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 tleriylla tjsu edliarze hwy tshi neiqtsou noudsfce em os cmuh (and ev'I diret ot ifureg ti uto a pcolue fo tsmi,e ol.)l I let hte loailouqcl ndienotifi of iublaim e.i(. )gtimnovi stkic ni my ndi,m tath I orfgto the talcua mlacdei nfndoiiite = moanlr IBM ;)(1>8 + egnib nteiag and rnpiugg (eewhr ugpnrig oulcd be ncideud nmitovgi or icuteird sue or avitaxle use aod/rn exiecessv reexecis). So ,llyrea htwa hsit ietuonsq was ngiaks si yismlp tahw si the yteoleeltrc cnaelba fo ievsesexc adrearih? !GZEE I aemd ti os much ehrdra in my hdea enhw yrtnig ot nrewas it ro.iallying

riahDera aussce on-inonna pag .ie(. o)lemccperrhhiy ctalbeoim ds.siioca lSoot rtoyainndelmp cntaoins H-CO3 dan +K, os iecexssve irhaerda = sxevcesei slso of C-O3H and K+. iCeholdr ellsev in hte reusm lwil eb cediaresn deu ot the anrolm Hl/OC-C3- ,iiqrieulbmu os as geenvita geachr pedssiatis deu to osls fo -3,HCO lC- lilw necaries rotcceirgn teh anga-iopn.

unscramble the site ⋅ become a member$279$49
drdoom  mulBiia semco frmo kereG nsuro"eva hr"ge;un eht mtre is a irltlea tcoaoteancnni fo eht odwrs for xo (o)usb + gruhen m).o(sli o,S ni ereG,k i-imlabou is teyillalr ox" enr,hgu" iwchh is a ndo ot owh eth wrdo is used in eiimcdne = prtlupaee dna altibieans aeppiett rof food teh( vyre sp"p"eooit fo imoit).nvg +5
abhishek021196  I greea wiht rouy iernsagno tbu hte asscicl seca rcsnitdioep fo miuBla isslt cteleytorel nsaurbctide fo lO,pakiHaemy eOrHpyhcaoiml, dna tcMilboea sAakl,sloi aglon with oehrt nghsti ekli tpridao hohytyreppr and lasord anhd uelscasl deu to het dudinec tmniv.iog I teppird up eet.rh A: /F 20 gP 567 +
llamastep1  Taek mhoe o:sensl grsnaonei ;> ieizmrgnmo +3
lulumomovicky  I uhthgot mroe of it by the oollinfwg: teh aptinet lseos O3HC in eth osstlo and tshi deaarhir scasue eth eMoabtilc acisi.sod aBeescu lonarm C/ClO3H qumiirueibl lhsudo eb demniat,ani ricdheol evlsle in srmeu go pu ot amotnespec het loss fo cBiab.r As hte eitptna si asol ECYVIMOHLOP ude to BP of 198,/6 nthe ASAR tacatvs.ie oAdtrlneoes llwi sicaeren Na nad tware sporirnbeaot ot peek mvaileo adn K iwll be txcdreee ae)y(am.ilpohk sAol HTeA-sPa ni hte iteldcaaretn cllse fo het lglocintec tdcu wlil eb tcitaevda by nresat,dlooe hfertru agpinogtpra eth ebocailtm sasdic.io +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 htugtoh buimail vgie resi ot aeotclbim oaislksla ..can. snoeoem abloetrea ?

unscramble the site ⋅ become a member$279$49
drdoom  mmerbR,ee bliiuam ielstf deos otn mnea gur;pi”g“n ti mnsea “gen-hxuro.” tI is pgigrun ,(.e.g ltatnoennii mtgivi,on leavxtia basue, dueircit uba,es esivcxsee irxecsee, ro xermtee gtnfa)si iwchh etaercs blciomtea itaecnr.subd Teh tyep fo bitecruasdn dedensp on oruy dererrpfe rutoe fo “.xt”ie +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

beAsu of vatalisex t=g;& lyulsua arcesdeed umesr tos.usimpa sA ot cleoihdr and ,ibbcra ttah depne.ds eTyh odclu be nercadise ro eeedd.scra

:3wt.0//4ht10s/lp/0o5r0pa3aff/mg5p1w/.a2.tpwh

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

Ttare hits elki a maPoIV (tWyera daiha,rer arharydclioh = udreedc CHl ni eht nmu,le ±a liaepm)yahok

shti ilwl ldea ot cometalbi aiidssco d/t loss of caibbr in sotol

unscramble the site ⋅ become a member$279$49
btl_nyc  Corledih is icadreens htu.goh +
maxillarythirdmolar  hTis mmocnet is olgd. @nyltcb,_ thsi is ltyclaau cu.ecta uoy ouwld epxcet mhpehoryciel arno5sgK:.8/wknplBcwiot/vs.h7/n/w.bimN6.t/o09hb +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

sBte cetmomn i rade saw ot eattr stih klie is't a .omaPIV You dulwo egt all ether eciettlc/orlmaoebltey scbi.asntderu

:ow6oBK/.8/w/.c97hihsltsnog/pi5n0bmnb.k/.vtNw

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!