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€)

NBME 24 Answers

nbme24/Block 4/Question#29 (reveal difficulty score)
A 56-year-old man has a 3-year history of ...
Presenilin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +28  upvote downvote
submitted by โˆ—neonem(629)
get full access to all contentpick a username

Per Pathoma: early inherited cases of Alzheimer's dementia are associated with mutations in presenilin-1/presenilin-2, as well as Down's syndrome. Down's would be due to an extra chromosome 21, which carries the gene for amyloid precursor protein (APP). Extra APP is converted to A-beta amyloid and this forms extracellular neuritic plaques, a prominent feature of Alzehimer's.

Important to not confuse Amyloid A protein (one of the answer choices) with Amyloid precursor protein. Deposition of AA amyloid is more associated with chronic inflammatory states, malignancy, and Familial Mediterranean Fever. Beta-2 microglobulin is another amyloid association: dialysis-associated (deposits in joints)

get full access to all contentpick a username
ih8payingfordis  Amyloidosis: FA 2019 pg 212 Alzheimer disease: FA 2019 pg 508 +



 +10  upvote downvote
submitted by โˆ—yotsubato(1208)
get full access to all contentpick a username

Amyloid A : seen in chronic inflammatory conditions, deposition of amyloid in tissues

B2 microglobulin: associated with ESRD and long term dialysis

Neurofilament protein: Form the cytoskeleton of neurons (in healthy individuals)

Presenilin: associated with familial alzheimers disease

get full access to all contentpick a username
sunshinesweetheart  neurofilament also seen in neuronal tumors i.e. neuroblastoma +



 +6  upvote downvote
submitted by โˆ—overa(28)
get full access to all contentpick a username

Presenilin... think "PREmature SENILE" for early-onset Alzheimerโ€™s

get full access to all contentpick a username
an_improved_me  Gold!! +1
jaramaiha  Also the fact that presenilin was the only option there that gives familiar Alzheimer's. definitely know which ones run in families and which are sporadic/reduced. FA20 Pg 520 +



Must-See Comments from nbme24

seagull on Intestinal mucosa
tissue creep on Ask the roommate not to smoke in the apartment
drdoom on Adenosine
seagull on Increased serum testosterone concentration
atstillisafraud on Lamins
niboonsh on Only cookies are independently associated ...
atstillisafraud on Scar formation
lamhtu on Decreased adherence
drachenx on Damage to the rectovaginal septum
drdoom on Intestinal mucosa
azibird on Coronavirus
lsmarshall on Organic acid metabolism disorder
sympathetikey on Inhalant abuse
tea-cats-biscuits on Eosinophils

search for anything NEW!