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Kaplan Qbank USMLE



Author9 Posts
  #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

shocked

  #2

B DUE TO FREE RADICALS

  #3

agree

___________________
The Key to Succeed is Patience.

  #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.

shocked

  #5

ans is B.reperfusion damage is due to free radicals.

  #6

Im still letting the records show that reperfusion ALSO causes increased permeability of mitochindria.

shocked

  #7

Answer B because superoxide radical production does damage of the cell mebrane.

  #8

hey, increase in mitochondrial permeability is due to lipid peroxidation of its membranes!

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life is guud

  #9

B







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