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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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mA I zaycr or idd lrwdoU ton have a qtenuois ttah etdtsa Santsit rae hte tmso ifeeectfv rudg edsresrlag fo anlbsiee dp.slii ihTs locig ewtrh ym fof.

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adisdiadochokinetic  ouY era nto zar.yc I otg sthi estquino ogwrn rof eth mase sorean utb e'shre hyw I knhit MBEN saw igngo hitw brf.staei Yuo can eus het eiadedrwFl nitquoae to llctcauea DLL tocrsleehol rmof the sualve ethy .egvi hisT oqieunat is =DLL taloT toHhCeLllD-erso ge/-oiTeCyhtlis5rde(ro.sc)elrl ehT ri5lcr/edTsegiy mtre is an aestiemt fro LVD.L If you ctalaluce it ni siht easc yuo egt an LLD fo 201 iwhhc is fymilr nmolar and shtu teh iatpten owdlu oinblsyets nto eneibft rfom aittsn raype.ht +14
hello36654  mgo newh het lhle am I oggni to rmbeemre tsih qtouiae?n ,ssJessussssu ihst ikdn fo ilasted eaksm em tanw ot ivge up on STEP +4
almondbreeze  reH gaol DLL odluhs lltsi be t;l,001& cb seh ash 3 DCH irsk q une(levitsa/0/t7.pff200pow/0ap21-027w3t21hgtpatmhp1#308ls01rpw/f.:.a//0a38HC) D isrk ieeqluna=tevht jarmo iskr rtfcsoa atht fidoym LLD golsa )1 4t,gge(;5&aM F&55g,);t 2) iosknmg t,ssuat )3 )yr;t9g0/&ohep1(nst40ine, )4 ow DLH lveel lt;(4,0&) nda 5) yilamf tsyhri.o (a#//0awpel0/0tp1hr2/wts.pw-ah4m2t/3f:8fo71c/0.pg.s) +
almondbreeze  wol* HDL efe elvel(rr to abetl 3 fo eth tearic)l +
makinallkindzofgainz  heeTs ygsu aer gtnithi up d-ltleeeniatvng lcsuvoicrraada risk ctfroa cna,slutaocil wlhaiemen I dkpice itnstas ueecbas I thikn I emrebemr atth tehy pleh the eatrh +14
jimdooder  oS I eednd pu gigno whti aetisbrf ebscuae fo her gae .()39 I vylegau ererbmem nigeb gtauht hatt tsintas rae alrely lnoy mdmedcnreeo rfo tpensiat 4&0;gt eeuacbs eth ibg utdsy htat eamc uot botau tmeh swa ni the 5704- age orpu.g I intkh isth mhgit bcneirtotu to eth nutqsieo utb 'mI ton taloytl seur. a/ntPierkwv:isdiipiirokeagS_p#em./nt.rny/trwiaenpothit/ +
ytho  iTsh itoesnqu nidirspe ym eecrsn amne +2
cbreland  Snit"ats rae ysaawl hte esn"aw,r tF"a eFealm 40 rel"e,Fti raiteFsb" acn cuesa oel.tn"lgsas I elfe idle ot +
brise  I'm not srue fi ihst qoentius si coercrt. I hsceo iatnsts iccdoagnr to hawt na diegnttan dlot em nad DLOWRU ,2 I ustj nwet abck to ccekh and no owlrud ,2 uoy ynlo isoerdcn gniigv fitresba if teihr GT evlles aer vbeao 0.1,00 So ikd thwa het menb si gio.snmk Or fi scoodrt yltcaual rwiet ehest sniesquto. +
kavarthapuanusha  yhW era we ogign atorsdw pitcomedcal t??seiqaoun We vaeh adeceers edsryrgietcli dan acresine ldh hrreeotfe eaisftrb ... fI it were rgdeicsnae LDL neht luwod go fro ssatn..t.i ylnO iaercsen dhl mlyina og rfo ncinia i.t.s ni uwolrd and af +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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Floeimbrizf is a ifat,erb uesd fro nwilrego TG .lveles

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mousie  I laso shceo moeriGlzibf too csbaeeu tis eth ebst TG ignlwero urdg tsidel tbu I nca ees wheer eehtr hgmit eb emso dre safgl rfo sith dgru in het ayw eyht saekd eht noe..qsti.u 40 eyra dlo seoeb mwnoa htiw osem pupre aaidnombl pian ..... LHLEO LALG OSESNT ciwhh is a mcnoom drvseae otcoume fo Fsbtaie.r +11
uslme123  Wlle I ndtdi' aawnn eivg a taf, yfor,t ealmf,e atth oeksms a ira.bfet oS a tisat,n fro em, saw het steb entx .oioptn +9
whoissaad  dseU asme agnirones to oechso ats.nits irbstFae are eth mnia urdg fo hoecci for eceyidimieaplrhgytrr tbu igven rhe ms,motsyp sitnsta adem meor sesne. yWh do yteh od hsti ot .su.. +
roaaaj  tawh a rtckyi !eqntiuso rhtee rae mitpeull trcsofa doushl be naekt ni idaicsn.oteon.r hes ash eitaydiecirlgrm hwcih utp ehr ni sikr fo ,sintpaatrcie adn otms typraolitnm eatclorsothcier ssdeea,i dan lal of atht oudlw ewguothi hte rsik of ivggin her laln.togse +
paulkarr  Yeah I hda ansstit elcseted iiltianly asbecue tansis"t rea lsaywa het s"nearw utb hwen I asw emth tngtasi rfist leni ne"eycrtl sdiagoend hwit eyhrp "GT I reigduf sith opfol-wlu swa lpyeur to rsedsad ttah. So biFaert is eth estb m.ove +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)

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 +2  upvote downvote
submitted by dumbo123(2)
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I thkni ist besauce hse has a xh of ipcpet urcle sseedai t(dteas ni xh) ahtt is lyuetncrr aglirfn up dmi(l citspigera deensetnrs ot peed alopnp.)ati

Three are drgu tacor-es--iitnn tiAnvsrtatao c(ohice ,)A hiwch is a 3AY4PC r,sstbaeut dl'tuonsh eb used hwit rsylrechnCoiotia/mm reoht tinicsiboat deus ot xt eptpic lue/rPc3AC4sY hsni.riitbo

nUerd wnragnsi nda nstuapoce,ri geap 1, F -DAfoldbll/9c0pd0dsaace_tvpsasgfbdw.0tc/.dhs.0/ala/e567gs:w.o0dtfsr/2ua02w2a/t trpd3uarpuit/2ww/brwintgah38lylgm.p=//lrsreiu.o?:me-ddtsd

(I asol tgo eht unsitsqoe gnrwo dna hesco aAnto-tvt-aisr sith is jsut ym sguse)!

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peqmd  gAered gto hte uqsnoeit rwngo sHte.oeor'.. what I tog fmor rD. dUtoatpe DI.D TRLD neIedsarc rkis of Rohabd is rwsoe ntah iaesncre rkis fo .aossglenlt roentu"n cCr sue of ciyrlaimntchor ro trncroimhyye tgteroeh wtih mtinis,asatv o,altiavnst ro totsiavartan saw sseditacao htiw na ediacsner kris fo atnhisoiaitolzp ofr hyoyaolssbrmid RR(2,.=2) cteau eyikdn nriujy (8=,).RR1 ro eulscala- atimltory 1,=)R6R(. as pcmeoard ot ecntucrorn use fo minyaiochzrt itwh the tst"nais +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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oeytnslh jstu ebrmerme eabtirsF etrta tmiceiHeregdryailypr dna meov no. ooT aymn nitsqseou oto ltlite ietm. I ma a Colo Med euntdSt tbu I ma on feiL 9. eRhesacr tnia ibg btu hwo hte fuck ogt t.iem By imte we lal lgnsoi os ill pheo gtyin!r Ensiteni idas cinecse is a rtage igtnh fi eon t'deons kmae a lgiinv tuo of .it I lnpa on gmkani a ivngil otu fo nmedicei nda buy ym ommma a s.oheu I am a real erstet kniak I meca ot fra to go bcka meoh yepmt d.ndahe yM nmama gnhpio rhe sno gon eb hsgmtinoe noe yda acnt tle reh ,wdno she icdsafiecr a otl rfo !us

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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rircdalymieityerpHge is walsya etatrde hitw aFeb,stri enev ghutho hes is cgnmio ofr a fwlloo pu eonaitixmna adn aroncntctoie fo TGs is 530 kepe ggviin bGrizlmiofe a rbteaf.i

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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ayieHredgiryltrecpim si sayawl reatedt ithw basFi,ert nvee tughho ehs is gnmcio rof a woolfl pu eimxaiatnno dan ticnotnaocre fo GsT si 053 pkee viggin bGrmzoeifli a retbf.ai

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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niicaN acn ausec gpelmeyai,yrhc uihgnsfl, nad ot.ug ANDS'sI anc ttaer t.ugo iArinsp at hhig onnincctoaestr loas bihinist ranel otnreor,iapbs ubt it snbiiith sorenecit at lwo l.levse I nwet htiw irnpais oevr teoenimahnpca cb/ gahuhtol aeniemonptach si na lacnesiag it asclk myno-altnmirifaat tyc.itvia

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redvelvet  sthi is ont htat eqsnutoi :) +6


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