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Retired NBME 16 Answers

nbme16/Block 2/Question#30 (reveal difficulty score)
A 51-year-old woman receives the diagnosis of ...
Phenoxybenzamine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—motherhen(69)
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Phenoxybenzamine is an irreversible non-competitive antagonist on alpha receptors that prevents catecholamine (hypertensive) crisis. It is used preoperatively for pheochromocytomas.

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submitted by โˆ—cheesetouch(250)
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FA18 p 334. Tx for pheochromocytoma is irreversible alpha antagonist (phenoxybenzamine, a1a2 blocker) followed by beta-blockers prior to tumor removal. Need to get alpha block BEFORE giving beta blockers to avoid hypertensive crisis.

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