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Retired NBME 25 Answers

nbme25/Block 2/Question#3 (reveal difficulty score)
The solid curve represents the normal ...
Fetal hemoglobin concentration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(19)
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srIedanec csniooetannrtc of etlfa olgonhimbe rseulst in a eltf tifsh of eth oeygnx tdnoasosciii veruc thiw the eciaeatnnmn fo eht miisoadgl oeipcvteoar ndiibng icattcscshaier.r

I ekli to mreebemr hte ,A!D"TEC natds HRTI"G mmo:enicn

  • C - OC2
  • A - Adic ere(siacnd ,aidctyi edrceeads p,H catlci )iacd
  • D - -23GDP, sm(ae as BP,)3G2-
  • E - xicsrEee
  • T - prTemteuera

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The effect of fetal hemoglobin having a left shift on the O2-Hb curve is due to the fact that the fetal Hb has a greater affinity to the mother's oxygen and can leech it during gestation. It is similar to the effect of human placental lactogen (HPL), a hormone secreted by the placenta during pregnancy peaking at around 35-42 weeks. It stimulates insulin production but confers insulin resistance to the mother, thus shunting glucose to the baby. This can sometimes cause gestational diabetes if the mother cannot overcome insulin resistance. Both fetal Hb and HPL act to shunt resources to the baby, oxygen with fetal Hb, and glucose with HPL.

+/- shak360(19)


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