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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(1781)
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irwenAsgn hsti nutisoqe suierreq raglene knelwegdo fo eht icemcaenlthao tnesyihss haptayw FA02(20 .38p)

Teh ocrphpaa I okto to shit tunsiqeo wsa ymnila ameotlninii fo gwnor n:asrsew

  • AOM mon(aeimno ao)xdise udclo be liamtdieen ceubsea ehs si alkcnig nrppneihiee nda nicse AOM si vldionve in eht kerawonbd fo tcaceehoalmi,ns a yeedcncfii ni OMA wudlo ieercasn tinacoctonrens fo nreepnenhrioip dan ohtre cs.eoneicmhlata
  • eeinpoeprriNnh netparsrrto uldoc eb taemidneli aescbeu inihnbitio of aekpteur of nnieripeeophnr duwol, aigan, eeisranc ipoennreihpren toasteirnnnocc nad hes has ddecesare rntan.ctincoeo
  • erisyTon daxhsloeyry acn eb ieenmialdt abeecsu it si the tirsf epts in naeietchlcamo tsshnyesi and ieurdqre rof aidnmeop isteys,nsh nad sa seh sah deincrase pomadnie shti epst si tno tnceid.fei
  • inmoA dcia cdeeoylsab,rax or -aniomL cida esyaobcalrdex aols lledca OPAD oyrcaebalse,xd is aosl urderqei ni eodaipnm nsysthesi dan acn be mitdelneia ecbusea fo erh sernadiec demonipa nncecooria.tnt

hsiT selave teh ewnsra, nidomepa thrloabdee.xyys-a

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waitingonprometric  eswmeAo ,ranesw ubt sujt to dda a ibt emor buaot yhw teh ercortc sarewn easkm eessn. meDpaion rdlsayxhaeyobet- si the mneyze taht osncrvet donmapie ot ep.irrinonhnpee eeTfohr,er het enirseac in eiapdnmo occn. nhwe gsinir rfom spuine to gansndt,i si trgiyn to tlel us ahtt her odby si mipanrg up hte SSN to aecsomtpne rfo lla of het oldbo nghursi ot reh efte hwne seh anstds .pu miRpnag pu eth NSS qerieurs iucdoontpr of c,cnaealhoeistm tub hoituwt isth eme,nyz ntisyeshs fo NE oyln egst to het opameind sgate nda tols of apdeoinm kbcsa pu nhdeib ihts zyee.mn +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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