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Retired NBME 23 Answers

nbme23/Block 1/Question#18 (reveal difficulty score)
A 15-year-old boy has nasal polyps and ...
Enzyme B ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: biochem pathways 35

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submitted by โˆ—sajaqua1(607)
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nemEzy A tasdsn ni rfo hppshooiPesal ,2A ngrntiu lohopipipshds in teh lelc amrenemb oitn hcicoanradi sa.dic rFom h,etre zymenE B ntssda rfo yesexnCyoolcag X,C(O) eilhw nEzmey C nssdta rfo -n5iapeoLgsyxe .-O5L() L-5O rdocepsu 5,E-EHTP hiwch is erndut iotn oenilusrteek. tnoeeeiskuLr paly a bdoeul orle ni netsev keil tsaahm, sebuaec yeth seuac ornccocnttisbniorho esne( in shti pta)eint adn yb cgtnia as hilmccae tscnrttataa rof taamrolyfnmi sl,lec wsoeh iviyctta wlil slceo hte iaywar fru.hret By ciblnokg OCX (lupysebmra thiw na ,NSAI)D we leaev rome fo eth eusstrtba roanciiadch dcia rof OL5-X ot iaultemtyl rvtceno noit inkoteusre.le ishT is het sisba for mti,lrnaaetp-rstainnsoha-i chhwi si tyrfqlunee atoecisads htwi ansal yppl.so rtaesm'S( ).rtadi

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FA 2019 pg. 475 on aspirin - + NSAID that irreversibly inhibits both COX-1 and COX-1 by covalent acetylation--> decreased synthesis of TXA2 and PG. + S/E: gastric ulceration, tinnitus (CN8), allergic rxn (especially in patients with asthma or nasal polyps). chronic use can lead to AKI, AIN, GI bleeding.


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