Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  NBME form 1 block 1 Q11 




 
Kaplan Qbank USMLE



Author10 Posts
  #1

Q. A pharmaceutical company has developed a drug that prevents egress of Mg+2 from NMDA receptor. What is the most likely effect of this drug in a patient with an acute stroke?

A) decreased risk for seizures due to hypomagnesemia.
B) facilitation of Ca+2 entry into the neuron and enhancement of excitotoxin mediated cell death
C) hyperpolarization of membrane and conduction block
D) prevention of Ca+2 entry into the neuron and reduction of excitotoxin mediated cell death
E) rapid depolaization of membrane with lowering of the seizure threshold


please explain confused

  #2

may be d



___________________
parda kajj layin sayian saadi changi mandi da

  #3

can we have the real answer here!!!!????

  #4

i think its D too , I know it cant be a c or e
Whats the answer?

  #5

answer is d. mg normally binds and blocks opening of ca and na channels in NMDA receptor when the cell is in resting membrane potential. glutamate which is excitatory neurotransmitter opens these channels allowing influx of ca or Na and thus causing depolarisation....this channel also blocked by drug dizocilpine.
this is important in treatment of stroke as the "penumbra" region has lost its ability to clear local glutamate as they have lost the ability to maintain the transmembrane Na gradient that drives glutamate uptake. this leads to activation and excitotoxic damage.
glutamate and its congeners are unique in that when they act on neuronal cell bodies , they can produce so much Ca influx that neurons die

  #6

answer is d. mg normally binds and blocks opening of ca and na channels in NMDA receptor when the cell is in resting membrane potential. glutamate which is excitatory neurotransmitter opens these channels allowing influx of ca or Na and thus causing depolarisation....this channel also blocked by drug dizocilpine.
this is important in treatment of stroke as the "penumbra" region has lost its ability to clear local glutamate as they have lost the ability to maintain the transmembrane Na gradient that drives glutamate uptake. this leads to activation and excitotoxic damage.
glutamate and its congeners are unique in that when they act on neuronal cell bodies , they can produce so much Ca influx that neurons die

  #7

i guess this answer could be derived from pure common sense as amrit and dr sunshine has proven. which pharmaceutical company would bring out a drug which raises seizures potential?


  #8

imipenem teaches that it is possible...

  #9

nice explanation...
thanx sureshrxsmiling face

___________________
it is our choices that show what we truly are, far more than our abilities!!!!

  #10

some more facts about NMDA receptor...
it requires AMPA receptor to function
it requires GLYCINE to function
Mg is required by it to block the channel
calcium and sodium both can pass through it
it causes depolarization








You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.