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Retired NBME 22 Answers

nbme22/Block 1/Question#32 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Hypokalemia 🔍 / 📺 / 🌳 / 📖
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 +19  upvote downvote
submitted by moloko270(77)
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olss of dfilu grsirgte lreosnatdeo u,ocdoprtni os naitetp will aehv hmartrneepyia dan piakaolemhy sa a trselu

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makinallkindzofgainz  tad SRAA +6

I realise now that diarrhoea causes hypernatremia! And the reason we give ORS is to restore the blood pressure by giving Na and Glu not to correct sodium level!

My 6 yr of medical education was a myth

+2/- apurva(101)

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 +15  upvote downvote
submitted by liverdietrying(111)
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odoG cfat to iomtmc ot myo:rme yuo sloe acibbr ni eth losto ehe(cn wyh riraedah sceuas innnoaon gap bticomael s)sdiaoc,i nda yeepilacls elos staosmpiu thwi aivexlat sbuea as( nmdteonie ni hte unitesqo s.emt) btsrc-e/-s-ade.etscnotterc/lteaipon-lmi.ncdwdetaoawte:s/tbd/aiuathha-r-woiahlpontwimery

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sbryant6  I'm giogn ot go ekta a gbi etonciabbra popo ow.n +32
happysingh  i wulod usstgge hatt yuo kloo niot ti a ibt m.ero yWh ? Hda an mben eoinuqst iwhhc( dfosneuc the sthi tuo of m)e c,zu ulBimce Pt. ohw asw gausnib vLsaatiex hda( het pu map;& odwn s)arorw dan tish is ahtw ti gvae : Ltxvaaei eusAb — leobtaiMc slsiaAkol :  K↓+     ↑C-l                   p↑H    Cs O-o↓3H noe fo eht ispotn fo tsdioninict IS eth escenrai ni -lC twih xavtiela aubse v(s. om,gvtnii wihhc asw a nkje-eekr ocrtaein nhew i areh aiib)mlu +3
lola915  I gthouth errdhaia euscsa Nno oinan agp aiobecltm osadicis nyhgias@pph +2
texasdude4  yase wya ot rerembme : "arBbic otu eth uttB" +2
weirdmed51  endots iodsicas rtluse ni lYmik'H?aE'PaeR +1
abhishek021196  ilamuiB onvsera cyettleroel haencsg dt/ txuic/voiatmlsg/etenvdarsiii saueb clepsveeytri - g.5l5wpp/a2ftwra10/.toa3.4fhp/m01st//3ph0/w:0 +


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 +0  upvote downvote
submitted by drmohandes(193)
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uYo osmtly oles COH-3 nda K+ in loots.

ssoL fo OH3-C aelsd ot a manlor ionna gap aolitmbec iascoids A10F(29 .pg 850 R'AS)'HADS, ni hwhci ew olsa ees a stmcropnoeya crseeani ni -.Cl

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 -1  upvote downvote
submitted by iviax94(7)
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I wsa ebnewet iaaeyklphom u(de ot iedr)arha and ehciruyeamihaarmcye/rilppce nic(se atsew si ycnoothpi dna wdluo sceua seoypothcirm eluvom o)oca.ncntitr I idtn’d vaeh a gerat way to eeddic webtene hu/yrairpiyCmeepcerha os I guiredf tehy nteawd pK.hyo sI htere a btreet oiaetlrna ofr ywh the pyher nwarses are ?ctnrrcoei

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liverdietrying  I tnhik yuo u-ovgotrhhet hsit eon a lleitt itb htwi het ech/rmpaeic.mryuceryaahielpi ooGd atcf ot mmicot ot eymro:m uyo selo bicabr in eth tlsoo ee(nhc hwy ehdraiar sseuac noaoinnn apg cbmiealto )isdaciso, nad lyepliseac oles uptaimoss iwth lxtviaea saueb sa( nmtodeeni in eth sqiuento sm.t)e mcreeta/-d.intt-cuopsna-/asailaoe.rwidshw:-ttronieeeicsl-//horytdpablamwdhoceatttnetbw- +3
w7er  sBaaycill they aer kaings atubo eytltorlcee bsteuinrdca atth usaec collepas ymailn edu to hepaylimkao fmro aelvaitx asbeu escebau aridearh ueasc haikemolmapy nda oasl ueacs acnsier in inner iasonniegtn etmys hcwih lilw rerufht cusae eohpiymalka nsrgeiul iaocrclacurads eoclsap ): +1
hyperfukus  i togthuh hte rphecaumeyrii gihnt oto but i w'atns rtams uhgnoe to thikn tyhe wdetna oyaeplaihkm eilk u (: +2


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 -1  upvote downvote
submitted by castlblack(78)
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I hvae erda lla teh mtcsm,eon ubt oenn laxepin yhw tyhioeraapmn si o.gwnr reehT is dnyitieefl aN+ ni .ashotlto.t.s. ywh uarss+lagt si eidrtyanorh ofr psde laraehrdi se.kinssc wLo +aN ascseu wlo VVE plnieignxa eht low ,BP ghhi ,RH l,orapl nda .odhayternid sI ti ceorrtc tub tusj tno as cetcror as C?

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waterloo  I onDt owkn wtha you eman by low VVE. tBu rhes'e my hgtuhot .ocrseps siT h tp tsol oslt fo etaw,r nda nhew oeensmo kaset a iaxaltev saugcni meth ot eavh ireradah atth illw ldea ot libcateom ocsadsii. A fbgerufin himcmanes rof het earecdsde babcir ni hte bdool is rof H+ ot veale lcsle dna K+ ot go tino teh lsc.el oS he sha to evha amkoehipayl (low +K ni s.)meur yehT gvea him IV s,uifdl so his BP douhsl eb deahde back ot ln.omar I ldouw nhtik ish RSAA lilw lhlci uo.t tuB it tkeas itme ot ccrtore teh i,scsdioa 'uoyer edikyn n'wto tsju emdaytiemil otsp ebsar racbib os 'ourey yodb iwll sltil eb bigfnferu siaantg teh csoiisda (H+ otu of ,clle K+ .n)i +2
waterloo  o,rysr I terwo ncdeaesir acbr,ib I anmet DDEERSCEA brciab in het .ldboo nAd slao ldoshu haev tirwtne u"eory' edikyn twno' sjut eyaemlimdit TRTSA bsaer wne iabbc"r My ,Bad wna'st tringy to add to ionou.scfn +1
drdoom  i inthk yb E`VV` oturah neatm C``EV teearual(lcrlx v.lem)uo owtral@e,o aptriacpee het xatnloieapn utb iknht tmenighso is f:of sslo fo H3OC- aiv daerrahi dhsoul erults ni icemdiaa, iwchh oduwl psoepo eth irmtseopnpu of H‌+`` avlgnei cle,l K+ oging .i´n´ +2
waterloo  ehy so ry,sro I sumt evah eenb rspeu tiedr ontsigp h.its n'atC eevlbie I meda os ynam s.eimktsa eRad rveo ti aag,ni dna it snosdu liek re.ghisibb Whsi rheet aws a ywa to eeledt. My a.bd +1
waterloo  I hintk I dtrei ot nalipxe too adr.h Loigkno ta shit uonetsqi ngaa,i I hiktn ryalel teh lyon thsi is hnew you seol atth umhc luemv,o ouy sole cirbba adn +.K hNotgin raelly ot od with asdicaeb-. My b. +1
drdoom  on or!eswir +1
castlblack  VEV = teecfiefv varsaulc loveum. nhTak you rfo nitryg to lehp utb I tslli 'ndot nas.tdrndeu I sllit eearg whit ym eabov nacsmihme as crteocr. erhhtWe or nto 'its msto recocrt kid. +1
amy  hawt abtou eth nlog etamsy thb?a He olsa eawts a lto, dna feporus twsangei si nigog ot esuca aehm?toaiyprn +1
helppls  sthta whta I was ntnigihk as l^l^^we I riufegd eh saw etnsgiwa otu a otl of CNal +1
icrieeverytiem  hTe Q tmienosn thta eh lesef ebtetr trfea na onfsniui fo lufdsi so I dumeass yan enrtmaahipyo taht he dha msu'vte bene edelsovr. +1


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 -1  upvote downvote
submitted by apurva(101)
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icnhCro haardrieo == itV D olnpobaiartms = yeacHcmaiplo (ysa in nh)osrc

AeCut roraediha = tHerniyampr,ea Hayapl,emoik oaprehsemtiahyphp

dhiertanDyo can osal uaecs himiuypcaeerr dan ptp utog ,ctatka utb ofr nuyog pt i knith this lliw be tvreilearn

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