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Retired NBME 21 Answers

nbme21/Block 2/Question#41 (reveal difficulty score)
A 75-year-old woman has the sudden onset of ...
Posterior inferior cerebellar ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro strokes

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 +4  upvote downvote
submitted by โˆ—hyoscyamine(59)
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shiT is taraell /eaIgArlWbnlerlPm/elauydC n.royedsm The mwaon hsa aeagmd ni the hycpimatest chian ynersso( orysensdm rae lrltaae gocdarcin to hte ulre fo )s4 grsutnlei in rorHne ,msodyren nitcihpalmaos trtca i(n/papmte wchhi era oasl roses,yn) adn NC IX adn NC X ctsuodnnify tnguilrse in hte ydsaahyira/tpargdihs l(hpes us leolczai ot eht m.)lldeau

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nala_ula  so,Al stuj ot ,dda FA sifeepsic htat ulsecNu sabuiumg cfsteef ,is(ayahdgp eosnsesrha, radscdeee gga exfr)le ear scecifip ot AICP n.sseilo +2
cienfuegos  nskTha orf het uni.pt I ahve yalasw dofnu hsit tiopc ot eb rytkci nad sjtu acme ocrssa isth claerit taht ehlped em uot a not dnagerirg hte luer fo 's4 soyhmcniea mosiennt .aoveb :/cs/u/bbprLBtjOdteh. +9
lovebug  AF 9120 0g52p! +
pfebo  "not'D ACIP oehrs hr)snssoe(ea hatt tnca' eta a"d)(yisphga +2

if you learn the rule of 4 its going to make this question really easy and almost a free mark. I learned it from Boards and beyond but I'm sure you can find it in other resources. so, horner is sympathetic damage--> s is on the side loss of pain and temp--> sensory--> s is on the side so we know its lateral now which cranial nerves are affected? dysphagia and speaking are both symptoms of damage to cranial n. X. rule of four says the first 4 cranial nerves are above pons, the second 4 are in pons and the last 4 are in medulla. so this is a lateral medullary syndrome.

+3/- meryen13(48)

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