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NBME 23 Answers

nbme23/Block 4/Question#27 (reveal difficulty score)
A man accidentally touches the surface of a ...
Histamine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—temmy(152)
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rD Strata stlak otbau cenisrae lpacriayl lmbpeyitiaer in eht latlrioypspca lneevsu and iltvsoaadnoi ni teh aieslorter as ncitaso of inie.tsham aTth aws htwa i ugthtoh of wenh i edareswn the .iusqnteso

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 +1  upvote downvote
submitted by docshrek(4)
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ng.etw2h.l2w1.c/t.1:/dihpno4mp6s/wiumb6bv/n

opostlhhagyyoPi fo eth brnu rstwouAdnru n.o ttbcTr Ge.a Ash osoypaholgpytih of eht ubrn oundw si rhceeitaacdrz yb na nrfiyalmtoam caientro aldegni to rpdai odamee i,rmoaotnf eud to iceasdenr rouvimccrslaa ray,limpietbe dviatsnaiool nad saedncire trleusxaavrac comotis cy.aiivtt heTse oirnseact aer eud ot eht recitd teah ffecte on hte iasuorccautlvrem dan ot cmelciha riatomeds of .tmlmfianoina ehT ltieeras easgt fo osanaidtlaotvi nad seicrdaen vnsueo btirelpmayei is lmooymcn eud to snthiaiem era.esle aaeDmg to eth ellc mmarnsebe lrpayt saecud yb yefer-ogxne dacsiarl adesleer morf naorroyeomhcppull ostceyluce ouwdl ieavttca eht ysemenz yaalgitcnz eht shsdryyoli of nragslndpatio seuorprcr coahniar(dci idca) htiw dipar iomrtnfoa fo annrldgaopist as eth tlurse. iPnogtlndarass bhiitin eht aeseler of inoihrnpeeerpn and mya hsut eb fo enrtaipocm ni tiumlagndo eth rrcieedgna srueonv tmsesy wchhi is ctvaeiadt in eoeprnss ot mraelht ji.rynu eTh croloahoilmgp enpittrnsetroai fo the gchaens ni teh fucnoliant ulstcrretauutr fo eht blhylmdopo rrrebai flnwlgooi etharml rnuijy esem to eb an caeinres in the ensbrmu fo olauescv and nmay oepn endleohilat lnrlaclerutie njncuiot.s ruoterFerhm sneghac fo the ttrntiisieal stsieu farte unbr atmrua era fo rtaeg pnmiceota.r eTh csuninouot olss fo idful fomr hte dolbo nuctolicrai tihwin eth llhmryeta maddgea usiset asuces aceiserdn tatraheicmo esvlle adn a aridp alfl in slpaam ueovl,m ihwt rdascdeee acdcari outtup dan nsohpfiuyrepo on the elrlcalu evlle. fI hte fdulis era ton eqleytadau oerrdset brnu oshkc lees.pvod trerhrFom,ue the brun dnwou isrdvope a tvsa reaa fo ynret fo rfascue itcnifoen twih a hhgi sikr fo picest hkcos. rouF imna rlnepcipis rea fo tuomts riatmnpeoc ni eht rcuetrn ngnmtaeaem of aptnseti with vseeer hamlert runy,ij nmlyae realy wduno usoec,rl nvrpietneo of iecspt ilonpcao,mtsic deeaauqt iottrinnu nad otcornl fo teh lerxtane etnmn.nevior

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 +0  upvote downvote
submitted by hvancampen(7)
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ciAgcnodr to F,A inuloiattms fo hte H1 rteroepc esurlst in as"lna nda abolirhcn suucm t,uocpidonr vaulcsra bipeiayrl,tem ntoithbosrcirncnooc, prr,utusi napi" pega( 482 of FA 218)0.

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 -2  upvote downvote
submitted by โˆ—thomasalterman(181)
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tsMa elcl oaaenlrungidt acn be regrdgeti yb rongief gtensnai nad mutraa

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thepromise  I vbeieel ahtw eyo'ru gakpsnei uabto ccsour rome ignrdu ihenirsstyivypet ai.onrtec In tihs a,esc ereht is egadma ot het elitdonhael e,lscl wichh yeht asol leasere tesnahmii fro vs.oanladtiio hwihc traeces eebtmyaiplir for eht hiroeptuslnl dna ytmehear orfm teh nscreedia loobd v.elomu +17

@thomasalterman you are right. I don't why you got downvoted. In UW QID# 17853 it's the same exact scenario. And this is what they said "the morphologic changes in burns occur due to both direct tissue damage and inflammatory mediators released from epidermal and immune cells. Release of histamine and other preformed vasoactive mediators from MAST CELLS in the minutes following a burn leads to dilation of superficial skin capillaries."

+4/- fatboyslim(118)


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