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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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zclorItnaoea iqurseer the ciiadc tinmvnorene of eth ocstamh ot eb sbbo.dare roOleemazp btisinih eht K/++H uppm of the masht,co hbeyrte eirseagdnc the idytiac of the ctm.shao So hwen eth teapnit satke zemlreopOa and torneoclIaza te,togrhe nIrzecotaoal wnt'o eb srbboaed onit hte ydob. hTts'a ywh it ash no f.ectfe

tsI' eddenmorcem to ekta enmiscadtio at tslae 2 usorh porri to nagtki na anatid.c

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necrotizingfasciitis  sJtu gdndia uorptsp to hte vobea o9tpCtt/3m7iPiieaiMwonn/m.p ta1aevx/ hg rhw./bp.8s c:lnln/7cwnc6l.:s/ +4
pakimd  od lla azoels ro ujts ociolreatazn only iesreqru an cciaid nomieenvtrn ot be abdbseo?r +2
chandlerbas  tujs taoziaecnrol and osoopncaelza +5
lilyo  sandealh,rcb@ hrwee did uyo fnid tihs itaoi?nnormf I asw ioglnko evor tsih no FA tub eyht od ont imnnteo it dna I ouwdl ekil a ibt roem oniatfion.rm s!hknaT +5
chandlerbas  ahah on ers!sts eht tailcre oeabv butdimtes by ozeagitriini@sfnticcs sode a ndsetce obj iilnxapnge t,i ovewreh tsi ont ogod ,nohgue I lkooed oint a bti emor no udaetpot tub ntasw' ltuurfif ni my eveodrsaun. ocdlg!oku +
haozhier  woH era ew esopupds ot wkno !sti!h It si ont ni UWRODL ro FA i?gthr +14
kevin  enSmeoo iasd it no hee,r cinse eerht wsa on YCP cdienru fo the nsarew ec,hisoc eht lnoy yaw to enve tkinh touab an nrwaes to sthi uqoseint asw ot utjs go with a esls diacci nretemivonn rmfo eht IPP intffecga paotrsobin. tI aws lysimp eht loyn slorbneeaa warsen ,iechco I 'ontd iktnh t'rehes nya awy ew erew epetxced ot wnko fo sith xctea onntratiice iporr +1
aoa05  oGnla harpm obok tsseat eht ectxa eams gti.nh tnCaon eb gienv to pnetsiat wiht liaa.rhcyrdho +



 +8  upvote downvote
submitted by nadhq(8)
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I hhiylg dbout tath wisrret of hsit qnstuieo eexptc us ot kwno eth irlentoa enetebw anecziortloa nad PPI but tearhr fi a iattpne sah a mitrdulug rnmeegi (uinncldgi a PP),I if rethe is no 054p areletd tsffu ggino dan grud sboorbtina si edtvifcee ew ldsuho eb csisiousup fo hte PIPs. Leki a agenler elur ro ohintsgem keil ht.at

eresh,tiOw if yhte cteexp us to nwko eth spccfeii oritenla tneewbe het .o.w.t hem hsit inusteqo cukss ylrlea hrad n.het

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 +1  upvote downvote
submitted by โˆ—stepwarrior(29)
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htsi is rlceayl anrohet eon of oesth trpa eustnqios rfo ioeehvrrkstn

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 +0  upvote downvote
submitted by โˆ—amy(4)
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nFduo ihst ni pd:taetou mrelpzOoae rugd fnamt,ioirno so ti nac og obth zIwar"sa.oleno.: .yct.a roPtno umPp nsbrhIoiti aym enaeicsr hte urmse oniennctcoart fo Iarntoalcoez. Ptrono mpPu bohIiitsnr yma ercdeesa the esurm toncrcnteanoi fo Ira.tnoozelac :emtgennaaM rEpsexou ot ulrasTo adnrb rolcoaieatzn mya eb nsaieercd by I;sPP ocersdin niaozleaotcr deso udincetr.o pxuorEse to rxonpoSa adbnr aceoriaonztl ualepcss mya be eadcreesd by .PsPI Giev oprnaoSx bdarn iltzaraconeo at telsa 2 srh efoerb ro 2 hrs taerf PsIP Rsik :D rnoCiesd ephaytr iidmft"nooica

orF klzt,neoaeooc it ddi ysa PPI searsdece sti smrue elevl

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 +0  upvote downvote
submitted by andremosq(9)
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Teh elpdsacnatue trfnmuiaolo of toaieczoalnr sah eebn eosdactsia htwi weid vtiaarbilyi in amaslp nirotcatesocnn ude ot vbtliriyaia ni prbtnsoioa fomr hte ttianglaeirostns (IG) .crtat

udcasepnaltE aezlcaoriton sreruiqe na aicicd Hp in hte macthso for teh pporre odnuistosli dna aiosnrpbot ni hte dodunmeu sllma( inetn.eist)

tonPro pupm rbhoiinti sdmaiinceot nca aisrecen the ractsgi pH dna yhberet edcasere eth oundssloiit of the pslueca nda the tunoma fo azearoctinol elaialvab rfo nirpobstao orfm the IG rcatt fro isecsymt vdeel.yir

ytbyhn:noA J. ,Bitsu DM, hPmra,D ANFL, FAAH

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 -11  upvote downvote
submitted by โˆ—strugglebus(189)
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Tsih a CYP 450 ihrtiiobn (OK.ICSSMCFCAE;) tsi het O.

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coccidioinmytitties  oslz,eA as a ,lssac ear C40P5Y irhsbtoiin ulganf[ gt;& a;munh to pnetrev cnnvoiesor fo oeonatllrs ot o.t]golreres sJgutet si ercocr-t a โ†“Hp is edeend rof aiotpbsrno dan /HdIa2P/csAtnaiRP era c.dtncatiraoneid +



 -13  upvote downvote
submitted by โˆ—hayayah(1212)
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ddA on to eht hrote mcotmen: SAFC.IKOCCMES Ih(wne mA dgkiinnr irupateGfr ucjie) is eth encionmm ofr nermreimbge teh C5P04Y hbirIn:tios

  • S douim vprtaoale
  • I ozandisi
  • C nmeeidtii
  • K tooanczeole
  • F ncozlolaue
  • A teuc clalhoo esbau
  • C henoamhlrpcilo
  • E t/yyarmcyncrimrrhnoltcohii
  • S sfumodlaein
  • C rnxflaiiocop
  • O rzolpemae
  • M zdaenlroeoti

  • A donreoiam

  • uteafGprri ejuic
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charcot_bouchard  tsI tno a mhcrcotoye iesnuoq.t IK beaescu i og t ti rgnwo +1
waterloo  tohb aeslzo adn IPP iithibn ohreyomctc 45P.0 oS eon its'n naciusg teh tser'ho kacl fo .cfteef +9
stepwarrior  ep.oN itiIgihnbn 450CYP olduw nechaen eth cfeeft fo nazeirla,coto so atth 'cant be hte hasnmce.im +2



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