NBME Answers : issamd1221's page

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submitted by ajguard26(41),

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hoTerfeer, the aedgma si ulyepr ootmr nad syoresn ni eht telf lge, ihchw is no eht adeilm stpeca of eht aonfltr dna ialraetp oselb erieycvpetsl. sihT eaar is dilpsepu yb het airtoern breacrle earr.ty

issamd1221 contralateral deficits +

cbay0509 thank you +

flapjacks I think her 60 pack-year history suggests possible PAD and therefore loss of proprioception in the lower extremities, leading to an unfortunate distractor +

an_improved_me I don't understand why you would consider the propioceptive deficit a distractor... doesn't the DCML (which carries propioceptive information) project to the primary somatosensory cortex (via the VPL?). In this case, a lesion to the right anterior cerebral artery, which supplies both motor and sensory information to the lower limb would lead to somatosensory, propioceptive, and motor deficits. +

submitted by seagull(1583),

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out fo cioui,rtys woh yma eoeplp kewn sti?h otnd( be hys ot yas oyu ddi or ?n)ddit

My ovyetpr dnitceuao 'tdidn anignri iths in em.

johnthurtjr I did not +3

nlkrueger i did not lol +

ht3 you're definitely not alone lol +

yotsubato no idea +

yotsubato And its not in FA, so fuck it IMO +1

niboonsh i didnt +

imnotarobotbut Nope +

epr94 did not +

link981 I guessed it because the names sounded similar :D +14

d_holles i did not +

yb_26 I also guessed because both words start with "glu"))) +27

impostersyndromel1000 same as person above me. also bc arginine carbamoyl phosphate and nag are all related through urea cycle. +1

jaxx Not a clue. This was so random. +

ls3076 no way +

hyperfukus no clue +

mkreamy this made me feel a lot better. also, no fucking clue +1

amirmullick3 My immediate thought after reading this was "why would i know this and how does this make me a better doctor?" +8

mrglass Generally speaking Glutamine is often used to aminate things. Think brain nitrogen metabolism. You know that F-6-P isn't an amine, and that Glucosamine is, so Glutamine isn't an unrealistic guess. +4

djtallahassee yea, I mature 30k anki cards to see this bs +4

taediggity I literally shouted wtf in quiet library at this question. +1

bend_nbme_over Lol def didn't know it. Looks like I'm not going to be a competent doctor because I don't know the hexosamine pathway lol +21

drschmoctor Is it biochemistry? Then I do not know it. +5

snoochi95 hell no brother +1

roro17 I didn’t +

bodanese I did not +

hatethisshit nope +

jesusisking I Ctrl+F'd glucosamine in FA and it's not even there lol +

batmane i definitely guessed, for some reason got it down to arginine and glutamine +2

waterloo Nope. +

monique I did not +

issamd1221 didnt +

baja_blast Narrowed it down to Arginine and Glutamine figuring the Nitrogen would have to come from one of these two but of course I picked the wrong one. Classic. +1

amy +1 no idea! +

mumenrider4ever Had no idea what glucosamine was +

feeeeeever Ahhh yes the classic Glucosamine from fructose 6-phosphate question....Missed this question harder than the Misoprostol missed swing +1

surfacegomd no clue +

schep no idea. i could only safely eliminate carbamoyl phosphate because that's urea cycle +

kernicteruscandycorn NOPE! +

chediakhigashi nurp +

kidokick just adding in to say, nope. +

flvent2120 Lol I didn't either. I think this is just critical thinking though. The amine has to come from somewhere. Glutamine/glutamate is known to transfer amines at the least +1