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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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alzorInecota urserieq eht ccidia ntreevnnimo fo eht sotmahc ot eb osrabdb.e eaOopmerzl ibthsiin hte +/+HK uppm of eht mhaotsc, rhybeet disgeceanr eht tdaycii fo hte ahtom.sc oS nweh hte epnitat eastk rleOmozape and ncazotolIear ohgtrt,ee zerancatIloo nt'ow eb derobbsa itno the byod. atT'sh ywh it ash no .tffece

stI' eeecmdondrm ot ktae cinadmoiest at telsa 2 rohus ropri ot knigat na n.iaadtc

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necrotizingfasciitis  tusJ gndadi pstpour ot teh obvea /txean o/.c/p:cm6wltlaP .lpotnib87.cn7h:m/ vMtnwia/ip/h3 r9nssw1eCg.i +4
pakimd  do lal zaesol ro jtus zeortocalian ylon sqieruer an ciaicd eriovnmntne to be rbbdsoa?e +2
chandlerbas  utsj elcoroaianzt adn oseonpaazclo +5
lilyo  hrsa,@ecnlbad eerhw did uoy fdni hits ifrtom?oainn I aws golniko orve sthi on FA tub ethy od ont mnnieto it and I wdluo ikle a itb orme oanimo.ftnir nT!hkas +5
chandlerbas  haah no !srests eth aciretl aoveb tdimtubse by icsegztonii@riitsacfn sdoe a tdensce jbo eixpnniagl t,i ehvreow ist tno odgo nh,oeug I ekoldo iont a tbi reom no aupotedt tub wa'tsn tuilufrf ni my rondev.euas !cudklogo +
haozhier  wHo rae ew pdessopu ot okwn thsi!! tI si ont in UORLDW ro AF irgth? +14
kevin  nmooSee said ti on ehre, cines eterh aws no YPC rdcuein fo the swanre hcocie,s teh nlyo ywa to enev nktih uotba an wrenas to htis neiuotqs wsa ot jtsu go iwht a lsse iaiccd ervmnenoitn ofrm eht PPI agectiffn raioptbosn. It wsa plyism teh lyon eobasnlare anwres oeichc, I td'no itnkh 'herset yna way ew rewe eetdepcx ot onwk of hsit ceaxt ricitnateno rroip +1
aoa05  noalG rhamp obok ettass the txeac smea .ightn nnaCto eb iveng ot antistep ithw ira.cordhhyla +



 +8  upvote downvote
submitted by nadhq(8)
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I hyglih dtobu atht rerswit fo isht oqtisune cxptee su to wkon hte iorelant entbwee orioctaeaznl dna IPP utb ahterr if a etatnpi sha a giudrltmu rgmeein d(nuinicgl a P)PI, fi hrtee is no 4p05 tlarede ftfsu nigog adn dgur obrsiabton is ifveected ew hdulos be psocuiuiss fo eht I.sPP eikL a relange lure or oenmitgsh klie tt.ah

O,tehserwi fi eyht peetxc us ot nkow the secicpif toarelin etwnbee teh otw... ehm itsh setoinqu kcsus alyerl darh ent.h

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 +1  upvote downvote
submitted by โˆ—stepwarrior(29)
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siht is lylerca etrnoah oen of sehto ratp itssnuoqe fro rehrnstkiove

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 +0  upvote downvote
submitted by โˆ—amy(4)
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onudF shit ni tdpoeuta: eOlmpreoaz gurd mntn,fioioar so ti nac og bhot .:sa"e.yaIcn.zlroo.w at troPno Ppum soniIbhrti yma neiseacr teh erusm rincconnateto fo atl.nrzeaoIco norPot uPpm Iiotsbhrin may dcaeesre the eusmr ticnanercntoo fo rzca.oloeanIt Mmeateangn: pExueosr ot raosTlu arbnd oclzaoarteni amy be sdreniace yb P;IPs dsieornc trzolacaonei dose r.otuednic userpoxE ot aSopxonr rdanb oioerznatacl sselaucp yma eb ecrdeeasd yb sPIP. iGev axSopron ndrab aoeolczrtina ta lteas 2 rsh feorbe or 2 rsh areft PsIP kRis D: roineCds ytpeahr ifdiicomn"oat

For aetceoozonk,l it did ysa PIP scedsraee sit muesr lvele

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 +0  upvote downvote
submitted by andremosq(9)
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eTh dpetauencasl mroituonalf fo notceailzoar sah nbee icosaatsde wthi wdie blavriytiai ni apsaml neiotctcsnonra ued to bvtliiyaira ni aiobornpst omrf hte intrlsgtasoentia G()I tarc.t

aeElndscutpa lcizeotoanra irureqes an daccii Hp in hte acosthm fro het prpreo odnisioults and npoaisrobt ni teh omdneduu ll(msa tniein)t.se

oPrnot pump ntibihrio ocnieasmtid can eacersin teh tagcris Hp dan ebtyhre eradeces the itlinsodosu fo eth aseulcp nda hte ntomau of rlozintacaoe liabaealv orf oioptbnsar rfmo eth IG rattc ofr cstmesyi edivle.ry

hAnnbtyy:o .J ,sutiB M,D ,PmhaDr L,NFA AAFH

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 -11  upvote downvote
submitted by โˆ—strugglebus(189)
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hTis a YCP 504 rinbtoihi (IOCMA.FCSKSEC); its hte O.

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coccidioinmytitties  oz,selA sa a ,cssla rae CYP054 hinsrtibio [glanfu ;> uahmn; ot nepetrv ivoecnnsro of anltsoloer ot otsoe].elrgr uttJseg si e-rtoccr a pโ†“H is eddnee rfo booinparst nad /AR2PciPaIdns/taH aer nnciiddcret.taao +



 -13  upvote downvote
submitted by โˆ—hayayah(1212)
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dAd on to eth erhot noemcm:t CIFCSK.SCOAEM ehnwI( mA igdnnkri tauipferGr jeiuc) is het nonmecmi for reiegrmenmb het 05PY4C oItbh:insir

  • S oumdi tvpaloaer
  • I idznoasi
  • C meiieidnt
  • K ncazoteloeo
  • F naezuloclo
  • A tuec llocoha seaub
  • C erhcopolhlmani
  • E yca/ymrtotrclnyirniorhichm
  • S fldmeusiano
  • C oarcinofxilp
  • O aploeezmr
  • M rntaeedlooiz

  • A idaronemo

  • rGupierfat ceuji
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charcot_bouchard  Its not a trcohmoeyc esu.tqion IK asbeceu i og t it ognwr +1
waterloo  thob zealos and PPI nthiiib ctoemyhrco P540. oS noe tsi'n guncisa the hst'ore ackl of cf.teef +9
stepwarrior  Npoe. itIhnnigbi 4C50PY dlwou ecennah eht ffceet fo nao,iaezclotr os tath c'ant be the ne.samhcmi +2



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