NBME 23 Dietary change (NBME Answers)

NBME 23 Answers ↦

nbme23/Block 2/Question#44 (56.4 difficulty score)
A 4-year-old boy is brought to the physician ...
Dietary change🔍
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+23
submitted by welpdedelp(225),

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oN diet encii,fdyce eth npittea hda eecssx aercetno ude to hsi tedi

sympathetikey Would never have thought of that. Thanks +9

medschul that's messed up dog +19

hpkrazydesi Excess carotene in what way? sorry if thats a stupid question +

davidw this is directly from Goljan "Dietary β-carotenes and retinol esters are sources of retinol. β-carotenes are converted into retinol. (a) Increased β-carotenes in the diet cause the skin to turn yellow (hypercarotenemia). Sclera remains white, whereas in jaundice the sclera is yellow, which can be used to distinguish the two conditions. (c) Vitamin toxicity does not occur with an increase in serum carotene" +7

davidw β-Carotenes are present in dark-green and yellow vegetables. +

hyperfukus ohhhh hellllll no +7

dashou19 When I was a little kid, I like to eat oranges, like I could eat 10 oranges at once, and after a few days, I could tell that I turned yellow... +6

cbreland I'm okay with missing this one +4

There's an episode in scrubs the person is orange i looked up "too much carrot" they look orange NBME language strikes again

+8/- ergogenic22(320),

+23
submitted by water(33),

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riyu,sisngprl I uyltlaca rlaneed ihts mfro hte igMac holocS uBs hwne I saw a .dik ahtsT' het ynol nrosea I ogt isht i.tghr saknhT s.M rz!Fizel :D

paulkarr She taught me more than my med school professors did... +5

painintheash5 ahahah i remember that episode! +

+0
submitted by alexb(47),

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I gessu 'hes tankig 21B nlesmtpsu,ep rstioeewh eh lduow ehav a tmpcsyoaitm ,efcnecidyi higtr?

+0
submitted by deberawr(5),

i got this question right only because when i worked as a med assistant in a derm office before med school, the dermatologist looked at my skin and asked me if i was eating a lot of carrots because my skin looked more orange than usual

drdoom and precisely how many pounds of carrots were you eating? +

+0
submitted by syoung07(27),

yall seent that episode of scrubs where homie eats carrots, peppers and tomato juice? He's orange from his diet and otherwise healthy.

-3
submitted by samsam3711(20),

I actually think he might have iron-deficiency anemia that can be described as pallor or "yellowing of the skin." He does not have jaundice (anicteric sclera) Patients who are strict vegans can develop iron deficiency. The best way to correct this is to encourage a dietary change

123ojm iron deficiency is rare in vegans and vegetarians unless they are also heavily menstruating +