need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

Retired NBME 23 Answers

nbme23/Block 2/Question#32 (reveal difficulty score)
A 2-year-old girl is brought to the physician ...
N-methyl-d-aspartate (NMDA) 🔍 / 📺 / 🌳 / 📖
tags: pharm neuro repeat

 Login (or register) to see more


 +19  upvote downvote
submitted by nwinkelmann(366)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

,oS rof eoms naer,so mtasnterrurstnieo is hgostenim Iv'e LAWSAY trldsgueg .i.tw.h robyplab aesebcu I ws'tan ttuhag it llew os nreve elarly enalder ti, jtus rladeen gnuhoe rfo teeahrwv xe.ma I utjs ndfuo tsih oob hrghuot NCBI dna its AITNTACSF! 'stI mrof 2010 os gitmh eb old, ubt it swa .ertag oYu acn arechs rthuhgo teh obok nad fidn eht ca.theprs I tpryet hcum ujst twne hgtourh lla fo eht etninumtsaorrert ctreh.ap ob9/.N/.kclmsKs1.p.v7/:h0nt/noibg/wointwhB9w

yM mnia lamaats -aaektGye:wtu = oarjm titaoeryxc tnr.uarsotnmetier Tow pyste of )rropes1:et c obimrotpeat,c mots of hcwhi rea peyrsicntpa iG wchih dlase to rsdceedae MADN eeoprrtc iayitcvt dna riks of ic,tyoxttiecxoii ro tspiyoctnpas qG oesprrect atht lead to reeascni aN+, K+, and decseared gltuaeatm aesusc oapaonerztliid adn irncsdaee ++gM antedlicpmse and DNMA erpctoer vtcayiti nad kirs of ettitc,cioyoixx dan ) 2 oooiiptcnr snnhcale lniiducgn MAND adn eiAktaPn/AMa acnnl,hse hwhic lla allow scfininpeco toniac nu,xifl but olny NADM sallow aC++ xulfni adn( lyon in a voegalt eenpedtdn mernan aretf itfcniesuf odateozlpiarin ahs plsiddaec the ihrbntiio ++Mg oni in hte cna)h.lne

BGAA nda niycegl = oitnbiihyr srnunaomt.rteetris )1 B-AAAG adn BCGAA- = iocrootpni lsnhcean ttha dlea ot xfuel fo C,-l dna isdepte sith icsagun idioztparneaol, eht nunero llsit asyts oewlb etrgins liet.tnopa A-BAAG nigbdin tsie ofr aaubitrbsret, ,dsrseoit AABG, and optxircnoi = idesni reop of hanl.nce ABG-AA dnnigib eist of izpnzedisbeeoan = uestdoi of poer fo nel.hcan )2 Gyceiln heannlc si a ryve samlrii C-l exluf .alenhcn )3 A-BGBA si a paomierboctt hnneacl hatt acseavitt iG agenild ot sderaecde cPAM hchiw astevicat ffexul +K hecnnsla adn bshiinit C+a+ nflxiu cnhnlsea aeglnid to rzohar.yeoapiplint

eigniBoc niamse = neacohalstmeci ndeoapim ado(otoricnni fo boyd ,oeemtmnv ,rerdaw oivmaon,tti o,fmitrenc)ener epnpoeenirrhni (seep,l ekwfanseslu, atei,ntnto eiedfgn ah,oivbre eieprhpinne stlo(we tnetcnciarono in ,)CSN psul iootsernn ,le(spe sl,aeenwusfk dprinso,ese tayxn,ei uana)se and amsinheit ros(aaul, atn,tteion lyle,gar tuiess ,gdaeam nad amy cleeninuf odlbo ibrna o)wl.f uoiOylbv,s all of this si in dioiadnt ot decarneigr oitarssnrmnoueins nad ifglht, irhft,g dan fgthi enesro.sp

APT dan ertho eiruspn = xteiotyrca isorna,nsmtis casoee-edrl wiht teorh mcaoemeullsll- utme.trnriosstearn esnAeidon tsin' aylscicsall odciedsrne a nmraitstreuronte seecuba it sin't edor/tdsleaesre in +Ca+ depntndee enn,mra but eddiver omrf ATP reoebf vhgina an tcoierxtay apientotl.

eihcAcnteolyl = oajmr meisrnrenuatrtot idnlvoev in runorosimntasnsie iav scumrina nad tnciiicon errtsoe.pc

dtPieep nornrmstiaetsurte = ynmomlco sarleede as eipdeprpto laerrg rcpseorsru tath ear cvealde yb iesiccfp eyzemns ttha erew ni eht eams nnreamosrurtiett eelivsc nupo .raelees Fvei pyset = atbu/grin pstepe,id diiopo iptps,eed tiripatyu isppdte, ioyhmtlcaaph negerlias ormone,sh and ohtse otn isfal.icsed amxeElps = prcsrerou ahtt veigs reis ot ucssetban P ps,acomhp(upi oo,xrenect dan GTI nad reeaesdl ofmr lamsl mieaedrt NPS C eifbrs that nmtairst anpi and eptrueamtre fmoinoaitn,r pweulrfo thyiopesv,en iidetnhbi yb ooiidp eseitpp,)d nernionkui ,A neppeudroite K, nda derpeoentipu ,gmama and opoiid pdeiptes ncldgiinu plant skoaadill e(lik ),ierphnmo tsteycihn odoipi ti,evasrediv and rpsninoed,h d,nhprsiony nad laknhespn.ie nI eagrnle iodoip pesidpet rae adtsersspne e(.i. aailngsea m)iacne,shm olvdienv ni coemlxp ibrhesavo (laexus tiocran,tta ai/bsmseeissgvgisrveu ,re)vaobhis adn dtiieplmca t(hohug ont )eniifvteid ni iaccirhptsy desosd.rri

,eallrOv msetnuarorntstire = eypt :yspte elm-eumslcaoll mrattnertiss adn orietepesu,pnd ewhre scls-mlmeloluea enttstrrimsa era tefasr dna teidaem arpid nptyscia iaotsnimsnsr i.e.( nnodgare NSS figgif/hrtgftth/ilh icuqk )s,ereposn wrehe as oeipsnteeudpr aln(go wiht ciloogbi sieamn dna smeo llmsa eeuclmol mirnarettt)ss are slwreo adn eeamdti ,alugdar ngloerdop mnrsra.noieitunsso

moSe urpct:sie ueivavctonair.pfe.ptwtedehmsstrd_mns/puiwme:adpwtu/i/eboonrthorkt/_enhk/l_.ure, rg-6pbw00/rsawfpgo2cs3baelrats2uo4-/unhe.1:/.le7r0d-ew8io365tg01d-car2ebo/6fethpBifdp6rpt1se4eadg8hamTais-A/rienr1rn33gPt/cu-f-ac9besRl/0-1AB4ietGi, nad grb4nger9sltd-/3a;6#aea/ine1ewpadeeut0.ph/xfg.:_iaflbtn20Uo.=a/lsw=31b5---wta/wadfg/-h6&i-ebc1285ddsmfg-lhr1x7eb-tie

unscramble the site ⋅ become a member$279$49
sweetmed  Tihs is gnmzi.aa khtna ouy +
sweetmed  hsTi si .nazgami kanth yuo +
paulkarr  o.a.h.W +
brotherimodu  oSrht ideov oseemno oepstd mfro EB2-N1M rwsans:e /vtep:-wuobwhhccQoswa2z?t.v=/wtmyutH4o.wu/D +6
dorischang  dDnit' hfnsii rgadnie shi,t tbu it ookls eemowsa +3
kcyanide101  fI uoy nwaan eiwtr a ttxe koob jsut ysa lo.l.o..s ): +

  • effect of glutamate antagonist on pt with acute cerebral infarction = targets NMDA receptor

  • decreases calcium entry into neurons = decreased excitotoxicity = promotes recovery from acute cerebral infarction.



 +19  upvote downvote
submitted by sympathetikey(1600)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

oTguh qens.outi

Ralecl thta aMnemeitn aleesim'z(hr )rgud is a NADM Rerocept tongtiaAns ttah plehs nprteev ixtiyetxoccot yb oniBkcgl 2+aC tenry. Tha'ts who I mrbmeere h.sti

unscramble the site ⋅ become a member$279$49
veryhungrycaterpillar  /toeg.9/nsr/r0wnu9tecs0/ohpsjti/:3ctnwo.ht1rw.o/rt aGe tltiel d,rea dna sith is teh aperp hety retypt uhcm bdsea ihst ouseqitn o.n +
veryhungrycaterpillar  nLkdie eht ogwnr r.peap atMne to inkl htis :one .sc8wwvp/th/2cm/n.lhtiw/56gm/.MCs.:Pninl0e6tpiaorc/7b +

a picture for better understanding https://2e.mindsmachine.com/asf04.02.html

^ link is dead :( (they published a 3/e) but here is the re-route to the new site if anyone wants to dig in https://learninglink.oup.com/access/watson3e-student-resources

+/- drdoom(1206)


 +4  upvote downvote
submitted by spow(50)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49
  • A) ABGA-A ocsperetr tel Cl- in
  • B) Gyielnc is seud ni teh nalpis dorc sa an hyibroniit tormn;tsnerearuit laos setl C-l ni
  • C adn )E ieMocarttpob tatglmeua erptreosc ear teornp-Gi edupcol
  • oTeerfr,he eth noyl hintg htta dlocu tle C+2a in si MAND rtperscoe
unscramble the site ⋅ become a member$279$49
thotcandy  cicangdro ot sith, 53HT is an noi lcnhnea ymalni( Na nda ,K utb emso Ca) so ttha swa daikn fefy imo +



 +3  upvote downvote
submitted by lfsuarez(160)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

AMDN ectrespor ni hsit ecsa ear bngie udes rof ognl rtem inaooetnptit wihnti eth nibra nda uot fo all fo erteh cecoish oynl tish reoptcer esus Ca+

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by chasingdreams101(4)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I dcpkei MNAD eescuba ’sti urtyialt,mso tbu si heert ayn reepde reosan fro ?shti

unscramble the site ⋅ become a member$279$49
tea-cats-biscuits  ehT Q is acyalutl ngisak hchwi fo hte ptreorsec esu aC+ ,niso dan of eht ocechsi vegni noyl MAND ctpersreo od os. +32



 +1  upvote downvote
submitted by adong(144)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

ouY nac rnaswe yb esposcr of ei.inlomntai mevopeiCitt" tsenrac"ioint smeak uyo khtin iylsauotrmt T.N ssrCo uot BAAG dna .englicy nI eth xorcte os .etaugtmal aMcbottopeir wdlou nmea er'hset decson eessrsmgne vnvilode and het roceeprt lwodu ont rtmsntia uc.cilam ecneH NM.AD

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by an1(114)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

edus in olgn trem epiantooittn l(uaegn,ag me,myro) aMy asol apyl a role ni geen snnioariptcrt in ouesrnn

1) MNDA si a leGatmtau erpcotre t2ye)spu b MAPA is a bpesytu fo NDMA htat is lyniitali vacitdeta yb gtmueatal )3e reslea DMNA esrpretco ear ufdon rnae PAMA prsereotc tub aer ont daicaettv by lwo esvlel of aelmgatut aerlese edu to a gM oni kobgc‘l’in teh lnca n)4he tnqeuerF inAtco laetpitno ;—g&t alomstnuiit of PAMA ;tg&— lresiozaepd sopt tacnspyi ruonne ;gt—& glvateo eenedtpdn Mg lckbo of ADMN preceotr mveodre 5 ) luifnx fo aC ghohtru DAMN —gt;& csuase neve erom PMAA rcoptrese ot be eesinrdt ntio teh mmbreean T(OE:N AAPM is npvreosesi ot aC nad au6tlm e)at)g aceseuB ereht era orme opeertcrs ot nsrdoep to t,i eht clel si meor epsveiosnr ot tutlgmeaa

unscramble the site ⋅ become a member$279$49



 +0  upvote downvote
submitted by zpatel(36)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

all eth hstore a cotmovtnnpeiei inces ethy evha sectciiiepfp(scyiicf nsga)d,li ANDM is eth nlyo veeneecsocnthle(in eotcvpmiite ,rretopc)e ash a lngdia tsei and ac , an adn hme...cneg ttmecvoieip

unscramble the site ⋅ become a member$279$49
hello  teh eusoqnti syas tvoteimecpi ttre,coasinni i ihtkn hsit is fndrtiefe fomr ettevcmipio bgn.niid +



Must-See Comments from nbme23

ferrero on Precapillary resistance
yotsubato on 99%
sne on Triglyceride
sajaqua1 on Area labeled ‘D’ (Spinothalamic tract, right)
stinkysulfaeggs on Hypoglycemia
hayayah on Iris
soph on Peak inspiratory pressure (alveolar): ...
seagull on Area labeled ‘C’ (Cranial nerve 8: ...
water on Dietary change
wired-in on 28.8
beeip on Binding of permeable ligand to nuclear ...
thomasalterman on Hypoglycemia
yotsubato on Inhibition of the cytochrome P450-dependent ...
seagull on Decreased sodium bicarbonate reabsorption in ...

search for anything NEW!