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 lfee udmb rof skniag tbu can ooeesnm ilnpeax ?shti If ish netrpas rea of sloec to nlmaor MIB dna rea ncnecedor butao sih tigweh ywh udolw yteh eb nwogiall ihs rcilaeo mconunispot to edxece hsi ergyen nieedturxp?e ( AAK ntelitg eht ikd aet too ucmh nad otn reeixsce ohuneg)

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meningitis 'tTsha a nredom yda srmeyyt. +23

drdoom ehT otmrpp is lnyo sanikg sw'"tah eht klyeli aeucs of s?it"ybeo s'tI nto ahtt y'teerh liw"a"glon him ot ate eorm tanh ceiexs.er ew(F srtaenp anc nmrtoio rheti kdsi atht l)!cslyoe heT oprtpm si ynlo kigans at'whs eth tmso kyeill laeonipnxta fro his th95 etnieeplrc tgwihe adn IMB (ngeiv ttha he toeieswrh apsarpe ;)lmnaor in eth ndUiet etst,aS het msto lekyil xniaepnatol is atnieg wya remo tahn uyo pex.end +2

niboonsh aka icrem'a drtfmlbroi#lrsopswe +5

makinallkindzofgainz If ouy aer ,obees is't bseeuca oyu ehva uomsdnec arielosc in cessex fo uory enrgey dxe,tneureip den of .rsyto r(hete era cstraof htta aeffct oyur nregey eneexprtu,di ubt eth ieslmp tttmaesne si 01%0 e,tur eussnl uoy natw to agreu isaatgn eth lwsa of dr.nihytmesa)mco A is teh noyl ecotcrr nearsw. +1

tulsigabbard Tsih erwsan thi oot esclo ot emho. +6

castlblack I ihntk teh nsearo hety nipot uto the agveaer igewth of eht pnserat is sceebua tnilep rdoeirssd era he.tnidrie tI hspel oyu etniemial atht nasrwe ehc.cio +2

+3 upvote downvote
submitted by rogeliogs(12)

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yM phcpaora to ihts soqntiue asw rmeo stju oguisfcn ni the foin yhte rea ggn.vii Neno fo the trhoe tnopoi semka ensse uaecbes rethe si otn eindeevc ot klta boatu teh.m I swa yrev dpettem ot ckip the edce"asre nleipt "codiurontp tub I rereeedmmb Dr jnolGa aygsni "hkTni epmi,sl hknit ,phace yteh era not gytirn to kritc uy"o. ,oS ybchbu etsnapr = chybub i.skd

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almondbreeze hthgotu ish osrwd on nt"kih p"each hda to do ihtw atenmertst - e.i. eeisecxr +

alimd sYe teyh rae. eThre rea so nmay rckti siuoqsnte +1

skuutnasty I eoshc linetp eecfniydic cuz I asw narty get yafcn hwti trioF . neayno woh si t,nrsidetee vo..wehe.r ardongcic ot :DUopeatT M"tos peploe tiwh eosiytb do otn hvae nay sinambaoeltir ni eht lnptie e,gne eihtr merus nlteip nsoteitcnnrcao aer ihgh etfercngil eirth cdrienesa atf c".es P.aa.esm +6

sunnyside snu@yutskat ehd'usovl utsj elt em elfe f,acyn own i eelf itupds (: +

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 wdlou ikel ot ceunild rhee ttha ti nca otn eb B rDdecee(as pieltn protouc)ind cbeaeus ltnpei elvsle cnaeiser in beso.yti ptienL is ctsderee yb soeydp,ctia wihch mbceoe iasngitinfc ni eibyots. hgiH esllve fo tlnpie aym slao isdtiesnzee eth aettisy cenestr in eht t,uomhaypashl ihhwc is why many oesbe lpopee hvae reboult igliimtn hrtei doof tkaie.n

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madamestep yVer uet!r lAso tinepl suacse snahcge in iteat.pep So enev fi enitlp is wol, ryou esonar orf tiysebo is tills rmeo rasioecl in athn out. +

-8 upvote downvote
submitted by jotajota94(14)

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I nikth eht kye to dnetisgrnnuad itsh tiusnqoe is taht the yob ash bavoe erageva t.nLieeghhipt tsmasileut hte aelsree of GH (/bn2iwl/1h..bs2ow:1/vd2hi8cum.p0tnpmg5e/nt.weln)Chird htwi Csugnih rdseynmo hvea rosth etursat nnhhlwvucm5in.p/d61wsot76m/33:bei.//p.wgb.9tnlui i)ns nbhtiiis GH nroseetic 6:hmo.r/6/1m4n.bcwss.nn/t2MPCtvil.5ipei/tg/hwpccla/w)I tnihk htta htob a ghhi alcrcio teid in atsf dan ogesucl cna emka uyo tfa so ouy acn mintaeeil sheto nesawr scho.cei

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