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Retired NBME 23 Answers

nbme23/Block 3/Question#46 (reveal difficulty score)
A 19-year-old woman is severely burned over ...
Increased metabolic rate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +8  upvote downvote
submitted by โˆ—thomasalterman(181)
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nkiS orsdveip tioulannis adn npeetsvr htae ss.lo hTis pnettia's dbyo lliw pomaetcsne orf csdaireen tare of ehat sosl by enagciirns mateibclo ea.tr

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davidw  Tsih si iyecldrt morf aGonlj I ) mivolpeyoHc hcoks yam ucorc ude to lsso fo lapsam ormf eht rubn arscefu rr(eef othpCetra ) 5โ€ข. sosL fo tiornep fomr hte pmalas loss amy leturs ni egeezdanlri ipgtitn dIea) .Iem nienIfcto fo hte uonwd tise nda psesis mya arc u()o.c ssSiep edu ot esPouodnmsa aeisagnrou is het omts omcnmo uaces fo nnfeiitco in nubr atenib. t)p(s rethO estnogahp lniuecd tilaceilsmisie-htnrtn S. suurea adn iCdanad es)c(3pesi. nurgilC cserul yma uccro in hte ioramxlp mdeudnuo frere( to aCperth )(. )148 lbmHipetayroce oemdynsr may ocurc if g&0t%4; fo teh ybdo sufearc is u.ndebr +16
yex  anC enesmoo ilxnape why si ti otn aesdnirce EF?C +26
charcot_bouchard  i dkciep .esma cInesrade CFE ubt tnac mermebre h.wy anC uyo pnleaix WHY ti is sederican F?EC wtha asw ur oiengsnra +3
isotopes  nsurB ludwo laed to a sedacere in EFC ecbueas eth otnptoecri rfom duilf slos si ebas;nt ti cna dlea to .ckohs ): +4
tinydoc  yM rnoaneigs dinehb cpinikg โ†‘ CEV swa htta oruy olsgni fidlu tbu tno lrceloteyste twih the runb โ‡’ eth cev dowul aehv nseecdair oi,tsoramly os the uflid mfor teh CIV would eb sphude het eht C.VE It deam ensse to me ta teh m.ite I usges cteiyhcnlal tis nwrgo ebcsuea eth sosl of duifls dna eht iang of iufdls lwoud aomtnu ot eytrtp hmuc hte asem hnig.t But the stnainliuo adn ehta sols hgnit aeksm essne I gs.eus +
yex  drasnceIe ECF, bc I asw nkitnhig buoat eth emeda .ionom.f.t.ar /-: +3
atbangura  I kepcdi aceeridsn EFC eueabsc nbsur erecinsa hte ypirallac pbrilimetaye ofenit,ecifc tub wno that I ma ongig vreo it I zdarilee ahtt seganicinr eht tmaprieeyilb wloud nlyo rfrtsaen palmas lvouem to the sitetnarliit ,leumov whhci era bhot a tapr fo eht FEC os treereohf ECF wudlo ton a.necgh MSH +10
aisel1787  atskhn +
69_nbme_420  rsnBu (nda rih)aDaer auces SmotcOIsi moevul oc;oncraintt tasozonC BRS Pysoih +
tiagob  ni eeesrv dbneur aetit,pn oals sha dearnsiec ifudl ni dtrhi pgaisnc ro nitaeisriltt legnaid( )MDA.EE effnrDeit ltclrueaarxel espac si tralsiitetni nda ulavascr +1
peridot  I laos wtdnea ot add, rhaonet gehu jbo fo eht nksi is ot reenpvt lsos fo l.fudi rBun aptenist are sealyi etaedddhyr sebaecu hey'vet ltso tath e.riabrr Tish elhdep em eanl ayaw form edcsareni VEC - eistepd hte medae mr(of neo rpctetnamom ot o)atnreh sa hsrtoe heva oemnidetn avb,oe ether is a loss in alorvel EVC ued ot aeioarpnovt ormf .yobd +
chaosawaits  So mI' eth oynl oidti owh hhogutt sls"o fo B vais"nimt nsouded leki a odog swan.re cN.ie +

Increased ECV is a very attractive option as Third spacing is a very common complication in Burn units However , please take note : The ECV consists of two compartments , the interstitial space and the intravascular space . In Burn patients fluid moves out of the blood vessels into the interstitium ( which decreases the intravascular volume and can lead to hypovolemic shock ) . So even though burn patients may have edema , there is no actual increase in the total contnet of fluid in the ECV ! it just moves from one of its compartments into the next

+8/- andro(269)


 +4  upvote downvote
submitted by โˆ—drzed(332)
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olL I wsa upsdti dan upt aesdniecr rseum eechstolrol enaottonncrci cbeueas I gtuhhot ttha hte flidu olss wdlou edla ot a oennccortanti fo nssucbsate ni eht CEF ..e(g like how ohredindtay can gtegrri )togu. P.RI

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focus  h"Te op-btsnur ehyailtecmrpbo oprensse ncaesisre eth tcblmaoei reat ot etcmoasnpe fro hte pfndoruo wrtea dan ateh lsos sreeve bnru ainpsett ue.sfrf rtaeW ossl areaphpsco 0004 lslimleriit erp remte qsaduer rubn raae erp ayd 81[4.]-3 ehT boโ€™sdy ltnauar nssrpoee ot thsi nuitl,s tlrpayali eaeddimt by ecesinrad APT timnpscouno and rsbesautt ntioaox,di si ot aesri coer nad insk tmtrspruaeee ยฐ2C obave lnrmoa acmrdope ot ruuennbd eantstpi 2][.4 hiTs neossper si isalrmi to het oprsnsee seen rundgi cdol aalcatmtioinic.z In ,fact pisetatn tath do nto mtuno iths sproesen rea ilyekl csietp and ro ahve datexuehs scoigpioylh tsiiicalapeb to amnniita dndeee yodb rpeteuretma 3][".4:.ehihncp6.70a/o7c.i.3rgi/wPvsMstbtCmp/wc6//l3l/mntwn +2



 +0  upvote downvote
submitted by justherefortheyield(3)
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Ctunldo' miaoeymuaihpbnl aled to shirorltelamehoeyc?ep I rlelac sttira kgtanli tboau tshi ni eth xtotenc fo tranrpeiiuo ubt ocntd'ul tsih isltl ?apply

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frustratedllama  I ohttguh so oto tbu idd a tiellt idinggg dan usrtn tou itsh pepsanh in nceriphot mynrdseo bc olw oniotcc srepures tcildeyr uielttasms epplaptrnioooi B ssenthyis. eyhT tslil 'ndto konw why lo.l But ni rubn itvscim hs'etre ultaalcy andcieres iilpd boasmei,tlm so tonnhgi ot do with chre.halsoeletpyimeor +



 +0  upvote downvote
submitted by kungfupanda(5)
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ercaeIsn ni ydbo mbolasemti si oals deu to eth anmifmitonla shtta enes afrte eht usrbn in yan ptteian etcreiprsiev fo the tseei.vyr uhhtgo sit lpxaednie ttah hgue nski lsos %(35 ru)nb scinaeesr the obdy bsoemmlati to aciponetsmon rof teh ecexss aeth loss ude ot teh huge skni ssal(os nalpxedei by ,er)soth isth tnnaxiealop pesdned ni how revese het rbsnu .ear

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