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NBME 23 Answers

nbme23/Block 3/Question#8 (reveal difficulty score)
A 62-year-old man with a blood pressure of ...
Labetalol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +8  upvote downvote
submitted by โˆ—drschmoctor(137)
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B1-selective antagonists start with a letters A-M & end in -olol.

  • acebutolol, atenolol, betaxolol, bisoprolol, esmolol, metoprolol

Nonselective antagonists (B1=B2) start with letters N-Z & end in -olol.

  • nadolol, pindolol, propanolol, timolol

Nonselective alpha & beta antagonists end in -ilol or -alol

  • carvedilol

  • labetalol

Source: FA 20 p245

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focus  The mneumonic for B1 selective antagonists: "A BEAM" +1



 +7  upvote downvote
submitted by โˆ—sajaqua1(607)
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Labetalol is a nonselective alpha-1 and Beta adrenergic antagonist. In the vasculature, alpha-1 receptors are responsible for vascular constriction which increases blood pressure/systemic vascular resistance. Antagonism would decrease the BP. At the same time, Beta-1 receptors in the heart are responsible for a positive inotropic and chronotropic effects, increasing both heart rate and contractility. Antagonism at the Beta-1 receptors in the heart would decrease heart rate.

A) Albuterol- short acting Beta-2 agonist, used for bronchodilation in the lungs. There is typically no large systemic absorption. C) Phentolamine- a non-selective alpha-1 and alpha-2 reversible competitive antagonist, it can be used in hypertensive emergencies or in Raynaud phenomenon. It would not effect heart rate. D) Prazosin- an alpha-1 antagonist, it can be used to treat hypertension or to treat nightmares associated with PTSD. It would not effect heart rate E) Propanolol- a non-cardio-selective Beta antagonist, used for many cardiac issues, for anxiety, and in pheochromocytomes. This would not affect systemic vascular resistance.

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imgdoc  Phentolamine would cause reflex tachycardia. B2 blocking activity of propanolol would cause vasoconstriction. +



 +5  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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Labetalol = "alpha"-"beta"-lol

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Andrew Yang for president. is it 50 characters yet?

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