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NBME 22 Answers

nbme22/Block 2/Question#36 (36.1 difficulty score)
Which of the following drug effects is the ...
AnticholinergicπŸ”
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 +40 
submitted by seagull(1391),
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hhiWc fo the onofwligl snesaor si why tsih teuiqons si l?bul

)1 Unisg the orwd cicycl"" etnadis fo tcclirciy for acytrli

)2 wKinngo all fo oigepyoidlem fo all dgrsu

)3 ghainv ot eosnar tou that cathnieriicgoln tecfsfe rae porlybab het owrts oevr al1ahp ro H1 tseecff to on .nrettycai

)4 Teh pglnpiicr rnseidsepo of untdygis for det-yk-aowess on edn to prolybab do agevrae no het tst.e

nlkrueger  yo, re-fucking-tweet +20  
aesalmon  I agree, I picked H1 because such a common complaint for those on TCAs is Sedation, I figure it might be so commonly seen as to be the "most common" reason for noncompliance. I suppose the "hot as a hare...etc" effects would be more severe/annoying, but I didn't think they were more common. +4  
fcambridge  I just like to pretend that there's a reason this question is now in an NBME and no longer being used for the test. Hopefully they realized the idiocy of this question like we all do +1  
link981  Since it said cyclic, I thought of using, discontinuing, then using again. These people who write these questions need take some English writing courses so they can write with CLARITY. Cyclic is not the same as Tricyclic. +5  
waterloo  Incredibly awful question. one thought I did have when deciding between anticholinergic and antihistaminic - nortriptyline and desipramine are secondary amines that have less anti-cholinergic effects (from Sketchy Pharm) so maybe that's what they were getting at? That someone went out and made a new TCA drug that would have less anticholinergic effects. +  



 +4 
submitted by niboonsh(336),
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-triCyCliC sernniapetsedt - nait C rei,onhigcl C nta danst pu 1a( c,o)lbk C caidoixort l(ogornp tq by igemssn w na scnanel)h

waterloo  that's cool and all but there are so many side affects when it comes to TCAs. H1 antagonism, reduced libido, convulsions. +  



 +4 
submitted by kard(43),
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cTyrlccii nad ttycrclciae se,tredsnptsnaia salo eaclld yliccc .ptraTeadihn setesns eripleraph ghancritncioiel cloisptamn of ryd tmhu,o ttnosanip,cio claour seid fefecst and ryrauin syhtceain era idscdbree dna scpfciei ilalcnic nedeuligsi ofr heitr veffceeti mgeeaanmnt aer ddpreiov.

o,S tosm ocmonm nareso rof eooccinnmlnap ihtw ciylcc dseisrteatnpna yhperat si sti eicrinaihnotlcg etcf.fe

mpmd0n/.i.hg/6bl.nebo/vh.999pwni2t:uwws/c3t i/onw4nc.0ishdsre/sd6r-epteposesm0das/iwttti32-8tiaitln:drniece/tdryioe-.hs9npc/gn/asss/onoawap

:Note lsPeae fi mi ektnami,s ro my porcapha si aienk,mst ctorerc e.m.. nhTka uoy




 +1 
submitted by lowyield(21),

my best guess for why anti-cholinergic is worse than adrenergic or histaminic was just b/c they stick atropine with diphenoxylate to prevent abuse (tbh tho idk if this logic stands at all but eh)




 +1 
submitted by jessikasanz(4),

SSRI's make ya peepee not work, man no like when peepee not work. man stop taking SSRI. Point and Shoot: Erection= parasympathetic, so Ach is used for erections. Anticholingeric leads to lack of Ach which leads to no erection.