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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 zcyra or idd olrwdU not have a qsteuino ahtt stdtae aSitstn ear hte smto cffieeetv urgd aeedslrrsg of ieasbnel l.ipdsi hiTs iclgo erhwt my f.of

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adisdiadochokinetic  Yuo era nto .yrzca I otg isth iousetqn ognwr rfo teh emsa nresoa ubt eeh'sr hwy I hnitk BEMN asw going with rebtif.sa ouY nca esu het Frdldeiawe qanuotei ot atucleacl DLL letroohlces orfm teh lsveau ehyt .evgi ishT toueianq is D=LL otaTl lHreolLoCe-tDhs )elTorlhCer/(gotil.s5se-riydce The elT5gydiei/srrc rtem is na stieaemt fro VLDL. If oyu cuclleata ti in hits cesa uyo tge na DLL of 201 cwhih si imfylr amlnor nad usth hte eaptnit oludw isbnyloets otn ebeinft fomr tnstai y.artpeh +14
hello36654  ogm hnew teh lhle am I onigg ot bmrreeem thsi iequato?n sssssueJssus, isth dikn of dasliet smkae em want ot iegv pu no PSET +4
almondbreeze  eHr algo DLL suldho lislt be ;&t01l0, bc ehs sha 3 CDH skir (utievsq neal/st1l0.01#0t32/.//p2pa38wr2ph.agh7w00f0:op2t310p7w8//-m1ptaf0fa )CHD rksi tq=enuetlhavie aormj krsi sfocrat taht ifmdyo LLD gosla 1) 4M,5tg&g(;ae 5;,&)tgF5 )2 sikgnmo st,auts )3 0>1r,i0toh)4pe/9es;nn(y )4 ow HDL vlele (t0,4;)&l dan 5) mlfaiy ihoyrst. (f0./fp///4a.#22a7gap1plpewtctsh1.w:r/m0t38/h0w0so-) +
almondbreeze  l*ow HLD fe rrv(leele to atebl 3 fo eth erai)lct +
makinallkindzofgainz  eehsT uygs ear thnitgi up ltl-idnnetevega asoludacircrav rksi cotrfa taucso,icnlla aimhwlnee I pcdeik ttsinsa auesbce I hktni I bermreme thta they phel hte trhea +14
jimdooder  oS I dndee up gngio hiwt ftrebisa uecbeas fo her eag 3)(9. I aglyevu mbreeemr gbeni gutath tath ntitass rae leryla noly eemcdmoendr for asipettn ;0&t4g beausec teh igb yutds atth ceam tou tbuoa meth was in eth 4705- age ug.rpo I tkhni hits itghm ornutcibte to the iuonqtes tbu 'Im nto altytlo s. ureearke/p/riige.nodwtyni_tSwtito.mhPkvantini:irrp#p//aesi +
ytho  siTh seouqnit sridpien ym snecer mnae +2
cbreland  sS"tanti rae wylasa eht rsw",aen tF"a eFamle 40 t"lFiee,r sFa"iebtr nac sucae ellogna"t.ss I elfe diel ot +
brise  'Im not ures if tsih tnoqiuse si rco.rtce I ehcos tsiatsn ongdarcci to what na atdiegntn tdlo me dan OWRDUL ,2 I tjus tnew cbka to hecck dna no odrlwu ,2 you noly dneriosc nivggi fasretib if hreit GT eeslvl ear aboev 0,.010 So dik awht the emnb si sgkmo.in rO if rtocosd luaayclt irewt shete qoiseu.snt +
kavarthapuanusha  yWh ear we ongig swdrato omdccetilpa ?otai?suneq We aevh cdseraee rytrdeecigsli dan cesrniae ldh oeeterrhf sbaeirtf ... If it ewer iegaserndc LLD nhte ldouw og rof atn.ts..si Onyl saienrce dhl lymain go rfo iinanc i.st. in wlurdo adn fa +1


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 +6  upvote downvote
submitted by โˆ—hayayah(1212)
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iilfzoemFrb si a rbiae,ft used ofr ieolwgrn TG .elevls

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mousie  I olsa ehocs oezbriliGmf oot auecebs sti het btse GT ownlierg rugd esdilt tbu I anc see heewr eethr hmgit eb osem der sglfa rof this rdug in the ywa heyt daesk eht sq.neou.i.t 04 eyra dlo soebe mnawo with omse eurpp onaibmald ianp ..... LOHLE LGAL OSTNSE iwhch is a omncom sreevad mcotueo of a.Ftbresi +11
uslme123  lWel I 'didtn nawan vige a ,atf t,ryfo eae,lfm htat oekssm a fibtr.ae So a t,intas rfo e,m was teh bste nxte .ooptni +9
whoissaad  Usde aems nosinegra to coseho .ssnitta irFsetba are hte imna rdug fo ecochi for chleymtyaedgpirrirei but vgein rhe ,mopysstm intsats dmea oerm en.sse hWy od hyet do iths to .s.u. +
roaaaj  thaw a riyktc iequ!ntos teehr ear telipmul rafcots ouhdls eb taken ni i.naorcinsdo.et hse hsa icidmelyaritegr whihc ptu reh ni riks of eatini,rspact adn smto ytmnoliratp stcerelcroiahot dee,aiss nad all of that wludo htgiowue eth krsi of ggniiv erh gsane.tllo +
paulkarr  aYeh I hda nsatsti sldectee tliynlaii scueaeb t"snsati aer ayaswl teh r"wnesa btu hwne I swa mteh ttsangi fstir ienl nlceyrt"e sdadngioe wtih pehyr GT" I eifgrdu hits w-lfuoolp aws ulrepy to daessdr ta.ht oS Fietbra si teh btes me.vo +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 knhit tsi ecesbau hes hsa a xh of ictpep reclu isaeeds a(tstde in )hx ahtt is rruncetyl rfnlagi up lim(d igepstriac sstenderen ot eepd op.natal)pi

rhTee era ugrd e--oarc-stiitnn Arontsvtatai oiech(c A,) wihhc is a 4YPAC3 rt,tseasbu nod'shtlu eb ueds iwht osrnaiCcrmtoymlh/ei teohr iiocnttabis seud to tx eipptc YP/c4lrC3sueA .birthnoisi

eUrnd ngaswirn and ainoe,uscprt egap ,1 A-DF fd0dsdth/5a0vaea7.oap.cc.sadltf2bd/w:sct2ue/_6tl0asflgls/00r0dow2wgsab/9p/. su/iudhyl.=aopa8ww3gns2./mr?bielrwdpmgti/retd/tprlur-t:d3

I( saol tgo eht itnesqous rongw nad hoecs st-n-vaatioArt tihs si ujts ym )egsu!s

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peqmd  egArde tog eth nuiqseto nrowg r.s..toHeeo' hawt I tog fomr rD. aUtotepd D.ID DLRT Ireedcnsa irks of Rbdoah is ewsor hant reecnias iskr fo sall.tgosen ont"rcreCn u seu fo artohinclrycmi ro rytyhrincmoe trhgteoe htiw tsitavsnima, at,asltvino or aiovrnttsata asw adecaisots twhi na icesarnde skir of tasiohpazliotni ofr ybosymahliodrs R2)2,R=.( aectu iekydn yrinju R18=.),R( or eal-lusca ltayotrmi ),=(RR16. as aoepcrmd ot ctorecunrn use of nyomiacrhzit iwht teh s"ntaits +


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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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ynthelso sujt rebmeerm siFbtaer taret mlHatiyrprgcedyeiire dna oemv o.n oTo myna ositsnuqe too leltti tm.ei I am a Colo edM dnutetS tub I ma no feLi 9. rRescaeh nita ibg tbu who hte fcuk otg i.tem By time we lal ngsilo so lil ehop itnryg! Eieisntn asid csincee is a agert thngi if eon endst'o amke a glinvi tuo of ti. I apln on agknim a invgli uto of enmdeici and uby ym ammom a os.heu I ma a aler ttsere kakni I aemc to far ot og abck home epymt ddne.ah yM mmaan hgpino hre nos ngo eb omnisgeht one yad cnta elt hre od,wn esh ciciasrdef a tlo for u!s

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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erlregicdaimypirHety si aswaly deteatr tihw i,strbFea even oghuht esh si cminog fro a owlflo pu atniinameox dan irattoeonncc of GsT is 503 pkee ivgign ebiliGormfz a rtfbae.i

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 +0  upvote downvote
submitted by โˆ—avicenna(12)
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icHrmgdrlpaetyreyiei is aswaly aetrted iwht ae,bsrFit enve hhuogt esh si conmig for a oloflw pu annmeaitixo dan cconoanritte of sGT is 053 ekep vigign flGieobmizr a fbtire.a

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 -14  upvote downvote
submitted by โˆ—thomasalterman(181)
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cinNai cna sueca gyampiecylh,re sfluihg,n dna gotu. SDA'sIN cna ttear .tugo nsAipir ta ihhg entnioacnorsct aosl bntihsii nrlae iapetbno,sror tub it isbitinh cnotieers ta owl lesev.l I wtne twhi nairisp ervo aapceentnomih c/b ohghluta ieoamtcnnhpae is na aeisnlacg ti cskal tnom-ailyrmnfaiat ciy.itvat

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redvelvet  tshi si ont atht nuositqe ): +6


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