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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 aczyr ro idd olrdUw ton vahe a qoetuins ttha dteats tStains era the smot tecffeevi rdug dalergsrse of lsabenei sdlp.ii Tish ogcli ehwrt ym ffo.

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adisdiadochokinetic  Yuo rae not arycz. I tog isth eosniutq gowrn for eth asem sroane tbu hsee'r why I itnkh NEBM swa giong hwit .erastibf oYu nac ues eht edrlwiaFde taenuqoi to clealcaut LLD eoheolctrsl rofm hte veulas ehty g.iev Tihs neoiquat si LDL= Ttloa eseColHo-DrlhtL r)hseor5g(lloCel/.Ts-rdyiciete ehT T/icrgyel5rdsie rtem is na eatistem fro .LDLV fI oyu clltaucea ti in stih sace uyo etg an LDL fo 120 ihchw si irmfly nrolam nda suht hte tptiane lowud ybsioetlns tno nitfebe mofr tisnat thypa.er +14
hello36654  gmo hwen the hell ma I oggin ot mrereebm htis unoit?aeq sssuess,ssuJs hsti dink fo stdaeli eskma em tnwa to egvi pu no ETPS +4
almondbreeze  Hre gola DLL ludhso tills eb t&1l;00, bc hes sha 3 HDC krsi na(eetus ilqv/ap0wap2f1/p12t31a0p-30osp0t#t..m//afr8h2g1/0fhw:8l/077p.0320tw)H CD skir tteihquvna=ele aormj rsik artsocf hatt mdyiof LDL galso 1) eM4,5g;(g&at 5)5,;F> )2 ksimong tu,ssta )3 pih9()g1tnsnr0/oe&e40y;t, )4 ow HLD lveel 4t&l();,0 dna 5) yafmil to.rhsiy (2.hpw0#804lew0/htc7r.f/a/0gp3-psw/fmsa:a2.1ot1t/p/) +
almondbreeze  wo*l DLH (evrl reelfe to taebl 3 fo eth rtlei)ca +
makinallkindzofgainz  heTse ysug ear tgihtni up eetni-egvlalndt adcrlcasvoraiu iskr atocrf satcaclnlo,ui hmeainlew I ckpide sstntia uaebces I htink I rbermeem thta hyte hepl hte htaer +14
jimdooder  oS I eendd up oigng hitw risaeftb bseueac fo her ega (.9)3 I yuvlgea erebmemr enbig ugatth tath iasttns ear ylrlea lyon ndemcemerdo rof inastetp t&0g;4 eabcues hte igb tuysd that eacm uot ubato etmh aws in the 7504- eag .purgo I nkhit sith mthgi binrtetuoc ot the ontquies ubt mI' not tylaolt r eus.it#/rp/retg.rna/emnPeoStpsknwnhoi_id:v.itiiriew/aiyakpt +
ytho  Tsih tneosuiq isdnierp ym ercnse amen +2
cbreland  tSian"ts ear swalya teh rewa",ns taF" Feleam 40 rtlF,"eei Fib"esart anc uesac "nesogasll.t I elfe lide ot +
brise  'Im tno eurs fi tshi oqtueins si .rotecrc I escoh siatsnt anidrcgco to thwa an dtnteiagn dolt em adn RDLUWO 2, I ujst ntew cabk to kecch dna on lwduro 2, uoy oyln nordseci gvgiin esabfitr if hitre TG lsleev ear ovabe ,0.001 So kdi hwta teh nbme si .komgnsi Or fi srotcdo autlylac tiewr eesht ssi.nequto +
kavarthapuanusha  yhW era we ngogi wtodsra dtcoclapiem uaotsei?nq? We ahve dacesere selrteiyrgdci nad escinera ldh efetorehr basietrf ... fI it erwe srgcnieaed LLD htne owdlu og orf titas.ns.. ynlO eaniersc dlh linamy go rof ncniia .ti.s in wdlrou nad fa +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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oelrifibmFz is a arbfte,i deus for gernwlio GT se.vlle

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mousie  I lsoa cheso Gobmirizfel oto esecabu tsi eth best GT wreglino rgdu tdsile tbu I cna ese rhewe eethr itghm eb smeo der saflg ofr tish udgr ni eth wya ehyt akdes hte t.qsui..one 04 ryea ldo eoebs womna hwti oesm repup ainadbmol aipn ..... LHLEO LLAG EOSNTS hwich is a comnmo vrsedae omteouc of rtF.eabis +11
uslme123  leWl I id'tdn waann ivge a ,tfa rt,ofy ,lemafe that sekmos a ifbt.aer oS a itta,sn for ,me wsa het best xnte oto.nip +9
whoissaad  Udes easm iagsnnore to hocsoe n.tastsi sFbitrae era eth nima ugrd fo oceihc rfo yhcelriigepartedimyr tub eignv erh st,msymop iatssnt deam mero sn.ees Why od htye do ihst to ..su. +
roaaaj  awth a cyikrt ntoes!qiu reteh era tlulmpei rtfacos ulodhs be nteak ni itnc.oodnria.es ehs has yrltmediigareic hwchi upt reh ni krsi fo ,rcatpaetiisn adn msto inlytrtamop raisochoclertet si,eedsa dna lla of taht dulwo whitogue the rski fo inivgg hre negolts.al +
paulkarr  aheY I had itstans deelestc laliyitni sacueeb nsttsa"i rea syawal teh wrsena" but hewn I asw ehtm tagtsin rfist ienl etec"ryln igsdoaend twih repyh GT" I fdireug iths pf-oollwu saw lypuer to ssdared ahtt. So irabFte is the tbes .vemo +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 khtin tis aesubce hes sah a hx fo cteipp recul eessdai te(tsda in x)h taht is lynrceutr iflgnar up ilm(d pcireatgsi rtnenedess to pede a.ptpilo)na

hrTee rea grud nsro-c-t-inaeti otrsaatAntvi cihoc(e ,)A hicwh si a YA43CP ttsu,esrba hsont'udl be sedu hwti iCy/ecirmmshnroalto teroh cbsitotniia udes to xt eptpci Y/rsCu3Pcl4eA oihib.irsnt

drUne nwsnragi adn ri,pocnesuta gpea ,1 -DA Fd2fgc/.d/tt0p70ce._w6/o2tel0sd9tda/guvorl5aacph.0/a2swdasl:s/.aafssdwl0bf0b hpdlp/2dlb=mt3wtpgwrreutsm/r?dwi/u3.yl:daoa.-ntrisir8gu/e

I( olsa tog the ouesqitsn nwgor nda cehso s-ttaaAnri-vto hsit is stju ym gs!eus)

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peqmd  grdeAe ogt eht nuotsqie rogwn se.tHe'o..or tahw I gto frmo .rD Uedtopta I.DD RDLT Iacdnrees isrk of Raodhb is erswo ahnt cinesrea ksri fo tage.noslsl ncteor"uCrn ues of chnmliityorrca ro myycerinorht ehgtoter wthi iiatvnsa,smt ntv,toilasa ro raotatvaints was iesatdocsa tihw na dnierseac rksi fo nozoptiitsalahi orf rssiboyadhoyml 2).2=(RR, utcea yikedn iynruj ,(R8)R1=. or eaul-acsl ymttilaor 6.1,(R)=R sa pmacedor to rrcucoennt sue of ozrihtcmyian ithw teh nsiast"t +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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tenhlyos stju rmbemree biresatF retta dtamrgeiriyHepicelry nad emov .no ooT many nsoieuqts oot ltetil t.emi I am a Cloo dMe entutSd but I am no Lfei .9 rceahRse nait ibg but woh het cufk ogt tie.m yB etim ew lal sniogl so ill heop tg!niyr Einisnte dais nieeccs is a garet gtihn if eon stnoe'd meak a liingv uot of t.i I lnap on angmik a giviln otu fo miecinde nad uby ym moamm a souh.e I ma a aelr rsttee kkani I eamc ot afr ot og acbk ehmo pemty ah.dedn yM anamm nhgipo rhe ons ogn eb nsoeigmht oen ayd tnca tle ehr wo,dn hes ifsaidrecc a otl rof us!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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Hdreyegemtliripycari si salawy teetard wthi ,isbertFa vnee uhothg esh si gioncm rfo a lolfwo pu ntnexioamai dan intaoroectnc of GsT si 035 ekep vgnigi erifboilmzG a efa.btir

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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earilgeyemydricpHirt si lasayw eradett ithw F,ebtaisr nvee ghutho she si igmcon rfo a ofowll pu emtanixnaio nda otccnertnioa fo TsG is 503 epek ngvigi bfrizeoGlim a r.etfiab

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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iianNc nca aseuc eyler,pmghayci gs,uifnhl dna togu. ID'SAsN anc retta guot. Aipnris at hgih nioerccontasnt osal sniiithb rlnea bao,tnroripes btu ti tbsihnii sortencei at owl ellesv. I tnew htiw irnpais veor iacnoenatpmhe c/b hatolugh mnoiecpatnhea si an aieclsang it sakcl tonaiflmn-tryimaa caiyvi.tt

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redvelvet  tish is ton taht eutqiosn :) +6


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