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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(152)
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rD raSatt klats oautb eainrsec lilcpyaar irpetelamiyb in eth lypaostrpaicl nlsueev nda sotlnaiadvoi in hte liaosterer as ctaonis fo hta.seiinm haTt aws what i gttouhh fo nweh i dnreeaws the noui.sqtes

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 +1  upvote downvote
submitted by docshrek(4)
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h/tmpvnwsei/ncl.wm/b.h16o/wt1.nu2g6p4.bi2d:

oPhaopoiygshytl of het rbnu sAord nworntu.u cTbGh a.t rsAte siylhgphpoatoyo fo het burn ownud si arhderccteaiz by na ftmymraloina ateniroc aedlgni ot pdair edemao ftoa,minor eud to idrnseeca csvoralimrcua epimrybe,iatl onalovditais nda nearsicde ruaxealasvtcr imtoocs y.aivttic Tshee ntcasiore ear ude ot teh drecit athe fteecf no eth catrmrsvicluaeou and to lcmiehac dsmiortae of nfanit.molmia ehT eteirlas gaest fo asdaatvoiltnio nad serdicnea nsueov yeiimtabrepl is cymnooml ude ot iitesamnh saere.le agemDa to het clle mbemnersa talpry esaucd by fgeexoreny- dialcras esrdaeel rmfo oamrorlponyluhcpe socteceylu uolwd iacteatv hte mynezes analizytcg the yssrdihylo of tarlndongpasi pourcesrr aro(cicniadh cdai) wtih daipr mrafontio fo stpgairadlonn as het lrtse.u dnPnaassloigrt iibinht teh lareese of rphoineepnreni dna may hsut eb fo tacmnorpie ni loniadtgmu teh cdigrenrae osvunre emstsy hwhci si dtevatcai in ssenpero ot theraml j.unyir The lmophrgialoco itennotiasprter of eht esnghac in eht icoulatnnf tuutesartrrclu fo het yobmohpdll rirbear folilgonw rlmthea yuirnj esem to be na esacienr ni hte brumnse of ovsauecl and amny enop oehialnldet tlrrclaieelun t.jinosucn tFmreurehor gsnheca of eth inlitiastetr tuiess tearf ubnr aaumtr rea of grate netpaiomr.c ehT nuocustnio slos fo dfliu omfr the odlob iuanicclrot iithnw eth armetlyhl ddegaam iesust csesua ecndisare romieaachtt slveel nda a rdipa lfal in maaslp uev,mol wthi rddceesae icdrcaa tuoptu nda sueorfpnhoipy on eht rlcllaue lelve. fI teh ilsduf rea not auedlytaqe oreedstr runb sokhc polsev.ed Fueomr,rtehr eht rbnu nowud prodseiv a vsta arae fo yertn fo aufserc iteonifcn hitw a hhgi rkis fo eticps c.sokh rFuo ianm licirpspen ear of uottsm onmcpteari ni hte rnertuc mtmaenaeng of tapenist htiw eesrev eharmlt yriujn, elyamn eryla ondwu sro,eluc ptvneiorne fo cpteis li,spaccmnoiot duqaaete nroutitni dan colotrn of teh eaelrxtn en.votmienrn

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 +0  upvote downvote
submitted by hvancampen(7)
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irnoAccgd to F,A iltnmsiaotu of eth 1H etercrop rueslts in "aasnl nda rcahinblo cuums prunt,ocdoi lraaucsv platmryiie,eb socoroichtncnn,iobtr ,trruupsi in"ap (pgea 482 of AF 02.)81

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 -2  upvote downvote
submitted by โˆ—thomasalterman(181)
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taMs lecl ltnoenuiagadr anc eb rtgdrgeie by ginefor nsgainte dan utamra

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thepromise  I eeibvel thwa 'oyure apnsigke abuot ocuscr oemr gnidur etnyeyvsishtripi oire.ncat nI htsi a,sce eterh si meaadg ot eht aoedenthlli eclls, chiwh htey alos lerseae ihnesimat rof nlisoaoatvi.d wchhi etresac ryamtelibeip rfo hte lhielutrpsno dan hyremtae omrf the aisrcdnee bdool uvelm.o +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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