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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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kniS edivorps nultainsoi adn tspervne thae .loss hiTs etis'aptn yodb wlli oatecmpsne ofr indeecsar trae fo eaht osls by nrnaisiegc meoclibta .aert

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davidw  sihT is cilytdre orfm alonGj )I lyoHpecovim hoksc aym ocruc eud ot sols fo plmsaa mrof teh brun feasrcu efrr(e ahoptreC t ). โ€ข5 Lsso fo otripen rfmo eth aaplms lsso mya srltue ni rgdeenaziel tignipt I)e m.eIda oeItcnnfi fo teh odnwu eist dna espiss yma rca ou).c( ieSsps eud ot doemuPosnsa uonaagsire is teh mots cnmoom euacs fo fenncitio ni urbn b. e(ti)pastn Oehtr npeahgost dluneci mset-larinttihclsiein .S useura and Caiaddn (epe3.s)ics urClign ecsurl amy ruocc ni teh ixrapolm ueodudmn f(erre ot Cptreah 4 1.8)() oirHmbplctaeye dnrmeosy aym rcouc if ;t%40&g fo the ydbo sucerfa is b.erund +16
yex  Can esoeomn ainlpxe ywh is ti ton rcndiaese EFC? +26
charcot_bouchard  i icdpek e.sam sdeacnIre ECF ubt nact ereemmrb .why Cna you xpalein HWY it is aicesndre C?FE twah saw ru oiennrgas +3
isotopes  Bsurn ulwdo aled ot a rdesacee ni EFC eeuabsc eth prtoonecti rmof ludif ossl is benats; it acn adle to cokh.s ): +4
tinydoc  yM oriegnsna dbeihn nicgkpi โ†‘ EVC wsa ahtt oyru ngiols lfdiu tbu otn otstrecyelle hwit the bunr โ‡’ the cve wdulo evha eaedrsicn l,otasroyim os eht fdilu mfor teh CVI oludw be edpsuh hte hte VC.E It mead seens to em ta eth .time I usegs cnehcialytl tis nwrog sbceeau het lsos fo uilfsd dna eth inga fo lifusd uwdlo manuto ot ytetpr cumh hte emas .ghitn tBu teh oslnaniiut dna taeh lsos hgtin kemas snese I suesg. +
yex  esdcrIean ,CFE bc I was ntnhiigk atubo het deame f.m.inoora.t. :-/ +3
atbangura  I ipedkc asiedencr ECF eascbeu snrbu eiarensc teh ylpaialcr biaeymleprit c,ieoictfefn ubt onw atht I am gniog ovre ti I azedriel taht naecrsgnii het bmiyrleitepa dlouw lnoy afnsetrr mlaaps elovum ot eht ianseritiltt l,ouvme which ear thbo a aprt fo teh CFE os herefroet EFC owlud tno ghecan. SMH +10
aisel1787  nhstak +
69_nbme_420  Brsnu dan( Dah)eairr eascu tcomOSsIi vmoeul atnroncit;oc Cnzaosot SBR hiosyP +
tiagob  ni reseve bduner ,pitanet soal ash irdsenace ulifd in drith gcpinas or ttiilitaensr age(nldi .AEE)MD Dnrtfefie leleuctaxlrra peacs si iatrlnesitti adn luvacrsa +1
peridot  I asol nadtew ot ,add ertaohn uegh boj of eth nski is ot pnterev ssol of .diulf Brnu aitnpste aer salyie derddyteah eaeusbc etv'ehy sotl tath beirrr.a isTh ledphe em nela ywaa omrf crediesna VEC - dsetepi hte edame om(fr noe ecanmroptmt ot theona)r sa ertsoh vhea nemedinto boave, etreh si a osls ni erollva EVC eud ot petaioarnvo mrfo dbyo. +
chaosawaits  So mI' hte lony oditi owh ttohguh l"sso fo B viatnmi"s usedndo ikle a odgo aws.rne Neic. +

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 idutsp adn upt eesaicndr umser ocllotesher ncaoronetcnit ebucsea I thghotu that eht dufil slos ulodw ldea ot a oonnranitccte fo cuessbtsan in eht CEF .g(.e ikle ohw rhynadtedio acn iggertr .gtuo) .PRI

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focus  "hTe -rotusbnp ibphmlctorayee erosspen cisernsae het iobtmaelc atre ot amtcospeen ofr hte ofonrudp eatwr adn eaht ssol resvee brnu sipnetta .eruffs rWtae sslo aosrepcpha 0400 llliitermsi epr ertme deuaqsr brun eraa rpe yda 3[4-1].8 Teh dsoyโ€™b atunrla osrspeen ot stih l,tusin plirtayla daetdemi by ncieaserd PTA onomptsniuc dna sesbautrt dtiix,aoon is to isear ecor dna iksn eettrpsarmeu 2Cยฐ oaveb lranmo omecdarp ot ndnuerub aeittspn 24[.] siTh eoesnrps si siialmr ot the nseopesr nsee gidrnu dlco ilizitcatanom.ca In tcf,a iatpsnet that do otn mtuon isth oesrsenp rea klylie ciestp adn ro vhae usaehtxde holpicgyois etiisaibaclp to ntiainam edneed bydo ereurmpteat [3].4"wlnim.:abctP.pt6MlCg/7hn3hp0e/cwcovwn3m7t./.ss/6iri// +2


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 +0  upvote downvote
submitted by justherefortheyield(3)
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otnluC'd umlbaieynoihpma dael to eyalsmei?thecrolporhe I carlle iratts lanigkt atuob hsti in hte xetntoc of truornaieip tbu 'ldontuc isth itlls ?lpypa

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frustratedllama  I ottuhgh so too btu ddi a lieltt gngdgii nad stunr uot sthi nheppas in inrthecop mysondre bc wol onccoit serusrpe rdteyicl ttsuasimel rapiiopntoolep B .ysinsthes hyeT sltil otdn' ownk hyw .lol But in bnru vimctsi 'hseert llauctya inrcdseea ldipi oltmesabm,i os niotgnh ot od itwh cse.ehrmetoiyoaprllhe +


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 +0  upvote downvote
submitted by kungfupanda(5)
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saceIren ni ybod amsmetbloi si olas ued to teh iltnaaonifmm tasth esen taerf the rusbn in ayn tieapnt epiieetrrvcs of teh srev.eity gh uoth tis eanipeldx htta uehg iksn ssol (5%3 bnur) nsreiseac eht bydo abemmiostl to nmcosapietno rfo eht csexse haet ossl edu ot het guhe nsik loas(ss pelxdneai yb et)shro, hits noinepaxatl dedpsen in ohw svreee teh srbun e.ar

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