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!”)

Welcome to woodenspooninmymouth’s page.
Contributor score: 2


Comments ...

 +1  visit this page (nbme20#16)
get full access to all contentbecome a member

MS is a demyelinating disease. That's why I didn't pick cortex or thalamus; they are grey matter. I picked medulla because I the spinotrigeminal nerves traverse the medulla. I guess we are just supposed to assume the demyelination is happening in the pons? I don't know.

get full access to all contentbecome a member
woodenspooninmymouth  Sorry, I meant to say that the pons would have the cell bodies for the pain/temp neurons, no? +
athenathefirst  @woodenspooninmymouth this is specifically trigeminal neuralgia with involves cranial nerve 5--> where does CN 5 localize to? it's the pons. If you don't get this question still, watch the Rule of 4s in Boards and Beyond section on Brainstem. +




Subcomments ...

submitted by seagull(1933), visit this page
get full access to all contentbecome a member

"why don't you stop what you're doing because it's ridiculous". --actual answer

get full access to all contentbecome a member
sympathetikey  Mam--mam. Put down the egg, mam. +19
woodenspooninmymouth  I spent sometime in Guatemala last year, and someone told me that the egg thing is uncommon. What is common is giving their children a small gold bracelet. The bracelet is supposed to prevent the evil eye, dunno how. +1
arcanumm  I think this is a terrible question, but "not a lot" of evidence to support what she was doing is what I had picked. I realize now that is a lie which must be why it is wrong: there is NO evidence to support it. +
skonys  My friend got a fullbright to study shamanism and she came back convinced that she wants one of the people she met to deliver her kid one day. This particular shaman is skilled in "guinea pig reading" where in she takes a live guinea pig and basically rubs it all over your body until it is crushed to death, then she skins it and wherever the guinea pig hemorrhaged and bled internally is where your illness stems from. Come in with a head ache? Well the guinea pig I just murdered on you is bleeding from it's liver so looks like you should do some coca-leaves about it. I'm like "friend, please go to an OB" +
fatboyslim  @arcanumm Technically choice D is wrong not only because there is no evidence supporting the egg thing but also she IS causing harm to the baby if you don't intervene to change the baby's diet. Sort of like "obstructing justice". +


submitted by hpsauce(-2), visit this page
get full access to all contentbecome a member

I believe this is Caplan Syndrome (bronchogenic carcinoma + rheumatoid arthritis). Only flaw to that is that the pulmonary findings don't perfectly represent pneumoconioses.

get full access to all contentbecome a member
dbg  it's just bronchogenic ca, type of adenoca, which is classically associated with 'hypertrophic osteoarthropathy' +
woodenspooninmymouth  To get it for the test, remember that lung adenocarcinoma is associated with clubbing. Mechanistically, this woman probably had RA. Then she was exposed to asbestos. The asbestos in the context of RA lead to caplan syndrome. The asbestos also triggered her bronchogenic carcinoma. +
step1soon  Then why isnt Rheumatoid Arthritis right? what comes first? bronchogenic carcinoma or rheumatoid arthritis? +


get full access to all contentbecome a member

MS is a demyelinating disease. That's why I didn't pick cortex or thalamus; they are grey matter. I picked medulla because I the spinotrigeminal nerves traverse the medulla. I guess we are just supposed to assume the demyelination is happening in the pons? I don't know.

get full access to all contentbecome a member
woodenspooninmymouth  Sorry, I meant to say that the pons would have the cell bodies for the pain/temp neurons, no? +
athenathefirst  @woodenspooninmymouth this is specifically trigeminal neuralgia with involves cranial nerve 5--> where does CN 5 localize to? it's the pons. If you don't get this question still, watch the Rule of 4s in Boards and Beyond section on Brainstem. +


search for anything NEW!