NBME 22 Hypokalemia (NBME Answers)

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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 ifdul ritsegrg onsrelaotde cpdtuoi,nro so tpitaen wlil haev hyriapetrmaen and paikomlheay as a lturse

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makinallkindzofgainz atd ASRA +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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odGo atcf to itmcmo ot omye:mr uoy elso cibbra in eht tools e(cnhe ywh raedairh asucse nianonno apg olmciebat s)iiocsda, adn lcyislpeae osle smuostiap hwit ilaeaxtv sabue s(a nneoiedtm in the uisentoq e.tm)s wl-enes/t:bpattcmeethnad/nmdwoacehhioa/-s/wtctoapasatultbisdrn.oe-c-ae-twiol-e.riiyrrdt

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sbryant6 'Im ognig to go etak a bgi abbrtoneaic oopp n.ow +32

happysingh i ulwdo tggsuse htat you oklo iont ti a tbi rmeo. Why ? adH na bemn neqostiu wic(hh ecdonusf eth hsti uto of m)e ucz, eBlmcui .Pt who wsa gsniaub atiLvesxa a(hd eht pu &mpa; wdon oswr)ar nad hsit is ahwt ti evag : ex aaLitv eAubs — ctaiMbloe Asosllaik : +K↓ l-↑C ↑Hp 3O ↓Hs-o C neo fo the nsopit of csiittidnno SI the icnrasee ni Cl- wiht tvlaxeia ebaus sv.( vgminit,o wihch asw a kj-erneke rectiona when i reah bm)ulaii +3

lola915 I hthtoug rhriaaed uaescs noN naino pga lmbteioac saiodcis gpsphy@inah +2

texasdude4 esya ywa to mrerbeem : icrb"Ba tuo hte ttuB" +2

weirdmed51 osnted odsicsai reltsu ni ?mRYae'iHk'EalP +1

abhishek021196 uBimlai vnserao eltlyecerto agnhesc td/ ealsiegiimtto/suvvrdnctaixi/ eubsa ietpcesryelv - mpgh1/pwla0.331/w5at/.trfoatp20wh://4s/.p500f +

abhishek021196 loAs, SUMT ESE - aw.s-otwdad0w2/rsn.lta9sreeehwg/ti-/0ol//ci-e/t3ssrl/ap-gn0loutbeeefi11a:- +

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+0 upvote downvote
submitted by ∗drmohandes(193)

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uoY mlotys lose OH3C- dna +K ni .lotos

oLss of H-CO3 ldeas ot a lornma ionan agp maebotlic isicados 12AF90( p.g 580 DH,'S)R'SAA in hwihc we asol ese a sycmooprnate acrneise in lC-.

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-1 upvote downvote
submitted by iviax94(7)

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I aws benweet aaykomephil (ued ot reah)adri and cccrlauprmeih/eramhiiapyyee se(cin etswa si ohiynoctp and owdul aucse tspymoierhco lmuvoe )rncitcto.aon I di’ndt ehav a arget awy ot dcidee nwetebe hapeeaChrpcyu/eirirmy so I fudiger yhte ntadew oKpyh. Is tereh a ttereb leoatrnia for why teh yhpre awrsesn era rnro?ctcie

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liverdietrying I iktnh oyu e-ohthtvorug ihst eno a titell bti htiw eht chyie.pahclremypaace/murieri dGoo cfat ot mtciom to yrmo:em you esol bbicar in teh tloso hnce(e why ihreadra suacse ononanni agp tbimlcoae sic,d)iosa dan lyaseplcei leso mosspiuta wthi levatxia absue (sa mointedne in hte entsiqou tem)s. pa/ni-eo-crtpesi-ttisrnihobe-tureocdawwt/b.shhana.ttmemot:edeara-oye-wc/nctws/ldtillaad +3

w7er lyaliBasc yteh rea ikngas uboat leeertyclto rcduaneitsb ahtt usaec aocsplle nlmyai ued to okiaheymapl romf tlxeaavi euabs ueascbe rdiearah secua laipkohmmeya dna aols aecus icernas in rienn estnginiaon ymets icwhh lwil hferutr asuec mioalapehyk seingurl rscdaaurcoacli oaesplc :) +1

hyperfukus i ttghuho eht ihyerepmariuc gtnhi oto btu i 'wnsta msart hneuog ot hinkt thye ewtnad aolepmkihay lkei u (: +2

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-1 upvote downvote
submitted by ∗castlblack(78)

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I heva arde lal the notmsce,m tub onne alenixp wyh ameyhnroipat is rgn.wo eerTh si yiieftlden Na+ in otottl..hs..as ywh +argtlssau si nrhyiraoedt rfo pdes edliarrah nsickess. Lwo Na+ casues olw VEV pgaliennxi eth olw BP, ighh ,HR a,olrlp and .aydrtnheodi Is it crector but usjt not sa trreocc as C?

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waterloo I Dnto know wtah you nmae yb low E.VV tuB 'srehe ym uhohtgt cpso.sre is Th pt lost tols fo at,erw nad hwne soemone ekats a elxavtia nsguica tmeh to heva rdiahaer hatt iwll aeld ot mlaocibte ids.socia A reibfnugf scnmieahm orf het caedeesdr bcabir in teh obdlo si ofr +H to aelve slelc dan +K ot go otin eth .lcsel So he ash to ahve mkaphyaleoi olw( +K in )rsmeu. heyT aveg ihm IV ,ilsfud so ihs BP dlshou eb hddaee kacb to al.nrom I olduw tihnk sih SAAR lwli clhli uo.t But it taesk itme to crceotr het sdoicsi,a 'rueyo eidnky two'n sutj imaeyieltmd pots braes rbcbai so yur'eo dybo lliw lislt eb ueffngbri iatngas the saoiscid (+H otu fo ,clel K+ ).ni +2

waterloo sr,yro I owtre enecsrida brbac,i I aemtn ACERDSEDE abbrci in eth .odbol ndA saol uohlsd hvea iewnrtt you'e"r kyidne 'wton sutj mamyediteil ASTTR easrb wen b"ricab yM d,aB ats'nw trinyg to dad ot n.niuocsof +1

drdoom i hnkit yb `VE`V ratouh aentm `EV`C la(clurtlaxree em.vl)ou woe@l,arot rpeitapaec eht npetlaaonix tbu tkinh gsinomthe is f:of sols of HC-3O avi dehirara sohudl uertsl in miae,adci cihwh wuodl opopes the siroppetnum fo H+‌`` ivaenlg llce, K+ ngogi n´i.´ +2

waterloo hye os yosrr, I umts vhea bnee erspu ertid ipgtnos i.tsh Cat'n eleivbe I dmae os aymn iketss.ma aRde ervo ti ,aagni and it sdnsuo keil ber.gibhsi iWsh reeth wsa a ywa ot de.tele yM dba. +1

waterloo I ihnkt I erdit to plniexa too d.har ioogLkn ta tsih ueiqonst ngai,a I ihntk aeyrll the nloy siht si whne oyu elso hatt hmcu o,mluev oyu leos ibbrca nda K.+ niNotgh learly to do wtih ibdsa.ac-e yM b. +1

drdoom no oe!rirsw +1

castlblack VVE = ivfeectef rsclaavu om.vule khaTn you fro tnygri to ehlp but I lltis 'dotn nnadtdusre. I ltsil geare tiwh my vebao mishcanme sa trcroce. ehrheWt ro tno s'it tmso occrret kid. +1

amy twah outba eth olng atmsye bat?h eH losa awset a ,tol and fruopse astnigwe si going ot uscae riptaohma?nye +1

helppls tshta wtah I saw kingnthi sa ^el^wl^ I gefduir he asw ainetswg out a tlo of NaCl +1

icrieeverytiem ehT Q ensnmoit atth eh elfse eettrb frtea an nfnoiius fo sudfli so I useamsd ayn renmaayiptho thta eh adh m'estuv bene vreso.led +1

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-1 upvote downvote
submitted by ∗apurva(101)

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onCchri raeadhrio == Vti D ioabpomsnarlt = cecmHylopaai (sya ni nhsor)c

ACetu hrrdeoaai = tipaenmrer,ayH yaHiamekl,po ppyahpmoahetierhs

eiydnoahDtr nac laos saeuc cimhayirrepue dna ppt uotg ta,ktca tbu ofr goyun pt i itnhk tshi liwl eb nvatreelri

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