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 efle bdmu fro agskin tub nca eoeomsn ixepaln h?its fI ish neprsta aer of oescl ot lnoamr MBI and rea oneccrdne oabut hsi ihgwet wyh duwlo teyh be lnwialog ish oalierc cnutopnosim ot eeecxd hsi egyrne u?xpteneirde ( AAK etigtln hte kid tae oto hucm dna not ecxisere gon)hue

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meningitis thsaT' a edonmr ady yy.mesrt +23

drdoom eTh mprotp is ynol sikgan h'w"tsa eth llykie cseua of yb?eos"it 'tsI tno that ryhet'e "loiwagnl" imh to eta oerm anth .xeeircse (wFe pnrtaes anc romntio hetir diks ttha l!cyseol) ehT tpmpro si noly gniska 'wsaht eht tsmo ykllie ntenpoalxai ofr ish h9t5 eiclreentp thegwi and IMB ing(ve atth he ehsreotiw psarpea lramon;) ni hte itdUne ,tsaetS het ostm lkeyli nenpaoxtail is geatni ayw more hatn yuo dpx.nee +2

niboonsh aak rma'cei twmobfd#siporrlelsr +5

makinallkindzofgainz fI uyo era ,eesbo 'tis eaubsce yuo vahe oedmuncs aisrcelo in cesxse of uory nreegy ,eideetunpxr nde of tryo.s r(hete era fcsrato tath cfefta uyor eyngre xidreunepte, tbu eth silmep emantstte is 01%0 ,utre usnels oyu natw ot ruaeg aaisgtn het wasl of e.tdhcyrnioasm)m A is hte yoln tcoerrc ewsna.r +1

tulsigabbard sihT rsawne hit oto solce to ehmo. +6

castlblack I ikhtn teh neasor yhte tipno uot eth vgreaea ewgtih of eht eastrpn is becsuea lpeint edsdsrrio ear nrh.iidete tI pelsh you emetilian htta rwenas echcoi. +2

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+3 upvote downvote
submitted by rogeliogs(12)

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yM phacrpoa to tshi nsiueoqt was orme sujt oigucsnf in eth fnio yeth are givn.gi nNeo of hte rthoe opinot masek nesse acbseue eehrt si otn inedeevc to tlak ouatb e.mth I aws very deetmtp to kcip the as"eredec ileptn npuooic"rdt utb I eedbremrem rD laGjno nsiyga ih"knT p,semil nhikt paceh, etyh rae not rtgniy to ckrti y."uo oS, hbcbyu rspntae = bcbyuh sdki.

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almondbreeze hhtutgo ish doswr on n"khti epca"h dah ot do thiw tnrmatsete - ie.. xeerices +

alimd Yse htye rea. eTrhe are os amyn riktc etsoqiuns +1

skuutnasty I hceso eitnlp dcneicifey zuc I saw nraty etg caynf with i torF. nnyaeo who si ,treeisndte ee.r..ohvw odrnaiccg to eta:oUTpD sM"ot eeplpo twhi styibeo do not have yan aniametislrob in hte etilnp eeg,n ehtri uersm ptinle inanresocttocn are gihh cenrtilgfe itreh earncsied fat msa..ca e"Pes. +6

sunnyside @tstsunauyk uhlsoved' just elt em lfee yf,cna nwo i eefl tiupds (: +

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 doluw klie to euncldi ereh ahtt ti acn ton eb B Drecease(d intepl )opucnrodti ueebsca ptilne lvlese eiecnras ni y.bestio etpniL si tceeders by poa,syedtic hcwih eocemb tniaifgnsci ni iotb.eys gihH lvlees of itlepn mya oals eenstdiizse the ettsyai rencets in hte auhytopamsh,l hihcw si wyh myan eoseb lpopee evah lrouetb mitnigli eriht odfo tika.ne

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madamestep reyV e!rtu losA ipnlte ssaceu nascgeh in epi.eptta So eenv if ienplt is olw, oryu nasoer rfo tsbieyo si still more sarlocei ni than ot.u +

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-8 upvote downvote
submitted by jotajota94(14)

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I nikth eth eky to ntasdinrgduen tshi eoqtnuis is ahtt teh oby sah aobve aaegrev egntieiphL h.t sumtltseia hte selaree of GH (/hio/ibw15pb.mh/2.wg2tde8/vmwn:2cnsnt0.1upl.el) nrdhiC hitw nisuhgC yodsemrn have torhs utraest nwb397vbp..//monwhus5we/n1d.hmi3tgtpc6li:6./niu siln) niistbhi GH ieenoctsr sbi/.5wP4ce1pw//priv/icmlC..6msht6/2/anwM.onctlh:gtn )I ithnk taht bhto a ghih clrioac idet in tafs nad lgsuoce anc mkae ouy aft so oyu nca leitmneai hseot eawrns ecocsh.i

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