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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: nutrition

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 +3  upvote downvote
submitted by โˆ—aesalmon(95)
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I eelf mbud rfo sangik utb cna mensooe lanipex ?isth fI shi eatrnps rae of lseco to anroml IBM dna era cnronecde uotba shi twheig hyw wudlo tehy be lagoiwln shi icrlaeo scopiunmnot ot ecexde hsi egnyre etnexe?irpdu ( AAK tleingt het dik eat oot uhcm dan tno ieceerxs onghe)u

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meningitis  Th'ats a mdroen day sm.ryety +23
drdoom  ehT ptpmro is nloy agniks t'"haws eht liekyl cusae of "i?sotbye 'tIs tno ttah het'eyr o""ialgwln hmi ot ate eorm ntah eec.reisx e(wF spatern cna trnmoio ertih kdsi hatt s!elco)ly hTe pmrpot si loyn saigkn ta'wsh hte omts lkleiy iapxaltonen for hsi h95t tcrpinelee weihtg nad MBI vgi(ne ttha eh hrtweoeis rapapse ;naorml) ni the enUtdi St,aest eht tsom yillke aixntopanel is tegnai yaw orme tnha you xep.den +2
niboonsh  aka mir'cea iolpfe#tsoslwmrbrrd +5
makinallkindzofgainz  fI uyo rae bosee, si't ebcsaue you haev ecsumond orescial in xsseec fo ouyr rnyege rted,xnuepei ned fo sot.ry ehre(t rae srtocaf tath faeftc oryu yerneg tidepu,exner ubt the liemps etsmnatet is 0%01 ,treu selnsu you tnaw ot eragu tnsagia the alsw of tyicshenm.oradm) A is eht nylo tcerocr rsa.wne +1
tulsigabbard  Tish nasrew hit too scole to oe.hm +6
castlblack  I tinkh het sroane htye iptno uto eht veragae etighw fo het pearnst si beeascu lpteni esrdosdir are r.eidnethi It eslph uyo eieatlimn taht easrnw .ohecic +2


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 +3  upvote downvote
submitted by rogeliogs(12)
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yM haracpop ot tish tuseqnoi was ermo utsj ifcnsugo ni teh noif tyeh era ng.viig enoN fo teh rtoeh inotpo makse snees caesbeu rehet is not edceevni ot atlk btauo etm.h I saw vyre emptdte ot ckip het asee"crde petnil cotnuod"rpi utb I mredebeemr Dr Gloanj iygasn hni"Tk l,pimse ntihk cah,ep hyet rea ton rgtiyn to citkr "uo.y ,So yhbubc pnrtsea = bhucyb skd.i

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almondbreeze  thghtuo shi sdrwo no "ihnkt ha"cpe had ot do tihw tettsmenar - ei.. ixesrcee +
alimd  esY tyeh ar.e herTe rae so ynam ckirt ntsseuqio +1
skuutnasty  I cohse ptnlie iceencfyid ucz I wsa atryn egt yfnca hwti io rt.F eyaonn hwo is srti,ntedee vew.er..ho ngdraiocc ot :oTDepUta ost"M oeplpe twih oybites do nto eavh nya absotirinmale ni the lneipt en,eg their uesrm iptenl ecstcraitnnnoo aer ghih ntelrcigef rthei irdenaesc atf "s.caseeP..m a +6
sunnyside  uystt@knsau huoeds'lv sjtu lte me lfee ya,cfn nwo i lefe idsutp (: +

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.


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 +0  upvote downvote
submitted by rongloz(7)
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I doulw klie ot decniul reeh tath it nac otn eb B reDadse(ce etipnl p)otrodcuin bceuesa penlit evslle seneraic in tbs.yoie tLnpei is edecsrte by iseytpdco,a hicwh obmece ginitscianf ni tbey.sio ghiH lesvle fo npitel yam sola eeinidseszt het itytase ecesnrt in het ,lusmayptahoh hcwih is hyw naym seoeb ppleoe aevh reubotl mtniiigl hiter dofo e.tnaki

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madamestep  yVer !rtue oslA inltpe eaussc cseaghn ni ipete.atp So neve if ntepli is l,ow ryou arones rfo eibyots si sllit moer aclisoer ni htan ou.t +


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 -8  upvote downvote
submitted by jotajota94(14)
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I ihtnk het yek to siadungetndrn sthi esqniotu is that teh boy hsa bveoa evraeag hpnh tLtigiee. suietalstm het aerlese of HG (b5//2p/mn2cvnwhisutpmlt.112.o.b/:wi8den0wh.g)drCih nel twhi isCnugh dmsneyro heva oshtr atertsu lc/n3w6/56t//7.spbgh9ouvidnn:3h.ptbiew..w1mm)sluinin tnshbiii HG scenieort .h/rnb/iwep6mCMcihs.6gl/5a2wt./it/nsnccotl:wpPm41/v.)I kntih hatt ohtb a hihg ciarlco teid in afst nda ceuolsg cna eakm you tfa so oyu cna aimineelt ohets enarsw .scicoeh

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