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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 zcyar ro did dolrUw ont vahe a osiuetnq hatt daestt satinSt rae het smto feeetvifc grdu srgsealrde fo lnbseaie dlpi.is hsiT loigc htrwe my fo.f

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adisdiadochokinetic  You ear otn c.zyra I ogt siht nuotqesi nowrg fro teh easm rnosae ubt se'her why I nkthi ENBM wsa inogg with betsfi.ar Yuo nac eus hte widdelraFe tneoaqui to llatuaecc LLD lceorhsotel ofrm eht vaelus yeht .veig sihT aqotinue is DLL= olatT LhDHoCsr-elolte i(5ogTl.)Ce/cyloersriehre-sldt ehT yi/rsed5eglicTr temr si na eaistmet rof VLL.D fI you ellutcaca ti in tihs case you get an LLD of 021 hhwci is fryiml nmlora and tush teh nittape ludwo nlietybsso tno bneietf rmfo stntia eyhr.tap +14
hello36654  gmo hnwe het lelh ma I noggi to eemrebmr sthi ui?taneqo Jussss,ssuess isth kndi fo delitsa easkm em antw to eivg up on STEP +4
almondbreeze  erH laog DLL dhulos isllt eb lt&00;1, bc esh sha 3 CHD ksri iqt(lnevaus e7m//p3/s0:0g1ra0wa/a0#f.pl331p7.h/1/2ot2f8ph0802.-p0aw2pw1fttt0 )CDH srki evhteaeqnlt=iu ramoj kirs trscofa atht difmyo DLL olags ) 1 ,(tgea;4gM5& ,)tF&55;g 2) inokmsg sut,tsa )3 gpsy;e&t00(9i/rh)on4n,1te 4) wo HDL ellev l0&t,(;4) nad 5) mlyfai iso.tryh (3fh.pg1:tae/psport1-a//7/0c4p/mwwwl28ts00hf.0#./2a) +
almondbreeze  l*wo LDH fll (erevere to atbel 3 of teh rltia)ce +
makinallkindzofgainz  eThse sgyu era thngiti up genldt-etveianl usccdiaavroral skir rocatf sclolaautcni, eaiwhlmen I ekcidp nsttasi cebesau I nkthi I meeermbr hatt tyhe phel teh taehr +14
jimdooder  So I enedd pu ioggn hitw iabtrfse ueacseb fo her aeg (3).9 I laugeyv emrmebre nigeb hutatg htta sinsatt ear yarlel nlyo cronmemdede rof tsentipa ;4&tg0 asbeuce hte ibg udsyt ahtt acem uot utoab ethm was ni teh 704-5 gae .gpruo I nikht hist higtm ineobrcutt ot the oqtniues utb I'm nto atytlol r. uespaoe.p/nietPvieittnmsrakge#t/iw.y:Snr/hr_wriipontiidka/ +
ytho  Tshi qoiusnte sdepinri ym rsecne eanm +2
cbreland  Sa"tistn rea awasyl hte w",nsrae a"tF emFlae 04 leFet,ir" etai"Fbrs can seuca .esatogls"ln I flee deli ot +
brise  'mI tno srue if hist utosqnei si crtceo.r I hesco tnsiast inaodrgcc to athw an ntantgide dolt em dan WROULD ,2 I tusj entw ckab to kcche dan no woudrl ,2 yuo onyl ecnisdro igngvi bfiratse if htire TG velels rea evaob .1000, oS dki twha eth mneb si mogki.ns Or if orcdsto lcuatyla wreti etesh tsuoeqnsi. +
kavarthapuanusha  yhW aer ew gogni wstorda lictmaeocpd sni?quaet?o e W veah cersaede rrgtyldiecsei nad eisacren dhl rotheerfe afsitber ... If it erwe nresiegacd DLL hnet dulwo go ofr sn..attis. lOny niarcese hld aylnmi go ofr inican .sti. ni loudwr dna fa +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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meiolzFbfri is a airet,fb euds fro erogliwn TG ll.esve

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mousie  I aosl heosc ilrmzfoiGeb oot sebcaeu ist the ebst GT ilgwrnoe urgd litesd btu I acn ese hreew heter thimg eb osem rde falgs rfo htis rugd ni het ayw tyhe kdsea eht n.sotqui.e. 04 eary dlo oebes namwo ihtw osem reppu iomdbanal npai ..... ELOLH GLLA TSOSEN chwhi si a momcon sdvaree cooutme of aei.srbFt +11
uslme123  Wlle I ti'dnd wanna evgi a af,t yotr,f ,meeafl atth mksoes a aet.rifb oS a ,ttinas orf ,me wsa eth esbt entx .onpito +9
whoissaad  desU emsa arieonsng to eooshc astnits. breaiFst rae the anim dgur fo ocihce rof erpeyairiiyldhemcrtg tbu invge rhe y,smpsomt ststani deam erom n.esse hWy do ehyt od tsih to s..u. +
roaaaj  whta a rtykci tnue!sqio teher rae uiempltl otarscf shdlou eb ankte in ndatirse.ioonc. ehs sah ctirrmgeeylaiid wchih upt ehr in sirk of ptras,naiitce dna smto atlyintomrp ocrhseractilteo eedss,ai dna lla fo taht wdulo owguethi eht irsk of inggiv her tlsnage.lo +
paulkarr  haYe I hda tatsins ltescdee lyiaitlin cesbaue t"tnsais aer awalys teh r"wsean tbu hnwe I wsa hmet intsgta stifr nile nrecye"tl goedasind iwht yhepr GT" I irfugde htis u-fllwpoo swa rylupe ot earsdsd ta.th oS airFtbe si hte tebs mevo. +2

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



 +2  upvote downvote
submitted by dumbo123(2)
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I tknhi its cebsuea hse has a xh of pctpie ecrul easeids s(dttae ni hx) htat si rcueynltr rlinfga pu mlid( peicasitgr nernedesst to edep )pno.litapa

erhTe rea dgru n-siont-rtaec-i stAoarvtitna ioec(hc )A, chihw si a A4YPC3 sbuat,etsr 'hulsndot be esdu ihwt yaehiitnsocoCrml/mr hreot ibcionasitt dues ot tx peipct ucCsPY/l3rAe4 t.niioirhbs

nUerd irnwagsn adn secioruaptn, gpae ,1 D-A F.sdwwswvpteoa.2f_/dda/c0glp0asotuls0abr/a/:c0/fsshdfcta/05d26l..92dalt7e0bg ?l/r.rwi:wm=tnpirt.2mudbpadrutrle8si-3tp/y/gg3dhwead/ousl

I( osal otg hte qisunsoet onrwg nad ohsce vAsat-raotit-n itsh is tusj ym !usge)s

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peqmd  eedrgA tog teh nqietosu ogrwn .rot..eoe'sH htwa I got omrf D.r dottapUe I.DD RLTD dcsrneIea isrk fo bdRhao is rswoe htna esraenic riks of .loalngesst e"oCcrunrtn sue fo inotlrricyamch ro ymyonihrctre ehetgort hwti matit,isvans aoia,vtslnt or atatviaotsrn wsa iaaodstcse ihwt na iadescren rkis of ttphonlaisoziia rfo mhosasdlrbyyoi 2)R,2R(=. cetau dnkeyi inrjuy =1R,(R8). ro lucesl-aa ytltorima 6(.=R)R,1 as emodcpra to noccnretru use fo mohaytrcziin hiwt the ntissa"t +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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ythenslo sujt rbeermme beFraits rttae Hmiryectdialrpigryee nda eomv .no Too ynam qisntsoue oot ilettl et.im I ma a oClo edM neStutd tub I ma on iefL .9 resceRah tain igb ubt how hte fkuc gto mite. yB miet we all iogsln os ill opeh tiry!ng iEienstn dsia cnsicee si a etagr nhigt if eno ntdsoe' mkae a iinlgv tou fo it. I lapn no nigmak a nigliv out fo ecndmeii dna buy ym ammmo a soe.hu I am a lear stetre ankki I came to afr to og kcba eohm yeptm adnhd.e yM amnma ighnop hre osn ogn be stgnmiheo neo day catn tel erh ,dnow esh fdrsiiceac a olt for us!

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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gedtlmerryirayciipHe is sylawa dtteear whit sba,teriF neve hguoht hes is coimgn rof a wllfoo pu oxiaiatnmen dna oncnorettiac of sTG si 305 eekp vnggii bfmGileroiz a abfr.ite

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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giieyemcilaperrrtdyH is wlaasy etaterd whit arsteiF,b vene hhguto esh si niogmc for a loolfw up motixiaenna dan nrttaoeconci of GTs si 035 peek ginvig iiezrfGmbol a tbae.fir

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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icNian nac sucea ermgcl,aiypyeh ulsfgihn, adn u.got 'sIDASN cna taetr ot.ug irinsAp at ighh nrsnoatencicot osal bhtsiini elnra oeritob,psarn tbu ti shtiibni nteseoicr ta wlo lel.esv I twen hiwt niparsi voer aeetoacpimhnn c/b hugohtla cnehamneioapt is an naiagcles it kacsl -aaioafimnltytnrm .ayctiivt

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redvelvet  tshi is ont taht nsuqeiot ): +6



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