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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 arzcy ro idd rlUdow otn ahve a usiqento that ttsdea Sttansi ear eth sotm fitfcevee rgud rerlsesagd fo aslnibee sipdl.i sThi logci erthw ym ffo.

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adisdiadochokinetic  Yuo rae tno .ayrzc I otg htsi seqiotun nwrgo orf eth aesm sneoar but ese'hr ywh I inthk MENB saw iogng tihw tes.aibrf uYo can seu hte eweidFrlda noatquie ot tlacealuc DLL reeoltlcsoh fmor hte esvual eyht v.eig isTh ieuaontq is LL=D tlToa oCel-shDtoLerlH eTtcsrghl)5-.loei(/ryleCsroide heT iryglre5sceTdi/ rtme si na tmsteaei ofr LL.DV fI oyu etcalualc it ni tihs sace yuo tge an DLL fo 201 chwhi is rfmlyi lnmora dna uhts eht atnipet uolwd bsielntsyo not feentib morf tniats ethpr.ay +14
hello36654  mgo wnhe eth lhle am I igogn to ermreemb hsit a?qtioune es,sJssussuss htis nkid of stadiel semka me twan ot iveg pu no ESPT +4
almondbreeze  Her galo LDL ldhsou illst be 0;1t&0l, bc hse ahs 3 CDH ikrs nsuevq(l taeih/w/0tr/pfa2.1.hpp03oaaa3f0.08pp8:t21071g/2p/t0m/w-#f3ts70w021l D)CH risk tqleuave=eniht ajomr kirs frtcsao atht dfyiom DLL oglsa 1) 5e,(a4gt&;Mg t5gF,;&)5 )2 goknmsi s,sautt 3) nt),;h9renyet1/(&04o0sgip )4 ow LHD eellv l(;t0,&)4 dna )5 afliym ty.oihrs (p0w1/t./20pch:fhgtm07/208ap/sa-.arp#wwtl31of//.s4e) +
almondbreeze  wl*o LHD frel( eeerlv to albet 3 fo the ilctaer) +
makinallkindzofgainz  heseT sugy rae ntgthii pu nll-eaeitetngdv rrosliacaaucvd isrk ctfaro ,uantloacslci aheneliwm I pdkeci siatsnt asebuce I thnki I emreembr that yeht pleh the rteha +14
jimdooder  oS I ndeed up oggin twhi etbifsra caeesbu of hre gae )3(9. I evayugl erebemrm niebg ttgauh taht titsnas rea yaerll onyl dcdoermenem ofr pnstaeti g4;0t& esbceua eht bgi tudsy htat meca out obuta ethm swa ni hte 407-5 gae op.ugr I htnik ihst tgihm rotnecitub to het iouqsten btu m'I not lytoatl esu r..itrd/rit_iie#hrivtnetiesktpp./nSaiwayoik/wnon/:pgPrame +
ytho  iTsh untsoqei nerisdpi ym cneres anme +2
cbreland  tasSt"ni aer laawsy the e,wa"snr F"at Feemla 04 "ilFrete, rbtise"Fa can casue sllen"st.oga I eefl ledi to +
brise  mI' otn eusr if tihs tsoeiqnu si .ctrceor I eshco ttainss crcgnoadi ot tahw na dgnenttai tlod em dan UWRDOL 2, I jstu went cabk ot hckce adn no rowudl 2, uyo lyno denicsor ingvig bfteiras if heirt TG lselev era beaov 0.001, oS kdi hwta eth ebmn si ni.mgkos rO if rdootcs ylaatucl tweir hetes isqoenu.ts +
kavarthapuanusha  Wyh rae ew nggoi wroasdt ptidcmelaoc oqaiue?stn? W e hvae ceaereds sritgeecdyirl dna ianeserc hld reetfhoer sbiftare ... fI ti eewr seiarcgedn LDL hten loduw og ofr ..ts.asint Oyln earincse dlh nyalmi go rfo iiacnn t.s.i in dorulw and fa +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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zielfrmoiFb si a abft,eri sdue ofr ieognlrw TG ls.vlee

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mousie  I saol eohcs elfrGiobzim too bucesea ist eht btse TG onrlewgi udgr dtslei but I can ese heerw heert tghim be osem edr afslg rfo tish gdru ni the ayw yhte eadks eht nqu.oi.tse. 40 arey lod eosbe mnwoa ithw omes peurp mlabnidao niap ..... LOHLE LALG SSENOT chwhi si a omonmc svrdaee mcouoet fo sFeirb.ta +11
uslme123  leWl I tnddi' aawnn gevi a ta,f tr,yfo m,aeefl atth skoems a .bafrtie oS a ntati,s rof ,em swa the steb etnx ionpot. +9
whoissaad  dUes esma giensnaor ot ohscoe atn.stsi eFrstabi aer hte iamn gudr of ccieoh fro eidrpytirearecgliyhm tbu evgni hre y,potmmss nstasit made meor e.esns Why od yeht od stih to .u.s. +
roaaaj  wtah a ickytr t!eisounq reteh rae pileutml csrtfoa udhsol eb naket ni inea..tsoncodir esh ahs litgiiaryecermd ihwch put hre in skir of iscaa,ipnetrt adn mots ltrminyptoa rtshrilteeoocca es,aeisd nda all fo atht wuldo iothgewu eht ikrs fo nvggii ehr s.ntlagoel +
paulkarr  ehaY I ahd stastni lteedsec ilalityin usacebe ttsi"nsa era aaslyw eht ansrw"e btu ehnw I aws mthe tgntsia rsitf inle ertycle"n snoeiadgd twih hrpey "GT I igufrde htsi lfwo-olpu wsa relpyu to edsadrs t.ath oS riabtFe si hte btse mov.e +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 htnik its ebeacsu hse hsa a xh fo pcptie elcru dieaess de(astt in x)h hatt is rleutcnry rgfnlia up md(il tcipisgare sntedsnere to edep nao.ltia)pp

eerhT are urdg ntsien-ac--trio rAttaoinasvt oe(cchi ,A) hchiw is a 3AP4YC buttrae,ss 'nltdhsou eb euds thiw lmtoCa/oinriyhemsrc oehtr itictbosain edus to tx epicpt 3/CPYcrA4lseu obtsiih.nri

rdUen agnnsrwi dan aeou,tpincrs epag 1, -FD Aca.dbd6w7:s.wg0v/fe/ob2lsfaepfadaptsca/l/wct0_92ddtlug0s0.ta0s/o/.5ar0d2hsl ptosdum./p8tywndrerttawiahl/:.iwl//e=rggrs3pdu-ulmi2dr?b3

I( losa tgo hte qnesusoti grwon adn oeshc itao-nA-rattsv shti si tusj my esus)!g

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peqmd  gAeedr tgo the qiuotnse grown Hre.o.o'.ste hatw I ogt morf Dr. otUetpda DD.I LRTD eIscernad ksir fo abhoRd is rsowe hatn enaercis ikrs of soastlgln.e "eutcnnoCrr eus fo hlacytriimorcn or rcemhonyyrti teetrgho whit samvatti,sin sltoa,vatni or artsniatavot was asetcosdia tihw an dscaernei krsi fo ioiilthpatasnoz orf siasyoymdhlbro 2,2RR()=. uctae ikydne inurjy .(R8,1)=R or auscll-ae alittmoyr R6(,.1)R= sa mpraoedc to nunoctcrre eus fo yitmzachrnoi itwh hte s"nsttia +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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lonthsye usjt reebmrem aeirtFsb ttrae lepimryierdgayHercit adn ovme on. oTo ymna itnouesqs oto ltetli em.ti I ma a oolC dMe ndeutSt btu I ma on eiLf 9. eshracRe tian gib but how eth ckfu got te.mi yB imet we all iongls so lil oehp tg!rnyi nieEstin sida esecinc is a ragte gthin fi one netods' kmae a vngiil tou of it. I lanp on ainkmg a lvigni out fo eicnmdei nda ybu ym omamm a uhes.o I ma a aerl tertse ikkan I acme ot far to go cbka heom eptym deand.h My nmama ophign ehr son ngo eb smihtoeng eon ayd nact etl her dnow, hes reicdiscaf a otl rfo s!u

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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mlrHyieeapridgcytrie is aswaly dartete hwti bir,teasF vnee htgouh seh si ncmoig rof a flowol up axniitnomea adn oocntctneair of GTs is 305 ekep gnigiv fmolebriGiz a fierbt.a

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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geeimiiHrpreytcyradl si lwaysa rtatede ihwt ,rsaetbFi enev ghuoht esh si ognimc orf a wolflo pu itamioenxna dan neorcatconit of TsG si 350 kpee nigivg izlrfmoGbie a .earitfb

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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icNani acn sacue mc,ryaeeyipglh siulhnf,g and ugot. NADS'sI nca atetr u.tgo insripA at high nitecanoorncst olas nthiibis aelnr orriost,aebnp tub ti tnsiibih riceontes ta olw esl.lve I nwet hitw prsaini erov eoniacthamepn b/c hgulahto nnoaiceeampth is na easiacgln ti lkasc ymfniromatna-alit .iitycavt

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redvelvet  siht is tno ttha tenusqio ): +6


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