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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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mA I acryz ro ddi wUrdlo otn aehv a enqsutio htta estadt snittSa aer eth omts iffcvetee rgdu rrdsesgela of elebisna lsiip.d iThs ilgco hwter my o.ff

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adisdiadochokinetic  You era not aycz.r I ogt shit nitqseuo ognrw ofr het easm aesron tub 'srhee why I tihkn BEMN was gniog hiwt rit.bfsae ouY nac seu the rilFeeawdd oqeiunat ot caulaetcl LLD oeslchtlreo mrfo teh lasvue yeth .iveg iThs oaneutiq si =DLL Ttoal rsDt-oClHehLoel e-oCctlldie/(o5rsreihTrlg)y.se ehT rdliie/5ceTsrgy term si an itseatem ofr VDL.L If uoy tceaculal it ni hsit aces you teg na DLL fo 210 cihwh si iyrfml nomlra nda usth hte niatpte owdlu ysleboisnt tno bientef ormf staint r.hyeatp +14
hello36654  mog enwh hte hell am I oging ot ermrembe isht uqt?naeoi ss,sussusessJ isth nikd of sielatd skame me ntaw to igve up on PTES +4
almondbreeze  Hre gloa LDL hdsuol tlils eb 1t&;00l, cb hes has 3 HDC ksir lq ieus(netvarf:/happlt2ps0w221/700mh3w#-88tp1///opw00f.02aga.t7ft310/0p3.a1H) DC rkis hevutnalitqe=e omrja skir rasfoct atht diomyf LLD oagls ) 1 Mg&a4t5g;e,( &5),5tg;F 2) kinogms tta,sus 3) h1&t)g0tir(9,;/noye40epns )4 wo DHL lleve t0)&l,(;4 nad )5 fmiayl .troisyh (pp2./-a0p.p#2gmaw/le0ts084/r7/ah0fwsohtc:.1wft/13/) +
almondbreeze  lo*w LDH eeel rv(elfr to tblae 3 fo het tr)caeli +
makinallkindzofgainz  eheTs gyus rae itgtinh pu lgeevntleitan-d sdrvlcaucarioa kris ratcfo lcnaoatcul,si wlahimene I dipekc atistns sucaebe I hitnk I eberermm ttha htey ehpl hte htare +14
jimdooder  oS I deedn pu gongi twhi resftiab ceeasub of erh gae 3(.9) I uyvagle bermmree ngeib uhgatt htat tsainst rae ylrael ylno eorcnedmdme orf iattpsen g0;&4t sbeauce eth gbi utsyd tath eacm out oaubt mthe asw ni eth 4-750 gae .orpug I hkint hsit gihtm ebictorntu to eth eqniusto tbu m'I not olytlta .ues rt/riSwon#pninitrhveprew.saPiotk:ti_.a/apyi/n/gekireimdt +
ytho  hiTs etonqusi snriedip my resecn anme +2
cbreland  asni"tSt ear asawyl eht e,rasnw" tFa" lameFe 04 i,Fltree" btFriaes" acn sucae "leslnsgoat. I eefl deil to +
brise  mI' tno rseu fi iths inuotsqe is rcco.tre I cesoh aitstns rcoiadcng ot thaw an dtntgiane todl me dan ODULWR ,2 I sjtu tnwe bkac ot cchek nda on owdlur ,2 uyo ynol onrcieds vggiin rietsfba fi herit TG velles era abvoe 000,.1 oS ikd thwa eth nemb si mnko.isg rO fi dotosrc latualyc ritwe ehste soqtisnu.e +
kavarthapuanusha  Wyh rae we ggoin raswtdo taccdopleim tq?o?senaiu eW haev eecaresd irirytlsdgeec dna arscenei lhd roeeftehr srafiebt ... fI ti erwe crneigdase LDL ethn wuldo go ofr ntasts.i.. lyOn saenecir hld yaminl og rfo nnaici ti.s. ni lworud dna fa +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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fzmFbiioelr is a a,ebitrf sdeu for wgorneil GT s.vlele

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mousie  I laso cesoh lmoGzierifb oto scbaeeu sit eht steb GT ewrnoigl gdru edilst tub I can ese hweer rtehe mhgit eb seom red glsaf ofr shti durg ni het ywa heyt kades hte i.us.teonq. 04 reya ldo obees maonw wthi eoms ppuer iolmabdan pnia ..... HOLEL LAGL NOSETS hihcw is a omonmc vaedres moecotu of Frebtas.i +11
uslme123  elWl I n'ddti awnan give a atf, fro,yt lemae,f htat emkoss a trei.afb oS a atin,ts rof me, swa hte tseb xtne noip.ot +9
whoissaad  Udes ames inenrogas to ehocos .siattns asirbtFe rea het ainm rdug fo echoic rfo rcgetdyimerealrhpyii utb enivg rhe ,smpsyomt itsants amed mroe ess.ne yhW od yeth do isht to .s.u. +
roaaaj  wtha a cyrkti e!utnsqoi ereth rae lteumipl ftcoras ohdslu eb nkaet in tsrn.odcoieina. seh sha eiticaidrmyelgr cihwh put ehr ni ksri fo incpt,itsaera nad most rniylmopatt hocotaresirtcel desa,eis nad lal of atht wdoul toehiguw the iskr of gigniv reh ot.nasellg +
paulkarr  hYea I ahd tainsst eslectde inaiityll seauceb tant"sis rae slaway het ewrsna" tub hwne I asw mteh ttnsiag sirtf ilen clen"teyr nadseodig ihtw hrpye G"T I dfrguei hits ofolpul-w aws ulyper ot adesdsr t.hat So reiFbta si teh best .vmeo +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 nkhit tis suebcea she ash a hx fo ippcte leurc esaides t(etsda ni xh) ttah is yrrcntleu rgfanil pu limd( tcpieargis nrdnsteese to depe ioalp)apt.n

Theer rae rdug tc-nte-ornii-sa arvtitostAan (ceocih ),A ihwch is a 3Y4CAP sr,stuateb ulnhtd'so be dsue wtih lrhmeytonCsamo/iric hrote nstiibatioc euds ot xt ictepp l4CeAur3c/PsY hrbst.oiiin

rUedn irsnganw and sptoeian,cru paeg ,1 DA-F0wetdtsas0lsval2g57lg9a0fo//c6.hcdf/:t.d/abo.p//acsd_.aedww0sftupal20dbrs02 /8w?ltlgd/a:deuorbgursr3diialr3ey/n.dm=-whpsu/irmw2.ppttt

(I olas ogt teh snuqiotse ngrwo and osech anAova-istr-tt ihst is tujs my s)e!ugs

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peqmd  eedrgA tgo eht quisneto wrgon oor.Hee..st' waht I got frmo .rD eodttpaU I.DD TDLR erdcenaIs rkis fo hRaobd si sower nhat iacnseer rski fo sastgleo.ln ecroC"tn unr esu of mtyoiclhcrainr or yremctyihrno teoethrg whit namsti,vatis totasai,nlv ro antrtaovtisa was osaaictdes twhi an aerecidns kris fo atnlzisaihotpoi ofr robsyihslyomda )=,2RR(2. ceuat dkeniy yirnuj ,=(1R.)8R ro -auesllca rttlimayo ,.6(=)R1R sa empcarod ot tucrrconne esu of mynahiitcozr thiw eth ssn"itat +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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tyloshen jtus eebmerrm asbirFet reatt ipyiieedcHrlayetmrgr and emvo o.n oTo anmy iouqstens oto ltilet i.met I ma a lCoo dMe tSneutd btu I ma no eiLf .9 hraeecRs tian igb utb hwo het ckfu got eti.m yB mtie ew lal isgonl so lil oeph !ntyirg Etisneni said iescenc si a teagr gnhit if oen e'otsdn ekam a ngivil tuo of .it I apln on nmgkai a ingliv otu of cmndeeii adn ybu ym mmaom a es.uoh I am a aelr rteest kanki I aecm ot rfa to og bcka oemh mtype h.denad My aamnm ohgnip hre ons ogn eb igtoshnme eno yda antc tle reh o,wnd ehs eicircsfad a olt ofr s!u

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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yiHrrriteaildypgmcee si awasly teredat iwth ieFtsa,br enve hothug ehs si onimgc rfo a lowofl pu atmeiaxonni and ioccoetnratn fo GsT si 305 eekp igivgn eioGbiflzmr a ritf.eba

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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riaelHcetrymdgepriyi si layasw etarted hiwt ib,retFas even htuogh ehs is ocgnmi for a oolwfl pu etxamiinano nda aronetnoctci of TGs is 503 ekep ivgngi mofebilGizr a etribfa.

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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caiinN nca ceasu r,hemcgiypeyla ,lsiugnhf dan uog.t sNSADI' nac attre t.uog pirAisn ta hihg staenocnirnoct alos sihtiinb eranl iarroo,bnstep tbu it nhistiib tescieorn ta owl vellse. I netw wthi rnipais revo oenthaepmcain c/b oughtahl noetipenhacam is an ianaegslc it kcsal rnmyltaitaim-aofn titiyvca.

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redvelvet  sthi si nto ttha oqsintue ): +6



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