NBME 17 Immature lower esophageal sphincter (NBME Answers)

Retired NBME 17 Answers

nbme17/Block 1/Question#8 (reveal difficulty score)
A 6-week-old girl is brought to the physician ...
Immature lower esophageal sphincter 🔍 / 📺 / 🌳 / 📖
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+10 upvote downvote
submitted by ∗andro(269)

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ifaerlDietnf igsasionD of Ntownnel/arobNea Vtoignim

gBni-en raoglpsoseaeagth lfxreu ( ei. uirtmmea wrleo geoeaalpsh ercnstpih ) iegiraoruttgn of ofdo rlhtosy teraf fiendeg .
No uehrrft mstympso , tehaylh ceinhlrd with anorml mepoednltev

epirphyo-Hctr licyrop ssiontes
ggatuRiretoni - lpijteceor nuoilniosb nmovtiig lleeetrcyot nmcalebasi ( alksalsio dan pyoamihlaek ) * haipycls ixnmaetnaoi yma eaverl na evoil assm on aiaponptl of prmegsaiuit
ycat l*lypi rstsat frmo enwbtee dn2 and 7th kwee fo aeg

g-Mutdi ouuvvlls Mtna/olroati leouad/nD trseiaa * iolusib tovginmi * nioadlabm tseondntii * Iggiamn yma eralev sgnsi eikl eth ulbeod bbeubl ngis ( adoenldu arteais ) ect

eo:Nt eTh islt is otn eusexahtiv sa ehtre rae yamn erom uecssa dastocaise itwh wnrnoeb iiognvmit

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covid_19 To dda on to nngBei R,EG I dctn'ulo ifnd hnnyitga in a cuorrys olok ohhutgr AF dna loas idd'nt wnok ttah EGR saw a nthgi ni easeo,nnt os I donfu itsh inec adn neioccs ratecli in TapUetoD: uupepe.hteaiofo//mtnrgwo-:rgtrwdshts.p-txr-e-swtfneannt/la/epalaemcanostistcou +

i_hate_it_here I o'tnd dusdentnra hwy eEosgalhpa sasmp ti'ns hitgr +1

topgunber I uwold sya aolsagphee spsma dluow seuca demitemia titgrraogeuin ro iailynbti ot llwswoa pp.oreryl os we ulwod eb kogonli fro aid.hyspga +4

nikitasr27 In ngralee aseotenn aveh na teariumm ourvnse yessmt (e..g i)sniabkb adn I ihntk tath saol iepslpa ot eth A.SN htsT’a hyw oyu see so mnay ueouYTb sveodi of biabes niitmgov otu of het ebul otwuiht eevn gianchng tehir ecaf xenspi.sreo I dnot’ nk,owo babise era idewr +1

pakimd is eatimrum lesaaopgeh cnpsrheit hte oneasr why baseib psti pu kilm hnew asetpnr rupb ehrit iesbb?a +

chaosawaits ebbias urbp up ireht mkil cueasbe etyh owawlsl oto iyesgvalegrs ehnw eyth ee.df gruBinp meht plehs etg rid fo smeo fo the ari in hiter tchmaos dna lpshe etprven sontetinid mofr oot mchu ri,a thereby egeivrlni of tneaoilpt smctaho snpi.a +1

I don't understand why it would be immature LES and then start acting up now?! Shouldn't she have symptoms since she was born?

+10/- brise(86)

+2 upvote downvote
submitted by medbound57(8)

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I thnik thta eth aenwrs is not rpclioy i,nssteso hwihc ntsreeps ithw PTRLEEICOJ olinisobun- gvotimni s-w64k alciscl(syla rifst nrbo ybba )byo.

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+0 upvote downvote
submitted by sschulz2013(7)

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s@rbei - I hintk it si the mesa etcnopc as teh plcoyri enhtrc.isp In olripyc ntsess,io ti akest a ewf seekw rfo teh elcsum to cayltual wgor ohuneg to auecs na on,ucittosrb so spaehpr het emsa pntcoce lppieas ot hte SEL ecs-uml t'hsan adh meit to orwg gneouh to ekep cashmto esntcnto orfm gguignairrtte ni a ewon.brn athT ouwld meak esnse yhw it duwlo volseer vreo etim. ustJ a .uhhtotg

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feochromocytoma But why did ti eenrtsp onyl efatr 5 kwees or so frtea th?bri +

chaosawaits I ilongliary had ire"uamtm ES"L ulnti I tghhout too ahrd oatbu teh tael eaoprnitntse art(ef 5 w.ee)sk I oreandse a wkae ELS olwdu nepsetr csein thirb tub sagelphoae ssaspm dlouc peaphn aarcodyplils and terofeehr aegdnhc my .srwnae MFL +

+0 upvote downvote
submitted by ∗imgdoc(183)

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Jtsu to add ot twah otrehs hvae lyrdeaa etadrleboa :nopu

asgopehaEl smspa - alrrruige dondierazgsi nsaoctrtncoi of phleaaegso tmuleruaus,c lwodu ausce pdagahsyi, or idmeemtai uoargnetiirgt ni shti enw .rnbo hTis oulwd abrbpyol pnhpea thiw vyeer efe.d

utG iorotmlanat utgidM( iolnmaott)ar - nspsreet hiwt isbiluo iitnmovg edu ot undeolad tsnuotcbior iva daLd nsaBd mo.fairnot

shoeTohacpagaerle iaetrsa - uldwo etrespn ihwt ,socsayni gr,nooldi nda ssievcexe .nouggchi riA luwdo be neperts in hte cho,astm dna cn'ta apss a rasgaoctsni uetb htrhogu ot the a.omscth

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