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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 zrayc ro did lrUodw ton ahve a niteusoq hatt asttde aSsntit era eth mtos ctifveefe rdgu esaslrdgre fo snieleab .lpsiid isTh ocilg wterh my .off

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adisdiadochokinetic  uoY era nto zc.yar I gto tihs onetiqus rowgn ofr eth smae senora tub rshee' hyw I knthi BNEM was gingo wthi faribest. ouY anc eus hte leradwdeFi tueoiaqn ot ltceucala LDL soohreclelt fmro hte euvasl heyt .evig Thsi iqoaeunt is LDL= toTla HeesrhotCllLo-D re(-eh.isseeg5TrylCo/cid)rlolt eTh Ti/er5ecilrygds rmet si an imateest fro .VLDL If you clcautale it ni thsi easc oyu gte na LDL of 120 chhiw si ylfirm nlrmao dan suht teh ntaetpi lwudo nlyostbsie ton beitenf morf intats .taeyhrp +14
hello36654  gom wneh eht ehll ma I giogn ot memerbre sith entoau?iq susssseJu,sss sthi dnki of tesldai sakme me twan ot giev pu no PEST +4
almondbreeze  Hre loag LDL hsludo sltli be ;0&0t1,l cb hse sha 3 HCD ikrs ne tqiaesv(lu:to08f7w.s.0-p2h1gr2p.a0hw10/w/0/l073apptm//p8fft3a/22ta#0p1301CD )H irks hlteqnieau=tev jaorm srik ftrcsoa ttha fymido LDL lagso 1) e5;g4at&g(M, gt;&55,)F )2 insgmok u,stsat )3 g4n;rs9n,e)t(/ye&th1p0i0o )4 ow LHD eelvl )&0(4tl,; dna )5 amifyl tysriho. (/712thpa0w0/4/80ap.t/w:a/slhr.mgf#f1se3.p0t-wco2p/) +
almondbreeze  *lwo DHL e (errvelfel ot eabtl 3 of eht laeirc)t +
makinallkindzofgainz  heTse yugs ear nightit up ealegdviet-tnnl doraausccraivl ksri cftaor ,uilntaasoccl aelnhwmei I cedpki tassint ecaeubs I iknht I mreeemrb tath hyet elhp teh trhae +14
jimdooder  oS I ddnee pu iongg wiht tierfabs saeuceb fo erh eag (9.)3 I yagulve mmbereer beign uagtth that tisntsa aer rlleya nloy rcnemdmdeoe for peinstta &g0;4t scabeue teh igb uydst ttah mace uto atbou hmet was in hte 45-07 eag go.upr I tkihn hits mihgt ticubrtone to het oiutenqs tub 'Im not loltyat esur. iedw:i/tiramkeg#.epnrkty/P//.tpenhswaiiiS_rtvinpoortnai +
ytho  ishT tinouqes sprniide my erescn eanm +2
cbreland  Sstan"ti ear saywla the wnr,e"as aF"t meFale 40 ei"eF,rlt arbFeits" anc acesu a"netlslosg. I fele diel to +
brise  I'm ton esur fi itsh oqtinsue is t.rcreoc I sehco taisnst icgodacnr ot wtha an andtigten ldto em adn OWRLDU 2, I tujs ewtn cbak ot hkcce dna on lodwru ,2 oyu nyol nosrdeci ivnggi irtaebsf fi ehitr GT sellev ear vbaoe 000,.1 oS dik tawh hte bmne si nsg.omki Or fi tdoscro ltycalua teiwr hetse tsn.ouiqes +
kavarthapuanusha  yhW are we noigg owarstd piedmcaltoc qas?ioet?un We hvea srdcaeee isiyrrdctgeel and ciaseren dhl rehetfeor itabrfse ... fI it reew geandsecri DLL enht doluw og fro aist..tsn. lOny rnseeaci dlh miylan og ofr ncaiin t..si in uwldor dan fa +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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mrzfliiFeob si a raf,etbi edsu orf onwgeril TG evl.sel

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mousie  I olsa hoces zfieilrobmG oto cebueas its eht tebs GT rneoigwl ugrd sditel tbu I nca ese ewrhe rehte ghtim be smoe edr agfsl rof isht gudr in eth wya tyhe ksaed teh ..eqto.suni 04 raye lod esboe anowm wtih emos prpue blnoadiam pian ..... OHLEL LGAL ESNSOT hwich si a cmnmoo ervdeas eucomot fo eiFasrtb. +11
uslme123  Wlle I nd'tid aannw giev a a,tf fy,rto feaelm, thta msesko a bfreiat. oS a stinta, fro em, wsa het etsb texn np.ioot +9
whoissaad  sdeU easm naesorngi ot hoceos nisat.ts esarFitb rea the anmi dgru of cceoih orf ydagptirrecheyelimri tub nevig hre ,ospstymm sstnait maed orem e.enss hWy od tehy od htsi to ...su +
roaaaj  atwh a ktciry oqnu!iset rethe rae liluptem osfcart sulodh be enkat in onrndaiiot.cse. esh sah ilyecigtamirred hhicw put ehr in iskr of ranaspicite,t adn mots ylmaotntpir eoiestcrroalthc dea,sies dan lal fo thta oudwl hogewtui eth ikrs of nvgiig erh ltaln.sgoe +
paulkarr  eYah I adh ssatitn sdelteec iniatliyl aceebsu ntats"si ear sawyla teh aserwn" utb hewn I was etmh tgtsina iftsr eiln clrn"eeyt gdadsoine tihw yerhp GT" I grduief hsit lpo-ulowf swa perlyu ot sseadrd ta.ht oS aFirbet is teh etbs mo.ve +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 hktin tsi eceusab she sha a xh of pietcp leurc eeassid (eadstt in xh) thta si crynrulte nlargif pu dilm( tcpeisarig nesntsedre to epde t)pi.panaol

Teehr aer gdru tion-ant-r-cies iAtnvasottra ech(ioc ),A cwhih is a A4CYP3 a,srbutste osldhut'n be used itwh ioCiornymetmh/lrasc rteoh ibsoiaicttn eusd to xt ctiepp A4lu/PCc3eYsr rhniiis.bot

dUenr naniswgr nda ,ocreautsnip geap 1, DA- Fa06v0sde0d/ccp/l2wott/05sgeaf.sd/7u..9ga:w_ssffcaashwd0ll/ratdlo0d2a.bt/pb2 p3gry?dahalr:rt2/wmr/dm=r/pwps8ldudiguiole/wu-..tsnei3ttb

(I soal got hte iunssqtoe ogrwn adn hsceo oi-a-atrntsAvt itsh is sutj my s)s!uge

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peqmd  geAdre tog eth etounisq ongrw .oHeo'.t.ers wtha I got omfr rD. dptoaUte .DID RTLD raceendsI ksri fo Rdaohb si osrwe nhat riesance kisr of ossltnagle. rro"t ceunnC esu fo cinlhoratryicm or ehinmoycrtry ergohtet thwi it,asinmsvta avtl,tnaosi or attsavanriot aws aecdaiosts hwit an daecrsien rkis fo oaoitpzisanlhit rof oobihyrmdslays R)=,(R2.2 taeuc nekdiy njryiu 1).(R8=,R or auslaecl- ylartmoti ,R()6=1R. as dcproaem to nortncreuc eus fo rintiachmozy wiht the t"ansits +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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htyoseln jstu erbremme sbrtieFa artet yHigpricrmleiytardee dan mveo on. Too amny seiouqtns too tillte mei.t I ma a loCo Med tnSduet tbu I ma no ifeL 9. eharsRce atni gib tbu who eth kufc tog ime.t yB mite ew all iglson os lil pohe tyi!gnr enEinsti dsai ccesnei is a agrte ghtni fi eon tns'eod akem a liginv uto fo i.t I napl no kmnagi a iilngv tou fo dcieenmi nda buy ym mmamo a o.uhse I am a ealr estret knika I ecam ot arf to og ackb meoh tmyep dah.den My mnmaa onphgi hre son nog be tmhogiesn eno yda tcna tel hre ,dnwo hse dsracecifi a olt rfo s!u

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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eaelyrdgircHtyeimipr is yaalsw readtte wthi irabFes,t neve huhotg ehs is cminog fro a ofolwl up nmnixatioea nad oraiotccnnet of sTG is 530 ekpe gviing mlGrzfeiibo a itfae.rb

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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dgyetririemplarecyHi si ylswaa dtreeta tihw aFeibstr, neve hgtohu ehs is nocimg rfo a lowlof up manoietainx dan anetcontroic of sTG si 530 ekpe ngivig rzimibGelof a fieabrt.

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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iNcani can uacse phelg,yryimcea fisgh,nlu adn t.ogu 'ADSIsN anc ttare uotg. prnAiis ta ihhg tnirnacceonots aslo nbiihits raeln parbnreioo,st tub ti iitihbns inrcoeste ta wlo ese.llv I tnwe wthi snairip oevr eainmahectopn bc/ guhoalht aeenptihanomc si na aiencgasl it aclsk aiitto-fmmlnanyra yiat.ticv

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redvelvet  htsi is ton hatt eousnitq ): +6


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