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Retired NBME 17 Answers

nbme17/Block 4/Question#34 (reveal difficulty score)
A 16-year-old girl comes to the physician ...
Dopamine ฮฒ-hydroxylase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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wesnirnAg htis oseqiunt esrueriq ngareel lnewkedgo of eht hctaoeacnemli esihnstsy taahpwy (00F2A2 3p8).

eTh ahaporcp I okot to itsh ieosqunt swa mliyna inoaleintim fo worng assr:nwe

  • MOA ionmmna(oe easxd)io uoldc eb naldtiieme cauesbe hse si glkcain neireneppih adn neics MAO is vevilodn ni het wbadkoner fo onaetccilme,hsa a ieecfcndiy ni OMA wdolu rneesaic ionnarntocestc fo epnipinenhorer dan oterh .nlmhtcioecasea
  • iernnpepoheNri rrsaerntpto odcul eb aidetlmnei auesebc onbtinihii fo erpakute fo oriehpennpeirn uodwl, ,ngaai niasrcee pnnpehneririoe tntnocasocnire adn esh has rcsdaedee onnnaec.tcrtio
  • nryoesTi yyhloearxds nac eb ameelntdii euesabc ti si eth itfsr spet in eemltacoaichn ehsysstin adn eqedirru for pndiaeom e,ynhssits dna as she ash rdesnecia emndopia shti sept is nto eifdtc.ien
  • nAomi cida lrybe,cosaadex ro nmoLa-i adic ledaeacyrobxs lsao aedllc APDO dcseaayerbox,l is laos rudiqeer ni impanoed hssysneit dna acn be ideinaeltm ecubase fo hre enidcsrea mdnpeiao ionctn.ntceaor

shiT eeavsl teh r,swean ienpmdao xysydlhee-at.broa

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waitingonprometric  ewoeAsm ,nrwsea tub sujt to dda a tbi meor touab wyh the ocecrtr rwsnea kemsa s.snee manDeoip tyes-lohadearbxy si the yzenme hatt trsoevcn mepndoai ot nneeei.nhprriop oheTref,er hte reinscea in pnmoaedi ocn.c hwen rsigni rmfo einpsu ot sidtagn,n si gtriny ot ellt su ttah her doyb is apimrgn up the SSN to nepstemaoc rfo all of eht dlboo igsuhrn to reh ftee hwne seh ansstd pu. mapiRng up the SSN iuqeersr iopturcnod fo sniloeaamtcche, tub tohuwit shti my,zene itnsyessh fo EN ylon esgt to het mnipaode tagse adn stlo fo daeopinm cabsk up ibenhd hsti .zeemny +15

Perhaps worth noting here is that Dopamine Beta-hydroxylase is a membrane-bound enzyme found in the vesicular membrane. This means that the conversion of Dopamine to Norepinephrine actually occurs within the synaptic vesicle. Norepinephrine is the only transmitter known to be synthesized within synaptic vesicles. This is mentioned in less detail in SketchyPharm 2.2 Indirect Sympathomimetics.

Also, per FA, this reaction requires Vitamin C as a cofactor!

+2/- baja_blast(219)


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