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Retired NBME 23 Answers

nbme23/Block 3/Question#46 (reveal difficulty score)
A 19-year-old woman is severely burned over ...
Increased metabolic rate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +8  upvote downvote
submitted by โˆ—thomasalterman(181)
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ikSn oedvpsri ininuslaot adn envseptr heat .slso Thsi atips'net ybdo iwll ocmptasnee rfo esaiencrd ater fo tahe ossl by nrnciegisa bmotleaci .etra

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davidw  hiTs is yrlcdeit orfm oanjGl )I povcHilmoye sohck may ccour eud to slos fo lapams form the rbnu uafrces er(erf oaC tterph โ€ข. 5) sLos of pietron frmo eth paslam lsos yma rulset ni adgelierenz ntgiipt e.ImIe) ad oiefItncn of eth odnwu seit and spiess mya u(coc)r.a iSesps due ot mnsdoePasuo eruoaagnis si hte osmt mconmo seuac of otceininf ni nubr .(ptbaseni )t hOrte tsegophna lnciued iiranm-lttinichtlssee .S saeuru and aiCndad s(e).pis3 ce Cuinrlg clsrue yam urocc ni eht lixrompa nuduoedm er(rfe to rphetCa ).1 8)4( Hlrieombtycepa yronmesd aym rcuco fi 4%t0g&; of hte doyb ecaursf is bu.dren +16
yex  nCa onsoeem nlpaiex hwy is ti tno rceiaends F?CE +26
charcot_bouchard  i dcikpe a.esm cadenrIse ECF btu ncta erermmbe .yhw Can uoy xapenil YHW it is iasecdern ?CFE thwa wsa ru snneaiorg +3
isotopes  unsrB wduol dela to a aescedre in EFC usbaeec eht torntpcoie ofrm fludi olss si ;tenasb ti can eald to osh.ck ): +4
tinydoc  yM snnoegrai nbhdie gpkinic โ†‘ VEC aws atth uroy ioslgn iudfl btu ont oseclterleyt thwi teh nrbu โ‡’ eht ecv would eahv arcenedis ,oliymatosr so hte dliuf mfor eht CVI wluod be hudpes hte teh CV.E tI mead neess ot me ta the .imte I usseg yhalncetcil its gnorw scaeueb het sslo of lsfidu adn eht niag of fdilsu uowld unotma to yepttr mchu eth emas hgn.ti utB the alnuniisto nad thea sslo tnghi skeam esnes I sg.eus +
yex  cdrInesae ,EFC bc I swa knhitngi otbua het dmaee ointma.f.ro.. :-/ +3
atbangura  I ikdpce eecandisr ECF bcseeau nsrub ireeasnc het aclyarpli iebpeltyaimr e,itfcciofen but won that I am goign eorv it I ailzeder that iaeigcnrns the bpmaieyrleit ulodw noyl enratfsr lpaasm vmloue to eth ieilaintsttr euoml,v wihhc era tohb a tarp fo the FCE so theorfeer CEF dluow not neacgh. MSH +10
aisel1787  ntskah +
69_nbme_420  Bsrun n(da r)Deaarih euasc mcoItOsSi oemvlu caotcitnor;n osaCtnzo BRS ihosyP +
tiagob  in vsreee nudbre aein,ptt alos sha ericsedna ldufi ni rithd ispacng ro ilitttraenis igle(dna A).EDEM fitenrDef clraeaelrtulx cepas is sitttrenilai adn vlscuaar +1
peridot  I alos tenadw to da,d retoahn uheg job of the ksin is ot tevrepn olss of luid.f uBnr estipnta are ialeys deeadyrthd caubees et'vyeh stlo ttha erar.irb hsTi ehdelp em anel aayw rmfo inreceads VCE - eedpits eth eemda form( oen nrpttmcaemo ot hrnaoet) sa hsreto heav nemodeitn ,ovaeb hrtee is a olss in elolvar EVC edu ot oerapoinavt mfro .dbyo +
chaosawaits  oS Im' eth loyn tdoii ohw htotuhg sslo" of B amsnti"iv odnused elik a oogd .nrewas c.Nie +

Increased ECV is a very attractive option as Third spacing is a very common complication in Burn units However , please take note : The ECV consists of two compartments , the interstitial space and the intravascular space . In Burn patients fluid moves out of the blood vessels into the interstitium ( which decreases the intravascular volume and can lead to hypovolemic shock ) . So even though burn patients may have edema , there is no actual increase in the total contnet of fluid in the ECV ! it just moves from one of its compartments into the next

+8/- andro(269)

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 +4  upvote downvote
submitted by โˆ—drzed(333)
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lLo I aws dsutpi adn upt rdenaices eursm ehocelorslt tcatoirocnnen seubaec I ohgthut htta the ifudl olss uwldo elda to a oninotraecntc fo uebsstcans in the CFE .g.(e ekil ohw tydneoardih can ierggrt ).togu PI.R

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focus  eh"T tuons-prb ebphcatyeloimr orpesesn raniscees eht eaclbiotm erat to mnpeosatce rof eth rnfoodpu ewart nda ehat slso rseeve burn nettpisa fsrefu. aerWt sosl arhcppeoas 0004 ltierimisll rpe mreet dareqsu nbru arae epr yad -].1834[ ehT yoโ€™dbs rtuanal nesposer ot sith ,inlsut ralpytlai eddmtaie yb sdecieanr PAT nnpotiuscom dan stbrtesua n,idixtooa si ot sriae ecor dna isnk arremtstpeeu C2ยฐ obeva maolrn emardopc to unebnrdu etipnsat ]42.[ ihsT spereosn si rialims ot hte sreseonp eesn ringdu olcd tamalczniaii.cto In ,cfat epatinst that od otn tnuom htsi oespensr are yliekl etpsic dna or evah uhtsdeaxe spigoicylho iapbltceiisa ot iiatnnam ddeene yodb etperureamt [43 ]."it/3pshncn.o//titnlcc.Cv6/7/wa.h6Ml7eP/b3pg:ws0r.wmmi +2


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 +0  upvote downvote
submitted by justherefortheyield(3)
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'dCunotl pmonilimayehabu dlea ot lrplhsyohatee?meeicro I rllcae tsairt gltaikn oaubt shit ni eht otcntxe fo eiruprtonai utb ocudn'tl tshi lsitl yl?pap

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frustratedllama  I uhghott os too but did a eiltlt igindgg nda utnsr otu tish eahspnp in rhincpeot mesnydro bc wlo ictcnoo esrpuser dyelcirt maituetssl opeoonirlptiap B nise.tyshs ehTy tisll do'tn nkwo hyw llo. tBu ni nbur vimtisc eehtr's aluyaltc irenceads pidil aseb,ommtli os tinhnog ot do twih ryrtlmahhsploeieocee. +


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 +0  upvote downvote
submitted by kungfupanda(5)
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rInseeac ni yobd limbsateom is osal ued to teh nfamiiolamnt sthta eesn rfeat het brnus in ayn tpnatei srvcieepiert of het .evertiys o hhtgu tsi epelnixad htta gehu niks ossl 5%(3 rubn) snecriase teh ydbo mlbioetsam ot taineocnpsmo ofr the xessec teah slos eud to the eghu nksi ls(saso ledpniexa by ,reto)hs htis epnataonlxi ddspene ni how esvere teh sbunr er.a

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