NBME 17 Immature lower esophageal sphincter (NBME Answers)

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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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submitted by ∗andro(269)

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tDnreaifefli nDiissago fo olen/NoNwnbraate itgmnoVi

egBi-nn oleohgresatasapg luxref ( e.i euirtamm rloew ghesoalape ntripehsc ) ertogtaigurin of dfoo oyrhlts refta nefidge .
oN ferthur sopmtsmy , thelyha hnilrcde wtih mrlano dlevtmnoeep

Hiy-rorchppet oicyrlp nistesso
tgeotrguiiRna - itceeoljrp osbuonniil intgoimv rllcottyeee nmliaesacb ( kalsolsai adn yeamploahki ) * hclspiya onntmxaaiei may lrveea na oevil msas no opnlatapi of mgirsipteau
c*lyiy tapl ttassr rmof tewneeb 2nd nda 7ht eekw fo age

gdti-Mu luolvvus roMiatal/tno udelDao/n sareati * iiusbol igmoivtn * manaoblid iettonidns * gngaIim mya rleeav issng eilk hte lbueod bubbel sgin ( ondeladu traseia ) cet

:eNot heT slti is tno isvuetehax sa eerht are aynm emor cuseas docsaeiats hwit ernonbw iviotmnig

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covid_19 oT add on to Bgenni ,RGE I odculn't dfni aingthyn ni a ursroyc kool orhghut FA dan losa ntdd'i wnko hatt RGE saw a nghit in nt,sneaeo os I uodnf hsit ncei dna ccsoein caitrel ni a:tTpUoDe wmp/rcutoutrgtptruxmco/ap.-etfewnhea:o.eos/tatsienttdlegen/nssawnsfail-par--oh +

i_hate_it_here I 'tdon udnstenrda wyh Easeoalghp masps s'itn thigr +1

topgunber I oluwd sya olshaeapeg pasms wloud usace dimmeetai nrugorittiaeg ro atyiilnib to owawlsl rplpe.oyr so ew ulwod eb kingool fro .adasihgyp +4

nikitasr27 nI ngerael aeoensnt avhe an miuaemtr rsnovue ymstse (..eg biikbnsa) dna I itknh tath loas pipasel to het SN.A hts’Ta hwy uoy ese so yamn oeubYTu edsovi fo iesbba vmitgoin tuo fo the leub iwhtuto vene nghcgian riteh face xes.psnoeri I o’ndt kwono, esbbai rea eidwr +1

pakimd si emratmui agpeelhoas eicsnrhtp eht aonres hyw ebbisa psti pu kmil wneh rtaepsn pbur tiher ebi?abs +

chaosawaits isbabe rubp up irhet limk aubsece ehty owlwasl oto ivegrglsasey wenh teyh deef. uBnrigp hmet hlspe egt dri fo msoe fo eht ria in hrtie cmatosh and plshe ertpvne osttndeini mrfo oto chmu ra,i eteyrbh vrigelein fo nttopaeli oacsmth naips. +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)

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submitted by medbound57(8)

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I intkh that the sranew is tno pliycor snotsse,i whchi senetsrp whit OEEILPRTCJ nnoslui-ibo mivtogin s4w6-k slccayial(sl rtsfi nbro bayb .)byo

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submitted by sschulz2013(7)

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bsie@r - I hkint ti si hte aesm tceopnc sa eth icplory rpinhec.st nI lyrciop soiss,tne it tksae a ewf ewske rof eth mselcu ot ualcylat gwor oehnug to cueas na rouit,bcnots os srpeahp the asem ctonpce sapeilp to eht LES elcums- 'tnash had time to wgro ognehu to peke smthaco noctstne rmof etrgrngugtiai ni a nwne.bro thTa oduwl kmea sesne wyh it uwold rovsele oevr m.iet Just a thgt.huo

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feochromocytoma utB hwy did ti rstpene yoln ratef 5 eeksw or os tefra hitr?b +

chaosawaits I niyliarlog adh u"mtermia ES"L tnuil I htgtouh too adrh botua eht tael onieaspttern fe(tar 5 ewk.es) I eedroasn a awke LSE uldwo eetpnrs seinc bihrt utb agpeaoslhe sssmap lcuod ppnaeh ilcrpaosyald nda feethorer edhcgan my snawre. LFM +

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submitted by ∗imgdoc(183)

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sJtu to add to hwta horets ehva yraleda raetaldboe un:op

aaolEpsheg spasm - uigrearrl adnodsriezgi cinotaonsrtc of slheegaoap rtuuamle,scu wuldo acseu sp,gydahia ro iiemdeatm ruenoiarttgig ni itsh wen r.nbo hiTs ulwdo ryolbpab appehn hwit ryvee dfee.

uGt olatiotmnar (Migtud loromtait)na - srpentes thwi olsuiib vgntimio due ot oedunadl btsootruinc iav Ldad Bnsad .noofmrita

aephloTecergasoah taiersa - oudlw enpetrs ihwt sncais,oy irn,goodl nda siesexcve .ghgcioun Air wudol eb retpsen in eth a,chsomt nda cnt'a sasp a gnrssaatcoi tebu hhutogr to eht cmt.soha

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