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Retired NBME 19 Answers

nbme19/Block 3/Question#39 (reveal difficulty score)
45 yo man, lost outdoors in the Rocky ...
Kidney ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—wherearetheanswers(19)
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The kidneys make glucose too? 6 years of studying science and no one mentions the kidneys.

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 +4  upvote downvote
submitted by โˆ—peteandplop(42)
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https://www.ncbi.nlm.nih.gov/pubmed/22559853

While not traditionally discussed, the kidneys' contributions to maintaining glucose homeostasis are significant and include such functions as release of glucose into the circulation via gluconeogenesis, uptake of glucose from the circulation to satisfy their energy needs, and reabsorption of glucose at the level of the proximal tubule.

FA2019 p78 - [Gluconeogensis] occurs primarily in the liver; serves to maintain euglycemia during fasting. Enzymes also found in kidney, intestinal epithelium.

... seems like a silly thing to test... shrugs shoulders laughs in NBME

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shieldmaiden  especially silly since they also list the small and the large intestine +2



 +3  upvote downvote
submitted by โˆ—ilikedmyfirstusername(19)
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Didn't know this either, but thought about how the liver and kidney are enlarged in Von Gierke disease

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 +0  upvote downvote
submitted by โˆ—j44n(141)
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I picked the adrenal glands because cortisol has a permissive effect on blood pressure and gluconeo

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