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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 rcyaz ro ddi drUlwo ton vhae a enstiuqo htat dsteta itatsnS rea teh stmo cvtfieeef rdug legsardres fo nisbaeel iipd.sl ishT liocg htrew ym .off

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adisdiadochokinetic  uoY ear not .caryz I gto htsi qnoutsei nowgr for eth seam oasrne but eh'sre hyw I nitkh BEMN saw ogngi itwh ftirsba.e oYu cna seu het ieawrelddF utoqiaen ot elatuaclc LDL esrocehtoll from hte vlusae they ieg.v hsTi oteunqia is LLD= laoTt lHDeslhtoe-rCoL eo5y/tir)hTelcrglrieo-ds(C.sle hTe /icielg5reTsdyr trme is an esttiaem for D.VLL If yuo calelatcu ti in sthi eacs oyu egt na LLD fo 210 hcwhi si ymflir normal dna shtu eth attpien owuld libteynoss tno eifnebt from isntta h.tpryae +14
hello36654  gmo ehnw eht lelh am I ngogi to ermmbree tish uqoai?etn suesssJs,usss shti nkid of tslaedi makse em want ot vgei up no ETPS +4
almondbreeze  Hre oagl DLL uloshd llsit eb 0t01,&l; bc hes ash 3 CHD iskr aeq sute(vlinp7/o8/2paf2pht2l3./f1130:pgh.030p/tra0s008pa.2at/fm1tww-7#1/00w)C DH isrk =uehltintaeevq mjroa risk stfroac atht fioymd LDL gosal ) 1 a,teg&M(g45; ;5)&t,F5g 2) mgskion auss,tt 3) hen4inpy1(r)t0es&,g/9;to0 )4 wo LDH eelvl ,&(0t;)4l nda 5) iyfmal s.tihyor (10opp3wa8:el070.#/42whw/stp/g.2t/.f01acsp/h/traf-m) +
almondbreeze  o*lw LHD flr er(lveee to ealtb 3 fo het cierla)t +
makinallkindzofgainz  eThes gysu rea thgitin pu nng-eealitdvetl icavcrudlraoas srki atfroc t,aolscailcun wleenmiah I kpcedi tisnsta eesuabc I inhtk I ermmrebe thta hety phle teh thrae +14
jimdooder  So I enedd up gogin iwth brteiasf ecbusae of erh ega .(3)9 I lveygau beermerm egnib huttag taht siantts ear alerly onyl dmredoenecm rof isnetatp gt&4;0 bseeauc teh ibg tdyus htta mcea out oubat thme swa ni teh -4075 gae op.ugr I hiknt stih ihmgt buorctietn ot hte eisqtuno but 'mI ont ottlyla u.s ernk_iigS/isinwra/taeptP/i.httardkoe#oirn.rii/pewtp:vmney +
ytho  sihT sqntioeu iprnides my enrces enam +2
cbreland  aSin"tst rae ywalas eth wsn"aer, Fat" eeamlF 04 ,Ft"elrie retsF"bia anc cseua tgs.esol"nal I feel ldei to +
brise  Im' ton rseu fi shit quteosni is r.tecrco I heosc tsasnti cganrciod to wtah an ngitanetd ltdo me dan OULWDR ,2 I jsut wtne abck to kchec adn on dluorw ,2 oyu yoln erodisnc gvigni aibetrfs fi hrite TG vellse aer bovae 0001,. So dki wtha het nebm is k.gimson rO if csorotd tlaycaul itrew tsehe qiunst.seo +
kavarthapuanusha  hyW are ew noigg roatwds olmecaidctp eo??ntiuasq eW ehav aeedcser rlceetsgdiiry nad eesicran lhd fhrreeeto fabresti ... If ti rewe carseidneg DLL hnte would go fro ti.na.st.s nOyl ecisaner ldh myalin og ofr incian ..sti ni wrodul and af +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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beFoizfrmli is a iab,erft edsu rof wgrlonei GT svl.lee

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mousie  I oasl oehsc foeriGlzbim oto bseueac sti teh best TG glenroiw dgur stedli tub I anc ees rhewe reteh mihgt be semo dre slgfa for isth rdug ni hte ywa yeht dekas eth .qo.tsni.ue 40 raye old osbee mwnao with esom preup anladbomi nipa ..... ELHOL GLLA ENSSTO hwich is a mooncm saevedr motueco fo rtaei.Fsb +11
uslme123  Wlle I tn'ddi annwa vgie a ,atf ft,yro fe,meal hatt eosskm a .aifetbr So a i,stnta fro me, aws het etbs xetn onpoit. +9
whoissaad  esUd aesm nesgaiorn to ohesco sasni.tt earisFtb rae the main rdug of oecchi rof iyyercptrimhegadriel but inveg reh ,pmossytm tinasst adem moer eses.n hyW do ythe do sthi ot u.s.. +
roaaaj  tawh a crytik sn!qeouti heret are ellpmuit csratof lodhus eb naekt in t.aercisiondn.o she ash eigdrlractmeyii ciwhh tpu rhe ni sikr fo tn,iscaeirapt adn smot yrtlotpmain iccohtresraeolt is,aedse and lal of ahtt wldou guihetwo eth kisr fo igvngi hre snloa.eltg +
paulkarr  Yahe I dha nsttasi cedslete iitanlyil csuaeeb t"anstsi era ywaals eht wn"ersa tub ehwn I asw thme tgintsa sftir neli lyrncete" ensoagidd hwti rehyp "GT I fdieurg tsih uow-folpl saw preuyl ot rsdesad t.tah oS ertbaFi is teh estb oev.m +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 ntkhi ist eusbace ehs ash a hx of tecpip eclur aesdise tstade( in x)h htta is yrltecunr rnlfagi up i(mld tsirpceiga edernstsne to deep tppi.l)naoa

Trhee aer grdu onan--ti-rtseci iaAnvtaostrt (hcocei A), hciwh is a CY43AP turse,stab stdolun'h eb deus htiw /cartCyesmiomhlonir htreo istiitabcno euds ot tx tepcpi ePurcCslA3Y/4 itihiro.sbn

nedrU iwnagrsn nda op,caeirustn gape 1, - FADl0p26//.dg.lb_:as0/0sc0ecw2s00w9fh.5sgsuaadfttpt/b2.l7adddo/sdaotwcaarlf/ve o3.tr/awlibdte/wwt/8hgrsiartmdg=npu?pusdr:dymi./2uepr-3ll

(I losa ogt eht onuseqtis gnwro adn eohcs rs-vtn-iAtatoa ihts is ustj my gssu!)e

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peqmd  redAeg tgo hte notisueq wnrog o.r.sH'eoe.t thaw I tgo mofr .Dr atopUetd D.DI RTDL ndasIreec ksri fo adRobh si eowrs hatn ernsciae sikr of glaosetls.n on ur"eCcnrt esu of lmhtnirycacior ro omenrythryci gtoehetr thwi taivmanst,si i,sltvaonta ro arnviatsoatt wsa iedacaosts with na cadineesr sikr fo zinlotsiaahipto ofr bsrmdlasiyoyho 2(=)2R.,R etacu yeidkn urjniy R(R8)=1., ro sclluae-a lamyrotit (R=R,)1.6 as pmcerado ot rorceunntc esu fo iantrmizhoyc iwht the tastnis" +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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stnolyeh tjus brermeme aFiertbs eartt eaiHlmyediegtcyrrrpi dna evmo .on ooT naym sqtsnoeui oto lletit emt.i I am a looC edM euStdnt btu I am on ifeL .9 Rhcrasee anti ibg tub who hte kcfu tgo time. yB iemt we lla inosgl os ill eoph yr!nitg tiEennis asid cscinee si a arget gthin if oen o'sdten aemk a nivlig out of it. I nlpa on imknag a inlvig tuo of emicedin adn buy my ommma a eo.hsu I ma a alre etrset ikank I maec to fra to go abkc ehmo mypte nead.hd My manam iphogn erh son ogn eb ngsehomti noe ayd tnca let erh ,dnow esh fscercadii a lto ofr u!s

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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yycHigipieetreramrdl si wsaayl aredtte twih ar,biestF enve guothh she is cgoinm orf a lwfloo up omeanxiniat dna oaictocetrnn of sTG si 530 ekep gvgini melbGroifiz a ftri.bea

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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aceiepmHrtgrderiyyil is wlaysa tterdae hitw ,bitaFser enev oughht ehs is nomgic rof a olwlof pu exminaainot dan ntaeinotcocr fo TsG is 530 kepe viigng eGzfirliomb a .faretbi

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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niicNa nac ausce rmyeeh,ilyagpc ighlnsf,u dan o.gut DI'SNAs acn reatt u.got spinriA ta hihg onarsoetnnctic aosl ithsbiin nrale tiopobesnrr,a tub ti hiisbnit reetioncs ta olw .vellse I twne iwht snaiirp vreo anhoenacmtiep bc/ oaughhtl haitopmanenec is na acesilang ti aclsk m-mnrtatlinaoafyi itatcvyi.

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redvelvet  tihs si ont htat ueitosnq ): +6



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