NBME 23 Increased metabolic rate (NBME Answers)

NBME 23 Answers

nbme23/Block 3/Question#46 (reveal difficulty score)
A 19-year-old woman is severely burned over ...
Increased metabolic rate 🔍 / 📺 / 🌳 / 📖
tags:

+8 upvote downvote
submitted by ∗thomasalterman(181)

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nkiS eidovsrp sitniaonul adn vsrnteep ahet sols. shTi ptst'aeni yobd illw cpaonmeset fro eacneirsd erat of ehat loss by nirinacseg telmaboic .trea

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davidw Tshi is rceltdyi mrfo Gjnoal I) iecyloovHmp kshoc yam cocru edu to olss of slapam morf hte rbnu fasecur (rerfe pehtoatr C •.)5 Loss of opintre ormf eth aampsl lsos may eurtsl in alnidezerge tgiiptn a).emdIeI neoIfcnit fo het wnoud tsie nda ssispe amy co()r ua.c spiesS deu to soemnPusoad saeuainrgo is eht tsmo ocommn eucsa fo itnfenoci in urnb b(te)sn t.iap trehO tpgeonash dicluen tlihniis-natielcemtsr .S esruau dna adinCda p.eec(3sis ) ulCginr ecslur yam ocruc in eth apmxolir ddumenou r(efre to paCreth 4.) 81)( eetHrpciybmalo syrmodne amy curco fi ;&tg%40 fo het obyd racfseu is bnedur. +16

yex anC onemseo nialxep hwy si it tno enerdcsia FEC? +26

charcot_bouchard i ckdipe asm.e esnIecrda CFE tbu ncta ebremrme hw.y nCa uyo xpainle HYW ti is ecasredni E?CF whta saw ru nnaoiregs +3

isotopes Brusn wloud laed ot a asreeedc in FCE baecseu eht ticpnorteo fomr ilduf sosl is ;satebn it nac ldae ot osh.kc :) +4

tinydoc My niganorse eibdnh gpinikc ↑ EVC asw ttha royu ilgsno ifuld but ton oletlctyrese with teh bunr ⇒ teh cev uowld aveh sneacider laytm,risoo so eht lidfu omfr the ICV lwoud eb eduphs het eht .EVC tI maed ssene to me ta het mte.i I gsesu cytlehalicn ist nrgow ubesace eth lsos of slufid dna eht igna fo ulifsd oluwd ntmuao ot prteyt uhmc eht seam gnh.ti uBt teh inalusniot dna etha slso githn esmka nesse I essgu. +

yex nsrcaeIed C,EF cb I aws inkginht about het ademe ....nooirtamf /-: +3

atbangura I deckpi ersecandi CFE esebacu sburn siecnare teh ycllapria abtmierlieyp ice,ioeftcfn ubt onw taht I ma gngio oevr it I zaleiedr ahtt igarescnni eht rityabmpiele udwol only etrrnafs lmapas eolumv to het liinarttetis ulv,moe iwchh are obth a trpa of het FEC os teeerfroh CEF lwdou nto .encahg SHM +10

aisel1787 hnksta +

69_nbme_420 nBrsu a(nd aD)ahrrie usaec stcoSiOIm levomu c;rtoncontai aosztnoC SRB ishyoP +

tiagob in vesere duenbr ptineat, slao sha ceanrsdie ldiuf ni trdih sapicng or tatitnislrie neilgad( .E)EMDA rffeiDten atrxaluellrce eacps is lriteatiitns and rasvcalu +1

peridot I lsoa dteanw ot ,add nehraot ghue ojb of eht skni si to ptreven osls fo d.ulif runB ateipsnt are liyesa adddteheyr aseubce e'tveyh olst htta rierab.r hsiT ehlepd me lena ayaw romf ecaenrsdi ECV - dspitee eth emeda fr(mo noe pecomamtrnt ot e)onrhta as stoher vhea dtnmenieo vboa,e eerht is a ossl in rllveoa CEV ude ot rvnapaetioo fmor .ydob +

chaosawaits oS mI' eth ynol tdioi ohw huhtgot sls"o of B ma"nisvit esdundo leik a odgo arne.sw c.ieN +

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)

+4 upvote downvote
submitted by ∗drzed(332)

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Lol I saw iusdtp adn upt ndaeeicrs smrue lersooctehl onccoetrtanin eusecab I ohtuhtg hatt teh fidlu olss udowl aeld to a ctcinornontae of stacnusbse ni hte CEF (ge.. eilk woh hrdaeytiond can gitergr .ougt) I.PR

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focus T"he bsrnu-tpo hbprltayeicoem roespnes ssieacnre het ambeticol rtae to atenmcspoe rof the rfdpnouo wreta and athe lsso eeesvr rnbu neaiptts .urefsf arWet slso pceoparsah 0004 lleisirimtl rep eremt rasueqd brun eara pre yad 14].[-83 The ys’bod anaulrt sesnepro ot hist ,ltiusn yaltiralp eatmidde by eedsncira TAP cisuntnompo dna btseuastr ,ioditaoxn si ot ireas ecor nad niks rsmautteeerp C°2 vobae mrnlao emdoparc to rndbenuu inptetsa .]24[ ihsT srosnepe is mrisial to eth prsosnee eesn ugdinr cdlo i.otaztnlaicmiac In cfat, taiesnpt taht od nto omntu stih psenreos rae lkilye tpiecs nda or veah tdhaesexu coolyhgiisp ipalabsteiic ot nitnaami neddee boyd parumetrete ]43".[3tmltr6ph./apc.i.w/7vwoiishMg0l3nmnCse/c.n/:/t7Pb6/cw +2

+0 upvote downvote
submitted by justherefortheyield(3)

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d'onCtlu mohbapilaiyenum eald ot mrlyhrphceseiele?oota I racell tarsit alkngti batou shti in hte xenotct fo oieurntaipr tbu nuctdo'l shit tllis ?palyp

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frustratedllama I hhgttou so too utb idd a lieltt ngggiid nad tnurs out tsih nphpase in eorincpht ormysend bc olw itocnoc sruspere lrcdtyie etaisutmsl pnoeplootiirap B th.ssniyse eyTh lilst 'tdon oknw hyw ll.o utB in nrub tvimsic rh'eset acltluya rdcesenai pdiil mlbmeitoa,s so ongnthi ot od wiht esoilroc.etrehylmepha +

+0 upvote downvote
submitted by kungfupanda(5)

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Iaercens in ydob otbilasmem si sloa ude to het ifnaamimtlon tahts enes ftare hte nursb in yan ettnaip vrriepceitse fo the rvites.ey thgoh u ist pndielexa atht ughe insk sols 3(%5 bru)n sceirensa hte body tisbalemom to eosponiatncm for het ceexss teha slos eud to eht uegh kisn (soslas pelixande yb )treosh, shit xaiopntealn nspddee in who eesevr the unrbs ea.r

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