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Retired NBME 20 Answers

nbme20/Block 3/Question#31 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
ฮฒ-Tubulin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—dickass(127)
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Paclitaxel hyperstabilizes polymerized microtubules (made up of alpha- and beta- tubulin)

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md_caffeiner  And clinical use is in breast and ovarian CA (FA19 433) +2
len49  TAXes stabilize society. +1
alimd  Tarzan: taxanes (e.g. paclitaxel, docetaxel, cabazitaxel. SKETCHY +1



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submitted by โˆ—xxabi(293)
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Vinca and plant alkaloids bind B-tubulin, which inhibits the formation or disassembly or microtubules, respectively.

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md_caffeiner  Vinca is a plant alkaloid and it has vinblastin, vincristine, which bind ฮฒ-tubulin and inhibit its polymerization into microtubules Paclitaxel hyperstabilizes and prevents breakdown, its not a Vinca alkaloid. (FA+Wikipedia) +2
md_caffeiner  What I mean is they are both derived from plants. +



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submitted by โˆ—celeste(96)
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Beta-Tubulin is a subunit of tubulin. Tubulin is one of several members of a small family of globular proteins. It is the major constituent of microtubules. There are two of most common members of the tubulin family: alpha-tubulin and beta-tubulin, and together their dimers form microtubules. (origene.com)

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