need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
Retired NBME 23 Answers

nbme23/Block 4/Question#33 (reveal difficulty score)
A 16-year-old girl with bulimia nervosa is ...
Potassium: decreased;
Chloride: increased;
Bicarbonate: decreased
🔍
/ 📺 / 🌳 / 📖

tags:

 Login (or register) to see more


 +13  upvote downvote
submitted by nwinkelmann(366)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I liyallter utsj lairdeez why stih iqunsteo nsudcfeo me os hcum nad( e'Iv ertid to geiruf it out a epcolu fo et,ism ll.)o I tel het iaulcloolq tndinioife fo aimbliu .(e.i tniomgv)i tskic ni ym idm,n atht I fotgro the uctlaa dlceiam deiitninfo = nlamro MBI g81(&)t; + bnegi gineta dna gurnigp r(whee puirgng dulco eb dieucnd mvgtinoi or euiridtc sue or exviatal use /ndrao sxeeevsic iecs)r.xee So ylaelr, hwta shit tienusoq swa ksanig is imlsyp wtha is het tlrocteeyel nclabea of cesvixese ri?eharad G!EZE I maed it os mchu raehdr in my haed nhwe trygin to esrnaw it ranlgiio.ly

rDraeahi sasuce oinnano-n pag (..ie ehcocrhiperl)my aotebcmli .doasisci lootS loraiypntmnde ncnatsoi O-HC3 nda ,K+ so esxeicvse heraidar = eexevssci lsos fo OH3-C adn K+. rdiChole velsle in teh msreu lwil eb ndearisce ude to hte olarnm /3l-C-COH u,ieqmrliuib os as engateiv ghearc iitssadspe due ot ossl fo ,CH-O3 -Cl lilw saerceni egrnictroc the -agnnoiap.

unscramble the site ⋅ become a member$279$49
drdoom  uamiliB esmoc fomr rekGe ro"suvean eh;n"ugr hte rtem si a irtlale tootiacacnnen of hte swodr for xo bu(o)s + gurhen )osl(im. o,S ni rGek,e -bimlaiuo is lyiltlear x"o uh"gner, hwcih is a ndo to hwo eth owrd si esdu ni cnideeim = rpeateupl adn lainbtasie teppaite for dofo t(eh ervy "pspotoie" of )g.iomvtni +5
abhishek021196  I agere iwth rouy agnroines utb eht lasscic eacs peoctirndis of iBualm slsti trleloeteyc sutadinbrce of ,HaOpkayielm horima,ecOyHlp dna oebitlacM l,ssaAloki ognal whit treoh sithng ekli dpratoi prphytehroy dna aolrsd hdna usslcael due ot eht dideunc n.gomitiv I tpeprid pu rht.ee /A: F 20 gP 756 +
llamastep1  eTak emoh slseo:n aginrnoes t;g& irinomegmz +3
lulumomovicky  I uttohgh erom fo ti yb hte wf:ignooll eth inpttea sosle 3CHO ni hte oosslt dan ihts haiarrde ssecua eth aetbiclMo ascdosii. scBeeua alnrom CCHl3O/ iblrmuuiqie dsuloh eb nematnd,iai derolich evsell ni rmsue og up to peoanemcst hte ssol fo r.icabB sA eth aenittp is asol EOCHLOIPVYM ude to PB of 18/6,9 tnhe ARSA ac.eiattsv dnleoAeotsr lilw eainsrce aN dan tarwe noiptresbroa ot eekp amoveli adn K iwll be edcertex (lkh)maiye.oap solA Haes-TAP in teh acedteitnral slelc fo eth nteiclolgc dtuc lliw eb acdaevtti by oatnoesed,lr uhrrtef ggarpoanitp eth itcolameb idacoss.i +1

bulimia ≠ purging  Bulimia comes from Greek “ravenous hunger”; literally “ox hunger” = ox (bous) + hunger (limos).

+5/- drdoom(1206)

N.B., there are many ways to “purge”; the method of purge determines the observed electrolyte disturbance. A nice description of bulimia nervosa from MeSH:

BULIMIA NERVOSA. An eating disorder that is characterized by a cycle of binge eating (BULIMIA or bingeing) followed by inappropriate acts (purging) to avert weight gain. Purging methods often include self-induced VOMITING, use of LAXATIVES or DIURETICS, excessive exercise, and FASTING.

+1/- drdoom(1206)

You must be logged in to vote!

 +1  upvote downvote
submitted by brookly_(1)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I ghottuh bailimu egiv reis ot emactbiol oiaskalsl a..cn. oemnoes ereaatolb ?

unscramble the site ⋅ become a member$279$49
drdoom  Rrmeemeb, albimiu itslfe oesd not anme gip”“;nugr ti easmn “ohunrgxe-.” tI is ginrpug ge..(, eaniotntinl nvi,tmigo aixeavlt ause,b dteiruci abu,se esxesviec ,ieceesxr or xemeter tagifn)s ihhwc seceart abecmltio cnriduat.bse Teh ypet of rundisbctea eesddpn no yuor eedrefrrp outre of .i”xet“ +2


You must be logged in to vote!

 -3  upvote downvote
submitted by dr.xx(176)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

bseAu of vliextasa ;t&=g slualyu ddsaeeerc msuer om.uipsast sA ot chldeiro and a,ricbb htat sned.pde They cdlou be reiensadc or scedrd.aee

.w30m2sgw:5hohwf/l5a3p/pa.0t/r40af/.p1//t10tp

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 -4  upvote downvote
submitted by usmleuser007(464)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

eTrat hist liek a aIoPVm t(raWey ahrid,rea rorahhiydcal = ucrdede HCl ni het u,menl ;&map he)pkaayolmi

sthi lwli alde to ibleotmca acidsosi dt/ sslo of caribb ni oolst

unscramble the site ⋅ become a member$279$49
btl_nyc  ldieohCr is ciserneda o.ghhut +
maxillarythirdmolar  This oemcmtn si gdo.l _nbt,@lcy tshi is ctuallya cc.taeu you ouwld eextcp ehhroimarpe ycln.boi/sN0nhs.w:mb5Bc.thopn/w/8vkit/g.7Kl96ow/ +1


You must be logged in to vote!

 -4  upvote downvote
submitted by maxillarythirdmolar(45)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

eBts tmoncem i daer asw ot rtate sthi klei ti's a mIPao.V oYu wulod tge lal heret ttemlee/bciloctlryaeo scnuaseb.itrd

.wbgstnv../h9h/Bitns5.6l/wo:KNwmoik8p70on//cb

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

Must-See Comments from nbme23

ferrero on Precapillary resistance
yotsubato on 99%
sne on Triglyceride
sajaqua1 on Area labeled ‘D’ (Spinothalamic tract, right)
stinkysulfaeggs on Hypoglycemia
hayayah on Iris
soph on Peak inspiratory pressure (alveolar): ...
seagull on Area labeled ‘C’ (Cranial nerve 8: ...
water on Dietary change
wired-in on 28.8
beeip on Binding of permeable ligand to nuclear ...
thomasalterman on Hypoglycemia
yotsubato on Inhibition of the cytochrome P450-dependent ...
seagull on Decreased sodium bicarbonate reabsorption in ...

search for anything NEW!