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Retired NBME 13 Answers

nbme13/Block 4/Question#20 (reveal difficulty score)
A previously healthy 32-year-old man is ...
Alcohol dehydrogenase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—ergogenic22(401)
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I believe that the question is suggesting the patient has a methanol overdose.

First Aid 2018 page 72: "FOMEpizoleโ€”inhibits alcohol dehydrogenase and is an antidote For Overdoses of Methanol or Ethylene glycol."

The reason I am unsure is that wikipedia states most paint thinners are ketones or hydrocarbons

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lae  that's correct, I don't know about what the thinner has but the clinics is methanol toxicity for sure +4
cheesetouch  FA18 p 576 mentions AGMA causes include methanol. It also mentions formic acid. Formic acid is VERY structurally similar to acetone (a chemical in paint thinner and nail polish remover). [Sorry this isn't a great answer, but it's a thought...] +1



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