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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 acrzy ro idd wolrUd not heav a oqsueint htta astted tsnStia are eth tmso eeeitcfvf dgur esrgdrleas of iabnesle ls.piid ishT giloc wtreh ym f.of

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adisdiadochokinetic  ouY aer otn ra.zyc I otg htis usioqnet onwrg fro the mase ensrao but ehs're hyw I inthk EBNM asw ognig itwh .sbrietfa ouY cna esu the edwFedrlai quaointe to aculltcae LLD leoscelotrh rfom eht eluasv eyht g.eiv Thsi ueinotqa si D=LL otalT tsDerC-olloLheH lctr/og)l(5iy-edC.seroiheslrTe Teh Tseryir5ci/elgd temr si an semeaitt for LDL.V fI ouy cctllaaue ti ni ihts seac ouy gte an LLD of 102 hhciw si ifylmr raomln nda uths hte aeniptt luwod sesntiloby ton ifnbeet fmro sttani e.ytrhpa +14
hello36654  mgo wehn hte hlle ma I gnigo to rmbeeerm iths ?ueqoaitn ss,usssJsuses sthi nikd fo ltiaeds smake me watn ot vgei pu no TSPE +4
almondbreeze  Hre galo LLD luodhs isllt eb ;,l0t0&1 bc seh sah 3 CDH sikr suaqe(tevil nwm/:a081pl0h/20w/stp71#83/2-taa10.0p07.2/ptt.h3wpog3p0f2/rff0a1D )CH rksi vtatle=neiuqhe oarjm krsi ctsarfo atht imydfo LLD losga 1 ) (;&t4,5Mggae g55&F)t;, 2) nkisgom su,ttas )3 40th&eg0n9(stn1ry/)oip,e; )4 ow LDH llvee )0t&4l,(; dan )5 fmlayi oy.rhist (1aw.1s/f#7whgf/h/3pl-0sa/pr:002t/2ap0tptc./.omw4e8) +
almondbreeze  lw*o DHL r(vefleel re to ltbea 3 of hte )lctraei +
makinallkindzofgainz  Thees sguy era itgntih up eildalgnev-ntet odrcaruaclsvai rkis rcftoa u,solitncacla alewehmni I kdeicp astitsn ueabesc I itknh I bemrmeer ahtt heyt ehlp eht ertha +14
jimdooder  oS I ednde pu onggi hitw breiatsf aebscue fo reh aeg )(.39 I uvaglye remeremb enigb ttugha that niattss era lyrlae lnoy mceendermdo rfo peitnats g;04t& bsueeac the igb sdtuy htta cmae tou atoub hetm was in eth 54-07 aeg .uoprg I nthki tsih gmthi otrctunebi ot eth uqneoist tub 'mI otn lttyaol us .re/awaitmt.srpnpn/d:iw/eriSenveey.hrrotoiiagi#kkP_in/ptit +
ytho  hsTi usqotnie pensiidr ym crseen nema +2
cbreland  natSsit" rae sawlya eth e"wnr,sa "Fta eeFlam 40 Fie",retl iFb"esart anc asceu gtsl.n"loaes I fele ledi to +
brise  'Im otn seur fi sthi isetqoun is ccor.ert I schoe tiantss dacoirgcn ot wath na tgadtienn lotd me nad UOLWDR 2, I just etwn ckba to ckehc nad no wrlodu 2, ouy ylno dnceisro ivggin fisebatr if teirh TG lsleve are vaeob 001,.0 oS ikd atwh eht benm si ogn.sikm Or if cstrodo culaytal eiwrt tehes nioset.usq +
kavarthapuanusha  yhW are ew ggoin sotdwar epoditamlcc siu?noteq?a We evah adrecese itegsideycrrl dan einaescr dhl ehetrerof bteriasf ... fI ti eewr rnieaesgcd LDL nthe oudwl go rfo ass.ni.t.t ylOn ecneasir dhl ymanli go fro iicann .si.t in wdrlou dan af +1



 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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rloiFzfmeib is a bteia,fr eusd for oliengrw TG .slvele

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mousie  I loas hcose fmreGzoiibl oot sbuecea tsi hte etsb TG eonwgilr grud dltsei but I can ees rweeh rehte ghitm eb eoms der agslf fro sith rdgu in teh way ethy eskda teh ies.outqn.. 04 ryea dol bosee amnwo iwth esmo perpu ailaondbm pina ..... OHELL ALGL OSSETN whihc is a omoncm vreaeds comtoue of a.btsFrei +11
uslme123  elWl I ind'dt wnaan vegi a af,t ty,fro fmele,a taht sokmes a tir.fbea So a ,tnatis ofr ,em asw the setb xtne .iponto +9
whoissaad  sedU meas ginarosen to sceoho ntssi.at tasrebiF are the inma rudg of ehicco orf irehyeiepdcagymtirlr tub eignv rhe symo,tmsp titsasn amde moer e.ness Why do they od sthi to .s..u +
roaaaj  hwta a yrcikt ni!quoets rtehe rae mletulip asotfrc losdhu eb neakt in tniodinr.asc.eo hse sha rgcdteiieyrlaim hiwch put ehr in ksir fo spteaiinr,tac dan otsm omtpylnarit erisocacehtrtlo es,sdaei dan lal of ahtt dwulo owihtegu the ksri fo nivigg ehr lelo.stnag +
paulkarr  aehY I ahd natsits ecdselte tilyilian eucbsea ssttina" rea aalwys het eaws"nr ubt wenh I asw hmte tgaints fstir ieln ectlneyr" iesnodgda wiht yerhp GT" I irefdug thsi -lpwfoulo swa pyuler ot asedsrd a.tth So rbFeati si the etsb eomv. +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 tnkhi sit escueba esh ahs a xh of iecptp ucrle dasesei ta(etds in h)x thta is lnuyerrtc riagnfl pu lm(di iseprctgia trneessedn to eedp pp.tn)oaail

hreeT rea rdgu n-anttioersci-- otttaianvrAs (eichoc A), ciwhh is a A3P4YC brastuset, tlds'huno be duse wtih oairloyCmterscnm/ih rehto istnabtocii esud ot tx cptipe ACY3e4Plcsru/ .oniihtsirb

Udrne gansniwr and ,anpcetoiurs pgae ,1 D- FAa/ett0s2f.c./p.l.gg5rs:at2/dwfd0pdclvaw0ss0dcu6_/ad00/ds9e/2tow7asbaahflbol /t=reppuudanhi:/imwr8lm3di.swl.t-ybauttdrodls2wer//gpgr3?

(I aslo tgo eth etsnusiqo rowng dna cseoh Aaosvtnatt-ri- ihts si stju ym ess)u!g

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peqmd  Agered tog hte qesiunto wrogn t.o.ers'o.eH awht I tgo fomr .Dr Udpttoea DI.D LDRT dnarscIee ikrs of Radhob si sower ahnt easinecr skri of l.saetlsgon o r"trnCuecn ues of ramnytlrhcioci or ticymohyernr etertgoh twih asmstv,tiain oatatnlvi,s ro rvastiantaot asw sodaaitcse tiwh an iacdsnere srki fo iiliaatzontspho rfo bdymloaryoshis R2).R2(=, ceatu dnykie irjuny 8R)(1=R,. or aalc-esul laoritymt ,.R61=R() sa ompdrcea ot enrtrcncuo use of nimhaoiytczr wiht het ntiast"s +



 +0  upvote downvote
submitted by โˆ—avicenna(12)
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nsehyotl stuj bermeemr trabiesF trate ecgpiieyetalirrrmydH and emvo n.o oTo mayn itqseonus too itllet emt.i I am a ooCl Mde tdetSnu tbu I am on Leif 9. eRrchaes ntai big utb woh eth cfuk got .imte yB tiem ew lla oingls os lil peho iygtrn! isEnneit iads enicecs si a ergta ihntg if oen oste'dn eakm a glivin out of .ti I alpn on magnki a glnvii uto fo ndiimece and buy ym ammom a eso.uh I ma a elra eretst inakk I eacm ot rfa to og akcb hoem mtpey haeddn. yM aanmm pingoh erh osn gno eb iogehnsmt eno dya tacn lte her ,dwno esh dirfcaices a tol orf s!u

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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iegaeiiHtdlrpymceryr si aawlsy tedaret htiw s,rtFbeai neve uthhgo esh si nmoicg rfo a olfwol up onamtxaneii adn ertnicctoaon fo GsT is 350 peek nvggii zbGoliremfi a tefb.air

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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pgrilrytairdeymceeiH si wyasal trtedae ithw ,Ftrsiaeb enev hgthou she is cgimon rof a olofwl up eaatoinminx dna ecrcttonoani fo TsG is 530 epek igignv fzmilGebrio a tfai.rbe

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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aiNnic can esuca eyemcal,pgiyrh ug,flnish dna og.ut sIASD'N anc rteta otg.u pnAisir ta ihhg noanconttsicre loas bishiitn earnl epsrbarotoin, tub ti iihbnist ertecnsio at owl .esvlel I wnet hitw arsipni rove oaeteamnipchn /cb thoalugh hcimnpteaonae si na naclsigae it askcl airlftnomatayinm- itaitcvy.

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redvelvet  hsit is nto htta eioqnsut ): +6



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