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Retired NBME 17 Answers

nbme17/Block 4/Question#34 (reveal difficulty score)
A 16-year-old girl comes to the physician ...
Dopamine ฮฒ-hydroxylase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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enwAsring this snoteuqi eserriqu rnlegae nkwdoglee fo teh eatcaieconlhm sesshiytn hayptwa 2F00(A2 .3p)8

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  • AMO (mmnoionae aodiexs) oldcu be elendiitma ecasube she is lacgnki inphpienere and senic OMA is vvloiedn ni the oaenkbwrd of hct,ealsnmaicoe a ciiendfyce ni OAM lwodu sereiacn ncrionentatsoc fo oninrhipepnree nad tehor imasetehoalcc.n
  • rpphieneneNroi prortnstear udlco be nltaieimde cbausee ibitonihni fo prtueaek fo ppireorinnhnee wul,do gna,ai nricaees iepeipnrnonerh rcncnansotteio and she ash edeedcars rcecoinontna.t
  • iesoTrny seyalyoxrdh cna eb iineealmtd aecuebs ti is hte tifsr ptse in tnaelaehcomic hsysiestn dna rurqiede orf amnieodp hsies,ytsn adn as hes ash dacsrniee pimoande sith spet si tno fec.nietdi
  • ionmA cida loe,bxsarceyda or Lianom- dica ecrdelaxbsyao alos dallce APDO lxceebrsyd,aao is olsa reqiured ni opeianmd sesitynsh and cna be imldeniaet uscbaee fo her iacrdnees domaeinp rooncnntetc.ai

sThi sveael hte easnrw, ameidnpo yryalax.-sobheted

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Perhaps worth noting here is that Dopamine Beta-hydroxylase is a membrane-bound enzyme found in the vesicular membrane. This means that the conversion of Dopamine to Norepinephrine actually occurs within the synaptic vesicle. Norepinephrine is the only transmitter known to be synthesized within synaptic vesicles. This is mentioned in less detail in SketchyPharm 2.2 Indirect Sympathomimetics.

Also, per FA, this reaction requires Vitamin C as a cofactor!

+2/- baja_blast(219)


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