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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 dbmu for ikgnas but cna omeoens xlinepa hs?it fI hsi nstrepa rae of sleoc ot anlmor MIB adn aer cndnoeerc tauob ish ghweti yhw odulw hyet eb wallogin hsi rciaeol siopoucntnm ot dcxeee his eernyg d?peixenrteu ( KAA nttlige teh kdi aet oot ucmh adn not eieersxc )uheong

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meningitis  Th'tas a meodrn ayd seytmr.y +23
drdoom  Teh ptmpor is nlyo askgin h"s'taw teh lkyeli eacsu fo ebysi"?ot sIt' not atht eehyrt' owg"ail"nl him ot eta rome hant c.ieersex wF(e enrapst cna oitnomr ertih sdik ttah sly)co!el hTe ptrpmo is nlyo kangis sa'twh hte tsom kliely apexltonain orf ihs 59th peeletcrni twgeih dna IBM (igevn that he sewerihto sarpaep mao;)nlr in het Uentdi aesStt, het msto yliekl latnaepxnoi si nagtie awy omer nath ouy exnped. +2
niboonsh  aka ic'ream btpdiosmlwrfloser#r +5
makinallkindzofgainz  fI uyo rea ,ebsoe si't aubeesc ouy evha mneducos eoarclsi in eecssx fo yuor rgenye eepenruidx,t nde of trys.o rheet( aer acosrtf ttha taffec oruy ynereg epdeei,tnrux utb teh msepli tesmatetn si %100 et,ru sneuls uoy ntaw to rueag ainatgs eht swal of hcmemrtn.)yisaod A is het lyno etcocrr n.wesar +1
tulsigabbard  hisT nrswae hit oto scoel ot .eohm +6
castlblack  I khint eht roesan tyhe tipno tou the aevaegr ethgwi fo het tesprna is ecbesau etilnp rdoeidssr era eh.iniedrt tI lspeh uyo liaiemetn ahtt sanrew eicc.oh +2


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 +3  upvote downvote
submitted by rogeliogs(12)
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My parhpcoa ot hsit ntqoeusi saw mroe jtsu cofigsun in eht foin ythe ear n.gigiv eNon fo hte rteoh npioto skeam essen uescbea reeth si tno vnceedie ot klat otaub htme. I asw veyr epettmd ot pikc het dresceea" ptenil ncdrtoupio" but I drmereeebm rD Gnoajl agyins Thikn" mpsile, htikn achpe, tehy ear ton rngity ot tikrc "uo.y oS, hcybub ensratp = uchbyb i.dks

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almondbreeze  htuhtog hsi odwsr on hitn"k ac"hpe dah to do twih stnrteetam - ..ie eeerxsci +
alimd  Yes eyth ar.e reheT rea os anym tikrc ionsuseqt +1
skuutnasty  I coseh lipnte yeedificnc czu I was tryna teg acfyn twhi ori.Ft nynaeo ohw is dtt,eeesrni rweheo.v.. igcrcadno to TeDatopU: t oM"s elepop twih btyiseo od ont vhea any mtilbnoiraaes in eht tnelpi enge, rithe eusrm elpint natnnsceroicot era ihgh fctnelerig trhei eedrcinsa fta s .s.mPc"eea.a +6
sunnyside  tust@sunyak lsevou'dh utsj let em elef ,ayncf now i fele siudpt (: +

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 dulow eikl ot niuelcd ehre atth it can ton eb B edeseacr(D tpnile tordcon)uip aeceusb epinlt leelvs aeisencr in ei.tsbyo Lipent si reetsced by psatdec,oiy hhciw obeecm gicinatfnsi ni .syieobt ihgH vlslee fo tpeinl aym aosl iessznidete hte ttysaie nctsere in the sltyuhopahm,a cihwh si hyw namy besoe poeelp hvea ortuble mitinilg rihet fodo eainkt.

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madamestep  eyrV !teru solA netlip uaescs ncsehga ni t.aitpepe So eenv if pnleit si w,lo uryo oenras ofr obitsey is ltils eomr oairlsce in atnh otu. +


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 -8  upvote downvote
submitted by jotajota94(14)
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I tinhk teh yke to dgrutendainsn hsit eusnqtoi is ttah eth yob ahs baveo aavrege eph ienLthigt. tumstilsae the reeeasl of HG (tn1btuhesppi5c:h//..8o.b/2122.nwm/wnlgim0vwdnlrehd)C i itwh ishuCgn edysmonr eahv shtro rttause /h.9.gc/3iwsn/mnvdt:inwl.pu/.65p1wmb3h6tb7eonnsiu)l i tihsniib HG cnreteosi :/inw1.ctlvwhwl2n6/a.mtt/Pr/sipbc.epM6oh5/4s./icnCmg)I kthin taht thbo a hhgi ariccol tdie ni staf nad egoculs nac aemk oyu fta so uoy nac iaietlenm ohest sneraw ishce.co

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