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Kaplan Qbank USMLE



Author14 Posts
  #1

Sorry, try to expain ( typo mistake)

  #2

b.
osmotic effect -dehydration of swollen tissue.
(along with osmotic diuresis)

  #3

Sorry, try again

  #4

It's not simple Q, try again.

  #5

mannitol is osmotically active substance.
will increase blood oncotic pressure. By this water content in ECF will decr - decr swelling

I remember that constriction of cerebral arterioles is important and it managed by hyperventilation -decreasing pt's PCO2, what constrict brain arterioles
But how mannitol would constrict arterioles i don't know.
Blood viscosity vs blood osmolarity - might be that -e?

  #6

Ans is A

  #7

There is no proof that osmotic agents such as mannitol lower intracranial pressure (ICP) by decreasing brain water content. An alternative mechanism might be a reduction in cerebral blood volume through vasoconstriction. Mannitol, by decreasing blood viscosity, would tend to enhance cerebral blood flow (CBF), but the cerebral vessels would constrict to keep CBF relatively constant, analogous to pressure autoregulation

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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

Honestly Speaking i was always under the impression that Mannitol removes water from tissues n that also applies to the brain this is an Eye Opener.

Epica CAn u plz post the Explanation to the Question. that wud be certainly helpful.




___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #9

from Katzung.
osmotic diuresis alter Starling forses so that water leaves cells and reduce intracellular volume.
This effect is used to reduce intracranial pressure.
Can't belive that A is correct ans.

  #10

BELIEVE, it's correct, It's already explained
You can do additional search in PubMed, but NNL already explained

  #11

just a doubt,mannitol causes diuresis...reduces blood volume...so should increase viscosity??

  #12

Please see nnl post, he already explained

  #13

good q epica !!! but i still hvnt completely understood the explanation,how is the blood viscocity decreasin nnl? well i'll remember that there's vasoconstiction but its still vague confusedconfused can anyone explain? am a bit slow ,sorry abt that

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mediocricity aint my style

  #14

Please read my post above.
I gave exact explan. I can not add more.







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