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Welcome to barbados’s page.
Contributor score: 2


Comments ...

 +2  (nbme16#31)

Did anyone else feel like the question should have been more specific as in saying "just before the consumption of a meal"? As in saying she has high ghrelin = high hunger just before she eats so point B?

lee280  I agree, at the start, I got a bit confused because I felt like the question was probably less specific than it would have been, but NBME being NBME this is really expected. When you think about it more closely, once you consume the meal then ghrelin will peak and start dropping. +5
notyasupreme  I agree, I had B at first but then thought too deep into it. I thought if she ATE a meal, she'd be full and low ghrelin. Annoying to get a question wrong on something so simple. +
radzio1  Also got this question wrong. A really bad explanation what they want from the curve... +




Subcomments ...

I was thinking Crohns with the multiple episodes over the last year, fat stranding, terminal ileum involvement which would then maybe be describing a false diverticulum involving the mucosa.

barbados  i think you are right. according to this article, CD can lead to meckels d/t transmural inflammation: https://journals.lww.com/ajg/Fulltext/2011/10002/Association_of_Meckel_s_Diverticulum_with_Crohn_s.974.aspx +