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Retired NBME 20 Answers

nbme20/Block 3/Question#13 (reveal difficulty score)
A 45-year-old woman develops proteinuria and ...
Tubulointerstitial nephritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +3  upvote downvote
submitted by โˆ—hayayah(1212)
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ucteA iteaittsrlni lnrae moiifnamant.l uyaPri saci(laycsll ospi)honslei dan toameiza ccrgiornu aertf asndtiinraomti fo rsgud ttah atc as ,etphsna niudnicg vnritysyeptehsii g,e( iut,rcised ,ANDSsI ieipclilnn irvid,vaeste orpton ppmu oiinrbsi,th miifran,p ,elqiusnnoo snldfmi.oeas)u

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hungrybox  utB ohw si a aer-2y ritsyoh ?ueact +4
jinzo  teher si lsoa " hnoCrci raitntesiitl dasseei " +4
targetmle  i got ti gornw escaube eerth wnsat ahs,r lsao etrhe asw taier,niprou dontse it eatniidc gleromraul eivm?ltenonv +2
zevvyt  otG it rogwn oot czu fo tth.a uBt etreh acn eb orpiarintue in tph,esnrii ustj nto sa muhc sa ni othripnec srnedomy. I sesgu 'ahtts niosufngc zuc stih epyt fo enitsphri t'sin uoegdpr twih teh thero htrniecip d.ontcsniio +1
lovebug  AF 0,921 aPge 5.19 +

I think this can either be acute or chronic tubulointerstitial nephritis. According to MSDmanuals, 'acute' TIN symptom onset can occur 18 months after NSAID use. The classic triad of fever, urticaria, and eosinophilia is only present in <10% of cases. Also, they can have proteinuria (<1 g/day) or even nephrotic-range proteinuria (>3.5 g/day) if it's caused by NSAIDs.

+2/- fatboyslim(118)

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 +3  upvote downvote
submitted by apple222(3)
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iearnptiruo + uma,ahriet chnirco cnseliaga asbue ;gt&- anrel ralalppiy ecnisros , hihcw nca be a spgsnoiorre frmo tcaeu sarietiniltt shetpnrii cddne-rid(ugu iesipivyhsnrteyt vnolgniiv the siuretititnm adn els)tuub

9hP1amtoa 71p2

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