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NBME 21 Answers

nbme21/Block 4/Question#41 (15.8 difficulty score)
A 66-year-old man with stage IV colon cancer ...
LoperamideπŸ”
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 +10 
submitted by hungrybox(968),
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mrepoai:Lde tgonsAi at o-diopiu po.tseecrr wsolS tgu ytiimolt (mrbe,emer ntoiosicnapt si a mcnoom eids tfeecf orf all s)iopo.id

uqzi yoeusfr:l

:Q luodW a jiunke antw ot seu mLaeipoe?dr

:A oN, it ahs opro CSN aoepnternti hwi(hc is wyh it has a lwo aiedctvdi eionpat)tl.

:Q dlWuo a nkeuji rharte vaeh rmnhieop or oheriun?pnbrep

A: enhri.poM tBoh ear do-piuoi oaitss,gn tbu oprihmen si a fllu tsnogia ilweh oubhprrnnieep is nlyo a ailtarp isnt.oag

:Q hatW auotb nepromih .vs ?cnioede

:A kicTr o,ntqueis tboh era aatpilr tgosi.ans

cienfuegos  Thanks for passing off the knowledge. Regarding the last part, aren't morphine and codeine full agonists? +5  
champagnesupernova3  Yes they are +2  



 +1 
submitted by peridot(57),

SPOILER ALERT!!

Do not read ahead if you have not taken NBME 22!!!


I'm smh at this question because in NBME 22, they describe a scenario in which loperamide caused CNS effects - particularly ventilatory depression and we were supposed to know that it was loperamide. I guess this question specified "little to no" rather than "none at all" but come ON, I'm annoyed that we have to separate such nitpicky detail when one question emphasizes its lack of CNS effects, then they turn around and test us on an exception of this exact same content. /end rant

This was not very informative at all, I just wanted to consolidate a similar question that I knew I had just seen but it turned into me just being angry I'm sorry.




 -6 
submitted by divya(58),
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liaporemde is asliclaby eoeldihxpyatn + rtoanpie. tnaoipre si eddda to cedure eubsa laeptoitn by entxlihp.eyoad

divya  ugh sorry. this is wrong. idk why i always thought loperamide is diphhenoxylate +3