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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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tAcue aettntsliiri enarl inomftmi.naal irPauy laiclcasly(s liooheis)snp nad aizeaotm ncrciogur reaft odmaarniittnis of gursd tath tac as thapesn, nnudcgii syipserhteynitiv (e,g itsucdir,e NA,SIsD nciepiinll rtsviviee,da toornp pmup tii,hnoisbr nmfrpiai, iuoql,osnne onem)a.uldssif

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hungrybox  But woh si a ry-a2e hyistro ?ectua +4
jinzo  terhe si salo " Cohnicr ainlettiirts sesdaei " +4
targetmle  i tgo ti owgrn cseaebu reeth anwts ashr, laso etreh saw etuiap,irron tnseod it icateind mlulrogare vvnein?omlte +2
zevvyt  Gto it rwogn oot uzc of tht.a tBu ereht cna be niptiaeruro in peins,htri sujt not as cumh as in ptnohrcie onesrydm. I uessg a'tsht ougcsnnfi uzc tihs teyp fo itiphrens ti'ns ordeugp thwi eht ohrte inertichp s.tonciinod +1
lovebug  AF 910,2 egPa 19.5 +

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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rieiatoprun + hm,teuaiar hcrionc cailsnaeg baseu gt-;& erlan lilyaappr osrcinse , hchiw can be a rgoepnsosri frmo utcea tliittesnair isrepthni cued-g(rudind etsiiysehtrivynp vnvniligo eht nruiimtittes nad tsu)belu

hP1aa9tmo 17p2

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