NBME 22 Calorie consumption that exceeds energy expenditure (NBME Answers)

Retired 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 🔍 / 📺 / 🌳 / 📖
tags: nutrition

+3 upvote downvote
submitted by ∗aesalmon(95)

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I eelf bdum rof giknas tbu nac mseneoo lxepnai ?tish If shi esaptrn rae of eclso to mnrola MIB dan rea eocrenndc tobau shi heiwtg ywh dlowu ehty eb lwlaoing shi iaecorl uotnimnpsco to ceeexd shi gneeyr niupe?erxdte ( AAK gilentt het dki ate too muhc dna nto rexeesic unog)eh

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meningitis htTs'a a nmrode yad esryymt. +23

drdoom eTh torppm is loyn ainsgk s'w"hta het ieykll cesau fo beiyto"?s ts'I nto atth rthye'e wl"n"oliga mih to tae rmoe nhat resxiec.e w(eF epstnra anc tronmoi irhte dkis thta s)!eocyll hTe oppmtr is onyl asgkni thsw'a teh most ilelky tiopeannlax ofr sih t9h5 tnelirecpe weghti adn MIB egvn(i htat he rhstweoei eaarpps )mnr;ola ni het Uindet ,tetSas hte mtso lleyki pietaxoanln si etngia wya oemr hant you .eedpxn +2

niboonsh aak acem'ri wor#sdfrrebipllomst +5

makinallkindzofgainz fI uyo rae bosee, st'i buasece uoy vhea cemodusn sciloare ni exsces of oryu nyeger detiper,exun ned of syt.ro (three ear ftcosra that afcfte your genyer exreieupntd, but eth lmspie etntastme is 00%1 uret, slsenu uoy atnw ot guaer anigsat the wsal fo yd)imrna.smoethc A is teh oynl erctcor .wrenas +1

tulsigabbard Tsih saernw hti too ocsel to oh.em +6

castlblack I htnki teh oasren yhet iontp uot the egearav thweig fo het esaptnr si usaebce itpnel sddisreor aer iet.hdrine tI lesph uoy naeilimet that eswran ccie.ho +2

+3 upvote downvote
submitted by rogeliogs(12)

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yM apoapchr ot tshi qtnosiue wsa mreo sujt ufgionsc in teh ifon ehyt rea iv.gign eNno fo hte tohre niotpo mskae ssnee ubsaeec etehr si ton iedvence ot tkal tauob .them I was very dpetemt ot pkci eth srdee"cea eplitn upo"ncdiotr ubt I eeebremmdr rD njloGa sniyag "Thikn plmie,s ihtnk ,epcah yeth aer ont gyrtin to krict "ou.y ,So bcybuh rnsapet = ubhbcy k.isd

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almondbreeze utohgth his dsorw on iktnh" hcaep" ahd ot do ihwt mnaettetrs - ie.. eieecsxr +

alimd eYs tehy a.er heTer ear so nmay kcirt snoeiutsq +1

skuutnasty I echso penitl ficedincye czu I saw rntay gte nfcay ihtw rF. oti noenya hwo si eetden,sitr e.he..orvw cnaordigc ot atTDUoep: t M"so ppeelo itwh steboiy do ton aevh yna tsblaniearoim ni teh pielnt ,ngee hrite mrues plenti otostiennrccan rea hihg etelgrcnfi erhit ecnseirda fat P" asms..e.aec +6

sunnyside kyut@tanssu ldvosuh'e ujts etl em leef a,nycf onw i fele duspti (: +

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.

+1/- almondbreeze(110)

+0 upvote downvote
submitted by rongloz(7)

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I dluwo kiel to cilnued eher taht it nac ton be B see(Dacred elipnt rticd)npuoo eubseac lipent vllsee ernicsae in teibos.y Lpenti si sdceeetr yb o,cepyitdsa ichhw ebeomc tisncgnfaii in to.iyseb ighH slleve of eltpin amy laso tezenssiedi hte sateity cesrtne ni eht sohtmhaa,ylup hchwi si yhw anym soebe pepoel hvae bolteur inimitgl eriht ofod kiae.nt

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madamestep eVyr et!ru lsAo inpelt asesuc negcsah ni pitpea.et oS neev if ltinep si olw, ruoy sonare fro sotbiye si tisll more clroesai in than to.u +

-8 upvote downvote
submitted by jotajota94(14)

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I ihntk eht yek to gentuasrdnndi isht enqiusot is atht eht boy hsa baevo ravegea gnhLie.hettp i sltuemiats het aeresel of GH (n2/1wu:ienmbt.i2ts0mbph1lv8c/5/ngd.w.w.ohp/2enl rhd)iC itwh uChisgn esyrdmno ahve trsoh tretasu bpn./:.m.o/m7gcewd1t63wvbulsphhn./t6wn/i953iunsni )li ibisnthi GH ecronetsi st/t/cw.iCiMvmt2nw.5gnsPrcpe/inlma1/o.w6/l6/bhph.4:cI ) thkin atht hbot a ighh ocaiclr dite in tsaf adn scueogl nca keam oyu aft so oyu acn ienelaimt sehot wsrnae sh.cceoi

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