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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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tirsF eceesnnt fo eht :stme eh hsa a w6eke- tyrhsio (g.e. &;2tg sk)ewe fo sridsneoep )1(, ifiuctfldy nliepsge ,2() aeftugi 3),( eraeedsdc ttpiaeep 4(), nda ropo nrcioryooecet/tnnmma (5)

For a igasdinso fo ,DMD you ened a 2 eekw iyorths fo 5 fo het ASIESGCP msmsptyo ihhcw eh emest he( si lyon smgiisn ucisliad otandeii nad nretetis ni iiiet)v.csat hTus eh emest eth nticodasgi ertaiirc rof a rmoaj sievserepd esp,ioed iwhhc enams ttha tentaetmr si tniicdead htwi an .RSSI

Fro eht rohet rladacviroucas ,sctroaf teh lnoy eons prenvo ot vmpioer ttyimalor aer ttsina,s AE,Ci BB (se.p rleoidlacv in hetar leu,)iraf nda nsicooolnpear.t nNoe of estho rwee enrwsa co,sheci os MDD nmtetaetr wsa the btse oehc.ci

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umpalumpa  ly,aAlutc egtwih loss dan eeiecxsr are teh nylo sreuaesm to eeeasrdc armlttyoi (hrote hant sti)snat in tp ihwt prdaemii dipil abl alsuv.e m'I not ebla to aeiplxn wyh a lawcerli-oo dite is rnwog (ti hluods eceeasdr gegiehwtte&deca-rs-; otr;t)yilam eybma teehr si on erctid canleoorrti in ccillnia edssitu wenbee llwe-oircoa itde nad ittm.lrayo +1
fhegedus  neve toghhu i tgo tsih wnor,g i eevlieb i ahve drfguie otu yhw rwa-oleicol eitd is onrwg. In hte trfis tnecesen of het qs,noieut ti etasts he has owl eappi.ett oS we can rtepyt humc gnerio tied nda socleari fmor teh ato.eqinu +1
drbravojose  I nthik eaymb 2 sryea xnte is eht key ot sheooc aneidtp dtiasen of oilw-arlceo chhiw etska a nlgo mtre to emak sit ceft.fe +1


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 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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sMto of the tsp lesvua erwe lron.ma kigniDnr atwns' rutuoseg,oa LLD aws ,mild BMI has nfie. He ddi aehv HTN otghh.u eTh egsbgti kirs fcroast aer teh fcta ttah eh dah frusedef na IM nad eatdstr gfuernfis rsveee iesdserpon ihte(gw aexis/)yl.sotn ,uThs eh is reom ta rsik ofr ieudsci.

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sohaib111  toW'n ginhav an MI be a yerv bgi risk oarctf for oarnthe neo Adn? laso fi they deatnw shti wresna e(th dptretaein,a)ss-n why ldouw eyth stju dad taht shi LLD si nngseiira in eth slta .t.esce.nen +14
dbg  cb r'eyhet BsSO and OBsD +33
doodimoodi  aY,eh dceneeommdr LDL in pelope whit opiseruv erath meboprl is < 001 zeje +1
asingh  It si uecasbe of het itrammeef of iyaoltrmt is 2 s,ry yeivghntre sele lilw eaftcf rteal +6
benny  ddm esiancre MI +
benny  eTyp 2 tisabede dna maroj sveerpdsie orridesd )MDD( era eidnedenpnt outrsrcoitnb to iarcadoclsrauv daesise and to na sencierad srki of oaryalmdic rcinaftnio I).M( +
drzed  neoN of the rucasaaclordiv nootips woldu eirpmvo tyoalirmt ntssia,(t AEiC, B,B ntnpraeoosicol are the snoe ttha haev vnorep itymrolta ).tienefb oS if tyeh ahd upt noe of ,oesht I nhikt I woldu eahv nohecs tt,ha btu vnieg taht hte srte nod't hgcena ytlriaomt at all, I wten hiwt hte sdpesantsne.iatr +2
ihatetesting  My nihgtink wsa atth niecs eh dah na ,MI a bate rbkeolc wuodl ipmvreo tramlty,oi adn prlnlpaooor si oals udes sa na ic.ioxnylat +2


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 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I hktin atth if hyet adh teshnogim leik taits"n y"hraetp as an aeswrn ,oicech we wodul vhae an gamuetnr ofr ahtt sa ti olwud eesacrde lyottaimr by ilhnepg etnrpve EORNATH hreta taca.tk v,Heorwe I hktni ttah tieanr-asdptsne rpytaeh lilw od a LTO ot vtrepen iids,euc weihl megao3- tytfa dasci yhalth(e as htye ra)e dntlowu' od AS HMCU to epetrvn a thaer .acttka

heT qionsuet is cllsiyaba gi,ksna "oYu can ynlo eibsrrecp eno fo etesh to eekp htsi uded vaiel as olgn as se.libspo hWchi oen will veha eth btse necach ta inmoscghaipcl h?att"

Trorfh,eee teh erswna hulosd be ne-ataeprsstidn ay.rehpt

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bharatpillai  yhw anatenepisdtrs rahepyt hgho?ut rtehe rea tno eughno retaseuf igevn to gsusetg M DDs.e'H 56 ayres old, tno na ellydre nesgil amle so otn ta the thsehgi cli"casals" tapolunoip ta skri of suciei?d eth ouisnqet is os iom sbna.ue.gu.ivG ,IM odtl'wnu conihcr cacolhiol ientka eepoirdssp hmi to eddtali ?poyydatharicmo +1
neovanilla  I n'dto eibeelv st'i hatt eh hsa DMD by eht allnciic nd.etniiifo tI's rmoe that shi QLo hsa pylabrbo nhegadc rtsyaclalid neisc hte MI nda IMs rae ltygsron aseotcsadi hwit cereeddas lktouoo on f,lei slleceiypa enicoisgdnr who mcoonm it is to tge a scnoed IM oosn ftera hte ifs.tr I 'dotn wkno hte stats no dsceiui -oIsM,tp tbu ienlhgp teh pitat'sne poirsesden to ekma imh emro priocvae-t to ehlp mfhseli teenprv aohetnr IM lwuod be eterbt ahtn "a eitd ihgh in mgoea 3 "AsF a(t astle, htis was ym itnitifsjcau,o as bmouenr swa yngisa) +2
drzed  irtsF censneet fo eht esmt: eh sah a kewe6- rtsyhoi g..e( 2t&;g keesw) of dseopeisrn ,()1 iyfltifcud nlsgiepe (,)2 eatguif ,)3( esaecrdde ppeiatte ),4( nda ropo orneocnytnmimecra/to oF(5 r) a iongdassi fo ,DMD uyo need a 2 eewk siohrty of 5 of eth PSGICESA tsymomps ciwhh eh mstee e(h si nlyo nsigsmi icualdis tdieaoni dan eritsten ni caetsviti).i husT eh tsmee het naidtcgiso rietirca rof a major iprdsseeve pseide,o hwhic saenm taht rtentmtae is ectdniida wiht na SIR.S +3


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 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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anC enoany anxielp why i'st otn y?aocltxnii yM iclog saw iths ddeu hsa a bum rtciek mofr siropuev ,MI and hsi HR swa w-hmi4hn/0ic-1 atc'n eb ogdo rfo eth dlo .rtaeh I wnte wa/ yiiatnxlco ot bnigr ish HR adn eyiaxtn renud cootn.lr

odWlu na erpinsteatadns do the ema,s hu,ts is it a ebtert sw,naer or orcev a rdewi enrga of stym?msop

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underd0g  nA RSSI loduw eocvr othb iseoepsnrd dna inx.aeyt +2


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