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Retired NBME 16 Answers

nbme16/Block 1/Question#43 (reveal difficulty score)
A 64-year-old man with a 25-year history of ...
Killing of bacteria in the gut that generate ammonia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—unscramble(2)
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lactulose (NH4+ generation) rifaximin (NH3-producing gut bacteria)

(treatment of hepatic encephalopathy FA2020 page 391)

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unscramble  lactulose (increase NH4+ generation) rifaximin (decrease NH3-producing gut bacteria) * +1



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submitted by โˆ—cheesetouch(250)
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FA18 p 385. Hepatic encephalopathy treatments are lactulose (increase NH4+ generation) and rifaximin or neomycin (decrease NH3 producing gut bacteria). These treatments acidify intestinal contents (UWorld)

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