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Retired NBME 20 Answers

nbme20/Block 1/Question#24 (reveal difficulty score)
A 50-year-old man comes to the physician ...
Omeprazole ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm

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 +26  upvote downvote
submitted by โˆ—justgettinby(26)
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Iezocoanaltr eriuersq eth ciacid eiventomnrn of hte actsmoh ot be .asbbdreo rzepOaelom thiiinbs het H++/K upmp fo hte ocmtsh,a hebyrte eancrgised eth yditcia of eth oah.mtsc oS wnhe eht enpttai ksaet zoeOramlep and atrelocnzaoI reoth,gte caezrtIoonal o'tnw be bboesrad tnoi hte bdyo. ats'hT hwy ti ahs on etffce.

s'tI crememdndoe ot teak miadseiotcn ta ltase 2 rhuso oripr to intkag an ctanda.i

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necrotizingfasciitis  utJs dnigda tsuprop ot the vaobe .obscnrtia.w/ ttw7/am/C1/p .lnoal:6px:9n3vMh/weii.t/ehsi 7cpn8cmPlng +4
pakimd  do all elasoz ro stju nralztoaoeic olny rsrquiee an idiacc erinmvennot ot eb r?beasdbo +2
chandlerbas  tjus iozaalercnto nad nsacloepaozo +5
lilyo  hla,encbd@ars weerh did uyo infd iths ointafon?mir I swa glnioko veor iths no AF btu ehyt do tno itonmne it dan I wulod keil a tbi omer t.ornafiionm s!akhnT +5
chandlerbas  ahah no esst!sr the etcilra oevab btstuiemd by rcicotesiai@zifnistgn seod a ctednes job lpnxnagiie t,i rweevho its tno ogod ug,oneh I eodkol iont a ibt rome no uaotdept utb nst'aw lfurutif in my euo.vsnreda cooludkg! +
haozhier  woH aer ew pepsdous ot wokn t!!shi It is tno ni LUDORW ro FA rtgih? +14
kevin  onemoSe dsai it no ,ehre enisc rteeh wsa on YPC encrdiu fo hte neswra ,shicoce eth ynol way ot nvee htkni batou na ansrwe ot tihs qsinueto wsa to tsuj go wtih a esls dcaici oineenvtrnm ormf hte PIP aftfingce robnpsaoi.t It saw mlpisy eth nyol olnabeeasr raensw ciech,o I do'nt hkitn hse'ter yan ayw ew ewer cdpeexet to wnko of hits ecaxt ntcirntioea rrpoi +1
aoa05  aGlno amhpr book sstate het axcte smae hit.ng naoCtn eb vgnei ot esiptnat with hal.yihdoracr +



 +8  upvote downvote
submitted by nadhq(8)
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I hyglih tuodb tath rierstw of sith soqniute pxetec us ot oknw eht ntiaorle enetbew ozatelaricno nda IPP but rrahte fi a tpenait hsa a idrmluutg imerneg (ulgcndnii a ),PIP fi there is no p540 ltadeer tfsfu gngio nda udrg rasnbotbio is ecfdievte we dslohu eb psoiscuisu of eth IP.sP Lkei a langere lure ro tsognhiem like .ttah

e,hOrsweti if ythe ptecex su ot onwk eht scpifeci iortnlae etewnbe teh o..w.t ehm this sueitonq scsuk laylre rdah nh.et

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 +1  upvote downvote
submitted by โˆ—stepwarrior(29)
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isth si lreylac trenhoa neo fo hsoet tarp oqnseiust rfo nrtervshioke

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 +0  upvote downvote
submitted by โˆ—amy(4)
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duoFn htis ni ueod:ttap oezrOamelp urgd nf,onimotria os ti acn og hotb I ownasa"ryl...cta:e.zo tPoron upPm Iohirtsnbi amy nieearsc the urems neortcanncoti of et.zaaoIlocrn orntPo Pmpu Iiitnrsobh may eecerasd the rsume acoocetinnrnt of zoetrcnaol.Ia naM:tmneeag spxoreEu to lrsoaTu rdabn ionetcolarza mya be sceanderi yb PPI;s dceoisrn oonearzclati sode de.uincort eoxrpsEu to Snrooapx adnrb atlncarozieo spelcaus amy eb sceeddaer by I.PsP veGi aSorxnpo ndrba otrcaznloaei ta tsela 2 shr ebeofr ro 2 shr arfet sPIP sRki D: Codsrnie phyerta toaci"mdfioni

orF nocolato,eezk it did asy PPI dscearsee tis rsemu lveel

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 +0  upvote downvote
submitted by andremosq(9)
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The uptadenselca mrifnlaotuo of rtzlicooaaen hsa neeb tsdeaiosca thiw eidw vayrbiaiitl in pmlaas teoonrtninacsc edu to yarvatilbii in opbsiotnra rmfo eht grttaissoalinnte (IG) tra.tc

pcdatsElenau citrnzaaeool uierqrse na adiicc pH ni the shmocta orf the rreopp iidstuoolsn adn bopitsroan in eht denodmuu ll(sma ne.iitt)ens

oPtonr pmup inoriibth ctesaoidinm nac eainrces eth itgcras pH and berthye desacree eth ilnsdiustoo of eth secpaul dna het autonm fo loictazoaren lvaeaabil rof nrabpstooi rfom the IG ctart rof tyscesmi ee.vdrlyi

yyAn:bonth .J i,uBts ,DM Drmha,P LNF,A AFAH

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 -11  upvote downvote
submitted by โˆ—strugglebus(189)
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Tsih a YCP 045 rhinoiitb (ISACEKMCOF.CS); tis the O.

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coccidioinmytitties  zsA,oel as a saslc, aer CYP450 insrihtiob falgn[u g;&t h;uman ot ptrenve svceronion of lootarseln ot egrostoer.]l egstuJt is c-roecrt a Hpโ†“ is ddenee ofr rostpiaobn dan 2A/aIHP/aRtsiPndc aer eadc.tnnrtaoicid +



 -13  upvote downvote
submitted by โˆ—hayayah(1212)
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Add no to hte hoert nmtcmoe: SCAICFC.SKEMO hnIew( Am iidkngnr pureftarGi jecui) si hte mneoicmn fro brmrnegeime the 4C0P5Y Itbsniioh:r

  • S uomdi aoeratlvp
  • I znodiasi
  • C eiitnmide
  • K eenotooalcz
  • F lanzeooluc
  • A ectu olchloa baesu
  • C haeornmhpoicll
  • E aoncyhcrrrymmhryncti/otlii
  • S fneimsldauo
  • C oicxfprlinao
  • O zapoeerlm
  • M nrldeoozaeit

  • A moiaenodr

  • triGpuarfe icuje
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charcot_bouchard  tIs nto a hmoorecyct son.qitue IK acbsuee i og t it gowrn +1
waterloo  otbh eszloa nda IPP thibiin treochmoyc P5.40 oS neo t'sin ainsugc eth hrtose' kalc fo eec.tff +9
stepwarrior  .Noep ighnInibti PYC450 wduol anehecn het ceetff fo troczanolaie, os thta a'tnc be hte hsemnm.aci +2



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