlyo rnsdioec ngivgi earbsift if rheti TG vleles are oevab 100.,0 oS dik wtah teh menb is imngo.sk rO if otcorsd uactllay treiw ehtes oitessn.uq +
kavarthapuanusha  hWy rae ew gigno rdatwos emdpiccltao o?iea?tsqun W e hvae reesaedc crryeiitesgld nad resiacne dlh theeefrro ibetfars ... fI it ewer eadecngsir LDL enht owdul og orf is..ttnsa. Oynl earencis ldh lamyni go rfo cinian .it.s ni rowuld nad fa +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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birFzmleofi is a frbeit,a esdu rof gwlionre GT lvle.se

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mousie  I alos ehcos ziefmolbiGr oto ceubeas tis the sbte GT ieonrgwl grud dliest btu I can ees ehwre three mhtgi be emos edr lfags ofr shti dgru ni hte awy ehty dsaek teh ..iequnost. 04 ryea odl oebes namow ihwt smeo urepp oamanlibd apni ..... ELHOL AGLL SSNOTE hhicw si a moocmn esdrvea meoouct fo .iaebtrFs +11
uslme123  Wlel I nd'tid anwna ivge a at,f rytof, eafem,l taht moksse a .feiatbr oS a ,nattis rfo m,e swa het sbet xnte tnp.ioo +9
whoissaad  Udse same negrnoias to ocheso iat.nsst aisbtFre aer het nima gudr fo ohecci fro rriyredheepmaiigctly tbu vegni erh pyms,stmo nsitsta edma emor s.esen hWy do htye od thsi to u..s. +
roaaaj  htwa a cyritk ut!eqnsoi etrhe era eplmltiu raocfst udlohs eb eknta ni tadsonir.eno.ic hse has micergrtydeaili iwchh tpu her ni skri fo esriatcint,ap adn otsm yroiltamtpn otaloeschrtierc sedis,ea and all fo ttah olduw etuhiwgo het kris fo gvgiin reh g.eonlaslt +
paulkarr  haeY I hda ttaniss etldcsee yntillaii usecaeb "tsianst ear salayw hte erawsn" but wneh I aws mhet tagsnit tfrsi einl ec"yntrel ensagdodi htiw pyher "TG I ufregdi tsih -lpolwuof was epulry to dassred tta.h oS abrteiF is het tseb .moev +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 tkhni sit eucsbae hes sha a xh fo tppcei erucl esesiad tae(sdt ni xh) ttha si yrelrutnc rflnaig up id(lm iipcgtrsae eednntsser to pdee al)itnpap.o

Teehr era rudg -eot--insnrcita trsnaviatAot ch(icoe A), hwcih si a 4CY3PA btssateru, lsutdno'h eb dseu hwit mnachCiorl/oerimsyt oetrh biasiictont usde to xt ppitec YPrelAs/Ccu43 ishroi.bnti

eUrdn gnranwsi and aturepc,nois aegp ,1 -D FA2o/faba9lcgcs/g/wh:ols0dtv7esawd/fs0lw/le_0/.dtfa2dasaps.u.rad0dc502bt.tp60 piigm-rsgue3/t3:.d/iha8rub?=lrnyrs2/ledroptwpwat/dtdlwum.

I( aosl otg eth ienstqsuo gwnor adn cesoh tttvrnaAi-s-oa ihst is ustj ym s)gus!e

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peqmd  eAdreg gto hte tqensoiu gwron eoe'Ho...trs htwa I otg from .rD tadeUpto .DDI TLRD erIdnaecs rkis fo hdobRa is wrose htan cnreseai iskr of n.aosltsgel eco"rt rnCnu eus of tlharmcnoriiyc ro notryimyhecr tegtoehr ihwt saimvants,it nlov,tatsia ro ttaaatsovinr asw dtoiscasea hiwt na eecniasdr risk of phttoanilzoisai rof yhodolasrmiysb .2,R)R=2( tuaec iknyed jnuyir R,8.R(1=) ro e-aaulslc ytltormai ).R61,R(= sa odacmrpe to nrrtouccen ues fo maiioychztnr ithw teh ati"nsst +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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tnsyhole ujts meerermb raieFsbt terta grmyriaHlditcpieryee nda mveo no. ooT yanm sqinsueot oto ttelli ite.m I am a ooCl deM Sutetnd tub I am no ifLe 9. heeacRsr iant gib btu ohw eth cfuk otg mit.e yB etmi ew lal sognli os lli eohp !iyngtr Ennsiite dias cseenic is a tgrae thgni fi neo on'etds aemk a nigliv tou of .ti I alpn on ikgman a vlgiin uot of dmnieeci dan yub my ommam a usoe.h I ma a lrea etrste knaki I cema to rfa to og kbca hmoe ypemt dhe.adn My manam poihng her osn ogn be ohngteism noe ayd ncat etl rhe dno,w seh rdfciecasi a otl ofr us!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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reeigyHatclrdirepimy si ayswla trdtaee wiht eFtrsb,ai neve ohthgu hse is omcing orf a lowofl pu aoieinnxatm and icernnoattoc of sGT is 503 eekp vngigi izGiboremlf a tifab.er

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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edpHryrtrcymiilegeai si laysaw rtaetde ihtw F,iarebst evne gohtuh esh is cinogm ofr a olwlfo pu nmeiatniaox nad orecoitctnan fo sGT is 305 pkee ginivg olGirfzeibm a .bateifr

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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iiaNcn acn escau pm,lercyyiageh slignuf,h dna gut.o SDANIs' anc taret got.u pnsArii ta ghih cnteocorniatsn also sbiintih enalr rneaop,brosti utb ti ibhnisti retenisoc ta wol e.lelsv I newt twih nirspia voer taohpnaicemne cb/ ahhtulog pontemaeianch si an caalesgni ti lksca filamatrmyoian-nt acyvtii.t

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redvelvet  sthi is otn htat noeitsqu :) +6


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