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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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trsFi ncesnete of the :semt he sah a ek-6we yrhsito e.g.( ;t&g2 eek)sw of erisedopns ,1)( fyucifdtil eeipgnls )2(, ugtfeai 3,() aecrdesde etppteai 4(,) dan opro rocmtyeont/aocnemirn )(5

For a asgoiinsd fo DD,M ouy nede a 2 week otihyrs of 5 fo het ASCSGEIP msotmysp hiwhc he esmte h(e is olny nssgiim sciluaid aiediotn nad tseirnet in tsita.ve)iic Tsuh he msete teh ngsdcioati riectria ofr a rojma drsivepese e,ipdeos hhwic sname hatt tmenretat is didctiean iwth an SI.RS

oFr eth erhto irasovaculdcar stro,acf hte lnyo esno rvoenp ot opevrim rymaitolt are snta,sti AC,iE BB e.(ps eldavcoilr ni aehtr lfruaei), dan r.pilnoocaotens nNeo of hoste ewer neasrw cs,ihceo so DMD erttenatm was eht tseb cohc.ie

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umpalumpa  clyauAl,t wheitg lsos adn ersicxee rea hte ylno seerasmu to crdaesee ttymoaril oeh(tr than ast)nist ni pt iwth piearimd iidpl bal sau.evl 'mI ton ealb to elnaxip yhw a -oialolcerw dite si nogrw (ti oushdl deceesar erg-wi&h;gaedetsec-t aytlr;mot)i aybme there is no rcetdi ncaloretroi ni acciinll stidseu ebenwe ioacol-wler eitd dna .lamtotryi +1
fhegedus  eevn gohhut i otg sith ,gworn i bevleei i veha geidfru tuo wyh -awioelrloc tied si o.wngr In the fsrit neceestn fo eht uotsiq,ne it saestt eh has owl tei.ptaep So ew acn tpteyr hcmu einrgo tied dna csrleoia frmo het uonaq.eti +1
drbravojose  I kihnt ybeam 2 syera txne is hte key to osohce adtienp asdenti fo lw-eilraoco hhciw ksaet a long remt ot kema ist te.cffe +1


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 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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oMst fo the tps vsuela ewre oalr.nm nnkigiDr t'wnas uoeasrou,gt LDL aws mdi,l BIM hsa nf.ei He did heav THN ho.guht Teh gtibsge kris arcosft era hte tcfa atht eh adh dufeesrf na IM dna trdseta ifgsuefrn vesree eiropsnesd (hwiget sslye)ati.xno/ sT,uh he si moer at kisr rfo ci.iueds

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sohaib111  otW'n inhagv na IM eb a vyer big irsk frcato orf etnahro one A?dn sloa fi eyht dtaenw htsi sawner (eht ier-natsn)te,pdas hwy ulwod ethy tusj dda atth shi DLL si iaisngern ni the slat e..nsnect.e +14
dbg  bc eyht'er OSBs nad BDsO +33
doodimoodi  hYea, eomcedmenrd DLL ni ppoeel ihtw visuroep ehrat pmrbloe si lt;& 010 jzee +1
asingh  It si eacsbue of hte mfiteream fo trltmaiyo si 2 rys, evgertnyhi seel llwi ctffae teral +6
benny  ddm renciesa IM +
benny  eTpy 2 iaseedtb adn orajm rsevisdeep rdreosdi (DD)M are iendnedtenp oirucosbttnr ot drvsucoaaarcil eisdase nda ot an idrsaecne risk fo daricmaylo ncntioiarf (MI.) +
drzed  Noen fo eht rlaiarocacvdsu niopsot lowdu rmepoiv liayttmor at(sn,its AiC,E ,BB cnileposnaotro rea hte neos ttah ahve neorvp artytlimo t.enief)b So fi tehy dha tpu eno of ,ehtso I nikht I dwuol ehav oncshe ttha, btu nevgi thta eth tesr odn't ecagnh ltmiaoyrt ta a,ll I wtne whti teh stsp.adteansneri +2
ihatetesting  My kihitnng saw that cenis he ahd na IM, a aetb lrkboce ulwdo emvpiro ytmati,olr dna pnropllroao si sola sedu as na ianlyxicto. +2


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 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I tnkhi atth if hety ahd eimtsongh keil tansi"t "aerhtyp sa an sernaw icoche, we uldwo heva na tamgenur for tath as it douwl readsece ytoiarmlt yb liengph tpnerve ATNREOH athre kt.aatc rvoeHw,e I ihktn atht eetirpsnsna-tad eprtyah liwl do a TOL ot penetrv eicudi,s eihlw g-am3oe yfatt dicsa ahethyl( sa heyt e)ra du'ontwl od SA HCMU to tenprev a heart kct.taa

ehT iutesoqn si saliaycbl skig,na Yo"u acn nlyo iberscepr oen of heest ot eepk isht dude ievla sa gnol sa opslesbi. ihhcW oen will evha the steb aecnhc at cmlgicnsihpao ath?"t

eef,orhTer hte arwens odshul be tpsereaasn-dnti rht.paye

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bharatpillai  hyw rseidapasntetn ptryeah hu?togh tehre are ton gnehou uearefst vnegi ot gtgsseu DsH D'eM. 65 eysar ,odl otn an ydleler snlige male so nto at het eigshth aa"slsccil" poaltunopi ta srki fo dsuie?ci eth qinutseo si so .neo.bsig.Gmvuaui IM, lodw'utn irnhocc iohclclao ktneai reiossppde imh ot dditeal dytcmrioo?yhapa +1
neovanilla  I o'ndt ilevbee s'ti tath eh sah MDD yb teh llncicia inont.eiidf sIt' emor htat his QoL ahs opablryb gadnehc liaadslcryt enics the MI and MsI era ynotlgrs ocisatsaed thwi eedreasdc ooolutk on ,elif pcelealisy nginedoscri owh ommcno ti si ot egt a ndsoce IM noos efrat hte istfr. I 'notd owkn hte tstsa no esuidic ,t-spMoI utb nhelpgi teh taetsinp' sseropnide to eakm mhi emro pitaocrev- ot elhp lfmihes erveptn rnhoeta IM wdluo eb etretb htna "a idte hhgi ni egoma 3 AF"s (ta s,elat ihst asw ym aitsiuijoc,ntf sa numerbo swa yan)isg +2
drzed  ritFs tnnescee of eht estm: he sha a ew6k-e rsihtyo g.(.e ;>2 kwees) fo isensprdeo )(1, cifdlftyiu sengpeil ,2() utegfia ()3, readdseec etptaepi )4,( dan roop ymo/cnatotoeeicnrmnr )o5rF( a insiagsdo fo ,DDM you edne a 2 ewke yorhits fo 5 of teh GCSPEASI sosmmytp wichh eh tmese (he is noly sgnimsi scaiuldi entiidao dna itenstre ni iave.titsci) Tshu eh metes eth iintdcagso reicitra ofr a rmoaj serdisevep epoesd,i ihwhc asenm taht anmrtttee is ntddciiea iwth na .RISS +3


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 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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Can aonyne nalpiex wyh tsi' tno xainoi?lcty yM ilocg wsa hits dued hsa a mub itcerk romf uopvsire MI, and his HR aws i41cihh0/nm--w antc' eb dogo rfo eth dlo t.hear I ewtn wa/ nitioyaxlc ot ringb shi RH dna aitexny urdne o.octnrl

udWlo na ertispnetdasan do eth m,ase u,ths is ti a retetb arewns, or erocv a rewid graen fo mt?symspo

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underd0g  An SRSI udolw ocerv tohb opidsenres nad ntyaeix. +2


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