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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 elfe dubm orf agskni utb nca oemsnoe ianlexp ih?st If ish anspret are of elcos ot amonlr BIM and rea eeodnnccr touab sih iwhetg yhw olwud htey eb allwongi ish aeloric usoctnpimno ot execde ihs rneeyg ixneperd?uet ( KAA ntgetil het dik eat oto cmhu adn tno scieeexr )oneguh

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meningitis  ht'sTa a nerdom yad ymyts.re +23
drdoom  Teh ropmtp is noly inskga hs"ta'w eth yiekll eusac fo e?oti"sby 'sIt otn thta ehye'tr li"nal"owg imh ot tea omer thna xe.escrei eFw( ntpersa acn rntimoo ihtre dkis that sclol!)ey Teh pmrotp si ylon saigkn th'saw hte mots iyllke ioeanplnaxt orf sih 5h9t ctelerpeni gwtieh and IBM e(gvin hatt eh osiewhrte raapeps ml;oa)nr in eht ediUtn t,tSaes het omts kieyll neipoaxatln is atgein awy eorm anht ouy dnxe.pe +2
niboonsh  aak e'mraci frsw#olimepsobdrrlt +5
makinallkindzofgainz  If uoy aer eebos, 'sti causbee yuo avhe oceunmsd eacrosil in escsex of oury egryen xdete,unpier den fo rtyos. hetre( rea crfoats tath afefct uory yeergn edxuiprn,eet utb het iselpm tenamsett si 00%1 ,tuer lnusse oyu atwn to euarg ngitsaa the aswl of nimyort.acsdeh)m A is eht noyl ccotrer renwsa. +1
tulsigabbard  hTis rswaen ith oto esloc to .hmoe +6
castlblack  I hitnk teh orsena yhet ointp out the geaaerv whiget fo eth pesatrn si sacubee tlpine iesdodrsr rea nthireied. It pelhs uyo ielaeitmn ttah wrenas eoihcc. +2


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 +3  upvote downvote
submitted by rogeliogs(12)
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My raacpohp to hsti euoniqst wsa orme sjtu nsigcuof in the oifn heyt aer ngivig. noNe of het toher tooinp skame sseen caesube ehter is otn ievdecne ot atkl tbuao hme.t I saw rvye tmedpte to pkci eth ederesca" pielnt nir"tpdocou tub I reeedmrmbe rD oGjlan inasyg "ikhTn ms,liep inkth ,pecah tyhe are ont rnyigt to rtkic "oy.u S,o yhbubc stnrape = yhbbuc ikd.s

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almondbreeze  thuothg his drwso no tikh"n hp"aec hda ot do twih anermsttte - .i.e cexsiree +
alimd  Yse heyt .rae erheT era os nyma irkct sosqueitn +1
skuutnasty  I ecohs etpnil dficieeycn cuz I swa anryt etg fcayn hiwt .rFo it noenya hwo is tteien,sedr eov.we.hr. ngocircda to oDaTp:Ute "os Mt ppoele htwi seoityb do tno vhae any tmeoaiirnbasl in teh piteln g,een eihrt rumse itenlp stenoocrntacin rea hgih ternefilgc erthi eircnsaed fat cPa".m a..ssee +6
sunnyside  nsttuus@yak u'hlosdve jsut let me flee ,cnayf onw i elef pdtsiu (: +

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 uwdol ielk ot euidlcn eher taht ti nac tno eb B ereD(scdea tlenip )otourcndpi easuebc nitpel elvles nraeesci in ty.osebi nietpL si eesrtced yb dyeacpsit,o hciwh ebmoce ifgnaitsnci ni oet.isby igHh slveel fo ineptl yma osal nessiziedte teh tayeist estcern in teh pmhl,tsaohyau cihwh si ywh mnay beeos pleope hvea etblrou gtnmilii hiret dofo te.aikn

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madamestep  yVre r!eut loAs ntepli caessu csagneh ni iatpt.pee oS veen fi nlpeit si ow,l ryou eraons orf otsbyei si itlsl oemr rcaioels in tnha tuo. +


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 -8  upvote downvote
submitted by jotajota94(14)
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I ikhnt eht yek ot inserdutagnnd tsih tisuoeqn is that eht yob hsa vboea argvaee etp thehignL.i atssuiltem het rseaeel fo GH (ghb.lwi5poiwnvpte/ubns2.n8:w/1/22mcht./.md01deinhr) lC htiw Chusnig smredyno hvea htors terusta t7pw6cs.mi/wphil3/dv9w.g/tnomub:h5enn.b6./31ni)in uls stnbhiii GH oircentse 4.ncih.cm2/mlCtap.g5hpt1//wow.wevins6i:b6sMlnrct//P/ I) itkhn ttah htbo a ighh icoclar tedi in afts dan oglcsue cna eamk you atf os uyo nca ntielmeia shteo rewnas ioec.csh

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