NBME 22 Calorie consumption that exceeds energy expenditure (NBME Answers)

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 🔍 / 📺 / 🌳 / 📖
tags: nutrition

+3 upvote downvote
submitted by ∗aesalmon(95)

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I leef bdum for insgka tub acn noemsoe exinalp t?ish If ihs taersnp are fo sleco ot lmrona IMB adn ear cnceenord tauob ihs hewtgi yhw oludw teyh eb nogiwlla ihs recalio ptusnomoicn ot edcxee hsi gyneer npedetux?ire ( KAA tielngt het dik ate oto humc nda nto eiexescr huon)ge

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meningitis sh'atT a onedrm yda stryym.e +23

drdoom Teh pmtpro is nyol aigksn t"'wsha eth leliky auecs of sietb?y"o ts'I ont tath e'rethy llwagni""o hmi ot aet remo anht xecisee.r wF(e astpenr anc orimton iehtr dski tath )eloy!lcs The ptrmpo is nloy kinsag s'hawt the osmt lkylie poexinnaatl for his 59ht ptneicerel tegwih dan BMI (vgeni that eh ihrseetwo rsepaap ;)nmoarl in eht tedinU ett,Sas eth stom liekyl lioatpnanxe is geinat yaw rome htna yuo ndepxe. +2

niboonsh kaa i'recam srlw#tmsoledbirfrpo +5

makinallkindzofgainz If yuo era obe,se ist' ascubee uoy ehav ocnedmsu lsreacio in ecesxs of royu geyern iexpnr,deuet nde of t.oyrs (ehter era ctfrsoa ttha efcfta oruy erenyg nep,uediextr tbu teh ilpsme teansmtet is 01%0 etu,r sesuln uoy nwta ot eugar atgians eth wlsa fo amsnomcidry)ht.e A si eth nyol crctroe ern.swa +1

tulsigabbard iThs eawsrn hit oto elcos ot oemh. +6

castlblack I kinht hte soaenr they tnipo tou hte aaevreg twhieg fo eth snetapr is ebcesua letinp dsdireors era idhtnri.ee tI sphle you liteniame ahtt wnaser oi.cehc +2

+3 upvote downvote
submitted by rogeliogs(12)

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My caoprpah to tish snetqiuo wsa eorm just gnuisofc ni eht niof tehy ear gvni.gi eNno of het threo tnpioo kaesm neses sacuebe etrhe is not edvcniee ot tkla btuoa eht.m I asw very ettemdp to ikcp eth ed"ecares nleipt oiuntdcr"po utb I ereebrmemd Dr lnGaoj ygsina h"nikT il,pmse inhtk hac,ep yhte ear nto nirgty to tikcr "yu.o ,oS ybhbcu apnesrt = ubcbyh kd.is

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almondbreeze tgothhu ish wosdr on nkt"hi "acpeh adh ot od ihwt anesrtemtt - .ei. siecexre +

alimd esY ythe ra.e hrTee are os ynma krtci oqteisnsu +1

skuutnasty I ehocs pinelt cnyieiecdf czu I aws ayntr teg yfnca htwi .Froti ynaeno woh si stedtnieer, w.eovr.e.h dnrcagoci to pT:teUoDa tMo "s leoepp thwi sytoebi od otn avhe ayn niaiaresbmtlo in het pnelit ,eeng tehir uemsr petlni nnsctrieatncoo rae ihgh fenitrglec ither acnrsidee fat ss.ae.cP.am"e +6

sunnyside ssy@tnuaktu loshvde'u sjut lte em lefe ,cyafn wno i elef uspidt :( +

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.

+1/- almondbreeze(110)

+0 upvote downvote
submitted by rongloz(7)

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I uldwo elik ot nelciud eerh htat it can ton eb B ea(cseDred nietpl dico)ortpnu cbeaesu tepinl eeslvl ecrinaes in i.toesby iLenpt si eescredt by pisetd,cyoa hwich coebem iscaitignfn in .tsbioey hHgi evlles fo pltien may losa eeisnteidzs the tytsiea tsrenec ni eth o,hthuapslaym hhcwi is wyh ynma eebso eelopp ehva burelto nigiitlm trieh oofd .anekit

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madamestep eVry !eutr slAo tinlep esacsu nageshc ni papite.te oS evne if tlpeni si l,wo ruyo rsoena rfo stboiye si tslli orme lcrsaeoi ni hnta uto. +

-8 upvote downvote
submitted by jotajota94(14)

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I inkth eht kye to rsunnginadetd tshi nieusotq is ttah teh yob ahs baevo aergeva e.i hgtnteLpih umileastts the erelsea of HG (wp/0i28.tt2ewmo:/vb.cg/l.pbs2nnhw1nm5.di1hu/edin)Chr l ihwt gCnshui sdmnyeor ahve rtohs tesutra 53nwise6tb1ugpm3nwc/:o/np.h./dt7m/.ihlb9v.w6nuilsni) iitnsbhi GH ersitncoe e6/iw/min/hc/llPaCgt..r//s.po.1niwts2m6bMnc:5tvpwc4h) I tnkih htta btho a ihgh rlcicao tdei in tsaf nda uglecso can meka uoy fat so uoy cna iiltemnea ohtse rewsna hseo.icc

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