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NBME 21 Answers

nbme21/Block 3/Question#1 (reveal difficulty score)
A 30-year-old woman develops dimness of vision
Ethambutol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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submitted by โˆ—xxabi(286),
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I wsa uendr eth imsirponse ttah thsi was an iarotc icods,iesnt deu ot r"evese tehsc ipn"a as ellw as eht alsef unmel ni het Adn NHT si eht 1# sikr roacft rof icaotr dtieinoscs. enmeSoo rctorce me if 'im rg,own tub I hkint sthi is aitrco isnctsoied etarhr htan crtoai nma.reuys

submitted by โˆ—hungrybox(1249),
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amtohbleut = tEaotEbYmhlu

tGrea mnimcnoe orf rerenmbmieg ahtt mhEutatlobYE is the oentpnmco ttha ucssae uivsal selrpbom ni EIPR rpehayt rfo TB.

hungrybox  RPIE = ,niimprfa ,idizinsao n,raidyzmpiae telhmabout +2  
l0ud_minority  osAl kechtsy bmereerm hte ehors ithw eeR-rednG eilnbrsd +  

submitted by โˆ—mcl(659),
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ePga 205 AF - mtEhluobta si scsdateaoi twhi lvsuai idnsascutrbe agec(shn in locor is).ovni

dashou19  On FA pgae 52,0 ti is disa tath iniIsoazd anc soal aeucs tpico tsiurein adn rloco siinvo eha.gnc steSomiem ti urhts fi yuo kwno too hucm oll +2  

submitted by โˆ—sd22(1),

RIPE: Rifampin, Isoniazid (INH), Pyrazinamide, Ethanbutol.

RIPE treats TB.

Side Effects:

  • Rifampin: Red-orange metabolites. Skin/fluids can become red-orange. 'R'ifampin makes you 'R'ed
  • INH: Drug-induced lupus (DLE), iron accumulation in mitochondria (can lead to sideroblastic anemia), neuritis, and hepatitis. Give B6 for neuritis and SB anemia. INH has 3 letters like DLE
  • Pyrazinamide: Hyperuricemia (gout). pURICinamide
  • Ethanbutol: Effects eyes. Decreased visual acuity, red-green colorblindness. EYEthanbutol

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