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NBME 23 Answers

nbme23/Block 3/Question#48 (reveal difficulty score)
A 20-year-old woman comes to the physician ...
Inhibition of the cytochrome P450-dependent demethylation reaction๐Ÿ”,๐Ÿ“บ

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submitted by yotsubato(1088),
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oS orf Cnaddai ew nac use

zoAels )nueaflo(zolc (tibinhi CY40P5 nlthetiem)odya

nercohtAmpi B epro( ooafrnimt in nlugaf lecl )rbnemmea

pnsainogCuf trenvp(e rsnlkiscgion of eabt sganclu ni llce a)lwl

ro yiNasnt rfo ralo or lpoheaesag ceass (orpe aofotnmr)i

Thsi qnuisteo si gisyan htta hes si iagknt an LARO udgr ot taert aidancd ai.sniitvg

htpneciorAm is IV

sainoupCgnf is saol IV

so weer' tfel tihw lesoza

lzsAoe itihinb snhesytis of sroolteegr yb ibihgintin PYC 054 htta otvcerns rtalseonlo ot res.lrtogeo

qball  Nystatin does treat vaginal candidiasis but is TOPICAL. +1  
thotcandy  Nystatin is NOT for esophageal candidiasis, Swish and spit, not swallow. +2  
staghorn  Me - picks Metronidazole -_- +1  
alexxxx30  @thotcandy...actually you can swish and swallow nystatin for esophageal infections (per Sketchy micro candida sketch) +5  
turtlepenlight  I have seen that on the wards so I hope it works! +  
fexx  and my smartass picks amphp B +2  
avocadotoast  Please no one give a poor girl with a yeast infection amphoterrible +3  
fatboyslim  @alexxxx30 according to FA2020 page 153 Nystatin is only for oral. In the 2018 FA it did say it can be used for esophageal but they edited that in 2020. +  

submitted by jrod77(30),
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Aloesz bihitni roohtcmecy 4P05 yzmnee atth vcnteors nrlletaoos to

htis is het esbt amttenter niicdatde rof dacndi.a

submitted by dai89(0),
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tsi'n aiddanc syate form endur oybd teraturemp?e hyw eth repcitu swsoh a odlm omfr?

danielautran  Maybe because the picture wasn't taken from inside the body +1  
fatboyslim  Most dimorphic fungi are "mold in the cold" and "yeast in the beast". Candida however is budding yeasts w/ pseudohyphae in the cold, and germ tubes inside the body. The picture in the question is showing budding yeasts with pseudohyphae :) +  

submitted by xmen(2),


FA 2019 P199........................