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Retired NBME 17 Answers

nbme17/Block 3/Question#36 (reveal difficulty score)
An 18-year-old man with Crohn disease is ...
T-lymphocyte function ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: Immuno

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 +3  upvote downvote
submitted by โˆ—cheesetouch(250)
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Glucocorticoids inhibit Nfkb, suppress both B and t cell function by decreasing transcription of many cytokines. Induce T cell apoptosis FA 2018 P120

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submitted by โˆ—icedcoffeeislyfe(56)
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The prednisone will induce T cell apoptosis (FA2020 pg 120)

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cheesetouch  FA2018 p120 +



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submitted by kbizzitt(9)
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I also looked at it this way: Crohn disease is T-cell mediated (noncaseating granulomas). Major factor in the promotion of granulomatous inflammation are CD4s, which you would want to inhibit.

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submitted by โˆ—saqeer(6)
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cortisol

Inhibits WBC adhesion leading to neutrophilia which means it alters neutrophile function as well

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