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Retired NBME 20 Answers

nbme20/Block 4/Question#33 (reveal difficulty score)
A 65-year-old woman with cardiovascular ...
Increased bile salt 🔍 / 📺 / 🌳 / 📖
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submitted by xxabi(293)
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Bile salts help dissolve gallstones that have formed in the gallbladder, used in patients refractory to surgery or prefer to avoid it.

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xxabi  To add, bile salts are amphipathic which allows for the emulsification and solubilization of lipids in an aqueous environmen +7
md_caffeiner  To add more for people like me who dont even know what amphipathic means:, am·phi·path·ic /ˌamfəˈpaTHik/ (of a molecule, especially a protein) having both hydrophilic and hydrophobic parts +9



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submitted by eadgar(2)
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urosodiol increase bile salt. Decreases biliary cholesterol by suppressing hepatic synthesis and secretion of cholesterol as well as inhibiting intestinal absorption.

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