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Retired NBME 21 Answers

nbme21/Block 3/Question#44 (reveal difficulty score)
A 23-year-old woman develops persistent ...
Stabilization of mast cell membranes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—mcl(671)
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While antihistamines with action at H1 receptors are used for allergies, H2 antihistamines are typically used for ulcers. Therefore the best answer is stabilization of mast cell membranes. These drugs (cromolyn) prevent vesicles of histamine from fusing with the membrane.

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madojo  Take H2 before you dine, remember H2 blockers for GERD +



 +13  upvote downvote
submitted by โˆ—hungrybox(1277)
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other answers:

inhibition of H2 receptors: (for GERD) prevent gastric acid secretion (cimetidine,

inhibition of phosphodiesterases (PDE):

  • theophylline (asthma) inhibits cAMP PDE
  • -nafils (dick pills) for ED inhibit cGMP PDE

ฮฒ2 agonists: (for asthma) cause bronchodilation

  • albuterol (short acting - A for Acute)
  • salmeterol, formoterol (long acting - prophylaxis)

(idk lymphocyte membrane stabilization)

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hungrybox  H2 blockers are the -tidines +2
yotsubato  > dickpills lol +18
temmy  hungrybox, you are a life saver +1
cienfuegos  Via FA: take H2 before you dine, think "table for 2" to remember H2 +2



 +2  upvote downvote
submitted by bartolomoose(3)
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The unnamed drug class in question are the cromoglycates, the two most notable being cromoyln and nedocromil

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