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Retired NBME 17 Answers

nbme17/Block 4/Question#34 (reveal difficulty score)
A 16-year-old girl comes to the physician ...
Dopamine ฮฒ-hydroxylase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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rgwnieAns ihts snqetoiu eeusrqir nregela gledwenko fo het hlmoaecnteica stsnyhies watyhpa (F202A0 3)p.8

ehT cphraopa I tkoo ot htsi eiusqnto wsa nlamyi aeiiilontnm of gonrw sewsrn:a

  • MOA (ineomnamo dsxea)oi lcudo eb ieadlnmtie aubeces seh si lgicnak rinhieeepnp dna nseic AMO si evnlvdio ni the dbnewaokr fo ecsa,anclohetmi a icediecnyf in AOM ulodw eicreasn tscctonrnnoiea of ennenheiorpirp dna rhtoe eccnlahi.maesot
  • erNippnnehieor nersrrattpo udloc eb mtdaileien ucbseea oiiinhbtin of keauprte fo ienrerinppoehn d,owul aan,gi asieenrc hponriepeinnre nonacoctenstir dan she hsa rdsecedea ecnnt.otrciano
  • iToyerns ylsraheodxy can be teiadlemin uacebes it si het itrfs epst in hemeaactoicnl stsnsiehy dna irrqeedu fro ompenida ehsyiss,nt dna sa hse sha sdncaeier aepoindm hits pest si not i.ctndeeif
  • Ainmo dica aysaelbcrdexo, ro aminLo- cdai xalcedsboeyra olsa adlelc PDOA sdxlcbareo,eay is alos qeerudir ni iaednopm snsiestyh dan cna be diltemnaei csubaee of ehr ineraceds nadeiomp ntotireonc.nca

ishT sleave hte rasw,en inodmaep ys.abtlrdxaeyeho-

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waitingonprometric  Aseoewm rsan,ew tub ujst to dad a bit mero aoubt why the roccret warsne smkea es.sne ainpDemo ydoaxase-lhyrtbe is eth ynemez ttha scnvtroe odpianme ot rieoen.nnphprei Tf,erreeoh hte creesian ni miaodepn n.cco hewn niirsg mrfo nsuepi to ntgdn,ias is yinrtg to tlel us atth ehr doyb si amirpgn up het SSN to ncmposteae fro lal of teh odlob sriuhgn ot ehr eeft newh hes dsnats .pu naipmRg pu het SSN qreesiru idcrutpono of thaaeclenoi,scm btu ihowtut siht me,ezyn yntsisesh of NE ynol gtse ot teh oadneimp tsaeg dna stol fo odmeaipn cabsk up hibdne isht zme.eyn +15

Perhaps worth noting here is that Dopamine Beta-hydroxylase is a membrane-bound enzyme found in the vesicular membrane. This means that the conversion of Dopamine to Norepinephrine actually occurs within the synaptic vesicle. Norepinephrine is the only transmitter known to be synthesized within synaptic vesicles. This is mentioned in less detail in SketchyPharm 2.2 Indirect Sympathomimetics.

Also, per FA, this reaction requires Vitamin C as a cofactor!

+2/- baja_blast(219)

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