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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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inSk pvoseird lnonsuatii and neetsprv athe lsso. sihT pntsiae't odyb wlli otpcmenesa fro cnedraeis reta fo ehat slso by igsraenicn bloimacet .raet

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davidw  siTh is tcdleriy from onGlaj )I comylvpHieo chosk yam cruco edu ot sslo of asapml mfor the nbru rsuefac fe(err hetCta por 5โ€ข .) Lsso of eptorni fmor eth mpasla sosl yam utlser in egrielaeznd piigttn )maedIIe . onIitcfen of hte onuwd tsei dna psesis yam (.cor) acu ipseSs eud ot umoasdnoseP eoiusaanrg is the tmos noomcm cesau of neictiofn ni nbru ap.bns tt()ie Orhet nosetgpah ndeliuc tthntleailes-cirmnisi S. ureuas dan dniaCad c)es(s eip3. gnirClu elcrsu yam orucc in het ipmralxo dmeuunod err(ef to aphrteC . 418)() plHeibtmareyco smoneyrd mya roccu fi %g&04;t of teh oybd rucseaf is neb.rud +16
yex  aCn emnooes ilnxpae hwy si ti otn ecrdineas ?ECF +26
charcot_bouchard  i ickedp ma.es eacIrensd CFE ubt tnca bmeeermr y.hw Can uyo ialpxne HWY it is idncesera EF?C htaw was ru ansiognre +3
isotopes  unBsr lodwu eadl to a eacdeser ni ECF cebsaue het tcpoteoirn mofr dluif osls is ;asnteb it cna elad to choks. ): +4
tinydoc  My sgorninae ehndib pgniick โ†‘ CEV wsa taht uyor nlsoig lfdui tbu not eocllytrtese whit teh urnb โ‡’ teh evc dlouw ahev asrneiced r,siltymooa os het ufidl omrf hte CVI ulowd be edupsh eth eht V.CE tI amed senes ot me at teh t.iem I uessg aiclhyetlnc tis nowrg eubcase eth sols fo ifdlus dna eth iagn of ufldsi duolw mtunao to trytpe hmcu eth asem gtni.h utB teh iinasntuol nad etha sols ihgnt mkase nsees I s.suge +
yex  serncdeIa FCE, bc I saw gikinhnt baout het adeem iafr.o.mo.tn. /-: +3
atbangura  I kpeidc rdieaesnc FEC abucees runsb eacsnrei eth palyralic ibreymlteapi eiofcentfc,i ubt now atth I ma iggon eorv it I ilarezed hatt rnscagiein eth ltrmaeyipebi wodlu loyn rtfseran amlpsa evomlu ot eht selirttiniat vu,olem hhwic ear hbot a ptar of eht FEC so ehrtreofe CEF luowd ont naec.hg MSH +10
aisel1787  atnhsk +
69_nbme_420  nursB d(an )Drheraia cusae IcisStoOm ouelmv ;cnotitoacnr Cnzotsao RBS yPisoh +
tiagob  in rsevee dnuebr tnt,iape oasl sah rcaeenids fiuld ni htrid apnicsg ro taritntislie l(niegad E.MAED) Dnfieetrf lrexaaelluctr pcaes is sitertntilai nda cralasuv +1
peridot  I also dntewa ot add, henaotr euhg job fo the inks is ot vetpnre ossl of lfid.u nBur tispneta rea ealysi aherydeddt usaeceb v'eteyh tlos taht rbrie.ar Tsih lephde me ealn ywaa mfor dnsceerai CEV - esptdie eht edaem rf(mo neo tnpacotermm to ear)othn sa sohert eahv mdinnteeo oea,vb ether is a lsos ni vroleal EVC deu to raoopavietn omrf .doby +
chaosawaits  So I'm teh lony oiitd owh otghuht los"s of B tiamisn"v dnuoesd ikle a dogo r.nwsae iN.ec +

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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olL I wsa upsitd adn ptu acdeeirsn ursem oselcoerlht ncattorcneion acseeub I ohgttuh ttah the idflu slso duolw eald ot a intancocontre of sbscnueats ni teh ECF g(e.. iekl woh rdohyeitnad cna ggeritr .)uogt RPI.

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focus  The" sb-puntro hbmctreioalpye oesnpres rseiecsan het boimtcela erat to tpceemsona rof eht fpdounor rwtae adn ahet ossl vsreee rbun aitenpts efsurf. etaWr olss ophcesraap 4000 lrmtsiielil epr terem uasqder rnub area rpe day ]8.[43-1 Teh ysdoโ€™b ulantra rspoense to sthi iltsnu, llpitayar ieamdedt by aenicserd ATP tcnmspuooni adn tuaesbtrs iaixn,tood si ot rseia eocr adn insk metrsepature C2ยฐ voeab lomarn armocdpe to budnurne atniptse ]2[.4 ihTs esrepnos si ialrsim ot het nsepsero nese uridgn cdol mtzinctcoilaaai. nI tca,f ettsnpia atht do not unmto stih poeserns rea eyikll tsipce dna ro aehv xtsuedhea pioiohslcgy tclabeipiisa to tiimnana edndee doyb reumepteart 4["].3 il/spwti76/7nMcmtnw0mhh3/o.b.alPv:.c6Cs3.i/etrp/cwn/g +2


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 +0  upvote downvote
submitted by justherefortheyield(3)
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'olduCtn yihmmipanlaebou laed to eaehmhrpir?sllytoecoe I clalre itstra tnilgka auobt iths ni the xetotcn of iuiaeropntr ubt l'dtcnuo hits sltli yp?apl

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frustratedllama  I hhgttou os too but idd a iteltl giindgg dan snrtu out iths nspheap ni necirohpt ynordmes cb owl itoccon rresseup cdyetrli eismlttuas poaoorniilptpe B i.yestsshn hTey tills 'dnot nwko wyh l.ol uBt ni ubnr tmvisci resthe' ulctylaa esaidcren idlip mbloeisatm, so hointng ot od iwht eythesolpm.eraoelhcri +


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 +0  upvote downvote
submitted by kungfupanda(5)
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seIrncae ni obdy omslibtaem si olas ude to eth inmnltaoiamf hatst eens rftea teh runsb ni nay pteanti srtipveeceir of the es.trivye uhg toh tis exlipedan that ghue iskn ssol 35(% )nrub cnsieersa eht dyob estambioml to ineapoocntms rfo hte essxce teha ssol ued ot eth uhge nsik sos(als deeliaxpn yb eh,)tsor this lpoanitnexa dnedeps ni hwo reesev hte rbusn ae.r

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