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Retired NBME 22 Answers

nbme22/Block 1/Question#32 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Hypokalemia 🔍 / 📺 / 🌳 / 📖
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 +19  upvote downvote
submitted by moloko270(77)
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ossl of udfil erristgg ortleaedons dtcoo,upnri so ieatptn lilw heav thiemnrarypea nad oempahiykal sa a teulsr

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makinallkindzofgainz  tad SAAR +6

I realise now that diarrhoea causes hypernatremia! And the reason we give ORS is to restore the blood pressure by giving Na and Glu not to correct sodium level!

My 6 yr of medical education was a myth

+2/- apurva(101)


 +15  upvote downvote
submitted by liverdietrying(111)
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odGo ctaf ot mtiocm ot :ommeyr uyo sleo abribc in eth sltoo cehn(e why haeriard saeusc ooainnnn gpa mbeocital ciiao)sds, dan csyliepeal selo ptosamuis whit etviaaxl bause (sa ntoimdnee in the oqisetnu et.ms) nerinotwalicoa.itaosornchdlcr/mw/o--tehtcueaa.--hpasypeeaet/stwsbwtl/-tdi:-edredbttmian

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sbryant6  m'I goign ot og etak a bgi cbbrntieaoa poop onw. +32
happysingh  i uwldo tgssegu ttha uyo loko noti it a itb e.omr Wyh ? aHd na benm ntusqioe (hiwch dcsfenuo eth hist uot fo )em cz,u leiumBc .Pt who saw sbnagui xeaiLvtsa (ahd hte up pma&; dwno sa)rrow and hsit is atwh it vgae : aaiLtxe v Abuse — olbicaeMt loaklisAs  : K+↓     l-C↑                   pH↑   os CHO ↓3- oen fo the ostpin of itncndoitsi IS teh nerciaes in -Cl hitw eiaatlvx buase .(vs igmtv,oni hhwic asw a keejnr-ke etiorcna enhw i rhae abmiilu) +3
lola915  I touhhtg aihdraer susaec oNn onnia apg obcilteam ssiaidco haniyg@phps +2
texasdude4  saye yaw to rereembm : irbaB"c tou het "Bttu +2
weirdmed51  odnset oacsdsii tusler in ak'Ei'lRmHY?ePa +1
abhishek021196  mBliiua nsaover lretocelyet ceaghsn /dt a/tiiintadlurimxsvioesgvct/e basue eteeipsvyrlc - w/pt/:a5f/tr2mt0w1.a5p0l/h.0wo/143h/p03apfg.s +



 +0  upvote downvote
submitted by drmohandes(193)
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uYo oltmys oles CHO-3 dna +K ni solt.o

ssoL of OHC3- esald to a omalrn aonin pag eilmtocba sosaicdi 19F(A20 .gp 850 S'AADRSH)', in hciwh ew salo ese a moaycsprtone eiscnrae in Cl.-

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 -1  upvote downvote
submitted by iviax94(7)
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I saw eewetbn aepalihmkyo (edu ot di)eaarhr nad iprycaraumeyeahil/cecpriehm cnies( taswe si ohnyitocp nda owdul cuase cisrmptyoeho lveomu )co.trtnncaoi I idn’td veha a tgaer way to deiced wbtenee yirruCr/haeeeiapmhypc so I rudifeg they edatnw hp.yoK Is reeht a ttbeer liraaeton rof hwy eth preyh snrsawe ear ro?ctcnire

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liverdietrying  I kthni oyu vohthtr-uego thsi eon a ilettl tbi hwit het hapi.pyececrrrulmiiha/ycaeem oGdo tcaf to otcimm ot ryo:mem ouy esol babrci in eth sotol nh(cee why hdreaira ssecua innonnoa pag oiabltcme iiods)s,ca dan lyleeispca olse spaotsimu ihwt iexaltva busae (as etnoenmdi in teh nquteosi )se.tm ei/lc/ebo-tna/wwsreiumdl-.orrnis-ophottatpo/itett-.ab-:madaadawnerwtiseaetsnehydlcthc-c +3
w7er  asclaBily ythe era kiagsn uatob eoyrctlleet runcaitdbes ttha ausce oalcepsl nmaiyl eud ot yikehlmapoa omfr valaetxi ebaus cbeeasu idraraeh csaue aeomphkmilya nad sloa cesua rcsnaei ni innre igitsoeannn smtey cihwh will hrturef usace akeohyapilm nlgiuser cuaroacisarlcd ospcale :) +1
hyperfukus  i ugttohh eth michupyarreei tingh too but i satn'w rmtas goehnu ot khnit hyet tndaew ykamaieophl elik u (: +2



 -1  upvote downvote
submitted by castlblack(78)
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I vhea edra lla the csmmn,teo tub onne apnixle yhw oyeipahmanrt is .wrogn eTerh si ndefytliie +Na in ot.o..httsls.a hwy argtssa+ul is ehnroaiytrd orf sped liaderrah enksciss. Lwo a+N caeuss low VEV einxgnlpai teh wlo B,P hihg ,RH lro,alp nda hytridan.oed sI ti ecrrotc ubt ujts nto sa cerctro as C?

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waterloo  I ontD nwko htwa yuo aemn yb lwo .VEV Btu e'serh ym ohutght os.pcrse Ts ih pt solt stlo of ewa,rt adn whne nsooeem kesat a xveiatla acnsiug them ot haev raiearhd atht lliw adel ot ebomaictl s.ciiodsa A brgfniuef imahcnsme ofr het acsdeerde bcriba ni eht doobl si for H+ to evela lescl and K+ to go tnoi hte e.lcsl oS eh has ot evha ahmpoaikely wo(l +K in .u)smre They aveg ihm IV fuid,ls so his PB dluhos eb heaedd ackb to rla.omn I ouwld khnit ish SAAR wlil lhicl .otu But it tesak imte ot crrotce the cs,ioidas eryou' edyink nwot' usjt ydtmeilieam tspo aebsr bicabr os u'oeyr oydb lilw tslil be fbfgnuier tsniaga eth isoisacd H(+ otu fo le,cl +K .ni) +2
waterloo  ,srryo I woter cniearesd iabcbr, I entam CEADRDSEE ibbacr in eth b.odlo nAd lsao sduloh veah entwitr 'roue"y ekdyin nw'to sutj iielamdytem ASTRT rsaeb enw bar"bic yM ad,B answt' nyitrg ot dda ot on.nscufio +1
drdoom  i hinkt by `VV`E ahrtuo aetnm ``CEV ulrrcaall(teex lo.)eumv l,o@wtoare creeitapap the xpannaloeit ubt kthni mghinotes si :fof ssol of 3OC-H iav dhreriaa udlosh slretu ni a,mceaiid hcwih ulwdo peosop the somnpuperti of H+‌`` gnvliae clle, +K igngo in´.´ +2
waterloo  eyh os ry,osr I umst haev nbee eprsu ridte oipsntg sith. tn'Ca bielvee I amde so amny eatssi.km dRae over ti ,nagai adn ti dssnou ikle s.ghiibreb Whis reeth was a ayw to etdel.e yM da.b +1
waterloo  I kthin I dreit to eapnxil oot hdra. ooLkgni ta ihts nsuetoqi ,agani I tnkih arelyl teh lyon hsit si enhw yuo elos taht cmhu e,mvoul yuo lose brbcia nad .K+ gtohNin ayrell to od itwh .saac-eibd yM .b +1
drdoom  on eosr!wri +1
castlblack  VEV = tfefeecvi avlcsaur .meluvo Tnahk uoy for tringy ot lpeh btu I slitl ndt'o rausdn.netd I lilts egrae tihw my oevab msniahcem sa .cetrcro hWhtere ro not its' stmo crroetc .dik +1
amy  htwa abtuo eth lngo aymtse hat?b He alos sweat a ot,l nad espfuro netasgiw is gogni to uceas m?naeytoprahi +1
helppls  ttash hawt I was innihktg as ^^llew^ I fgeuird he wsa atnigesw tou a tlo of NCal +1
icrieeverytiem  heT Q senintmo that eh lsefe etbert retfa an fioiusnn fo dfulis os I esamsud yna hyipratoaenm tath he dah 'etsumv eebn dreeo.lsv +1



 -1  upvote downvote
submitted by apurva(101)
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hnorCci hrdiaorea == tiV D mborispoaltan = ceiaHoacmpyl (asy ni )sorhcn

uCtAe deorhaari = yrHaa,eentiprm oeaa,iHykmpl tmepiahhspeorypha

norDtediayh nca alos eucas eircuprmhiaye and tpp gtou a,tkcat utb rfo ygonu pt i tkhni this will be terraenvil

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