need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 22 Answers

nbme22/Block 2/Question#18 (reveal difficulty score)
A 32-year-old man comes to the physician ...
Reverse transcriptase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +5  upvote downvote
submitted by โˆ—b1ackcoffee(115)
get full access to all contentpick a username

as @mtfp said, NRTI need to be phosphorylated by HOST CELL thymidine kinase, mutation in viral kinase has no role in NRTI resistance.

Need to put as separate comment as wrong explanation is at top.

get full access to all contentpick a username



 +3  upvote downvote
submitted by โˆ—adisdiadochokinetic(89)
get full access to all contentpick a username

This question is so annoying but this explanation is supported by several papers.

get full access to all contentpick a username



 +1  upvote downvote
submitted by โˆ—lamhtu(139)
get full access to all contentpick a username

It appears that although NRTIs are phosphorylated by thymidine kinase, resistance is actually due to mutations in the actual reverse transcriptase rather than thymidine kinase itself.

get full access to all contentpick a username
forerofore  mutations in thymine kinase are more frequent in herpes drugs +4
mtfp  NRTI need to be phosphorylated by HOST CELL thymidine kinase, mutation in viral kinase has no role in NRTI resistance +14

as @mtfp said, NRTI need to be phosphorylated by HOST CELL thymidine kinase, mutation in viral kinase has no role in NRTI resistance.

Need to put as separate comment as wrong explanation is at top.



 +0  upvote downvote
submitted by โˆ—jessikasanz(9)
get full access to all contentpick a username

What does Zidovudine act on? It is a rev transcriptase inhibitor. Resistance often occurs at site of drug activity.

get full access to all contentpick a username



Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
mcl on Area labeled โ€˜Dโ€™
liverdietrying on Release of stored thyroid hormone from a ...
kernicterusthefrog on Displacement
keycompany on Negative nitrogen balance
joha961 on Displacement
imgdoc on Area labeled โ€˜Cโ€™ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
yotsubato on Phase variation
bubbles on Acute retroviral infection

search for anything NEW!