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Retired NBME 21 Answers

nbme21/Block 3/Question#7 (reveal difficulty score)
A 65-year-old man comes to the physician ...
DNA fragmentation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +20  upvote downvote
submitted by โˆ—feronie(20)
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Orchiectomy = โ†“ testosterone production = โ†“ DHT => prostate cells undergo apoptosis. (This mechanism is similar to using 5ฮฑ-reductase blockers to treat BPH.)

Apoptosis is characterized by DNA fragmentation (pyknosis, karyorrhexis, karyolysis).

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hungrybox  DNA fragmentation histopath: https://i.imgur.com/nxYW8vL.png Note that degradation in apoptosis is progressive. From pyknosis -> karyorrhexis -> karyolysis. Aka condensation -> fragmentation -> complete dissolution. +32



 +6  upvote downvote
submitted by โˆ—cytocoins(6)
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With the drop in testosterone (and therefore DHT), some of the prostate cells will undergo apoptosis. Apoptosis = DNA fragmentation (180 bp segments).

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 +2  upvote downvote
submitted by _pusheen_(7)
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Alternatively, all the other options pointed to things that would actually increase testosterone production and its effects; orchiectomy would obviously not do that.

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 +0  upvote downvote
submitted by โˆ—madamestep(17)
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Why don't we see a decrease in the size of the prostate gland? Is it a difference between atrophy vs. apoptosis?

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 -11  upvote downvote
submitted by โˆ—step1soon(51)
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Orchiectomy: One or both testicles is removed through a small cut in your scrotum. tissue removal from body โ†’ no nutrients โ†’ cell death

  • hall mark of cell death = DNA fragmentation
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dhkahat  no no no no no lol +2



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