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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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wgAniesnr shit tunoesqi urqieesr lerenga genodlwek fo eht hoclieametacn ythsessni tywphaa F022A(0 3.8p)

heT rapapoch I toko ot sith eoqtunsi was iaylmn amiiinlneot fo ongrw rnsw:aes

  • OMA nmoonae(im ioxeads) ucldo be mieltndeia bsaceeu she is giakcln nireneephip nad nscei AOM is ionvedvl ni eth rkdnweabo fo sclheacanomt,ei a fideieycnc in OAM owldu riseeacn cotnscarionnte fo epnhopernierni nda hoter ocaceias.lnmhet
  • rnineNpeeiorph rpaoerrsttn oducl be madlnietei bceusea iniiboihtn fo ktpeeura of popneiriernhne wduol, ,angia rnisaeec penprioernheni tticonnaesornc nda hse hsa dreecdsae nitecco.tnaron
  • riensToy herdoyasyxl nac eb ntiaieldem eeusacb ti is het trfsi stpe in onlheimeactac sentshyis and ideurqre rof adinmpeo shitnsse,y nad as seh has dsecanrei pinedmoa htsi pets si nto .difeecitn
  • imnoA dcai las,oyxercbdae or amLn-oi ciad axdasecerlboy loas celadl POAD rsaaodxcyeble, si laso irqedeur in mdeianpo tessniysh and nca eb iialntmeed eucabes fo her enacresdi nmaipeod nnaonc.eoticrt

ihTs evasle eht earwn,s nmedapoi tyoexah-eblayrsd.

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waitingonprometric  oeswmeA e,narsw ubt tjsu ot dad a tib oemr otabu ywh hte rceorct newrsa kmaes s.esne peDanmio ylxbyhreseoaatd- is hte neymze htat erstvocn oniepamd to prhnoenrnepie.i Teh,efrore teh necerisa in dinamepo oc.nc when sginri from peusin ot ndin,gsta si yrnitg ot tlel us htta hre dybo is impgran pu eth NSS ot pteecosamn orf lla of the olbdo hirgsun to erh efet hwen hse tandss .up iaRnpgm up the SNS erseiuqr cindptrouo fo ct,heamaicsnole but ouwitth sith nmyee,z sietysnhs fo EN lnoy gets ot teh oeimdpna geast dna lost fo peaimndo bskca pu bedihn stih m.eznye +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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