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NBME 22 Answers

nbme22/Block 4/Question#48 (reveal difficulty score)
An 8-year-old boy is brought to the physician ...
Calorie consumption that exceeds energy expenditure ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: nutrition

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 +3  upvote downvote
submitted by โˆ—aesalmon(95)
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I eefl udmb rof gaknis ubt cna smoneeo lnxpiea s?ith If sih spaertn rea of oscel to rnlamo BMI and are eorcnednc botua ihs itgewh wyh odwlu yhte be lgnoliaw sih ricoael nutompocnsi ot ecedxe ish ergyen d?eupnxteeir ( AAK ttienlg eht kdi ate too hcmu nda ont csexerei hen)ugo

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meningitis  htsa'T a rnemdo ady yy.emtrs +23
drdoom  heT orpmtp is lony akgisn a"wths' hte eliykl ecsau fo ibo?se"yt 'sIt nto taht teey'rh ""nwilolga imh ot aet oerm htna ci.xerees eF(w stparne nac oiromtn eithr skid ttha slcyol)!e Teh otpprm is lnoy agiksn 'hawts het smto eiyllk pinolaaetnx ofr hsi 9h5t ieeplnertc egiwth dna IMB (vigen atth he eerhioswt epapsar a);omlrn ni teh iUentd teta,sS eht msto ikllye lxtianpaone is taineg yaw rome thna uyo exnped. +2
niboonsh  aka ecim'ar tbielropwsr#omsrdlf +5
makinallkindzofgainz  If yuo era ,boees i'ts ceusaeb oyu heva suceomnd roiaelsc in cxesse fo uryo yreeng ir,epxdentue end of tosr.y reeth( era aofscrt atht tefcaf oruy yenerg ednurie,texp tbu eth seimlp esttnemta is 10%0 tre,u slunes oyu ntaw ot arueg isnatag eht slwa of meh.csmaoidtn)yr A is the lyon rroccte a.nerws +1
tulsigabbard  ishT anerws iht too olecs to .eomh +6
castlblack  I ikhnt eht oesanr eyht iotnp otu het egaaver weigth of eht tpesrna is euasceb npeilt rdoseisdr era editi.nreh It eshpl you ielaimnte htat rsneaw .ieccho +2



 +3  upvote downvote
submitted by rogeliogs(12)
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My phacorpa ot shit quietsno was emor juts ungfisoc in eth oinf tyeh aer vig.ngi oNen of hte heort noptoi aksme essen uabesec etrhe is not eeevdnci to ltak tuabo mteh. I saw very emtdtpe ot ikpc eht ecdra"ees eptnil "dcitrpnuoo tbu I deemrrmeeb Dr najGol giasny iT"nkh mlepis, kthin ephca, yhet are tno tyrgni ot kritc uy."o ,oS cyubbh prensat = uyhbcb ki.ds

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almondbreeze  ogtuhht sih swdro on "hktni apceh" adh ot do with mtenttsrea - ..ei eeircsxe +
alimd  esY ehty are. erTeh are so myna kctir suotenisq +1
skuutnasty  I shcoe pntlie dieniyfecc czu I swa ranyt teg fycna twih .o tirF yenano owh si ert,neeitsd .owevhre.. cncdagroi to :DeUotapT tM "so eppelo tihw iyesotb od ton aveh nya balanieitmros ni the pilnet egn,e rithe msreu nltpie aotnircntcnoes rea high cliefegrnt hriet ndarsieec fat saaPce". .s.em +6
sunnyside  un@uatktssy lvue'dsho jsut lte me feel y,cfna nwo i efel stipdu :( +

FA 2019 pg. 327 on leptin + Satietyhormone.Producedbyadiposetissue.Mutationofleptingene- congenitalobesity.Sleep deprivation or starvation - I leptin production. Leptin keeps you thin. Acts on ventromedial area of hypothalamus (satiety center) to I appetite.

I picked leptin too. However, the q asks for the 'most likely explanation' for his obesity.



 +0  upvote downvote
submitted by rongloz(7)
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I would liek to lucedin rhee thta ti acn not eb B re(seacedD einltp ucrnoi)todp cbuasee pitlen vlseel ancresie in s.teiboy ntepiL si eetcrdes by eadpotycis, cwihh eocbem ntcniagsfii in it.ysoeb gihH lvslee fo tnipel yma asol eteidznsise hte etyiast esrctne in eth lpohyahsut,am wihhc is yhw anym esobe ploeep haev ubletor ignliitm rtieh dofo .netkai

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madamestep  rVey rteu! lAos tiepnl sucsea gsenahc in p.teaepti oS evne if pteinl is l,wo uyro nsoaer for tibeyso is lslti meor ecialosr ni tanh uo.t +



 -8  upvote downvote
submitted by jotajota94(14)
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I khtni hte eky to neigddtrunsna ihts tseonqiu is tath eth byo sha eabov vaereag iei. htgpneLth eutlmassit teh slereae of GH (ti8uml2vphnsn/hdb.:ipw0m/21./2wbow.5g/tnc1.eerCn dl)ih itwh inhsgCu doesnrmy ehva otrsh sareutt l.n/s1:h.7mwnobu5wniv.ietc/m3bwg96hd3/6/t.pp)snluini bsinhiit GH stnecreoi C1wm/it.nl:n..psnti/cm6v/wba/i.hps4ote5h6PM2ccrl//gw )I thnki taht thbo a gihh claiorc edti in sfat nad scouleg acn aekm yuo aft so uoy anc tnmeliaie etsoh answer h.ccsieo

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