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Kaplan Qbank USMLE



Author12 Posts
  #1

A 68 year old man has had bradykinesis,cogwheel rigidity,decreased facial expression and a festinatiing gait for 5 years
degeneration of the neurons for which of the following neurotransmitters is most likely involved ?

a.-acethylcoline
b.-Gamma-aminobutyric acid "GABA"
c.-dopamine
d.-norepinephrine
e.-serotonin

sticking out tongue

  #2

yes

D

  #3

answer -d-dopamine from the locus ceruleus and substantia nigra, there could excess Ach also.

*associated with paralysis agitans and Meyersons sign

Deficiency of GABA and ACh could be Huntingtons with the CAG repeat

Too much NE could be related to pheochromocytoma or neuroblastoma in childhood

Serotinin -raphe nucleus


Edited by mjl1717 on 07/04/06 - 03:16 PM

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  #4

HEY is it C ?

why u choose D?


  #5

i answered something i knew incorrectly-just dont want this to happen during exam.in other words "silly mistake" typing too fast. answer is c-dopamine

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  #6

C

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  #7

yeah same here

  #8

DOPAMINE

  #9

ill rectify my mistake a little:

phenylalanine to tyrosine- p. hydroxylase............ tyrosine to dopa- t.- hydroxylase

dopa to dopamine-dopa decarboxylase.............. dopamine to Norepi-dopamine-B-hydroxylase

Norepi to epi-PMNT with SAM............ COMT and MAO make the metabolic end products

hydroxylations use Vit C




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  #10

yups its C smiling face
I was wonderin the same when I scrolled down and saw answerin Cedrick with D smiling face


dopamine rules smiling face



  #11

glabellar reflex is Meyersons sign

  #12

waqastariq wrote:
glabellar reflex is Meyersons sign



Excellent waqastariq--you enlightened 1000's!!!!!!!!!!


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