|   NBME Form 2 ? 
 
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| Author | 9 Posts |
pearljam59 Forum Guru

Topics: 120 Posts: 273
| | 04/05/06 - 08:24 AM  
 
   
 
|   #1 |
A 45-year-old man has a myocardial infarction. A coronary stent restores blood flow, but reperfusion causes a paradoxical increase in damage. Which of the following is the most likely mechanism of the new myocardial damage? A) Direct poisoning of mitochondrial enzymes B) Increase in lipid peroxidation of membranes C) Inhibition of ATPase-dependent transport D) Loss of intracellular amino acids E) Prevention of cross-linking of labile amino acids

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| yasmeen Forum Guru
Topics: 70 Posts: 942
| | 04/05/06 - 08:29 AM  
 
   
 
|   #2 |
B DUE TO FREE RADICALS
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| robin082006 Forum Hero

Topics: 471 Posts: 5,123
| | 04/05/06 - 09:58 AM  
 
   
 
|   #3 |
agree
___________________ The Key to Succeed is Patience.
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| pearljam59 Forum Guru

Topics: 120 Posts: 273
| | 04/05/06 - 11:41 AM  
 
   
 
|   #4 |
Thats my thinking...free radicals! BUT don't free radicals ALSO cause an increase of mitochondrial permeability leading to release of enzymes?! That is why I am stuck between A and B. I too chose B but then I started to overthink and overanalyze and now I cannot decide.

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| dr_vetri Forum Newbie
Topics: 4 Posts: 13
| | 04/06/06 - 05:15 AM  
 
   
 
|   #5 |
ans is B.reperfusion damage is due to free radicals.
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| pearljam59 Forum Guru

Topics: 120 Posts: 273
| | 04/07/06 - 12:22 PM  
 
   
 
|   #6 |
Im still letting the records show that reperfusion ALSO causes increased permeability of mitochindria.

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| Allison Forum Senior

Topics: 20 Posts: 117
| | 10/23/06 - 04:15 PM  
 
   
 
|   #7 |
Answer B because superoxide radical production does damage of the cell mebrane.
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| ssrpk Forum Fanatic

Topics: 154 Posts: 2,819
| | 10/24/06 - 07:40 AM  
 
   
 
|   #8 |
hey, increase in mitochondrial permeability is due to lipid peroxidation of its membranes!
___________________ life is guud
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| ManuNastai
| | 10/25/06 - 04:54 AM  
 
   
 
|   #9 |
B
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