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

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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 🔍 / 📺 / 🌳 / 📖
tags: nutrition

+3 upvote downvote
submitted by ∗aesalmon(95)

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I feel bdmu orf signka ubt nac moenoes xeapinl hi?ts If shi rtnpase era of seolc to rnloam MBI nad ear endnrcceo abuto sih itehgw wyh duwol thye eb gnwaioll his leaoric uspinntoomc ot eeecdx ish yreneg e?xntudeprie ( AAK egittln eht idk aet too mchu nda tno erecixse )enohgu

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meningitis sthTa' a merdon dya .ymestry +23

drdoom ehT oprmpt si olyn kgsain hst"a'w eth leiykl eucas fo itsbe?y"o stI' ton htat yeethr' oa"in"llgw ihm ot eat orme nath esireecx. weF( pstnrae cna otnroim ierht skdi ahtt ell)oy!sc ehT mpprto si lony gaknsi twsh'a eth ostm kielly paenolxiatn for sih th95 leteeciprn egithw dna MIB gi(nve hatt eh ewohertis aseprap nm;o)alr ni hte endUit etSs,at het mots likley lnaepxaiont is anetgi ywa oemr tnah ouy e.expnd +2

niboonsh aak raei'cm #idoosfrbmlrrtepswl +5

makinallkindzofgainz fI uyo aer eoes,b 'ist asbeuec uyo hvae ndmeocus iraocesl in xceess of ouyr yegrne e,pdixeenrut ned of rty.so her(et are tcfsora htta efafct uroy enegry ipre,detnexu btu the lspime netmestat is %100 ute,r luenss oyu atnw ot uaerg atagnis het lsaw of ihd.nacsmmetroy) A is teh lyon rcercot aensrw. +1

tulsigabbard shiT rseanw thi too elsoc ot home. +6

castlblack I hnitk eht osnrae eyht piotn otu het veeraga hweitg fo eht ptaresn is ebsauec ltinpe rsredsdoi rae in.eehditr It pehsl ouy ntliamiee thta nwarse echoi.c +2

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+3 upvote downvote
submitted by rogeliogs(12)

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My oahprcap ot sthi quieston swa orme sutj isuofncg ni teh fnoi yhet rae nii.vgg eonN of eth torhe pointo asmke eness cseeabu heert is not eeenivcd ot takl utoba .htem I swa evry etedmtp to cpki teh aeseedrc" plniet tprncidu"oo tbu I mbrmrdeeee Dr Ganjlo gayins ik"nhT l,siepm tnhik eca,hp htey are otn yrting ot tckir "yu.o ,So hycubb aeprstn = ychbbu i.ksd

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almondbreeze gthuoht ish odwsr no htn"ik "cheap dha ot do twhi reetstatnm - .ei. iresecxe +

alimd Yse ythe a.er Three rea os nmya tkcir issueontq +1

skuutnasty I hosec tlepni ecnyefidci zcu I asw aynrt teg yanfc wthi Fot.i r nnoyea woh is e,eirsntedt w.h.eroe.v acodrigcn ot tDoT:aUep soM" t peeolp whit seboyit do ont hvae ayn aineabsitrolm in eht pnilet ng,ee rhiet rmesu nitelp ocnricsnatteon rae ighh firnctegel erhti ieecradsn atf sm Pc.".ae.aes +6

sunnyside nuustysk@at 'uvoldseh jstu tel me efel faync, won i elfe ipsutd (: +

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)

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+0 upvote downvote
submitted by rongloz(7)

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I dwluo eikl ot ldcneui eehr htta it acn ton eb B ecaDredes( iptlen ocn)drpouit uabseec lpitne levsle iacsnere ni seityo.b epLnti si rstceeed yb cpo,dseiaty chihw mecobe infaiigctns in tyeoi.sb iHhg eelvsl fo tneipl may olas entseeidszi eht iyatest tecenrs ni eth loay,utmapshh hiwhc is yhw ynam eboes elopep heva lubteor linmtigi ihetr fdoo teakin.

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madamestep ryVe !erut loAs inletp scasue egcahns ni atp.ietep oS vnee fi itpnel si ,wol oryu aosenr rfo eybiost is tilsl emor aesirloc in hnta .otu +

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-8 upvote downvote
submitted by jotajota94(14)

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I itnhk eth eky to gnuseanridntd ihts qeiosutn is ahtt eht ybo hsa eoabv argeeva tnheigth pLie. samlseiutt hte aseeler fo GH (//b/h1w2od.nplmhwc1it2ps:vnu2we/n..5g.b0imt8)neChdil r hiwt hCnsgiu ormsedny hvae otrhs trtseau /.pdn/96/tmn.3.tuiipo5ngwh:bs.cl16m3wv/eb7wh)sulinin ibinhits HG eciertnos /h4mtl:P/lnM1wcbimho.cc/6sg2t.pi/w.nn6/5ia/wprvsCte.I) nhkit atht obth a hghi olacric etdi in fsta nad eoulsgc can emka yuo tfa os ouy can enmalteii hteos sanrew ho.seicc

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