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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: nutrition

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 +3  upvote downvote
submitted by โˆ—aesalmon(95)
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I fele mubd rof isknag ubt nac enoemso xpeinal h?tis If hsi rpsnaet rae of oescl to aormln MBI dan rae rodencnce outba shi ihetgw why odlwu hyet be aigowlnl hsi lecrioa tmunponcosi to ecxede sih rnyege u?xdreepneti ( AKA eglntti eth kid eat too muhc and not eesrecxi )ehgnou

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meningitis  shTta' a enrodm day myser.ty +23
drdoom  hTe ptromp is ylno ksiagn hst'aw" hte ilkyle caeus fo ?"osbtyei Ist' not htta tehr'ey "llwgnio"a mih to ate moer anth esxeer.ic we(F atpsnre nca iotormn rtieh idks hatt !oce)ysll The porpmt is ylon nigask ta'swh the tmos lkiyle palnotaxeni rof ish 5th9 trenieeplc tiewhg nad BIM vgnei( ahtt eh itrwohees sappaer ornm;al) ni eht iedtUn tt,Ssea het somt lyelki annoatelxpi si iagnet ayw rmoe nhta ouy enp.xde +2
niboonsh  aak mriac'e rooemt#lrwrlidfpssb +5
makinallkindzofgainz  fI uyo are oeb,se tsi' uabcees you hvea nuecsdmo eiorlcas in escesx of uory ygenre xepnderietu, edn of yotrs. rete(h era aftsorc ahtt tffaec yuro yegrne pteeendu,rix tbu eth piseml enstteatm si %001 ture, lsensu you twna to uaegr giatans eht swla fo emdmishoc.rtn)ya A si het lnyo ctcreor erswan. +1
tulsigabbard  Tshi arnswe tih too lscoe to h.oem +6
castlblack  I htnki eht areons yeht pinto otu hte ergavae wehitg fo the psrneat is uebaesc peiltn sdisrerdo are .inederthi tI pselh ouy ilatmneie ttha snerwa .ohecci +2


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 +3  upvote downvote
submitted by rogeliogs(12)
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My phparoca ot tish nousqtie was meor sjtu funioscg in teh nfio tehy ear ivin.gg oNen fo the thore tnipoo askme enses beausce teher is tno vnicdeee ot altk aotbu mteh. I aws evry eepmtdt ot pick het es"eacdre peiltn cpotnoi"dur tub I remedmbree rD olajnG inysag "khTin i,slpem ikhtn ae,phc hyet are ton tnygri to ctrki y"uo. ,So ybucbh aepnsrt = hubcby idsk.

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almondbreeze  hhotugt his owrds no nhk"it hc"pae dah ot od hitw rtseetmtan - .ie. ceiersex +
alimd  esY yhet are. eTreh rea os nmya tkric ioentssuq +1
skuutnasty  I oches tnlipe fdiceneciy zcu I swa tnrya etg anfyc ihwt .Frtio ynnoea who si itne,sedtre .wvoeher.. arngicocd ot eoatUDT:p ot "sM lppeeo ihwt soytibe od nto evah nya tbmaaosrliine in teh pneilt een,g tiehr erusm neplit ieonsnnttcraco aer gihh frleeigctn irteh rcieedans atf a m"es.aes.Pc. +6
sunnyside  atskutun@sy h'odesuvl stju let em elef y,anfc now i leef uitsdp (: +

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.


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 +0  upvote downvote
submitted by rongloz(7)
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I luodw ekil to ludeicn rhee tath ti acn otn be B ecesad(Dre litnpe tiodunrcp)o aueecsb tpline vlseel aincrsee in t.sioyeb iLpent is sderetec yb itpdsyaoec, cihhw emebco tinicsfaign ni bits.yeo ghHi levesl of iepntl yam saol zendisisete eth iatsyte rtscnee in eth ,hmaloyashupt wchhi is wyh ynam bosee oeplpe vhea otluerb nltimigi eithr fdoo ie.nakt

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madamestep  erVy ut!re oslA lnpeit ecssau sagnech ni p.ttiapee oS neve if nieltp is l,wo uyor onrase for obieyst is tlsil orme caoislre in atnh tu.o +


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 -8  upvote downvote
submitted by jotajota94(14)
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I nitkh eht yke to rntuadsnenidg htsi ionsutqe si atth eth yob has avbeo reaagve Ltgi ip.hnehet ateusltmsi eht leasere of HG (upwt1gbbi.mod.2/:shthc/pe8n2./mv.wi0n/2n5w1leCn)hrld i iwht sihgCun rmoyends aehv tohrs retutsa bpm5ne/ngvt6iswo/b..3chw3ntw:./hipl1u.67d/m9slni)nu i inbisith GH eticersno ohPcbMmtn.iplwc/etnin/5r6a:p/1lw/46cw2Cshmv.i/g.st./ )I nkhti that thbo a hgih acioclr tedi ni afts adn slcogue anc eakm uoy tfa os uoy can menailtei hesot sewnra hccos.ei

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