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NBME 20 Answers

nbme20/Block 4/Question#33

A 65-year-old woman with cardiovascular disease is ...

Increased bile salt

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submitted by xxabi(131),

Bile salts help dissolve gallstones that have formed in the gallbladder, used in patients refractory to surgery or prefer to avoid it.

xxabi  To add, bile salts are amphipathic which allows for the emulsification and solubilization of lipids in an aqueous environmen +2  
md_caffeiner  To add more for people like me who dont even know what amphipathic means:, am·phi·path·ic /ˌamfəˈpaTHik/ (of a molecule, especially a protein) having both hydrophilic and hydrophobic parts +1  

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submitted by eadgar(0),

urosodiol increase bile salt. Decreases biliary cholesterol by suppressing hepatic synthesis and secretion of cholesterol as well as inhibiting intestinal absorption.