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NBME 25 Answers

nbme25/Block 2/Question#8 (reveal difficulty score)
The breakdown of dipeptides and tripeptides ...
Intestinal mucosa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(19)
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pidptseeDi dna dettierpips aer dorecudp yb hte aivtiytc of inpsrty adn tnhimsypoyrc tnwhii hte elnum of het m.ndudeuo eeFr iomna sdcia aer corudepd puon errtfhu ieidotnsg fo seeht lalms ppeetsdi iitnwh the bhrsu dorreb fo teh ntlitniesa cum.soa

The lmneu fo het neoddmuu is grnwo beuseca ttah si eerwh lgrera emolpxc lseeptipopyd aer bornke down to d-i dna iestipeptdr tub eth onacit fo tnkiag i-d nda rtteedpspii donw ot aildinvidu miano scdia sehpnpa in het antitelins m.uasoc

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Maybe a way to remember this would be to think about Hartnup disease, an AR deficiency of neutral amino acid (primarily tryptophan is implicated) transporters in the proximal renal tubular cells and on ENTEROCYTES. This leads to neutral aminoaciduria and decreased absorption from the gut and little breakdown of dipeptides and tripeptides to amino acids in the intestinal mucosa. Decreased absorption from the gut causes decreased tryptophan for conversion to niacin and pellagra-like symptoms (diarrhea, dementia and hallucinations, and dermatitis in the C3-4 circumferential "broad collar" or "Casal necklace" dermatome, hyperpigmentation of sun-exposed limbs).

So if you can't convert dipeptides and tripeptides to amino acids in the ENTEROCYTES in the INTESTINAL MUCOSA, then you can get Hartnup disease.

+1/- shak360(19)

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