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NBME 22 Answers

nbme22/Block 3/Question#1 (reveal difficulty score)
A 35-year-old man comes to the physician ...
C7 nerve root 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by paulm(9)
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Pre lWUdro I(D 3515)5

eTh 7C orto si teh otms nyqeleftru ceadffte evnre troo ni neiptsta itwh veaclirc d,tiyaucphloar snulriget ni tiidscfe arscso eht inamde nad alirad ernev bsunido.irstti

lit"ggnni ssntnoiae of e"frgins → aedimn rneve

"itsperc smeucl eefxlr is reedsda"ec → raidla erven

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carmustine  hnoAret tprtioanm ionidiactn htta this evnovisl the madien rvnee is the easnekws ni .nroanotpi otnPoanir of the efarmro is doefmrerp yb the opontarr serte and teh aotrnrop ,sruuatqda hotb fo chihw ear teanievnrd by eht dmaeni vnre.e +4



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submitted by mcl(670)
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oaPotrnr trsee dan drtaauusq era boht iuplepds by mendia renve ,(7/8/T/CCC561C/ os stt'ha ton pesur p.uh)flle oEntensxi of the mfearro si idalar nerev a(slo C5-1,T lsoa ont p)hlufl.e iThs soed llet su is ti cnat' be ltiodsea naedmi or iaa.drl Tsirecp tnoden exlerf si 8C,C/7 ichhw aroswrn ti wdno ot ehset .otw

Cna eonyan eixalpn why 'ist 7C reov ?C8

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joha961  emaS te.qounsi wHo dlocu yuo etimrnede etebwen the sipiefcc nerev osotr (C7 .sv 8)?C +2
mcl  Seoenmo I saw iakgntl to dan( ospt ebwlo) swa aignys htta tifsr iad ienmotsn ietpsrc si 7C, os tst'ha atwh 'husvoled eben the igb gihtn ofr u.s +4
joanmadd  uyo ghmti ees meos lurna enrve eltnnvmoiev if C8 swa nvveoidl her +1
passplease  tbu he sha deeraizgenl nitlingg ihwhc is ni htbo anlru adn idneam gson?eri +
chaosawaits  o,Als 7C is eth omts ocnmom dfeaetcf erevn o.otr If its' a ceohic ewetneb 7C nad ingetmsoh see,l go iwht 7C aawsyl esslnu ouy can ifvnelyiteid vopre sit' n.to +
freemanpeng  I ihtckn 'its hte y.geotilo ginlSe C7 aiecieCon--vrlsl-- dlashiptoM(atyocur conmmo e:on 66-7C d)o ;Ncsi uhcs tihgn sa Selngi C8 is.lnoe clltAauy ermo C8 adn 1T eol(snwiLreo nrut)k +1



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submitted by oslerweberrendu(4)
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driccnogA to odl,rwU ID:Q 7C1177 9 otoymem is noldvvie in lobwe oknL oens.eoxtsi eilk it eset!tsl

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 +1  upvote downvote
submitted by welpdedelp(270)
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oS I hiktn hatt susie of tirws eosxntein n/adro rngefi drop dolwu be omer lradia .rneev eHv,oerw eterh wsa orem mrlxpioa ,nwaskees so it dwolu be C7.

"8-7 yla thme htsi,ratg" eht pt ut'cnold y"al hetm t"strgahi os it ulwdo be 7C orto

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welpdedelp  A*s na ,iiatdond dneima ernev emelvintonv luowd ahev eldnae erom roawtd 8C ahtn 7C. +11
meningitis  Do you ehva onryeam lufseu cmnenosmi fro arhblcai spl?uxe +
henoch280  AF pg 449 orf onenmcmis +
winelover777  tnoDes' kool liek ehetr rae amny in FA 2.091 S/S21 - lkcBue ym o.seh 3/L4L - tSuh teh droo. 5C/6C - Pcki up ickst.s +
drzed  4-S2S sepke het ipnse ffo teh floro :) rsceermat( )exlerf +
peridot  Whts'a zyacr d@zdre is ttha ni AF 0129 ti syas L-12L ti("steslec )evmo" no 84.9p os I owendr fi htta nhdagce +



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submitted by obliviondo (1)
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rncdoAcig to FA 1209 rTipec Rexefl is mdedtaie yb ,C6 yes C6 NTO C,8 nda C7 nI[ ,DLBO imyniplg it is more ri.nmaot]pt

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peridot  hTis si on 8.49p fo AF 2109 rfo eynano uosrcui +
thatmd  FA 2021 pg 762 avhe C7 in dbol rof itpcsre eelfxr +



 +1  upvote downvote
submitted by delamj(3)
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yM htghtou sorsecp no shit snquteio:

  • sekswnea fo mar soexitenn and onorniatp = udsons like sumoutnluacceosu veern 5-7(C)C

  • ricpTes setthcr fxelre -7C8C)(;

etusloR:u Bpesic is C-C56 os r/o 6C. C8 'stedno tfi euucomclotnsausu elscum antcsio otcian os ro/ C.6 naMide nda ladaiR nersve haev fetenrifd esculm siotnac os /ro eshto as ewll, ngaleiv tsju C7 ebst itftnig het g.tveiten

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delamj  C8 d'tnseo fti soeuasunmctluouc elcsum snticao acinot os o/r C*.8* +1
lsp1992  I khint ouy hvae eht nciuotfn of teh ocsusuuulmanoetc renve r.gnwo uMutou csuoclsan reesvn' otorm fnuonict is elfinxo (pis,bec sacbliriah dna carabhocrhiaoslic) adn spnantuoii. ecuclMuatoosnusu ndyscouitnf dowlu ecusa swsaneke fo iflnxeo nda opnuinatis. ena kWsse fo extnisneo dlwuo eb dilraa .never eWasnkse of ontnpoiar dowul be aiemnd +1



 +1  upvote downvote
submitted by azibird(279)
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eHre is a tapr fo eht WdrloU tebal uaobt rvicecla auoacpsiltrid.eh dAn eys ehty did say thta C7 si teh omst efrlteqnuy v.oendivl I kitnh teh wsaern si ttha 6C udlwo voneilv eht p,sicbe C8 odwul vnovile teh i,esnrgf and onponrait is imdean reven. So ti sah ot be C7.

U:pt/cta/m.igj/vsm/oGuCh1mr

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 +0  upvote downvote
submitted by magrufnis(0)
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I’m nsdcfoeu tuabo tish .eon kenWseas of neieoxnts and pnitoarno of the rgtih fmr,earo wiht a sddeecare ciretps mceslu srhtect exer.fl The sweanr was C7 vrene troo, but owh are ouy bael ot iezcoall to 7C adn ton C6 ro ?8C I gireduf htat toienxesn si a,irlad T-C1,5 nda noiratpon is iademn, oasl 5T1C.- ecTspri rxeelf is 7-CC8 9F(1A02 yass 6C7.)-C Hwo wdolu yuo awronr nwdo to jtus 7C daemg?a

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txallymcbeal  yM 02F8A1 sha ”“7C de,blod naeinmg ti is eht naim nreve oot.r utB I slao got shti one ognrw os I t’acn eb much lhpe sebeids h.att +1
mnemonia  ylHoenst sujt a essgu btu I eahv shti guvea gretannindsud tath nitcirins nhda cumssel aer T18-C os ew gtim’veh etcpexde erom nahd otomr fnignids sa ellw twhi a 8C solie.n +5
theecohummer  I rwanerod it dnwo to C7 suing teh tfac ahtt teh 7C etmomoy si ebowl x.sntieeon I olsa aleednr ttha the C7 ervne oort saw the mnia rtnctiuorob to the stcpeir TRD so I ujts ewnt hwti htta. +
mchu21  heTy osal nmendoeit atht hte snorpe dha awkeenss intrnagpo teh hitgr aeorrfm whhic is oeerrdpfm by the .iscebp pscBei si itdnneerav by the asluscuetcuounmo renve hicwh is CC5-7 nad t'sath tahw pehdle em kicp C7 > .C8 +4
mcl  ,Sroyr I guhthto het pcbies asw a snautpior fo eht mrfoa?re +16
henoch280  .sey. tsi eht nutriaops tno raoontrp +



 +0  upvote downvote
submitted by feanor(2)
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The 7C envre rtoo is ni olbd on Pg4e9.a4 AF 8102 ni het icperT exfrle rse,tolto hast'T heguno rfo me l.lo hisT imhtg odsnu a bit caedotanl btu I mreebrme ndaigre mhoewesre atth neevherw C8 or T1 eogs hte nrtiniisc sslcuem of het dnah aer wsalya d.eeeftcf

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submitted by madamestep(17)
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eT"h lxrfeo gorup fo mluescs si vinedvol in oitnnopar fo hte earorfm adn lnieofx fo the iwtrs nda fsergin, hielw teh roxesetn rpguo fo scumesl si nivolvde in the aisonutinp of het ramofer and ieexnnsto fo het sitwr and fn"gsrie.

ormF bosmsA

skeWanse of seoinxetn Rdl(iaa )n adn otarniopn ieaM(nd .n)

6C egmaad oldwu egiv yuo MC ssi.ng C8 odulw vgie ouy lruan ssi.gn C7 gsoe ot nideaM nda idRa.la

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submitted by nwinkelmann(366)
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Pre iiWepakdi: Teh ciestrp eel,xrf a epde enotnd le,ferx is a xfeerl sa ti ietlisc tnroanyuliv otnoccinatr fo het tcepris iahbicr semlcu. It si taiedinti by teh Clirveca of( teh nkec rngoe)i nlpasi renev 7 rvene toor ht(e sllam eemgstn fo hte vrene htat esrgeme ormf het npalsi co.)rd hTe erlxfe is ettesd as rtpa fo het uolocairegln onaetiianmx ot sassse het seyonsr adn omrto ysthawap itwihn het C7 adn C8 ilasnp nresve.

ols,A rmof a nretfefid ebswti:e heT secprti exrlef is aetemdid by teh C6 and C7 ervne r,soot nipeonadmrylt yb .7C l.ufe.smmlsm.eurcdomairrlndeesetg.eusp/t/eunxp/nt/rd/b/yhht:yursuefioo.

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this is my way to think(please correct me if it's not correct: a. weakness of triceps muscle reflex --> C6 / C7 / C8 problem (FA P498 2019) b. weakness of extension of the forearm --> radial nerve is involved --> damage of C7 root leads to axillary or RADIAL nerve defect (FA P441 2019)



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