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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 efle umdb ofr singka tub can osmeneo peinxla s?tih fI shi saertpn aer of lsceo to omanrl BMI nda era ceocndren atuob shi weigth hwy duolw hety be iolanlwg sih oicaelr tcmnpoousni ot ecdxee ish ngyere irntdxue?pee ( KAA gteitnl eth ikd tea oto humc adn not esierxce gnuheo)

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meningitis  sTt'ah a rmdnoe ady ysryme.t +23
drdoom  The optpmr si ylon isnkga w't"sha het kielly acues fo bosiy"te? sI't otn ttha er'eyht llw"o"gnai ihm to eat oerm than cse.eirex (wFe ertanps nca itmrono thrie sdik that oelcs)!yl ehT mtprpo is onyl ikgans twa'sh eht omts yiekll nxaatoiepnl ofr hsi 5t9h cperelneit iwhgte and MBI ei(vng thta eh tiewoesrh aapepsr olm)nra; ni eth nUited teS,sta eht msto kliyel tanxenolipa is teanig way orem tnah oyu npexde. +2
niboonsh  aak 'aicerm liw#ssprleormrtdfbo +5
makinallkindzofgainz  fI ouy rea ees,ob 'sti uscebea uyo veha undomesc olicsaer in cxsees fo oruy ryeeng itr,eunxdeep end fo t.yros (rteeh rae coftasr atth cfetfa ryou ngerye eu,eedtxipnr tbu het mpiels tetmenats is 0%01 tre,u lessun ouy awtn to rgeua anisagt eth wals of r)ocnds.eiytmahm A is hte lyno cortecr n.wears +1
tulsigabbard  ishT swarne thi oto leosc ot hoem. +6
castlblack  I nthki hte sornea eyth iotnp otu hte eavaegr ghewit fo het rpnaste si beeusca inelpt sedoidrsr rea hedei.irtn tI sleph you elmenaiit taht enrsaw hcc.oie +2


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 +3  upvote downvote
submitted by rogeliogs(12)
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yM acaproph to itsh tuoisqne wsa roem utjs sgonucfi ni eth ionf teyh era nigvg.i oNen of het horet oopitn skmae esens uecsaeb tereh si not ednecvie to ktla tbaou mteh. I swa ryve edptetm ot ipkc the adeec"res enitlp "unopcroitd utb I ermermdbee Dr Gnaljo nsaiyg k"inhT p,imsel nihtk hpeac, they are nto tginry ot trkci u".oy o,S ubcbyh atpnsre = uhbcby iks.d

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almondbreeze  hghuott hsi sdrow no ntik"h hcp"ae had to do twhi atttsermen - ..ie sxireece +
alimd  Yes yteh ar.e Tereh are os naym riktc sioeutsnq +1
skuutnasty  I ehcso lienpt cificnedye czu I asw tarny get ynacf hwit itr .Fo oyeann ohw si seine,dtrte e..vhoew.r cngroicad ot D:opUaeTt sM" to epploe itwh ysteibo od otn ahev ayn btsaneiimraol in the epnitl en,eg trihe murse lpetni naonotrctcneis era hihg cieflrnetg hteir ecndaersi aft amea.."Ps. sce +6
sunnyside  kutynasu@ts u'svehodl sjut lte em eelf afycn, own i efel sdpitu (: +

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 uwdlo liek to lnecdui hree ahtt it nac nto eb B aee(cesrdD nilpte o)dnirctupo caeeubs tienlp sleelv eeriscna in oiyse.bt Ltepin is dsrecete yb oda,pstiecy hicwh eebomc iicgfanitns in iob.syte iHgh llesev fo lptnie yam olsa sdeetenzisi het yitesta tecrsne ni the ahyouhstpmla, chwhi si yhw aymn beose epelop ahev bleurto igmilint hrite food eatk.in

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madamestep  Vrye r!teu sloA peitln ausces acsnheg ni etpta.pei oS evne fi ltpnei si wlo, oryu neoars rof sbteoiy si sllit orme aserlcoi in ahtn tuo. +


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 -8  upvote downvote
submitted by jotajota94(14)
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I inkht eth yek to ninnsaurtdedg itsh eoqtnsui si taht het ybo has ebvao aergaev tphLigeenhi. t usmeasittl hte serleea of HG (.ubevn:is85.dlcmgt2nww.phn/h21p1/2ti/m0./obwielhCrd )n hwit inCsuhg ronymdes heav orsht usrttae nbpsghhwo/td3.tlp:56inbme/6/9cwnvm73..i/u1w.snuiin )l inhtbisi GH cnoseiter soiiwMtv4mhhcwle/6/12b/a.wnnCp65p.nsPcti/glt:m./c/.r )I nithk tath boht a high irolcac dtie in tasf dan eugocls nca akme uyo tfa so uoy cna lieaemnit hoset rawnes .checsoi

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