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Retired NBME 23 Answers

nbme23/Block 4/Question#39 (reveal difficulty score)
A 44-year-old woman comes to the physician ...
Celiac sprue ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +9  upvote downvote
submitted by โˆ—masonkingcobra(408)
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In iodiantd ot teh ieuprvso oat:pnilxnae

hSe si orni ecfinitde adn ciecla sfftcea eht paxrmlio eo.mnuddu I" Fukced ttnyar"iB = ,oInr lt,Foae 2B1 fro D,munoedu meuJujn nad uIeml

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krewfoo99  tearG ylgaoan otlBlu. sjut a rorcconiet, iFtrs idA seatts ahtt elaicC esDseai eaftcsf tiadsl eddonmuu dna mpiaxrlo jm.ujeun utB you are h,rgit it wlodu illst ausce noir eydecficin naaiem as ti fctsafe het .umueddno +3
fexx  RO you odclu stju reembrme 'ornI tiFs 'orB (F dncluies feotla dan a,tf B unlicesd 21B dna lbie sl)sat +8

Y'all ignoring the osteopenia also. All those questions on celiac sprue fat malabsorption --> decrease Vit D


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 +1  upvote downvote
submitted by โˆ—seagull(1933)
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'mi lstil iodccvenn iths is ilartrbie wbleo m.orsndye egnhaC ym dmni.

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mousie  aahh I ecipkd hits oto cb sesh' .4...4 t'nis aeclic ethogmins thta ldwou tseerpn chmu eu?ngy?ro btu I td'no nthki BIS wuldo sueac an rnoi decfciyeni aeamni is teh hnti eyth reew gyitrn ot give .us +2
sympathetikey  If it was IB,S ehty wdoul avhe moiednetn niehtomgs obuta ehtm hangiv ldaanimbo nap,i tnrfiedef loots ,ycuqeenfr nda tneh relief tefra idcento,fea me shtk.ni +6
aknemu  I was bneewet aliecc suerp dan SBI tbu tahw uesdph em dawtros laise'cc wsa a ewf t1ngs hi.: hTe rnoI fececnyid miaaen (I tnikh that uldow eb knleilyu ni ) 2 SBI. treaSorteha chw(hi wulod laos eb yuelinkl in BI)3. S ipeOano-set I was hkint aitvnim D c4.i dyefcen ackL of a parcsihyict ryosith +6
catch-22  BSI si a siiagosnd of sn.lxuecio fI uyo av'enht dlcexued ecClai an(d htis n'tca be eexlcdud ebdsa no pldeygiiomoe ,an)oel uoy cta'n iesdanog B.IS +17
arcanumm  I hktni uyo may evah fsnedcou ti twih IB,D BIS dulwo tno rsepnte liek hs.ti +4


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 +0  upvote downvote
submitted by โˆ—notadoctor(175)
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cCaile upsre si a tiansbrlomapo noydemrs taht lrsuest ni otetesrhara dna surlset ni orin ecyinidcfe a.maien As raf sa Im' a,wrea onne fo eth hoters leutrs in inro eiyfcecnid naemia. I( had rBailetca oegrhowvtr as a sleoc ocsdne utb I nt'od livbeee 'ttsah coeidstaas hitw onir cey)icnfe.di

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yb_26  ctabearli hrvotrgoew is sdaeioatsc thwi iron ifcindc,eey ubt soal whit Vit cnBfc-2eiey,1di os I suesg pst lwli heva mcciytaorc aenami +3
nor16  c9snirhnos5tniCl0eww3:/ppc/.mPvhcw.93//gm/.blM.tt/1ia Vit. B12 si yek ,ehre reeovrom, no tbginlao I(SB nad irbctaale wevogtrroh thiw ancllbrig .oba)iteat ortveorghw is a sloce eno! +1
covid2019  I onlwgyr ehcso btercaila o,reogvhrtw tbu ttha si wgrno acbsuee almlS nesteiInt eliatcrBa grwOtevhro OSB()I ustm eb etiidantgs by segthinm.o Coolmmn,y otcnaima ribaitelonams eki(l ygsruer iaugscn dibnl polo my,odsnre s,tesrcturi ro tyoitmli resdisrdo hatt aollw eht poop to )ese~.rft~ +3


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 +0  upvote downvote
submitted by axsa19(9)
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The mstes alos attses ttah ltalera hetcs -yaxr sowhs imdl oapsie.onet Clceia esdesia anc lead ot paamtrloibnos ude its' olyohtpga fcnefigta obatsnipor of etrit.nnu icealC esaieds is oftne a uesac of lwo boen ynetisd dna nettipsa wthi eaclic idesase ehav na aneersidc crerufat .irsk ihTs si htthuog to eb deu ot klac of otrisaobnp of tnaimvi D nad mluacic sgicnau a necarsydo reaadtriymhhpi.yospr

lv2.Mbtnp8i/9lCncpc/5iowm3/iwsw9arn1.Phs.m/tce:g//th.

moreehrt,Fru ni elccia ,isesdea iidrmeap niro aepkut ofrm eht dnduoael lenmu si hte otms llekyi cuesa icsne Inro tresne the tielplaihe llec fo the lenoduad ocsamu ni frurseo orfm hrutohg na lpiaca ro subhr berrod nebmraem tanorstrp noripet mderte the ianvdtle eatml asponrerrtt .T)(MD1

//vwmw/shPCaciblh./.mn4ipwle.1ontn:cM.r43/gs5ci7/5ttp

giknTa tino actnuoc teh ilnof,wgol sbade on rhe bla lesvau hse ash mycctiiorc maiena nigve her leminogboh elevl fo 69. adn hre MCV of 47 wcihh si &l;t 80. Lab vsaleu fo a pt /w rIon ceydcfieni wodlu :eb sdreaeced or๔ฐ‚๔ฐ„ni, ihhg BIT,C esecdaedr e๔ฐ‚๔ฐ„fnirt,ri seaindcer eefr yteeycrrtho pno.irhorotpyrp

AF 2017 egap .396

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 +0  upvote downvote
submitted by โˆ—bobsaget123(1)
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isTh si a targe q.nuoseit hitW the roin nicyfeiedc maenia, i aws ningtkih of erw"he eth loodb slso oculd b"e tno so cmhu wrehe oludw teh snmaptloraboi b.e..

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