NBME 22 Calorie consumption that exceeds energy expenditure (NBME Answers)

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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 🔍 / 📺 / 🌳 / 📖
tags: nutrition

+3 upvote downvote
submitted by ∗aesalmon(95)

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I lfee dubm rof gakins tbu cna smeeono aplxine ihst? If his eanrspt are fo ecslo ot rlamno IBM adn ear dconrneec ouatb hsi gwethi ywh duwlo yeht eb lowilnag shi acolrie pconutinsmo to exeedc shi engery d?eutexeirnp ( AKA ttgnile the ikd eat oot uchm adn ton eesircex )ughoen

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meningitis tah'Ts a remodn dya m.yytsre +23

drdoom hTe tprpmo is yonl iknasg t"as'wh teh leykli ceasu fo by?tse"io Is't not htta e'yehtr wi"ng"oall imh ot tea erom htan ecrxeeis. eF(w atepnsr anc ooirmtn rieht kids ahtt elo!)sylc The rpmtop si oyln igsakn 'stahw teh toms lielyk nainxoalpet rof hsi th95 nitrcleeep wehgit nad IBM ieg(vn htta he htwesreio paepras moa)r;ln ni the ietndU tsta,Se eht somt kylile eixntnpoaal is ngeita ayw remo htna oyu dxeep.n +2

niboonsh aka a'iecmr lflipsorebrrw#smdto +5

makinallkindzofgainz If uyo rae ,eeosb ist' ucsbeea you heav scmdneou iesaorlc in esexsc of royu ergeyn t,erenudxiep den of or.tys (ereth are rfstoac that eafctf uory eeygnr tdpereixn,ue tub eht iesmpl ametstten si %010 ,etru enslsu yuo wnat to reuga gatisan hte laws fo cehsr.)iymoanmtd A si teh ylon rccotre ew.sarn +1

tulsigabbard isTh nsaerw hti oto oeslc to ohem. +6

castlblack I khnti hte soaren yeth nopit uot het ergaave ithgew fo het srneapt si seebacu lpient dsiroerds rea htdeeinri. It peshl yuo eiintlame taht reanws ohiec.c +2

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+3 upvote downvote
submitted by rogeliogs(12)

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My apocrhap to itsh nuoqeits was rmoe tjsu ungcifso ni the niof yteh are ingig.v None fo the herot oionpt aeksm eesns aecbesu hrtee si not cenevdie to takl tubao tem.h I saw reyv dmtptee ot cpki eht asdecre"e letpni tuopcidr"no btu I ememdrbeer Dr Gjalon gansyi k"inTh pm,leis tinhk chpe,a tyeh aer otn trynig to tkicr .y"ou ,oS ychbub easprnt = cbhbuy .kdsi

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almondbreeze gthuhto his srwod on k"htni ecahp" had ot od ihwt teestarntm - e..i execries +

alimd eYs teyh ae.r There aer so many tkcir oueqssitn +1

skuutnasty I hesco eniplt eciydfneci zuc I was rntay tge nfcay itwh .Fotri onyaen owh si tndetie,ser .rhe.ew.vo gacocndir to pDatU:oTe "stMo loppee ihwt otbiyes od ont aehv yan aiatbmeonisrl in eth iplnet g,nee rehit smeru lpneit socarintnonect rae hhig rifenltegc threi sanieercd fta cme.. e.sasaP" +6

sunnyside sstakyunu@t ehovu'dls just tle me elfe faycn, own i lefe isdutp (: +

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.

+1/- almondbreeze(110)

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+0 upvote downvote
submitted by rongloz(7)

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I loudw klei to ulecind ereh taht ti nac otn eb B Deare(sdec tielnp dcuntor)opi baueces ipletn eselvl ecniesra in obts.eiy etLipn is ctsreede by oies,atydpc hwich mcbeoe tcgaiifnnis ni seobt.yi igHh ellvse fo tienpl yam olas desneseiitz teh aistyet tceerns in het yuahpmto,lhsa which si yhw mnay eobse leppeo aveh eourltb miiilngt rehit food kie.tna

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madamestep Very retu! sAol enplti ssecua ngscahe in i.peeaptt oS even if peltin si wlo, uoyr anrose fro soyiteb si ilslt meor oeralsic ni ntha u.ot +

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-8 upvote downvote
submitted by jotajota94(14)

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I tihnk the yke ot addnnigenstur htsi tuoeisnq is ttha het boy sah vbeoa avegrea gt.ne ipteLihh ssietmutal hte reeeals of GH (e1g8.52ni22tnl.:h/cmto.u//vh/swbn1dwiwm.pb0p)eirhCn dl htwi hCsiugn mosedyrn aehv htrso raustet hwsd.17ebhw/36i5v6ltni.m.nwmup9/:to/bc./np3gnsiun)il bnhtiiis GH ecistneor 4mwl5i6/2nticP/v.lcc16itMp.nnpabt/hwg.esCo/rh:wm.s// )I ihnkt hatt both a ihgh lorccai dite ni sfat dan soecglu nca ekma uyo atf so ouy nac atimieenl toseh wsrnea .siocehc

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