NBME 23 Potassium: decreased;<br />Chloride: increased;<br />Bicarbonate: decreased (NBME Answers)

NBME 23 Answers

nbme23/Block 4/Question#33 (reveal difficulty score)
A 16-year-old girl with bulimia nervosa is ...
Potassium: decreased;
Chloride: increased;
Bicarbonate: decreased 🔍 / 📺 / 🌳 / 📖
tags:

+13 upvote downvote
submitted by ∗nwinkelmann(366)

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I ylelilrta jstu daleeirz yhw tish ntqeisuo ucnesofd em os hucm an(d 'Iev rtied ot ergufi it out a cpuole fo ,temis .)oll I let the qcioaulllo idfteonnii fo ubalmii e(..i mntivi)og tcisk in my idmn, atht I ortofg hte ctaula ceialmd tienoiidnf = omarln IBM tg)8(1;& + enibg gitaen nda grpiugn (ewehr uggirpn could eb euciddn gmviotin or duretiic sue or exiaatlv seu ard/on eecsixsev eercs)ex.i So ,yearll awth thsi oqneitus saw gankis is mspliy hwat is eth yeectlertlo aabelcn of eevxesics hr?ieaadr EEG!Z I meda ti so chum rahrde in my ahde wneh ygtrin to eawnrs it lliioag.ryn

Drraaieh ssecua o-inonnan pga .e.i( prh)iyleeoccmhr ibatlcoem ciissdoa. tSool ldnpyieamrton inaoctns 3HO-C and ,K+ so viseseexc dierahra = sexievecs slso of CH3O- dna +K. hoCrdeil selevl in eht resum lilw eb neicredsa ude to hte raomln OHC-/l3-C briuielu,imq so sa gnetiaev regcha itispsades eud ot lsos of H3,OC- Cl- ilwl nsaeirec gtrcenrico eth goan-ia.np

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drdoom miluBia ecsmo rmof reGek a"vrsoenu rgnu;"eh teh ermt si a iatrlel nctcoioatenna of the rowds rof xo )(ubso + hgurne o)li(m.s ,So in ,rkeGe aimiou-bl is aeitrllly o"x gher",nu ihwch is a odn ot who het dwro is deus ni nieeimcd = laerpetpu dan ieaibtlsan itepepta for odfo e(th yrev iotps"eop" of .i)imvngot +5

abhishek021196 I reeag wtih yoru osrigeann btu het cslcisa easc dipenriotsc of liuamB tssil ettcllyeroe tcnsradbeiu of kmaHlipy,aOe pOylicoram,eHh and ceMoabilt liAslakos, nagol thiw toerh ngthsi leik tidoapr thopyyprreh nad rdaols nhad scesulla eud to the duciend tgvnoiim. I iprpted up et.erh A:F / 20 gP 657 +

llamastep1 kTae hemo sn:oels iranogsen g&;t immorigzen +3

lulumomovicky I thhutgo mroe fo it by the l:iongfolw hte ptneati eosls C3HO ni het olstso nad hsit rarahdei usasec the itbolMcae asosic.id aeBesuc rmlano OH/CCl3 lbiruiuiqem dsulho eb tnendai,ima idroehcl esevll in umesr go up ot cmpeetonas het ssol of rcBi.ab sA het itetpan is laso PVYEMCOHLIO edu ot BP fo 81/,96 ehnt ASAR .ectvtsaai tronedlsoeA ilwl ncsraiee aN adn waret obtenriaposr ot eepk ievalmo nda K ilwl eb rxeetced ap)o.ik(ymhael sAlo saTAHP-e ni the ratniaetlcde cells of the tciclolneg dtuc lwil eb tavdcaite by ,arodelonets rfrehtu atgiarongpp het tieclbamo ioiacs.ds +1

bulimia ≠ purging Bulimia comes from Greek “ravenous hunger”; literally “ox hunger” = ox (bous) + hunger (limos).

+5/- drdoom(1206)

N.B., there are many ways to “purge”; the method of purge determines the observed electrolyte disturbance. A nice description of bulimia nervosa from MeSH:

BULIMIA NERVOSA. An eating disorder that is characterized by a cycle of binge eating (BULIMIA or bingeing) followed by inappropriate acts (purging) to avert weight gain. Purging methods often include self-induced VOMITING, use of LAXATIVES or DIURETICS, excessive exercise, and FASTING.

+1/- drdoom(1206)

+1 upvote downvote
submitted by brookly_(1)

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I hhutotg milaubi vegi esri to tcblomiae aaksoills a.c.n. smonoee aatroebel ?

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drdoom eee,rmbRm iblauim lsitfe dseo not amne n“g”rugp;i ti ensam “hxgun-eor”. It is gruinpg ,g(.e. ntloaeinnit vomtigi,n taxevail sb,uae rciuitde bsau,e ceivsseex cx,seerei ro eeexrmt tfi)sgan iwchh astrece baletomci nubdaic.erst hTe teyp fo icrenbstuda eedpdsn on oyru erfdprere oetru of x.e”t“i +2

-3 upvote downvote
submitted by ∗dr.xx(176)

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ubesA fo ltxsaeiva gt;&= allsyuu ededrsace mures asmpsiuto. As to ecliohrd and c,irabb htta edpe.dsn Tyeh duloc be iseecdarn or a.drecedes

14/ah5mww33.p/0p0h2gst5t:/wpar0/a.p/./flo10ft

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-4 upvote downvote
submitted by ∗usmleuser007(464)

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Tater ihst keil a mIPaVo (eWyrta ,ierhrdaa rhraahdloiyc = ercdued HCl in eht ,melun & oiayeklpm)ah

hsit lwil edla to bitelacmo oiasicds t/d sosl fo irabcb ni tlsoo

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btl_nyc dlheCior si saeenicrd h.houtg +

maxillarythirdmolar isTh nmcotme si ldo.g _l,y@ctnb shit is uctlayal e.tucac ouy wolud cpexet rpehmeohl yciar.K/:.n/6swpcwbo/isNogb.nomtnh/9t5B8khi/lv07w. +1

-4 upvote downvote
submitted by ∗maxillarythirdmolar(45)

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seBt mtmonec i rade was to rttea shti ikle i'ts a PaI.Vmo ouY uwldo teg lal hreet ellcebleo/yctrmtoaeti rcsiseatdu.bn

8nbtvmt6o0hooNc..i/nwkb.wwpBsg7/.s/:5/lni/9hK

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