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Retired NBME 16 Answers

nbme16/Block 1/Question#36 (reveal difficulty score)
A 10-year-old girl is brought to the ...
Leukotriene C4 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—fruitkebabs(34)
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The only reason I got this was remembering that Montelukast and Zafirlukast, both asthma drugs, inhibit LTC4, LTD4 and LTE4 which normally acts to increase bronchial smooth muscle tone.

FA 2020, p485

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 +2  upvote downvote
submitted by โˆ—topgunber(68)
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another way to remember this is NERD. NSAIDs-exacerbated respiratory disease (NERD), when blocking COX there is shunting of the Arachadonic acid breakdown into the LOX (lipooxegenase pathway) which can cause build up of leukotrienes and cause an asthma-like condition.

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