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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(332)
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Frsit nnetesce fo eht tm:es eh ahs a kew6e- rthyosi (ge.. &;t2g skwee) fo dosnseeipr 1)(, ifutlfcydi pngseile (2), egfaiut ),3( ddreeesca epitetpa 4,() dan ropo inynormoeetatnomcc/r 5()

Fro a oiigdnsas fo DM,D yuo dnee a 2 ekwe sihryot of 5 of hte GPSEICAS pyostsmm hcwih he semet he( is lyno gsmiisn iildusac niitaeod nda itetesnr in )isittvieac. hsuT he estem the dgitsicano rcritaie ofr a arjom eesrievdps depiso,e hwich saenm ahtt etemanttr si ntaiceddi whti na RISS.

For eht etorh rcsaaildvuacro fctosar, teh nyol enso ovpenr ot mpivero atmtriloy era a,snitst CiA,E BB e(sp. ioclrvaled ni rhtea liru)efa, dan oonlcre.iaspnto noNe of hoest erwe arnsew sechoci, so MDD mrtneatte aws teh btse choe.ic

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umpalumpa  luclaA,ty ewight lsso nad esrexeic aer teh nyol mesesrau to acdesere itlyotram (hrtoe anht astni)st in pt thiw pirademi pilid lba s.aelvu 'Im otn lbae ot inaepxl wyh a rl-loocwaei dtei si nrwgo (ti olusdh rdeeeacs td;cgeegesa-w-hi&tre t;to)ylaimr yabme ehrte si no rtdcie ctrnlaieoor in iccailln tsduesi eewnbe oloaw-relic idte and ott.ymialr +1
fhegedus  veen thugho i otg shti or,wng i beeevil i aveh dieurfg uot wyh lwo-ecilaro diet is .rwong nI eth tfirs nensecte fo eht euqsto,ni ti ettssa eh ahs lwo .eptaptie oS we cna ypetrt umch oernig idte adn coirales mofr eth u.ioenaqt +1
drbravojose  I khnit bmyea 2 sarey xetn is the eky ot ceohos aipedtn sdtinae of loew-iorlca ciwhh etkas a long mtre to aemk sti fftce.e +1



 +6  upvote downvote
submitted by โˆ—strugglebus(189)
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sMot fo the tsp asleuv eerw .amnorl nDngikri nst'wa toso,uguear LDL swa d,lim IBM ash ei.nf eH idd haev TNH g.outhh The gsegtib kirs rfascto rae het ctfa ttah he dha efrefsud na IM dan tradtse fsnruefig eveser edonpeisrs hegwi(t x)eais/t.lnoys s,huT he si oerm at rski orf s.uedici

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sohaib111  n'tWo vanihg an MI eb a yevr gib rkis tcaofr rof roenhta neo ?And osal if tyeh wedant iths wrneas eht( en,stapas-n)ertid yhw ulwdo eyht ujst dad that his DLL si iinnsegar ni eht tlsa .nsn.tecee. +14
dbg  cb tyeh'er SOsB dan sODB +33
doodimoodi  ,ahYe eederncmmod DLL in plpeeo tiwh uprosiev aterh bropmel is t;l& 001 jeez +1
asingh  It is eebcsau fo the amfeemrit fo rtamlityo si 2 r,ys ienyhvtrge eles lliw ecffta treal +6
benny  ddm resaeicn MI +
benny  eyTp 2 sbdeeita and romaj epeirvdess dosdierr (DMD) ear ditepnndnee tcbronousitr to rociasladrucva iasedes nda ot na acsneidre iskr fo micoydlraa ctinnirafo )I.M( +
drzed  oNen of teh sccvladraioaur nsopiot luowd povrime totrlmiya (stnsti,a ,EACi B,B oiorscnlpaonte era teh sneo ahtt avhe eonrpv ioltmryat bneief).t So fi eyth had upt neo fo ,oseth I htkin I lowdu veah ehsnoc h,tat tub egnvi thta eht trse 'ndot cgeanh rtyolatim ta ll,a I tewn tihw het sa.sedteatnirspn +2
ihatetesting  yM kgitnihn was ahtt encsi he had na ,MI a aebt clkober wdolu vmiepor m,rolyaitt nad oorpapnlolr si loas euds as an xyt.caloini +2



 +4  upvote downvote
submitted by โˆ—mbourne(118)
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I ihknt that if teyh hda emgstniho lkei tna"sti rpytaeh" as na wanser ,eicohc ew wlduo heav an ntmaeurg for htat sa ti udowl seedreca yiraltotm yb ieplngh ervtpen OTHENRA hetra tc.akat veH,oewr I itnhk ttah sdateiaepnr-nts arpethy iwll do a LOT ot nveertp iiscude, whiel age3mo- yftta adics etyhl(ha sa ehty er)a olduwn't do AS CMUH to nrvteep a rtahe taka.ct

ehT ustqoeni si bsclayail ks,gani ouY" acn lnyo rpeciebsr neo of stehe to epek tshi ddeu levai as nglo as lpebo.ssi cWihh eno liwl hvae teh sebt nachce at icnchogsaimlp ht"t?a

re,refheTo hte waensr lsuodh eb sdeteritsnaa-pn ya.repth

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bharatpillai  hyw inntdarteseaps pyeatrh tu?hhgo eehrt are tno egunoh eeaftrus gvien to euggtss HDDse'M . 56 yraes lo,d otn an rldelye snigle mlea os otn at eht igehsht s""caicasll npptoluaio ta isrk fo sueiid?c eth eositnuq si so m sv.ongua.i.Guieb ,MI u'ndwtol hrioncc ichclaool enaitk sedepopirs mhi ot detliad ptayiydmh?ocroa +1
neovanilla  I nt'do veieleb t'is thta eh ash MDD yb the ilalincc fnie.dointi Is't oemr tath sih LQo ahs rbblaypo gnedach lcsatdylira sicne hte MI and sMI ear ytnrlgso iatdcassoe tiwh dsdeercae ookuolt on f,lei elacilspey cgnrodinsie how mconmo it is ot etg a ocesdn MI osno reatf the irt.sf I tn'do wnko eht sttas no ucesidi -opIsM,t but pglehni eht eapttns'i pneeroidss to make imh oemr -irecvopta ot elhp fhelsmi rvepten hnoater IM ludwo be tertbe hnta "a ited hgih ni mageo 3 A"Fs t(a al,tes tihs wsa ym cnijifttsioa,u sa obrneum asw nyias)g +2
drzed  irtsF nesetnce of teh t:esm he hsa a wee6-k rthiosy .(.eg g2&t; ske)we of ieopdsrsen )(1, fditciylfu splegine )(,2 aiutefg ,)3( ceredadse eetpipat )4(, dna rpoo mmoayoi/tenotnnercrc o )5(rF a ansgioids fo DM,D you ndee a 2 ewek rtohsiy of 5 of the IPSSAGEC ysmtmspo hhicw he etmes eh( si noly issmgin iilcudas idtiaoen nad treistne in aestciii).vt Tush he esmet eth iintdsgcao rearciit orf a mraoj epiresedsv ipoedse, whihc sanem htta etenttrma is ecdidtani ihtw an SRIS. +3



 +0  upvote downvote
submitted by โˆ—peteandplop(42)
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aCn onnaey aeiplxn why it's tno xnciiltoy?a yM cligo swa htis uedd hsa a ubm ecrtki mrof uesproiv ,IM adn hsi RH swa i4/hiwc01hn-m- natc' eb oodg rof eth old re.hat I wnet a/w nixtiacloy to nibrg his HR adn xetayni udern otol.cnr

Wluod na iastsrnaeetndp do het mesa, uhst, is it a eebttr an,wrse or vroce a irwde agnre fo ym?sosmpt

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underd0g  nA ISSR ldowu eocvr btoh ieesondpsr and txaynie. +2



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