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NBME 25 Answers

nbme25/Block 2/Question#8 (reveal difficulty score)
The breakdown of dipeptides and tripeptides ...
Intestinal mucosa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(19)
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Dtdspeiiep dna ipiesdtrpet ear prddceou by the tivyacit of pstiyrn and mynisphotyrc witihn het umlen of hte oudmuedn. eFer monai dscai rae drpcuedo nuop uhrfret iodetgisn of tseeh almls diteepsp niithw het hsrub rborde of the iintlaetsn mca.osu

heT enlmu of the dumneoud si nrgwo aceuseb htta is ewreh earlgr moelpxc epdlsppyoeit ear eknobr wond ot d-i and deiptretpis but teh onicat fo nktiag d-i dna peetsptiird ownd to viluiiddna inmoa cisad paphsne ni het intsalntei sc.auom

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Maybe a way to remember this would be to think about Hartnup disease, an AR deficiency of neutral amino acid (primarily tryptophan is implicated) transporters in the proximal renal tubular cells and on ENTEROCYTES. This leads to neutral aminoaciduria and decreased absorption from the gut and little breakdown of dipeptides and tripeptides to amino acids in the intestinal mucosa. Decreased absorption from the gut causes decreased tryptophan for conversion to niacin and pellagra-like symptoms (diarrhea, dementia and hallucinations, and dermatitis in the C3-4 circumferential "broad collar" or "Casal necklace" dermatome, hyperpigmentation of sun-exposed limbs).

So if you can't convert dipeptides and tripeptides to amino acids in the ENTEROCYTES in the INTESTINAL MUCOSA, then you can get Hartnup disease.

+1/- shak360(19)


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