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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 bdmu rfo niaksg tub can neomeso naelipx sthi? If ish rsnpeat rea of eocsl to moalnr BMI nda era cdoenncer bauot ihs iwhgte why wuodl tyhe be anwgllio shi reaiclo pncoositnmu ot eedexc hsi yenrge irpeuden?ext ( AAK nttelig teh ikd eta oot chmu dan otn sxeeceir )nhgeou

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meningitis  Thas't a emrdon ady sme.tyyr +23
drdoom  The ortppm is nyol nkigsa aws'"ht teh kileyl escua of es?y"tobi t'Is otn htta 'reetyh lli""wagno mih to tae reom nhat ieceex.sr (Few ternpsa anc itnmoor riteh skid taht o)lesc!yl Teh rpoptm is olny gansik s'wath eth stom eklliy nieaptonxal for ish th95 cetlenpire hietwg nad BMI vneig( ahtt he etreohisw pearaps aron)m;l ni eht eUtnid s,etatS teh tmso kyleli lantoapxeni is atnieg wya reom ntha oyu dp.exne +2
niboonsh  kaa arcme'i sswrpeolfobmrli#dtr +5
makinallkindzofgainz  If oyu rea soe,eb 'tis eacbeus yuo avhe desumonc csoaelir in xscsee of ouyr eegyrn u,exiptdnree den fo .rstoy t(hree ear tfacsor hatt ffatec uyor rgneye exd,nireetup tbu hte mslpei emttaetsn is 0%01 urte, unsels uyo wnta to eguar aiatgns the sawl fo dothr.eycn)iasmm A si hte loyn rtrcoec .erwnsa +1
tulsigabbard  siTh wasner hit oto oescl ot eh.om +6
castlblack  I hntik het snroea hyet tpino tuo eth veragea wetgih of eht prsatne si ebsauec pnitel irrsdsdeo era edhi.renti tI lpseh ouy tmlieiean tath asnwre c.coeih +2



 +3  upvote downvote
submitted by rogeliogs(12)
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yM hoarppac ot hsit quetions asw omer jstu gsciofun in eth onif yeht aer gvii.ng neoN fo hte oreth iponto ekams ensse ebaceus hteer is otn nevidece ot talk uotba h.tem I aws rvye tmetepd to pcki teh readsce"e iplten "nordpcutoi btu I ermedrbmee Dr alGnjo nagysi iknh"T il,espm khnit pecha, hyet era nto irtgny to cirtk yuo." o,S hbybcu prasent = bycuhb s.dik

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almondbreeze  oghhutt shi rdwso on hk"nit epa"hc hda ot od ihwt mnrseteatt - .ei. sixeerec +
alimd  Yes teyh ar.e eeTrh rea os mayn citrk uqostensi +1
skuutnasty  I oshce eiplnt efeniccidy uzc I saw nayrt gte cfyna wiht .rF toi nayoen who is tensr,detei ..orheewv. crniodcga ot eaUDptoT: sMo "t lppeoe wtih soebtyi od ont ehva yan tiiroambslane ni teh ineplt e,neg htire muser tlienp nintcrsoetaonc rea hghi ifltgeercn htrei cdrnaseie aft e .csP"a.ames. +6
sunnyside  uytksan@tsu 'dsehvlou tsju lte em lfee ycafn, onw i lfee uptids (: +

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.



 +0  upvote downvote
submitted by rongloz(7)
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I wdolu ikle to dcilneu hree ttha ti anc otn eb B er(saceDde ntplie idpcurootn) ueecsab lptnei eelvsl cainesre in eys.oibt nLitep is csetdree yb otdsca,iepy whcih bceemo isciitgafnn ni esytoib. gHhi eelvls of ptlien amy aols eszeneisdit eth taesiyt nrsctee ni eht ayap,tshuhmlo wchih is hyw amyn bosee peeplo veha loterub imginitl hetir ofdo kane.it

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madamestep  eyrV ter!u Alos niplte secsau sghncae in tipt.eeap oS eevn if tepnli is w,lo yuor saoren for iytsboe is sltli eomr closraie in ntha o.tu +



 -8  upvote downvote
submitted by jotajota94(14)
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I ntikh the eky to edartgiundsnn iths usinteoq is that the byo ahs abevo veeraga egtLehiptihn. amusiteslt het eralsee fo GH (/cdn2ww.wgnh/sobi/hnmm5t18:1.l2vit2pp.0.ue/bC li)nerdh wthi igCunsh nysemodr veah htosr tatuesr .s6.m/5397wpthobid6lmnp3u:b.nthnvwcew/./i1/gi lu)snin iibinhst GH rosietecn 4c/met/M/Ci:to.i/s5a6i.wwgcntbn.r.v/Pwmlhp/p6hl1s2nc )I iknht thta both a ihgh clicrao etdi ni tsfa adn cgoleus nca ekam yuo fta so uoy cna leenitima oetsh renasw ccisohe.

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