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NBME 21 Answers

nbme21/Block 4/Question#21 (reveal difficulty score)
A 47-year-old man is treated with colchicine ...
Tubulin polymerization ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—pparalpha(93)
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inhibition of microtubule polymerization โ†’ inhibitis phagocytosis of urate crystals, leukocyte activation and migration, and cell chemotaxis.

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teepot123  fa 19 pg 476 +



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submitted by โˆ—chillqd(44)
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The primary mechanism of action of colchicine is tubulin disruption. This leads to subsequent down regulation of multiple inflammatory pathways and modulation of innate immunity.

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castlblack  FA mnemonic = Microtubules Get Constructed Very Poorly: Mebendazole (antihelminthic), Griseofulvin (antifungal), Colchicine (antigout), Vincristine/Vinblastine (anticancer), Paclitaxel (anticancer). A = dont confuse colchicine with celecoxib. celecoxib is a 'celective' COX inhibitor B = ziLEUton = leukotriene inhibitor for asthma +3



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