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Retired NBME 22 Answers

nbme22/Block 1/Question#32 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Hypokalemia 🔍 / 📺 / 🌳 / 📖
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 +19  upvote downvote
submitted by ∗moloko270(77)
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loss fo ulifd tsrigerg rotaledeson onuortdic,p os ntaeitp liwl eavh rtanrphaemeyi nad oikaeylhapm as a ueltsr

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makinallkindzofgainz  tda ARAS +6

I realise now that diarrhoea causes hypernatremia! And the reason we give ORS is to restore the blood pressure by giving Na and Glu not to correct sodium level!

My 6 yr of medical education was a myth

+2/- apurva(101)

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 +15  upvote downvote
submitted by ∗liverdietrying(111)
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odoG atcf to itcmom ot ye:mrom oyu oles baibcr in eht tsolo (hence wyh ieahrard ssecua oonnnina pga btelicamo c)o,iisads nad ellcpeyasi eslo aspsoumit wiht iaaeltvx eausb (sa inoetendm ni eth tenqsuio mt)es. scnso:iioayar-.cnewdthtd.-r--apeeuaeotwadtpiaholtmasbnncrrbst/htle-wtieeiwomtl//d/atec-

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sbryant6  Im' igong ot og keat a bgi etbaaibcnor popo on.w +32
happysingh  i uldwo gtessgu htta you olko itno ti a bit rme.o hyW ? ad H an mnbe tuqsonei hiwh(c osuncdfe teh stih uot fo )em zcu, ucBimel P.t woh asw signabu isatavxeL hd(a eth pu ;m&ap odnw sa)rrow dna ihts si awht ti vega : eaatiLv x Absue — aotMilbce soliAlask   : K+↓     Cl↑-                   p↑H   ↓s3- o HCO one of hte tsonpi of isinoitndtc IS eth ersacine in Cl- iwht ixltvaae eausb sv(. ongmtvii, hicwh was a ke-keenjr toiecanr wehn i rhae iubali)m +3
lola915  I httghuo rhaeiadr esucsa Non aoinn gap oeatcblim ssiaocdi pghnsha@yip +2
texasdude4  aeys ywa to emerbmre : riabcB" uot hte "ttBu +2
weirdmed51  dsoent iadssico eruslt in ?Pkm'RYHilaEa'e +1
abhishek021196  aumBlii neasvro lclytoteree shcgena /dt itnsvcrtail/oe/iievmasxigtdu abues iselvycepret - 405ag.//3ttta5.f/pw0f1/hs0w/0:mal2pwh/ro.p31p +
abhishek021196  ,Aols TSMU SEE - e:rrroiht.-sgn0agid/1-/ws0la3nl9t2tw1e.o0l/iw/a/swpt/ua-efedbssea-c-e/toel +


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 +0  upvote downvote
submitted by ∗drmohandes(193)
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uYo omslty lsoe -H3CO and K+ in .otols

ssoL fo 3OC-H delas to a omnlra oinna gap imecoltab docsaisi 2(1F0A9 pg. 058 SD'AA'R,S)H ni iwhch ew saol ees a rmnayopetcso arinesce ni C.l-

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 -1  upvote downvote
submitted by iviax94(7)
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I was etwbnee pelhayamkoi (edu ot irhr)deaa dna yepcuae/pmechicaliremharriy sen(ic setwa si nytoihocp nda dwlou ecaus sohiemtcopry ovluem ao)ttn.ocinrc I idnd’t have a reatg wya ot iedecd weneteb iehpCurayceiyaprhrem/ os I iurefgd tyeh wetand opyK.h sI erhet a btetre eolairant fro yhw eht ehrpy ranwess are corcnirte?

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liverdietrying  I ithnk oyu tuotg-vrheoh itsh noe a lltiet itb hwit eth yppceeearhraimucayi.cmlrihe/ odGo actf to tmimco to emorm:y oyu leso cbbrai ni eth loots (hncee why arihreda ceusas nnnooani apg acelotmbi so,sidac)i and paeyllcise soel muotsaisp iwth vaaxteil bseau s(a nmndieoet ni hte iotnesqu e.tsm) iotri-a-ceti/a-aeuionac/meaorrtlt-enspthesirtlbtawmanycsd:dnh-t/c.whde/d-towebptoslaw.e +3
w7er  lyiasalcB heyt ear kiagsn buoat yclrtloetee dnsacutberi hatt sucae oelscapl inylam ude to apemlhkayoi rfmo avialext saueb saeeubc aiadrrhe aeucs ipaholmmekya dan olas caues nrsacie ni nerni neniinaostg yetsm which iwll rfethru easuc hlaaipmkeoy nulgersi cdcaslrociuraa sclaope ): +1
hyperfukus  i othtugh the yrichpermeuai tnihg oto utb i n'satw mrats eguhon to iktnh ehyt dtwaen aphmoyilkae like u :( +2


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 -1  upvote downvote
submitted by ∗castlblack(78)
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I heav erda lal eht memctns,o but enon pinleax hyw aeroaiynmthp is owgrn. Teehr is dtieleifny aN+ in lso..t.thasot. hwy utrlsaag+s si adyrnteorih orf sedp derlharia .ssceskin woL aN+ acessu lwo VEV niexgianlp eth owl BP, hghi RH, ,aropll adn hdyaertnoid. Is it errocct tbu jtsu not sa orctcre sa C?

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waterloo  I oDtn onwk htwa oyu eamn yb low .VEV uBt es'rhe ym ohghttu cps.oser sih T pt otsl sotl of raw,et nda nweh eenomos seakt a vxaailte cnsugia emht ot haev derahira ttah will edla to catelmiob i.scsdioa A gferufnib mcenmiash rfo teh sedcedrea ibcarb ni hte lodob is rof +H to eelav lcesl nad K+ ot go nito the elslc. So eh sha to eahv lmhpaiokeay low( K+ in e)ms.ru yhTe vgea mih IV usi,lfd os ish BP solduh be deehda acbk ot omrnal. I lodwu nkthi sih ASRA lwli clhli otu. tuB it tesak tmie to crctore hte cisida,os 'oyeur iednyk otwn' jtus mmeyetilida ospt rbaes aibrbc so r'oyue odby llwi tslil be gibrfuenf anaigst het isaosdic +H( tou of ellc, +K ).in +2
waterloo  rsy,or I reowt enedisarc bcb,iar I mntae ADDECESRE bciarb in hte lbdo.o nAd also sdoulh have nitwret uye'or" ndiyke wt'no sutj dmyietielam ARTTS besar ewn i"abcbr yM aBd, s'ntaw itryng to dda to csnoounif. +1
drdoom  i khtni by `VV`E uatorh metna `EC`V laaeerutclr(xl me)lou.v r@woeo,lat priaecetpa hte naalxnpoeti utb nkith tohmgiesn si ffo: lsos fo HCO-3 vai hariader udhlos suelrt ni a,iicdema which lwoud sopeop eht tpominupesr of H‌``+ lgviaen el,lc +K ognig .i´´n +2
waterloo  yhe os ryos,r I tsmu veah enbe pesur etrdi tgonips .itsh tn'Ca beeeilv I edma so yanm s.kamitse daRe rvoe ti ina,ga dan ti undsso ekli rbibhsgie. shiW theer swa a ywa to dt.elee yM db.a +1
waterloo  I htikn I dtier ot enxplai oot .hadr Lkgooni at htsi souqenit ag,ian I htkin arlely hte nylo thsi is ehwn ouy seol taht hmcu ovmle,u yuo selo icbbar nad +K. ohgnNit yaller to do ihtw ca-.dbesia My .b +1
drdoom  on o!srewir +1
castlblack  EVV = ieecftfev vaauscrl vmluoe. aknhT uyo fro irngyt ot hlep utb I sltli 'ontd unr.sdeantd I ltisl egaer with my oevab inmchmase sa cor.retc rehWeth ro ton 'tsi otsm trercco dik. +1
amy  whta tuoba hte lnog aymest thb?a eH asol taesw a lt,o nad feopsur egsiawnt is oigng ot esauc ?aprynmteaioh +1
helppls  thats wath I swa nhtikgni as ^w^ll^e I grudife he was astgeiwn tou a lto fo lCNa +1
icrieeverytiem  ehT Q emotnisn hatt eh eelsf eebrtt trfea na niunfsio fo usldif os I sdamues yan prhnemiyaoat hatt he dah uvste'm nebe r.eldsoev +1


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 -1  upvote downvote
submitted by ∗apurva(101)
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ihCrnco oadarheir == iVt D ilbrotopsmaan = iHccmlyeapoa say( ni nsrhco)

uteCA doaharier = ,nrpeyaritHmea iey,koHmaalp eahrepptmhyhiospa

inrhtoaedDy nca alos ausce primchuieeayr dna tpp tgou tatca,k btu ofr nuoyg pt i nhkti shti lliw eb aerreilvnt

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