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NBME 17 Answers

nbme17/Block 2/Question#48 (reveal difficulty score)
A 66-year-old man with stage IV colon cancer ...
Loperamide ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—bingcentipede(356)
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Activation of the mu-opioid receptor in the colon can slow gut motility. There are two opioid agonists that can treat diarrhea. The first, loperamide, does not cross the BBB and cannot lead to addiction or CNS adverse effects. The second, diphenoxylate, has some addictive potential by crossing the BBB (thus, you have to give atropine to prevent addiction).

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