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Retired NBME 23 Answers

nbme23/Block 2/Question#39 (reveal difficulty score)
A 39-year-old woman with obesity and recently ...
Gemfibrozil ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm lipid_disorders fibrates

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 +10  upvote downvote
submitted by โˆ—monkd(21)
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Am I zyacr ro idd Ulwodr not avhe a tenqsiou thta sdttea ianStst rea eth msto fetcifeve dgru dlerrsgsea of blesiane pdsli.i This oclgi rwhte ym fo.f

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adisdiadochokinetic  You aer not zycar. I ogt isht ioeusnqt gonwr ofr eth aesm nrseao tub hsee'r yhw I ihtkn BENM wsa going twih fib.tarse You cna sue teh Fdareidwle nuqaeito ot ulacaltce LDL thlceolsore fmor eth ausvel ehyt eiv.g hsiT oneauqti si L=DL tTalo -ColHDhLreoslte s/tliriglcere.sody-Co)T(ere5lh The lyircie5d/Tgres emtr is an mttieaes rof .LDVL If uyo auccletla it ni tihs seca oyu egt an LDL of 021 chhwi si frmlyi nrmoal nda uhst hte aietptn woudl enosistlyb nto ftneieb rofm ntasit rha.yetp +14
hello36654  omg enhw teh lhel ma I ogngi to brrmeeem ihst qean?tiuo seJ,sssssssuu htsi ndki fo aslitde skema em anwt ot geiv pu on EPST +4
almondbreeze  reH loga LDL dulsho sitll be 01,lt0&; bc hes has 3 DHC kris uv qes(etilanl00:0w/2t720f73t/t002atow-/01app.ha/1prgah./#/f138fp1w23pm0.ps8C DH) riks =euetvliqnathe rmoaj kisr sfcaort ttha dmofyi LLD gsloa 1) g4,e;tMa5&g( 5,tF)5;g& 2) skomnig t,tsasu 3) 1)nye9s,&0o4ntrg(ti0eph;/ )4 wo HDL ellev ,&l0)(;4t and 5) ayfiml siyh.ort (twcap#0h/7-/a42sw./tl./sgot8a2.:/0fw3/pp00phrf11em) +
almondbreeze  *wlo HDL ervelf lree( to balet 3 fo eth trliaec) +
makinallkindzofgainz  sTehe uygs rea ginhtit pu egtealtlinne-vd vrsarocaaulidc rsik ctarfo ncllocut,iaas eaenhmliw I dkpice itasstn casbuee I htkin I eemrermb atth eyht plhe hte erath +14
jimdooder  So I nddee up oingg thiw rstbeaif ebaecsu of reh age 9(3.) I ugvlyae memrrebe biegn tuatgh atth nassitt rea larely onyl cderednmemo ofr pnstiaet 40;t&g asecbeu eht igb ysutd ttha mace out auobt tmhe aws in teh -7450 ega gor.up I nihkt tsih ihtgm ctinoebtur ot eht sunitqeo utb 'mI tno tytolla . usreraek/wei#oin_/or.iimpaherpvSgit/nkydnittarpesi:/tnwiPt. +
ytho  ihTs uqotiens irdipnes ym srceen mane +2
cbreland  ant"Stis rae ayswal teh rne,"saw ta"F meleFa 04 Frlt,ie"e a"eiFrbts can scuae slloaent."sg I lefe deli ot +
brise  m'I otn sreu if tihs tueisqno si tocrrec. I choes niattss gniocdacr to awht an atnitegnd tlod em adn WDLORU ,2 I jtsu wtne back ot ckehc and on uwdlor ,2 uyo nloy ndeirocs givign bfsertia fi erhit GT velesl aer avboe 0100., oS kdi atwh eht bnem si nkso.mgi rO if scotodr tyulclaa ertiw sthee seuiqn.tso +
kavarthapuanusha  Wyh rea we ognig swrodta pcadeiclotm iesto??nuaq e W veha eaecdser iesreridygctl and srcnieea ldh eerhtrefo ribsfate ... fI ti eewr asecerngdi LDL hent wolud go rof ti.a..tnss nOly rceiaesn hdl nyiaml go rfo ninaci .s.ti in lroduw nad af +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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fiolbremzFi is a bte,frai sdue rfo gwnoirel GT lese.vl

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mousie  I soal shceo obizemGifrl oto baeeucs sit eht tseb GT enriowgl dgur dtlesi utb I nca see wrehe htree ghitm be omse red agfsl for isht udrg ni eht yaw ythe asekd het tosqne.u.i. 04 ryea lod sebeo wnamo ihtw emso urpep inbamdaol npia ..... LLEHO ALLG SONTSE chiwh is a mconmo veearsd ouctemo fo tsbFiera. +11
uslme123  lleW I dnti'd naanw vegi a ,taf y,tfro efle,am ttah soskme a rb.ftiae oS a atnts,i rfo ,me was het steb xtne itonp.o +9
whoissaad  dUse maes orgaisenn to csoeoh iatstn.s ebsiratF aer eth mina gdru of ceiohc fro igihipyatmyreeeclrrd btu neigv hre ,mytmposs sttsnai mdae remo sn.see hWy od yeth do this ot u...s +
roaaaj  hwta a ikytcr qntsi!oeu heter rae pelmtliu asfctor hlusdo be entka ni .eaoincnidors.t she hsa emrctrlagdiiiey ichwh tpu reh ni iskr fo ,triiaeacntps nda sotm rpynltmaito tiehrtccsrleooa ssediae, dna all of ahtt udwlo hutgioew eht ksri fo vginig her tnoa.lgles +
paulkarr  hYea I had antsist elscdete aliitynli abucees "tnstsia aer ysawla het ar"esnw btu nhwe I was emht naistgt fistr elin rtyce"enl indoedsag with pehyr "GT I edrfiug shit oo-fpwlul was plyeur ot seddsar .ttah oS ibFetar si hte tseb .emvo +2

100% BS. UpToDate provides the most recent evidence and guidelines that state Fibrate therapy for High TG isn't considered until >500.

+11/- donttrustmyanswers(74)


 +2  upvote downvote
submitted by dumbo123(2)
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I hkint sti sceebua hse sah a xh of cteppi eucrl sdeeais etdast( in )xh hatt si ctueyrrnl lniragf up ld(mi etgrciaspi esnertndes ot eepd at.a)olippn

rhTee aer dgur areisto-t-nnc-i nsvratatitoA i(cohec A), hiwch si a P3AYC4 ar,tsuetbs ohdultns' be sdue wtih hltsieomnamroy/ciCr retho ocsaibintit seud to tx iepcpt r4cCuYelAs/3P intsriiboh.

dnUre rsinwagn dan pcnturias,oe apge ,1 - ADF_vlf2gwf6dwde.lctdobl/t/d0/0s:/29pb5h/tla0raagfdcd00s/pt.cs.as0a2essaaw.7uo r.n33gp?lsr8aw/d=t/mlwtgirddilu/wrpbrsi:tm.uyo/eaudp2th-e

I( olsa otg het etsusiqon ognwr nda hcsoe -nva-tratotsAi itsh is juts ym ssueg)!

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peqmd  egrdeA otg eht ontqeusi rngwo Ho.o.s'ee.tr wtah I tgo rfom r.D ptdoeatU .IDD LDTR Incdasere srki fo bRdoah si seorw anht ceianser sirk fo aelgsolns.t et Crcn"unro use of trcncailryihom ro rmneyohirtcy ergheott tiwh sntitivsama, snvlott,aia or itsavroattna aws icdaoseats iwth an recianeds sirk of tilozanophstaii orf hrslsaooimdyyb ,R=R2(.)2 ceuta yenikd uyirnj 1(R,=8.R) ro uaasl-elc roimltayt ).(RR6,=1 as cmdeaopr to nnrertcocu esu fo nhrtyazmioic htwi the issnatt" +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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thosnley ujts mrmeeebr erasFibt rtate derciilyepyimegtHarr nad veom o.n ooT yman istoeusqn too lilett emi.t I am a ooCl dMe utneStd tub I am on Lief 9. seeacRrh iatn ibg tbu how the kfuc got .emit By etmi ew lal ilsnog so ill hpeo nrti!gy ensEtini dais cseenic is a atgre nghti if oen et'dsno eamk a vngili tou fo ti. I napl on aingkm a lnigiv tou of imeecdin nad byu ym oammm a o.ehsu I ma a rlae etrste knkai I meac ot rfa ot go akbc mheo ymtpe nd.deah yM manam ohngip her osn ngo eb omnetshgi neo yda catn tel her nwd,o esh crdesiifca a olt rof us!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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eyerlatyrmcdHiiegipr si wslaay aeetdtr tiwh eFitba,sr eevn thhguo esh si igocmn fro a woflol pu oimaxantnei nad iectnatorocn fo GsT si 503 eekp vngiig bloifGmzeri a .arbftei

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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yigrpdiercymaertiHel is ylwsaa aredtte htiw ir,Ftbeas vene ohuhtg hse is miognc for a wlfloo up maenoiinatx dan rtioaoecnctn fo GsT si 350 epek ivngig bmliorfizGe a a.treibf

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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iNniac cna aseuc yayrlemeg,ihpc u,hifngsl dna o.gtu SA'IsDN nac trate ot.ug ipAnris at hghi roannostietccn sola hiitbsin enrla boetrpo,anirs but it bishitni eenirosct at lwo llee.vs I wten htiw snpiair rvoe matacenihenop bc/ hgluhaot naahentpicemo si an nisglaaec it slakc ranimaayi-tonltfm avy.ititc

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redvelvet  isht is not htat oetiqsun ): +6



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