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NBME 22 Answers

nbme22/Block 1/Question#32 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Hypokalemia 🔍 / 📺 / 🌳 / 📖
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 +19  upvote downvote
submitted by ∗moloko270(77)
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ssol fo fiudl rstggeir oslentedrao opiorundc,t so itpaetn llwi vahe mythipraarnee adn piealykmhao as a rsulte

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makinallkindzofgainz  dta ARAS +6

I realise now that diarrhoea causes hypernatremia! And the reason we give ORS is to restore the blood pressure by giving Na and Glu not to correct sodium level!

My 6 yr of medical education was a myth

+2/- apurva(101)


 +15  upvote downvote
submitted by ∗liverdietrying(111)
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oodG catf ot commti ot ryemmo: yuo sleo abibrc in het otlso ne(ceh ywh rdiaaher cusase ononinna gap baolietcm idsocs)i,a adn slceyailep sleo umispaots hiwt aixtlave ueabs (as tnoeendmi ni hte soueqint ).tems et/b-.soiiowa:-ohaccteienwlnpeascsaal-/tt/elwarnrp-oo.rystctiermt-thmhwduediadtn-adteb/

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sbryant6  I'm gongi to go aekt a gib baicnaetobr opop wno. +32
happysingh  i odwlu steugsg hatt uoy lkoo oint ti a tib ero.m hWy ? aHd na embn inqeouts (hihcw ucednofs teh siht otu of e)m zuc, eBlcium .Pt ohw swa abugins sxLvteaai (hda eth up ;ap&m ndow ro)wsra dna ihst is tahw it aveg : evxiLaat eAbsu — ieacbMtlo slskioalA  : ↓K+     -Cl↑                   ↑pH   Hs3O↓o C- noe of hte oitpsn fo itdcitiosnn SI eht arcneies in l-C iwth vxeialat uaseb (.sv t,ovngimi hihcw saw a n-ekjreke ctneioar ewhn i aher li)iubam +3
lola915  I hghtuot haaerrdi acesus Nno ioann pga tailobcem sciiasod hypgnsh@aip +2
texasdude4  aesy ywa to eermberm : raBbi"c otu eth ttBu" +2
weirdmed51  sdeton saiisocd struel in amE'?aPYHeiRlk' +1
abhishek021196  Bamuiil avsnreo torcyeltele aecgnsh /dt agu/itrii/ivseovmctdnsxaleit uaseb tceyierspvel - .3/r5p11://w/3astwpht/2f04a/0ppmg.h00w.toaf5l +
abhishek021196  A,osl TMSU SEE - 0eaes:.iobetl.t/-/war/2l-no-anosl1essu0dgt/0stwtirwd/alf1wh/e-ae3grp-e/ic9 +



 +0  upvote downvote
submitted by ∗drmohandes(193)
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Yuo omtlys sole H3-CO dna +K ni tsoo.l

Loss fo H3CO- deals ot a rnoaml nnoia gpa oablteicm iidascso (10FA29 pg. 850 SAD'AR',HS) ni cihhw ew aslo ees a mypersnotaoc eaincers ni lC-.

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 -1  upvote downvote
submitted by iviax94(7)
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I aws newetbe kyaoaehilpm (ude ot aheirar)d dna uyarleaieaiep/phmciheycrmcr siecn( setaw si ypciothon adn uwodl aecus chitymoepsor luoemv rcntoa.oit)nc I d’idnt aveh a etrga ayw to eedcid wtnbeee auyp/rhreCeayrcmihepi os I fgrudei yteh ndweta hoKp.y Is erteh a ebrett ileanrtoa ofr hyw eth yehrp awnessr rae ricro?etcn

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liverdietrying  I hnitk uoy toeovr-thghu stih neo a itllte bti ithw the pe.aphaaleurcrmyiemiy/cecirh dGoo caft to omcmit to eomm:yr yuo eols ibrbac in eth oostl (ehecn yhw riedarha cssuea ninoanno agp oelcbmiat odscai)i,s nad cyplealesi lose uitossmap htwi ealtvaix beasu a(s mdnnteoei in the intqeuos tms.e) li-r/hmsrbcedtsnidw-imiwenosetpedetds-alcowpoaabi-relttohettuaec.-nacrn.a-:tw//taytaho/ +3
w7er  lsaiyaBlc tehy rae ksiagn oabtu lyrtloetece ratbdsciune atth eacsu colsaelp aimyln edu ot khailaemyop frmo xalaievt ubsea eeucbas dheariar eascu lmoehyakamip nda oasl caesu ensaric ni rneni netoignnsia eymts which lliw erfrthu esacu epyaakhoilm esrgilun cauaclrroasicd ocpsael ): +1
hyperfukus  i othtuhg hte yemrphaeuirci inthg oto utb i nta'sw mrsta ognueh to tkinh yteh aendtw ohekypailma ikle u :( +2



 -1  upvote downvote
submitted by ∗castlblack(78)
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I hvae raed lal teh ,mencomts tbu none lapenxi wyh eiyahtorpamn si wgnr.o eheTr is efyeilidnt Na+ ni o.lthst.taos.. why tarags+sul si iryontrdaeh rof peds arrdahlie sss.nieck owL N+a aceuss wol VVE lgxinpneia teh wol PB, ihhg R,H l,orpal dan trhdiadyne.o Is ti rctcoer tbu jstu ont sa rceotcr sa C?

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waterloo  I Dont wkno what yuo mnea yb low EVV. Btu 'rsehe my huhottg o.scspre hs Ti tp tols tlos fo rwt,ae nda wenh oemenso etsak a livaaxet gnuasci mhet ot heva eiarahdr thta lwil laed ot comtlbiae odcissia. A rbiffneug aensmmich orf teh aesdrcdee abbirc in teh lbdoo is rfo +H to vaele secll and +K to og itno eth c.lels oS he ahs to ehva epoahakimly w(lo K+ in usrm.e) eyTh egva ihm VI diusl,f os his BP doshul be eaehdd cabk to r.namol I lodwu thnki ihs SAAR illw chill .uto Btu ti etaks etmi to certrco eht sas,iocid uyeor' yiednk wton' ujts lymiateimde stop sraeb bicarb os er'uoy ydob lwil isltl be rbuinfefg snaatig the icsadois H(+ tou of lel,c +K n.i) +2
waterloo  r,yors I etwor desrcaien ar,bcib I neatm SDEADEREC icabbr ni eth b.oldo And loas lhdsuo eahv twitenr ro'e"yu eydikn 'twno sujt iilmedymtae TARTS besra enw ba"brci yM B,da 'wstna nrytig to dad ot sooni.fnuc +1
drdoom  i tihkn yb VV``E rathuo atnem E`VC` r(euraecxaltll l.mouev) l,@artoweo ipceapraet het xentalpiaon tub ihnkt tnhimsoeg is :ffo slos fo H-3CO via rraeidha holdsu trlues ni aic,emida wchhi uwlod peoosp eth moesputprin fo `+‌`H algneiv lec,l K+ nggio n´i.´ +2
waterloo  ehy so ,rysor I msut veha eebn srepu deirt pnigsot .htsi natC' lbeevei I amde so yamn aemtskis. Read vroe it g,aain dan it ssndou ekli ibhsribeg. hsWi heert wsa a yaw ot etd.eel My d.ba +1
waterloo  I kthin I trdei to apxieln oto ra.dh koLingo at sthi oqnitues gi,naa I itknh elyarl het oynl isht is hewn uyo oesl htat cmhu mlveuo, uoy sloe abbric dan K+. Nnohgit raelyl ot do thiw aei.adc-bs yM b. +1
drdoom  on esorwi!r +1
castlblack  EVV = eciffevet asuvlrac e.mulvo Thakn uyo rfo iyngrt ot lhep ubt I ltsil 'ndot eausrd.ntdn I iltls regea twih my vaeob mimnshace sa ctcer.ro eehtWrh or nto sit' mtos rtccreo k.id +1
amy  tahw boaut the logn aytesm ?hatb eH olsa waets a lto, and osrepfu ngetwasi is ogngi ot ecasu oyamtir?haepn +1
helppls  tstha thwa I wsa hgiktnni as ^l^e^lw I edigruf he asw aiwtesgn tuo a otl of aClN +1
icrieeverytiem  The Q tnmesnio ttah he flese retbet arfet na uiosnfni fo lifsdu so I musades nay otienarhpamy ttah eh dah 'evtsmu nbee le.dosvre +1



 -1  upvote downvote
submitted by ∗apurva(101)
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iohcnrC raoardieh == iVt D isamnrbaoplto = lcomeaiHpyca a(sy in nhc)sro

AteuC rhoirdaae = Hnyreapti,arme y,pelaomaHki yohrphsipeatpmhea

rndyeihtoaD acn alos ecuas pumeayrreihic adn ppt ogut atc,tak btu for ougny tp i ikhtn this lwil eb rvtnealeri

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