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Retired NBME 23 Answers

nbme23/Block 4/Question#27 (reveal difficulty score)
A man accidentally touches the surface of a ...
Histamine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—temmy(153)
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rD atrtaS ktlsa butao resencia riyalpcal ateybiiemlpr ni the asploaptrlyic eslvenu nad toaiodsavinl ni eht esreoralti sa cntaiso fo msai.thnie hTta asw thwa i utgtohh of nhwe i dsewenra eht siot.nueqs

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 +1  upvote downvote
submitted by docshrek(4)
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16wmphvw.ecm/.tnbbsu.16hlgn4i//2pt:/do2ni.w

ypyhoosPhagotil of het unrb nonr wts.Arouud .ATs ctrhbaG et ayhyipltphgosoo fo the nbru odnuw is aedrhraictzec by na airtamnmyofl octinaer gedialn ot dirpa dmoeea if,tnromoa ude to rseniadce avimoclarcrsu i,myrlteipbea tovaniaodsil nad csenairde vtuacraxlsare tsocomi .ctaivyit esTeh cierosant rea due to the cdrtei eath ctefef no hte srvmauilctraceou adn to aemhiccl etaisomdr fo onil.tfmimana eTh reeisatl astge of taaioosainlvtd and eiracsedn nsuove miiypebltrae si loymcnmo deu to sniamhtei arese.le agmDae ot eht llec maenesbmr ltrayp auedsc by e-fnegyorex scrliaad radleees mofr arpcyhmroluenopol uoecetycsl luowd tcvaitae the yeenmsz zilntayagc the isyrlsodhy fo tnsnaplaodirg coeuprrrs oich(rainacd dica) itwh idrap ftmonroai of dnlaotgpriasn as het ltures. dsaanglinsroPt ntiiibh the eslreae fo eenrpenioihrnp dan aym shut be of notirapcme in ltiumngdao the egdrencair nvoerus seymst ciwhh si iatteadvc ni onpesser to rtehmal r.uynji ehT ohpcolairgmlo resirtetnpaniot fo teh nsacegh ni teh tlnfociuan uusrtuelrtrcta of eht opoymldhbl erribar oliowlnfg lratmeh nryjiu smee ot eb na neracise ni the enrmusb of claeouvs dan namy npoe eotneldahli rtalcleinleru nti.csonju ouFheretrrm ngehacs of hte ielnaisirttt siutes aerft nubr aruatm aer of argte cenotiamr.p The ncsnuoiuot lsso of fudil mofr hte bodol icaitculonr iwniht the lthrymale deagmad isuets usscea reancsdei aatotirchem velels nda a padri alfl in aplsma luo,evm whit dedrseeac dcracia tpuout nda sopeiruoyfnhp on het llcauler evll.e fI eth dsulif era ton edytuqaela desretro urnb ocksh dvspo.lee ,umoethrFrre eht unbr oudnw pireodsv a vast raea fo nytre of eacufrs nceinfoti ihwt a hgih srki fo cietsp .skoch uoFr inam plicnserpi rea of ttusom iopanmcert ni eht retcnur aantmmeneg fo stinepat ihwt eveesr mrteahl yiurn,j nlaemy ayelr oudnw le,osurc rnnivopeet fo sctipe tispmi,oncclao tauaeeqd itonirnut nad lotncro of teh eatenlxr ntornme.nive

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 +0  upvote downvote
submitted by hvancampen(7)
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grAncdico to AF, ntlouimista of eht H1 cprteero srluets ni nla"sa dna banilochr csmuu uopcoti,nrd vculrsaa ,biepilamteyr ,ronrsbooniitocchnct sprit,ruu pia"n epa(g 428 fo AF 218)0.

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 -2  upvote downvote
submitted by โˆ—thomasalterman(181)
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Mast ecll otnnagruleadi anc eb edtgirgre yb oifenrg angentis and amuatr

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thepromise  I iveblee htwa uro'ey apesnikg btuao crocsu omer irudng yveehripiitsnsty tcroin.ae nI sith ,case eethr is maegda to hte adltieholen c,slel hiwch etyh aols esaeelr amisntehi orf ovostn.aadlii hhwci sarceet eiaimelrptyb rof eth rueltphilnos and eymtreha rmfo het eeinrascd oobdl mulevo. +17

@thomasalterman you are right. I don't why you got downvoted. In UW QID# 17853 it's the same exact scenario. And this is what they said "the morphologic changes in burns occur due to both direct tissue damage and inflammatory mediators released from epidermal and immune cells. Release of histamine and other preformed vasoactive mediators from MAST CELLS in the minutes following a burn leads to dilation of superficial skin capillaries."

+4/- fatboyslim(118)

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