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 leef dmbu orf asgnki but nca eemnoso paelxni ih?st fI ish strneap rea of csloe to lrmano BIM dan aer nercdncoe atbou sih giehwt hwy dulow heyt eb nlliawgo sih oalierc noscumoinpt to edcexe ihs ernegy entp?edeurxi ( AAK eingttl hte kdi eat too cuhm dna ton ircsxeee ouhegn)

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meningitis tTsah' a dermon yad tyye.mrs +23

drdoom heT ptmrop si olny inskag 'hsa"wt eht ielkly usace of i?tbey"so I'st tno hatt ehyt're "l"oglwian him ot aet mreo htan cseeei.xr Fe(w eptsnra can roinmto tihre ksid taht ol!)ecysl hTe ppotrm si nloy ganisk ta'hws the somt eliylk tapneanilxo ofr hsi 95th eictpnrlee igethw nda MIB iegnv( atht eh eowithres aesarpp );nraoml in eht deiUtn tSates, the tsmo liekly peniotaalnx si geitna yaw eomr htna you .peexnd +2

niboonsh aak cmri'ea smtpflo#relobdrrswi +5

makinallkindzofgainz fI oyu aer ,beeso ist' csbeaue ouy hvea duneoscm aicerslo ni excsse fo oyur neyerg exrdpineu,te dne fo .osytr (rhtee are socratf ttha eftcaf ruyo ngeyre rputeinxdee, ubt hte lpimse aestemntt si 100% r,etu lsenus oyu awnt ot gurea iagnats eht lasw of dmtyeh)cinrsoam. A is the ylno tcrrcoe sewrna. +1

tulsigabbard isTh awenrs hit too oslec ot .eomh +6

castlblack I hinkt het rnosae tehy potin tou hte rgaeave giewth of hte rsapnte is eubscae piteln issdorred rae theidner.i tI lshpe you inetiaeml htta arnsew occ.eih +2

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+3 upvote downvote
submitted by rogeliogs(12)

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yM ahpraopc to isht ositenuq saw mero sjut ncgfuosi in teh fnio yteh aer i.ngvgi noNe fo het toerh toipon aemks nssee bseuaec rthee si ont nceeedvi to alkt btaou mh.et I saw yvre pdemtte to icpk the rescde"ae lipetn utionpco"dr btu I emdmbereer rD Gojanl aisnyg "nkhiT meli,ps itnkh ,ahpec ythe era ton grinyt ot crkit "uy.o S,o ucbbhy asrnetp = bcbuyh iskd.

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almondbreeze hothtug ihs wsdor on thi"kn eapch" dha to od wthi etmtrntsea - ..ei exseirec +

alimd seY teyh a.er reehT rea os yman tcrik tiuseqons +1

skuutnasty I hoesc eltnip ieefcyicnd cuz I wsa ytnra egt ncfya hwti .ritoF ennyoa owh si ,edsiteretn ew.veo.rh. adgoccnri to aT:oUetDp M"s to lppeeo hwit yoitebs od tno hvea ayn osabmireaitln in eht ptlein ee,ng heitr resum inpetl oinnaotcecsrnt are ihhg tlcgfeeirn treih eecrdinas tfa asc.seP ..a"em +6

sunnyside ttaunksy@su 'ehsloduv jsut elt em elfe nf,cay now i feel distpu (: +

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 udlwo iekl to cedinlu eerh thta it nca otn eb B ceeresda(D lienpt nprotc)uiod aebsecu ltepni elvlse ceanirse ni etos.iby peiLnt si seeecrtd by edypat,iosc ciwhh moeecb fitinsancgi in .itbysoe Hhgi seelvl of nlitpe mya losa nseedsiztie eth ttyeias tsrcnee in het lyuomhaspat,h hichw is hyw aymn osebe pepoel vhea bterolu tiigniml their oodf ia.ektn

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madamestep rVye !teur olAs elitpn uascse sencgha ni .teitppae oS nvee if tnlepi si owl, uory asnore for bsiteoy is lslti mroe rsloacei ni tanh .out +

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-8 upvote downvote
submitted by jotajota94(14)

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I htnki the eky ot nagtundiensdr sith qsonutei si thta eht oby ash ovbea veearag ep.hittLig hen ilmtutsaes hte elasree fo GH (e.2/n5vt0.go.mm./d1shniw8c:bptli/22unhb/wp1wne Cidlhr) wiht uiCgnsh syoedmrn vahe tshro aeusttr 5mm//htb.vs.w3wl17b:.6wutp3ncin/6dhno./gpe9iii)lnsnu hsintibi HG eirtsceno ./t/2gPi4nai.oltnpec5/m.r1pwww/hlcM/ht6mbsvC6ic:ns/. I) tkihn ttha obth a gihh alrcoic etdi ni asft dna uoslgce cna ekma you atf os yuo acn laetiiemn oseht nwaesr se.cocih

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