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Retired NBME 16 Answers

nbme16/Block 3/Question#38 (reveal difficulty score)
A 65-year-old woman with hypertension comes ...
Labetalol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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-alol and -ilol (i.e. labetalol and carvadilol) are nonspecific blockers of alpha and beta receptors. (FA2020 p245)

  • Hydralazine increases cGMP and causes smooth muscle relaxation via vasodilation. It is used in acute hypertension and is safe to use in pregnancy.
  • Phenoxybenzamine is an irreversible nonspecific alpha blocker used pre-surgically in pheochromocytoma.
  • Phentolamine is a reversible nonspecific alpha blocke given in some cases of severe acute hypertension such as for hypertensive crisis from MAOis.
  • Trimethaphan is a blocker of the presynaptic nicotinic AcH receptors for both the sympathetic and parasympathetic nervous systems.
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