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Retired NBME 20 Answers

nbme20/Block 2/Question#48 (reveal difficulty score)
A sedentary 50-year-old man with hypertension ...
Antidepressant therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm

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 +13  upvote downvote
submitted by โˆ—drzed(333)
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rFsti neceesnt of the mest: he hsa a wee-6k yohrtsi e.g(. g2;t& e)wske of norsiesdep 1),( ycidlfuift ielgpsen 2),( taiugef 3(,) eddrcaees eptepati ),4( dna orop eooacnnmtrieo/nmyctr )(5

orF a ioaigdnss of MDD, yuo ende a 2 eewk yhistro fo 5 of eht SPSAICEG ossypmtm ihhwc he meste he( is nyol iissgnm ilucidsa anitdeio nad rstneite ni ci.aeis)titv hsTu he emtse the catisgnido tiiraecr rof a jrmao psesevirde oiepd,es wchih nasem thta mtnteater si dtaciedin ihwt na S.RSI

Fro hte ethro drasaacurocvli tar,fsoc hte oyln oens neovpr ot iveompr tyitamlro aer sastni,t E,CiA BB .(eps dcrilvleoa in harte fuer,)lia dna pt.snoanierloco eoNn fo theso reew naersw cei,cohs os MDD mtrtaente was teh etsb oci.hce

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umpalumpa  u,clltayA whegit ssol dan siecerxe era the ylon meeasrus ot eescrdea lrtytioma th(ore ntah nti)asst in tp iwht daprmiei lpidi lba ues.val 'mI nto able ot nexapli wyh a aroicwello- dite is rnwog it( dshoul rsdeeace rcgtaewh;s-gte-ee&di ;r)yoatlitm byema hetre is on ctried ooanectrlri in liinaccl istdues webene ir-coalweol ited nda yi.rtmolat +1
fhegedus  enev guothh i otg sthi nwo,rg i ebviele i aevh uifrdeg tou hwy -awoiorllce dite si orngw. In eth isrtf ncetnees of hte nqtso,uei ti ttessa he has lwo ee.pttapi So ew acn tpetyr cuhm reiogn tdie dna eilrocas ofrm het tuinao.eq +1
drbravojose  I khnit bmaye 2 yaser exnt si eht eyk to chosoe aidtpne stdniea fo lela-oirocw hichw etaks a glon remt ot mkea tsi tcfeef. +1


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 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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sMto of eth stp elasuv weer .lamnro nknDrigi tn'swa grot,oesauu LLD aws mld,i MIB sah eif.n He ddi aveh NHT u.gothh eTh egsgibt isrk atsocfr aer hte tacf atth he ahd dufsfree an MI dan stteadr iuefsfrng seveer iosenepdrs tgwe(hi l)aye/ostn.sxi suhT, eh si orme at irks ofr d.iesicu

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sohaib111  t'oWn aivhgn an IM be a revy gbi sikr ortfca for rthanoe one A n?d lsoa if eyht adwten sthi nraswe ht(e e,nr)etn-sdtapasi hwy ulowd htey utsj dda htat hsi DLL si nrienisga ni eth lsta n.nes.ecte. +14
dbg  cb hetyer' SBOs and OsDB +33
doodimoodi  aeY,h onmeermdcde LLD in plepoe thwi piourvse rhaet erpoblm is lt&; 100 eejz +1
asingh  It si euascbe of eth mmfiaeetr fo trtiyamol si 2 s,ry ivnyrhgeet slee iwll efafct tarel +6
benny  mdd censerai IM +
benny  yTpe 2 tesbdiae adn rjamo ersevsedpi rddsiroe )M(DD ear etnnieneddp cosunortribt to rrloccduaavais ssideea nda ot an saenedicr ksri of laocimardy onfintcria .)M(I +
benny  tr/2nwnc1c0s3/ivn:M4swliCP/o.4em/b/w..lhag.pptcmh/i3t +
drzed  eNno of eht calvduaoarcisr snopiot ldowu rovipem imrtolaty a(s,tsnti Ci,AE BB, onaoscpoitelnr rea hte oens taht ehav roenpv itlymrtao eb)f.eitn oS fi tyeh dha put eon fo ,ohest I ntkih I uwold vaeh ncheso h,tat utb ngevi that hte estr n'dto enaghc aiymrttlo ta all, I etwn whit eth eeras.itnnssdpat +2
ihatetesting  yM nkihgtni aws tath encsi eh hda na I,M a beta beckorl dlowu emvipor l,ryaiottm adn nrooloapprl si aols sedu as na on.tailycxi +2


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 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I itkhn tath if hety dha mghseotin ilek sttan"i y"pahret as an wrnesa iche,oc we wduol evah an amteurng rfo taht as ti udwlo sceedera torlamyti yb lnpeihg nepetrv RTEAOHN hreta t.acakt v,oerewH I tinkh taht sers-tdaeiantnp pearyht wlli do a TOL to vtrenpe deusici, whlie moeg3a- yftat cdasi healyth( as teyh )era 'oltundw do SA HUCM to rntevep a htear tck.aat

hTe ietsqonu is aiylasbcl sgn,aik o"Yu can olny rbispecer one of eshte ot peek ihst dude aeliv as nlog sa spb.seiol hhicW oen wlil ahve eht bset chcane at ioamcspgchlin h"t?ta

eeofhreTr, the neraws udsohl eb nediats-pearsnt rpahety.

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bharatpillai  hwy rtntessadpeina yraehpt hhougt? terhe rea nto uengoh utrseefa ngeiv to usgtges D'H .esDM 56 ayesr l,od nto an eldyler ngiesl alem so ont ta eth eigtshh ccil"lasa"s atnipuploo at kirs of sici?eud het qestoiun is so .uvmeiguaG.os.n ib ,IM odunl'tw hccrion laicohclo tkaine peoiedpssr imh to dtilaed haoray?otpcimdy +1
neovanilla  I on'td leivbee 'tis tath eh has DDM yb the lacinilc t.indefiino s'tI orem hatt ihs oLQ ash blrbpaoy gceahdn ayclsrdliat secin het IM and MIs are ogyrtsnl etcasaisdo twih ersdedaec kouolto on lf,ie yceeipsall rindgencios how mmnooc it is ot gte a cdones MI oons rfate eht s.rift I 'tndo wokn eht astst no duseiic ,o-pMstI tbu eihnlpg het pn'tsiate reisnopeds ot mkae ihm emro reao-ctivp ot hepl himelsf vrnepet erntoha IM owuld eb bteter ahnt a" dtei ihhg in oaegm 3 FAs" t(a ,eastl tshi aws my jcf,iinasiutto sa buremon was gin)ysa +2
drzed  sitrF ectneens fo eht sme:t he ash a e-w6ke rihotsy .(eg. ;tg&2 )eweks fo npdeiossre ,)(1 idtifylcfu lnesegip )(2, taeuifg (,)3 ereddceas tetaiepp (4), dan rpoo nnanoirrmmyctoeto/ce or()5F a osisagdin of MDD, uyo eend a 2 eekw riotyhs of 5 fo the GSCASEPI sytpmmso hhcwi he emste eh( is ynol siinsmg icldaius ainotdie nad ieetsnrt ni itcs)eai.vti huTs he setme hte itidosacng cieitarr rof a jraom sedievsper ,depeiso ichhw manse hatt eettrnmat is indaectdi hitw an IR.SS +3


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 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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Cna anonye lnpaiex why sit' ton lyiano?xitc yM cgoil saw itsh uded sha a bum kcetir fomr suioepvr MI, and ihs HR swa -cwi1h0/i-4hmn 'cant eb oogd ofr hte dlo ah.ter I twne wa/ iltxycoain ot ngbri ish RH adn xyiatne udren ocrltn.o

uWdol na esattnsdaernip od eht as,em tush, is ti a tebetr wrean,s ro rcveo a ediwr eangr fo t?spomyms

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underd0g  An IRSS olwud vcreo othb eorpsdisen adn ex.ytian +2


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