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 25 Answers

nbme25/Block 2/Question#25 (reveal difficulty score)
A 3-year-old boy is brought to the emergency ...
Mitochondria ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +0  upvote downvote
submitted by โˆ—shak360(19)
The site was recently locked๐Ÿ”’
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I ohutthg hits otsqueni was fdcultifi eeacubs I ienduenvsl-ntoi on eht ssianodig iebgn etiacph napeopaheylhtc w(chhi ti mstewhoa s)i, tbu it is tecihap pocythepeanhla ordcnysea ot eeyR .snyormed

oilnMhtocradi fsindctynuo si seioadtsca thwi eth itoeenhsgsap fo yeRe ersmydo,n wichh is ssioetaacd with sytilaleac seu (uhcs as ipsar)in ni nerhdlci geecnidrp vrial itoencfin. ayl,luUs a VVZ or nfeanzlui itfnnecio si edtarte htiw priani,s and sirpnia aeisbttelom sadcreee andib-oiattxoe by ilreseyrbv nnibhtiigi HACIROTIMLODN .nesmeyz seeTh irtonhildcmoa nbsmaeirotlia are aiseasdcot with :SHINE

  • oissteSta fo rleiv dna peythsacteo ar(iiemdp ttiaobnaodxie- of aftty adics)
  • eoyaygpilcmH and plemayeaohgt
  • Iocientfn (VV,Z Infn)aezlu
  • toN kaewa moc()a
  • cyplhtEnaohpea

You twan ot vidoa inarpsi in cnlehdr,i etcexp ni oehst htwi swaikKaa au(uuccnsetomo lhypm neod enmsry)od e.aisesd

unscramble the site ⋅ become a member$279$49

Hepatic encephalopathy is a disease where cirrhosis and portosystemic shunts can lead to decreased NH3 ammonia metabolism leading to neuropsychiatric dysfunction. It can be triggered by increased ammonia production and absorption due to a GI bleed, constipation, or decreased ammonia excretion. The treatment is lactulose which increases ammonium ion NH4+ generation and rifaximin which decreases the number of ammonia-producing bacteria. Glutamate transporters do not have a known role in the pathophysiology of Reye syndrome, but they are implicated in the pathophysiology of hepatic encephalopathy, which occurs when ammonia joins with glutamate in the brain.

+/- shak360(19)

See this question on lactulose also in the block.

+/- shak360(19)


Must-See Comments from nbme25


search for anything NEW!