need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
🔑login 🔒register ⋅ ☎️contact ⋅ leaderboard links youtube ⋅ ⛳membership alerts tags ⋅ 📊scores 🔮score predictor
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 rytailell sutj laeidezr yhw sthi qutosnei dnusfcoe me os hcum a(nd I'ev tedir ot friueg it otu a eplouc of isem,t l.)ol I etl the oiqllcolau fionintdie of ailibum (i..e )niomigvt sckit in my nm,id htat I oofgtr the taualc imdecla edtiofiinn = nlmroa BIM )t81g&;( + igenb ienatg nda gpinugr erewh( unggirp doluc be cddeinu tgimoinv ro iueicdtr ues or eailtxav use narod/ eevssxcei .rixee)ces oS e,arlyl twha this uqintose aws sganik si mslyip hawt is eht otletlyecer elabcna of iecvsxees adia?rerh ZEEG! I mdea ti os hucm earhdr in my adhe enwh ngrity to answer ti lyn.oliagri

ieahrDar eucass n-naonion pga ie.(. eei)olmyrhccprh cmatloebi sdic.isao oloSt eanrdptiolnym tnsainco -OH3C dna ,K+ os xeevseisc aahrried = ixeeecvss sslo fo 3C-HO and .+K dCroilhe vleesl ni eth ruems will eb aesednric due to hte rmanol OCH/--C3l ibeim,liurqu so sa aenetvgi aehcgr dptsssiaei edu to lsso fo H,-O3C C-l will eseicarn nccgtioerr eth g.naioanp-

unscramble the site ⋅ become a member ⋅ $279$49
drdoom  muilaiB mecso mfor krGee rou"svaen ;"ghnreu het metr is a lelriat notcneatnoaic of eth sorwd for xo suob() + rnuehg io(ms.)l oS, in eGek,r amiui-obl si earyilltl ox" rgenhu", wcihh si a don to woh eht rdow is usde in cienmeid = eulprtpea nad elatsiainb ptipteae rfo food het( rvye tpp"ois"eo fo vong)i.tim +5
abhishek021196  I eeagr whti uoyr egrnnosia btu eth cilascs seca tipindcoers fo uBlmai stils eoelltcrtey tnurbseicda of pkHlmaaiy,Oe omhcrOHyeai,pl dan aeotiMbcl illosskA,a lngao hiwt ehotr ihtsng klie irapodt rohypyrehtp adn dlosar adnh clsaelus ued ot eht ceidndu tv.igonmi I dirptep pu t.heer A /F: 20 gP 567 +
llamastep1  keTa meho o:lssne senogniar gt&; omimrneizg +3
lulumomovicky  I tghuoht oemr of it yb eht linfgool:w eth tetpain slsoe H3OC ni hte toslso dan hsit ahrrdeai sacues eht tiaceoblM assidoci. eBuecsa olranm C/HCO3l ubumqreiiil udhlso be aaedtinmin, ihdeclor eesvll in srmue go pu ot tmeconsape the lsos fo rac.iBb As eht tteianp is lsoa HYPCOOEMILV due to BP of ,169/8 tneh SARA s.tiaevatc stelrnodeoA wlli cenasire aN and awtre orropebntisa ot pkee aivolme nda K illw eb eterdcxe aaeki(y.ml)ohp losA PeATHa-s ni eht tlcaiatrdnee sllce of eht nlelcgctoi utdc lilw be tvateicad by ,tnadloseoer ftrhrue tgrinpapgoa het tmoelacib doiisasc. +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 ohghtut buimlia gevi ersi to bimtcaelo ilslokasa cn..a. esoemon aeerobtla ?

unscramble the site ⋅ become a member ⋅ $279$49
drdoom  eemb,mRre bilmuia lesift odse otn emna rgu”“n;pig it enmas “hurnexog-”. It si gnpgiur e.(.g, ieninonattl gmioi,vtn aaxltvie e,aubs ctdeiuir ,auebs iexesvecs rxics,eee ro xretmee )sianfgt hihcw erectas ieacmtobl dtnb.cuesria Teh eypt fo andsbitecur sendepd on uyro eepdrrrfe tureo fo .”eitx“ +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

buAes fo taivsxeal =&g;t lusaylu dcredease surem ptaiso.ums As ot rclihdoe dan barbc,i taht eensdp.d heyT loudc be dsceneira or dsrcadee.e

01.4mpprlf/5t/p0wa0o/fwah:.t//sh3/3g0t.a1pw52

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

rteTa thsi keil a PmoIaV tayWe(r arard,hei drilryaohcha = eucrdde HlC in teh ,munle map;& yikh)oapalme

hits lwil adel ot emcoitlab oiscsaid d/t lsos of baibcr ni otlos

unscramble the site ⋅ become a member ⋅ $279$49
btl_nyc  lodierCh si rnacieesd uto.hhg +
maxillarythirdmolar  iThs tmnocme is .dglo _@ynclb,t tsih si ctllauya ecatcu. uyo wlduo eepcxt phycmror eaihlei0og.Nt/hso9o8ci./bB7wbwmv//npnKwl.ks6t5nh:/. +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

Bste nmocetm i rdae was to aetrt sith ikel 'tsi a o.IVamP uoY uldwo etg lal theer baetocrm/lycleeleiott usdbtneiascr.

sns:mNpn.//wwtcon6/.hk/iv5/l7K8bwiBoot.0.9bhg

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 ...

one does not simply “walk into mordor”
NBME Answers LLC © MMXXI
search for anything NEW!