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Retired NBME 27 Answers

nbme27/Block 1/Question#44 (reveal difficulty score)
A 56-year-old woman with type 2 diabetes ...
Peroxisome proliferator-activated receptors ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repeat

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submitted by โˆ—shak360(20)
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Metabolic drug name patterns:

  • gliFLOZIN - SGLT2 inhibitor - blocks reabsorption of glucose in the proximal convoluted tubule (glucosuria -> UTIs, vulvovaginal candidiasis, dehydration [glucose is osmotically active], orthostatic hypotension, hyperkalemia)
  • gliNIDE - Meglitinide - insulin secretagogues (similar to 1st and 2nd generation sulfonylureas) that close K+ channels in pancreatic B cell membranes leading to depolarization and insulin release via increased Ca++ influx
  • gliPTIN - DPP-4 inhibitor - inhibits the deactivation of GLP-1 which decreases glucagon release and delays gastric emptying (similar to GLP-1 analogs such as exenatide)
  • gliTAZONE (or thiazolidinediones) - PPAR-gamma activator (increases insulin sensitivity and levels of adiponectin)
  • gluTIDE - GLP-1 analog

PPAR-alpha activator - Fibrates (gemfibrozil, bezafibrate, and fenofibrate) [cause major triglyceride decrease, and induces HDL synthesis]

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shak360  See this question in NBME 25. +
shak360  See this other question in NBME 25. +



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