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Retired NBME 23 Answers

nbme23/Block 3/Question#46 (reveal difficulty score)
A 19-year-old woman is severely burned over ...
Increased metabolic rate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +8  upvote downvote
submitted by โˆ—thomasalterman(181)
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kSni irodevps otinalnuis and nesprevt athe l.sos Thsi nttiepas' ydob llwi peoetacnsm ofr ceesrdnia eatr fo heat sols yb eicrnsinga citeoabml ar.et

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davidw  Tshi is rdectyli mrof jolGan )I icoHlmoypev oschk mya rcouc due to loss fo slaamp morf eht rnbu suerfac erre(f rahpCoet t โ€ข). 5 sosL of rionpet rmfo het mlpasa sols may elrtus in ezlgrndaiee tpiignt .IeemI da) neioIctnf fo teh dwonu eits and siseps aym .oc)c ru(a siseSp ude ot umesasdoPon iguasoearn is eth mots conmom aesuc of oitcniefn ni nurb sateitpn(. )b eOhrt sntgoepah deciunl tsietmlialres-nnithic S. uuears nad Cianadd cep(.ie)3s s Clrungi slercu amy crcuo in het lxarmpoi mdoduneu rreef( ot erphatC 4( 1)8). tipcyerHbelaom ymersdno aym cruoc fi 4&t0%;g fo hte dybo rcusaef is nd.ebru +16
yex  nCa osemoen palxine hyw si ti tno sndirecea EC?F +26
charcot_bouchard  i dcepik .msea ecardeIsn EFC but catn brmeerem .wyh nCa uyo eainlpx YHW it is saecnried ?CFE hawt asw ru ensiraong +3
isotopes  Brusn ulwod aedl to a eadsrece ni CEF easbeuc the nteoiptcro rmfo dufil slso is sbne;ta it can dlea ot .ohkcs :) +4
tinydoc  yM aeinrosng bdheni pcikngi โ†‘ ECV asw tath yruo glosin fdiul tbu nto teoerltsylec htiw teh ubnr โ‡’ teh vec dluwo have aceinedrs lrsamooti,y os teh ldfui rfom the CVI udlow be puhsed hte eth E.VC It amed eenss to me at the e.imt I usges ecclytnhial sit nrowg usabece hte lsso fo dsiulf nda the naig of liufsd lwuod omuatn ot eytrpt hcmu teh asem inhtg. tBu the niilusnato nda aeht ossl tgnih askme ensse I .gsesu +
yex  dnIcraees E,CF bc I aws ikighntn tuoba the mdeea roonati...fm. :/- +3
atbangura  I cidkep adcsniree CEF cbsaeeu rbuns cersinae teh caypirall ptlemiyribea e,cfntcieiof utb nwo thta I am nggoi revo ti I lredaeiz taht gcneiinsra the ietpmrbyalei uldwo lyno rtnfsear alpams meuolv to the aetsnittiirl ,lvoume chhiw aer obth a ptar fo eht FCE so oeferrthe EFC loudw otn n.ehacg HSM +10
aisel1787  ankths +
69_nbme_420  Busnr an(d ha)eaDrri eascu OcsoimItS ouevlm ontari;occnt azoConts SBR Psihyo +
tiagob  ni eevers bunerd npi,ttea soal sah enescradi ldfui ni ihrtd apicngs or ienitraltsti ai(edlng )EAM.ED Dneirtfef rxllertaculae pesca si tnlrisitaeti nad arvlscua +1
peridot  I lsao daenwt ot add, anretho guhe boj fo het nski is to pretven sslo of u.ifdl ruBn etaipnst era eisyal reeatdyhdd aueebcs ye'hetv ltso atht biarrre. hsTi dlehpe em elna ayaw from idrceensa ECV - esepdti eth eadme fmor( neo ntmarmptoec ot nrto)hea sa threos evha nedioetmn beo,av heert si a lsso in lreavlo EVC eud to avroiotenpa mrof bdy.o +
chaosawaits  oS 'Im teh lnyo doiti ohw ghthotu os"ls of B vmnst"aii seuddno kile a ogod enr.aws icN.e +

Increased ECV is a very attractive option as Third spacing is a very common complication in Burn units However , please take note : The ECV consists of two compartments , the interstitial space and the intravascular space . In Burn patients fluid moves out of the blood vessels into the interstitium ( which decreases the intravascular volume and can lead to hypovolemic shock ) . So even though burn patients may have edema , there is no actual increase in the total contnet of fluid in the ECV ! it just moves from one of its compartments into the next

+8/- andro(269)

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 +4  upvote downvote
submitted by โˆ—drzed(333)
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Lol I swa pitdus nda tpu nedcaresi rusem orlteslohce ieocnrncntaot aseecbu I tohghut taht the lduif ssol dolwu edla ot a ontaitorncenc of csebatsuns in eth FCE (ge.. leik hwo dithenodyar cna rrgteig ogut.) PIR.

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focus  ehT" snoutpr-b tprcmohaybieel snosreep saseircne eth obicmaelt etar ot pecteonams ofr the poorfndu watre nad ahte ossl erseve rnub itetsapn us.erff eratW ssol cpahasproe 0400 limetilsril per reetm qdserau unbr area per ady .[13-8]4 Teh bdysโ€™o anurtal pesrneso to htsi stuli,n aiapltrly teaemidd yb resadnice PTA cnntspimouo dna seratusbt idoaotnx,i is ot ieasr reoc dna ksin eaemusrtrpet 2ยฐC veboa mranol cdmerpao to unuebndr apsneitt ][4.2 Tshi resesnop si liiarms ot eth eesnsopr eesn idurng cldo zaintcclma.oaiit nI t,caf pinstate tath do ton numot htis eeonspsr ear klliey eticsp dan or evha eaxeuhsdt chopislogyi iapbiltciaes ot iiamtann ndeeed doby umrepetaret 4]" 3[.63i/b/0awh3cl.t/.6:och.m7vtnsCwwr.i/gMni//lPmppsnet7c +2


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 +0  upvote downvote
submitted by justherefortheyield(3)
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uo'lndtC yopaneblmimiahu lade ot lhhstoepiereaecl?oymr I lclear trtisa ntkilag ubaot itsh ni eth tnextoc fo ntrieiorpau ubt dou'lnct htsi itsll pyla?p

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frustratedllama  I thgtouh os oot tub ddi a elltti gidiggn dan nstur tou htsi hnapspe ni itrehncpo demrsnyo cb olw citnooc esspeurr irceldyt tmilsauset rlaioppnoipoet B sthes.yins Tyeh stlil 'dtno nokw ywh ol.l utB in rnub smcivit rteshe' allacuty reasncedi pidli esa,miltomb os inonthg ot od hwti meeholcorytarep.sleih +


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 +0  upvote downvote
submitted by kungfupanda(5)
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eearIscn in bdyo lmaitobmes is salo edu to het ifimtnlaomna ttahs esne fetra teh nbrus ni nya eapntti ivtrpreciees fo het svry.eiet oghtu h tis dnilepexa ahtt ughe nisk ossl (35% bru)n ianeesscr the dybo iesatlbomm to taspcmooneni fro het ceexss etah osls deu ot eth uheg snki s(alsso xienapdel yb etoh,s)r isht onepnaxilta dsenped ni who eserev the nbsru a.re

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