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Kaplan Qbank USMLE



Author6 Posts
  #1

OK lets see if you are truly ready for STEP 1

a 65 year old dude with a hx of diabetes type 2, hypertension and high cholesterol.

he has not been taking any medication and your intern prescribe him all the stuff he needs.
now the guy comes back and complaints that after starting treament beer taste very bad and pepsi or any other cocacola drink also taste bad.

What is the mechanis of action of the drug that is giving him this side effects?

This has been brought to you by:

GOGETA gives back program

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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

  #2

are you talking about drugs tht can cause disulfiram reactions !!! i know metronidazole can do that and i think sulfonylurea does that too.

so i think its sulfonyurea and its MOA is tht they bind to K channels on beta cells of pancreas and thus increases insulin from beta cells .........

(plz correct and tell the right answer )

thnx


___________________
Rather the pain of discipline than the pain of regret.

  #3

Probably he was put on a ACE (-) for his HTN------------> One of the S.E is metalic taste, this is due to the sulfhydryl moiety of the peptide that these gp of drugs possess.. If this is the cause of his dysgeusia, then this shld disappear with continued use of the drug...


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"Obstacles are those frightful things you see when you take your EYES off your goal."

  #4

I truly did not formulate the answer properly MY BAD

I was looking for acetazolamide inhibits the enzyme and all carbonic taste in your tongue will taste awfall
KNOW THISwink

___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

  #5

excuse me

where is answer

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ALLAH; guide me to the Path of Success.

  #6

ok acetalazomide

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ALLAH; guide me to the Path of Success.







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