You Are an Attending Physician Supervising a New Resident

question 61

Multiple Choice

You are an attending physician supervising a new resident.Together,you decide to treat a patient with a steroid drug.The resident administers the drug and watches the patient anxiously."It's not working," he mutters.How do you respond?

• A)"You're right,it doesn't seem to be working.Let's increase the dose,since we need to achieve high steroid levels in the blood."
• B)"Why don't you go on your rounds and come back? Steroid hormones need several hours to work,since they regulate gene expression.Transcription and translation take time."
• C)"We forgot to administer the carrier protein to get the drug across the cell membrane.We can add that now."
• D)"Let's grab a cup of coffee and then check again.Activating the G-protein coupled receptor and its downstream kinase cascade can take several minutes."

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