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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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nSki dipeosrv nnsiiaoutl dan strepvne athe slos. siTh n'ettapis ybod ilwl scnameotep orf eeasindrc tera of ehat lsso by cirieansgn liboatmce .rtae

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davidw  Tihs is edritcyl rmof ajoGln I ) liHcoyvmope hsokc may uocrc due to ossl of pamlsa romf the nubr cferusa refe(r rtotCaphe )โ€ข 5. Loss of rpetoin romf eht maapsl slos amy eurtsl ni dnlgieereza tinitpg meeId )aI. nnecioItf of eth wundo tise nad sespsi amy ao uc.()cr ipsseS eud ot aesodsonumP rguaenaiso is eht mtos ommonc aeucs fo eniiofcnt ni nurb ta. en)bi(stp Orhet satopnhge eludnic literc-ihestistinnaml .S aersuu nda daadCin es ip)se(c.3 nurCgli scerlu mya orccu ni hte lxarompi uuonddem (reefr to herCpta 8.4(1)) mcpboilHyetrea sredoymn aym crcou if ;40%&tg fo eht dbyo carefus is bdren.u +16
yex  nCa nemeoos anpxlei hwy si ti ton endirscea F?CE +26
charcot_bouchard  i kicdep ams.e dsceIenra ECF tbu ntac beemrmre .wyh aCn you lpnaeix WYH ti is nreicasde EC?F twha aws ru enogainsr +3
isotopes  rBusn douwl adle ot a aerescde ni FEC easecub teh ctrinpteoo rmof ufldi loss si tben;sa ti cna eald ot .hksoc :) +4
tinydoc  My soginanre idebhn ikipcng โ†‘ EVC wsa hatt ruyo noilgs ufdil btu tno seryclleeott wthi het rnbu โ‡’ eht evc lowud aevh reenaiscd stoyr,ioaml os teh lufid frmo hte CIV duowl eb epuhsd teh het EV.C It emad eness ot me ta teh em.it I usesg hlcyecitlan tsi wgnro ausebce hte lsso of fiudls adn teh iagn fo sidlfu uwold otunam ot epttry hcmu eth esam nh.tgi uBt eht ilnuitsnoa and aeth slos htign kesma esnes I ugse.s +
yex  cedresnaI F,CE bc I asw tikighnn auotb hte deame .ai..ft.mrono -:/ +3
atbangura  I kicedp eicedrasn EFC seeubca bnsru eseicnra het rpicylala ieriebyapmlt ,fitonicecfe tbu onw hatt I am oggin evor it I darzelei hatt rsngieicna teh lrymipeieabt odulw lyno arretsfn alspam lveuom to teh leitirnttasi veouml, chihw are hbto a tapr fo eht CFE os ehteorref FEC wldou nto .negcha SHM +10
aisel1787  nahtsk +
69_nbme_420  Bsunr nd(a hDia)rera esuca IcomOitsS vleomu ttocro;niacn zotaCsno SRB hPsioy +
tiagob  ni vreees brndue epatint, osal has eaiscdnre fdilu in hrtdi agsincp or tnatisiiterl aldig(en ADMEE). trfDnifee laeelutcalrrx cspea is enaitilstrti dan rsalvacu +1
peridot  I soal awndte to dad, etnroah heug bjo fo eht sink si to teenvrp loss fo dlfiu. runB tpsainet era slieay dteeradhdy acesbue etyevh' tols ttha r.breira ishT hedelp em anle yawa fmro dneiraesc EVC - epdeist the deame ro(fm oen maonmcrtept ot )hneaotr sa throes aveh dmtoeinne vo,eab eerht si a osls in vleaolr CVE due to nropeaatvio omrf dyob. +
chaosawaits  oS mI' eht loyn odtii woh thhugot ols"s fo B tanv"msii ousddne elik a ogdo .wrasne eN.ic +

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 swa usdipt nad utp cdrsneeia mures eclleorhtos rcnnttoonaeci eausceb I tghouth thta eht fuild sosl dowlu leda to a cnrneontotaci of entsussbca in eth ECF e..(g eikl hwo tdoiednaryh anc gteirgr t.oug) RP.I

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focus  "The ro-nbptsu oalhimreytecpb npsoseer cnsairees the olaetmbic trea to spoantemce fro teh doorpnfu teraw dan ahte loss reseve rnub anspteit f.fseru Watre sols areasocphp 0040 reismitllli epr tmeer ardques ubnr eraa erp ady .1][84-3 ehT bโ€™odsy trualan rnpeeoss ot siht islt,un iplalrayt ddteiaem by scndriaee ATP iupmtnocosn nda sesarubtt oai,oxntid si to erias reoc nad iksn rrtutmaespee Cยฐ2 vaobe anlorm cdaproem ot dneunurb atinstpe ][24. ihsT npsseoer is liramsi to eht nopseesr esne iugdrn odcl czalcitam.tniioa In c,fta tpsietna htat do nto ntmou hsit prseeson rae elliky peistc adn ro have edutxashe gicoiohsply lbtaspiiceai ot aaitninm eddeen doyb mtuaerpetre [34. "]i7acP0:e.nCmpltir/m7b/vt.w/ios/3wlnht/s/h3wgn..c66pMc +2


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 +0  upvote downvote
submitted by justherefortheyield(3)
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lCnotud' npmbhaamlieyoui adle ot o?ierlehmayescohptrel I rellca stitra aintglk obuat iths ni eht xcteotn of aintorueipr utb utcol'nd tish lsitl payl?p

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frustratedllama  I ogtthhu os too utb idd a teillt iiggdgn nda srtnu tuo this phseapn in oethirncp omyednrs bc wlo onticco useersrp ctdleiry tssuemital roiptlepaonpio B tiysnhsse. eyTh tslli tnod' nokw yhw .oll Btu ni urbn itcvsim es'thre ctalyual nsaeriedc idpil mi,laobmste os nghonit to od tiwh eoayepsrrhetecllim.oh +


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 +0  upvote downvote
submitted by kungfupanda(5)
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eercanIs in dyob ombamiselt si slao edu to hte anfltmimoain hatts snee rfate eht bnusr in any ptntaei eiivepsctrer fo het tv.iyrsee gtohhu tsi xdlaiepen hatt guhe nsik lsso %53( bnu)r snsaceeir teh bdoy ltmabmesoi ot tsimoeanpcon orf the xcssee ehat sosl edu to eth gehu isnk (asssol naxepldie by hs,tore) isht aaxoenntlip pensded ni who reeves eth nrbus re.a

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