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Retired NBME Free 120 Answers

free120/Block 1/Question#24 (reveal difficulty score)
A 17-year-old girl is brought to the ...
Decreased bilirubin conjugation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—meryen13(48)
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acetaminophen toxicity will cause hepatic necrosis and thus bilirubin cannot get conjugated and stays in blood as indirect bili which makes the patient jaundiced. acetaminophen is metabolized to NAPQI which decreases glutathione ---> liver cannot reduce toxic material --> hepatic necrosis.

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