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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 azcyr or idd rUodwl ont hvae a qeiutosn ahtt ttdesa nStatsi are hte tmso cffevtiee rdgu rgeassedrl of ansieble psi.idl hsiT olgci erthw ym of.f

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adisdiadochokinetic  You aer nto az.yrc I otg itsh etnusioq gnwro rfo eht mase nsearo utb re'esh why I kitnh BENM saw igogn hitw tb.irfesa uYo nca eus teh Feaiewrddl itnqouea to ctlaucale DLL shlroeeolct mfor teh evulas hyte .iegv shiT ieuatoqn si LLD= tloaT elHhol-trsCDoLe lge.rhees/-syrcdt5rCTie(llio)o ehT y5sgceel/irirdT term is an eseimtat for .LLVD If yuo aeuccaltl it ni sthi case yuo get na DLL of 012 cihhw si lyifrm nalrmo nad uhst the taieptn wudol iossebntly not ienetbf fmro aittsn ayeph.rt +14
hello36654  ogm hnwe het lleh ma I giogn to ermebemr sith anoutqie? ,sJsususssess tsih dnik fo aletsid eakms me awnt to give pu on ETSP +4
almondbreeze  reH goal DLL loshud llsit eb ;,lt&010 cb seh sah 3 DCH isrk euealtvnis q(am2gsl//t0/0.7a12p8p3001ap32/ppf.f703fh/#htwot:t1w0a0r.028/-w1pCDH ) irsk eite=hlvutaneq aojrm irks sortfca atht fimdyo LLD ogsla 1) M(;g5&ge4a,t ,;55gFt)& )2 gonmski ustts,a 3) e0yo4/&,g0ri)hnptt(19ns;e )4 wo LHD evlel ,()t;&04l nda )5 yafmli roysith. (w01/f2.7.ae1sp#wt/sha/rt0ghpmf//l83c:00poa.2/-4wpt) +
almondbreeze  w*lo HLD l ereerv(fle ot letba 3 fo the iceta)rl +
makinallkindzofgainz  Tshee ysgu are gihtnit up dlgletieetvn-na usdralrcvaaoci skir tfacro nstalccou,ail nihmweale I kcpdie sntstai seaecbu I ihknt I mmrreeeb tath teyh ehlp teh earht +14
jimdooder  oS I ededn pu goign twih rfetasbi ueesbca of ehr aeg )93(. I geyalvu ermmbree ngbei ahtgut thta taisnst are llayre noyl nmecemodrde rof ttnpeasi t40g;& cseuaeb teh igb uytsd htat emac tuo utaob them aws ni the -4507 ega .urpgo I iktnh siht hmtgi buetictron to eth qnetuosi tub I'm ton aloltyt . uersn/pSthiknti.rpwt.ei/eii#mo/ngt/do:irPpknteyiva_iaaewrrs +
ytho  sihT euqoistn neisripd ym ensecr enma +2
cbreland  tt"isnaS rea wsalya eth srnewa", Fa"t aFleme 40 terF,lie" aistbF"re can suaec elss"ntgao.l I lefe idle ot +
brise  'Im nto eusr if stih iuneqots si .tcocrer I ecohs ssinatt oadnricgc ot awth na dtegannit tdol me and DLOURW 2, I sjut ntew kbca ot cehkc adn no urlwdo ,2 uoy nylo iocsrnde invigg brefatis fi itreh GT evesll are aboev 0.100, So idk twha the enbm is gsonm.ik Or if tsorcod yalcltau eirwt hseet qiouesn.st +
kavarthapuanusha  Wyh are ew ggoin sdtowra ipdltmcecao u?qotis?nea We hvae aderecse riytlcegreisd dna aneseicr dlh rorehteef afrbitse ... If ti rwee edgscneair LDL nteh oldwu og ofr .stn..tsai ynlO ercniesa ldh lynmai og rfo iiannc si.t. ni rwdlou nad af +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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bilorFzimef is a ,eibratf sedu rfo oeirgnlw GT slvle.e

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mousie  I loas hoecs Gmlbrzioefi too bacuese its hte best GT engriowl grud tdseil tub I can see heewr hetre mithg be emos edr gfsla ofr itsh rdug in teh awy yeht kdeas hte en.t.sq.uoi 04 reya odl obsee wmaon htwi mose reppu lanbmdoia npia ..... HEOLL LGLA SSTNOE whihc is a onmcom edrsaev omtceou of .ritsebaF +11
uslme123  Wlel I dndit' naawn vgei a a,tf ,foyrt aefem,l tath ssmoek a tbefr.ai So a na,itts rof ,me wsa het bets nxet ipot.no +9
whoissaad  Udes msae esgnoiarn to oescoh n.atitss Feartbsi rae the amin drug fo cceiho fro tyaipglhrymreicreied btu ivgne hre py,smsomt ansstit aedm ermo eness. yWh od yteh od siht ot ...su +
roaaaj  awht a kitcyr ntioesq!u ethre rea tluemlip tsfroca osudlh eb knaet in atirn.ioco.ndes esh sah cdrigearliimyet hhicw upt hre ni irsk fo tan,sprteaiic nad tmos lmtatpoirny aoochiecsrltetr ,asiesde nda all fo ttah wludo tieouwgh teh rkis of giinvg rhe .sgtlanleo +
paulkarr  Yhea I adh ssitnat tdecesle alylintii beeusac itntsa"s era ysawal eht ranews" but nhwe I swa temh atgsnit sirft ieln "lrceetny ngieadsod hwti ehpyr TG" I feiurdg stih lpwlouo-f was lupeyr to srsdeda that. oS eritaFb is teh tebs vem.o +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 tkinh sit secaueb hes ahs a hx of ctepip clreu disseae s(tatde in h)x ttha si yltrurnce igalrnf up dil(m actrpeisig enetsrdsen to epde ptaiolan).p

eTrhe are rdug -niitas-ncrt-eo ttivtosAnaar ciho(ce ),A chhwi is a A3P4YC buttress,a dnlsth'uo be sued tihw omcy/htmireosalrniC oterh nottiicisab esud to xt pctipe u4PYcCr3s/lAe noii.ibhtsr

Udenr griwnasn adn ,cieuntarpos egap ,1 - FDA790/.lfdf0ahag2tactw_d/ufclspls/0t6c5dw/seddo.vot/abe:2b2psld0.ra0.asg/0saw sw-whr2rt=m8l/tda.m:dg.3yogustedilui3/ltrrep?rbai/nwpdup/

(I aols got the sotiqnues wgnro and hosec -ata-tvrtnsAio thsi si jtus my essu)!g

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peqmd  eedrAg tgo het estuinqo onwgr o.'.rHsoete. atwh I gto morf rD. opedattU .DID TRDL renaesdIc iskr fo hdoabR is orsew ntah naesrcei kris fo tl.slegosna e nCon"trucr seu fo lryanimciothrc or rticyeynomrh thetoreg hwit asniatmsi,tv tlnisvoa,at or orattitavans wsa dseasiacto tiwh na iaersendc skir fo ltohznaiiopatis for yirsldoymahbso 22RR),=(. atuce nyekdi inryju RR=8.1)(, ro eacl-ulas tyoilmrta =R.6,R1)( as caopemdr to ctenurnrco seu fo czmtnoyhairi whti eht "stsinat +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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estnohly stju eeremrbm eirFabst ttrae cieyrydigetiHpmrelar dna eomv on. ooT yanm quoitnses oot ittlel iet.m I ma a loCo Mde neudttS but I ma on Lfie .9 eahRrsce nati ibg tbu woh eht fcuk otg i.emt By miet ew lal ilosgn os lli eoph !nigryt nsiEntei adis cseneic is a aetrg gtinh if noe tdo'nse aekm a glnivi out of i.t I pnal on ginkam a ignlvi tuo of cnmeidei dna uyb my mamom a eohu.s I ma a ealr erestt knkia I mcae ot raf to og cabk mheo typme dheadn. yM nmmaa pnigoh her ons gno be etngmisho neo dya ncat tle reh ,owdn hes cdraescfii a lot rof !su

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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iHlirmaeirgerydcpyte si ylsawa ttedera thwi rbeia,Fts even ogtuhh hes si nmogci rof a loowfl up txonmianaei and netotccoarni fo GsT is 035 epek igvnig mlizGefibor a .ifetarb

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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Hgatyrriiemecpredyil is awysla dteaetr twhi ibta,ersF eenv uthohg ehs is ginmoc for a oolwlf pu amnnxeitaoi and eorctnincoat of TGs si 530 keep ggivni obiGrlezimf a eriftba.

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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ciNain nca uasec ielcyg,ayprmhe lsihgunf, dna .uotg ISs'ADN can rttea g.uto psiAirn ta high notroccsenatin salo ibniisth renal teoprrbasoin, but it bsintiih cnesroeit ta wol sel.vle I ntwe htwi spniria oevr tinepaecmonah c/b uthhogla pmnctheoeania si na lsgeaainc ti lasck om-lfarimytnnaati vtta.iicy

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redvelvet  htis is otn atth oeqnsuti ): +6


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