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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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 +7  upvote downvote
submitted by โˆ—cassdawg(1781)
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nAniersgw ihst oeutisqn isereruq rneagel nkldegowe fo teh tmaeiccehalon eisnyssth paywtah 2F(200A )83.p

ehT pcoaaphr I ookt ot ihst sntqeiou asw iynalm imatlniieon of rwngo enssarw:

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  • oirrpNnipehnee spnreoratrt ouldc eb adtiiemlne csbeeau iitnihbion fo etkeraup fo peniiorenhenrp uwd,lo gaa,in acnseier enrepiehpnnoir onoscctetrinan nda hse has acesrdeed tircnanonot.ce
  • rioeysTn xloyeydhasr cna be ielientmda seacube ti si teh fsirt tsep in oetmeniahcacl ssnieyhts nda urieerdq orf podnimea is,ynthess dan sa hes has ieeasdrnc maidnepo this pset si tno ecenti.ifd
  • oiAmn daci c,deebaxlyaosr or aominL- ciad ecxaalsdeboyr olas allced APOD eoa,srxdcalyeb si osla reqrdiue in oinpdmae esstnihsy nda nca be niamildtee beeuasc fo erh ieneascrd imoapned nrentn.oocctia

This eevlas teh wna,sre piadmeon eals-aty.bdhorxey

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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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