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Retired 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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reP oUdlrW D(I 51553)

hTe C7 roto si the msto rnyqlfuete edafetfc nreev otro ni snttaeip twhi cieclrva catpuohr,ilday irgsnteul ni tisicfde osracs eht inaedm adn rdaali vener uboi.tdtnsisir

nt"lgiign intsoaens fo gf"snire → emdian nreev

ctrs"iep eslucm exeflr is cddeea"sre → aldira evrne

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carmustine  nhrotAe ropnaitmt caotdiniin atht hsit oievlnsv teh nimade enerv is the essnkwea ni ainro.opnt aProinnto fo eht oefamrr si rpmfreoed yb eth orraptno trsee nda hte rtoanpor qtr,uausad ohtb fo hwich era veaierdntn by hte aemdni n.eerv +4


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 +5  upvote downvote
submitted by ∗mcl(671)
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aortonrP erest adn ruadaqstu are obth lsepdpiu yb dneami revne ,T6/1CC85C(7///C so attsh' ont psreu ellu.)fhp Eisnnotxe fo teh aoefrmr is adaril vrnee as(lo T5C1-, lsoa nto lhp.)ulef shiT eosd etll us si ti tacn' eb deotslai edainm ro ai.adrl prsciTe dntneo elefrx is C78/C, hcwhi nrrawos ti dnow to heset o.tw

anC noyean lxnipea ywh 'sti C7 vero C?8

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joha961  Smea qieuos.tn owH ocudl ouy deeetmnri weetnbe eht cefpcsii never torso 7C( sv. C)8? +2
mcl  eoSoemn I aws latgkin ot (nad sotp bowe)l swa aigyns thta srtfi iad ennmitos setpirc is C7, so st'hat hwat dvhe'uosl bnee teh big tnigh fro s.u +4
joanmadd  ouy thgim see esmo lnrau ervne enmenvoivtl fi C8 aws ildvoven hre +1
passplease  tbu eh ash eilzdegenra gtniilgn hhciw si in obth nrlua nad enamdi r?igeson +
chaosawaits  A,lso 7C is the somt cmonmo tdaeecff veern .roto fI sit' a hoecic benewet C7 dan egonhmist e,els og whit C7 swlaya snulse oyu acn ednyiiviflte oevrp tis' .nto +
freemanpeng  I ckinht ti's hte .gloetyio ilSnge C7 -ie-aesvC-orc-lnil uMol(octhdyasritpa omconm o:ne 76C-6 csoi)d;N hsuc gnith as gelnSi 8C esi.lon Aayulctl remo C8 and 1T weonoe(silLr urt)nk +1


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 +2  upvote downvote
submitted by oslerweberrendu(4)
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dgAcirocn ot Uwd,lro DIQ: 79 77C11 oymtmeo si oldvinev in wolbe ksesonoi o.tLnxe liek ti e!stsetl

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I kthni that iusse of wsitr sntoexnei adr/no eirgfn ropd ldwuo eb ermo ridlaa n.veer Hoe,ewvr erhet aws rmoe aomipxlr esa,kenws so ti wuodl be C.7

-78" ayl thme stg,ait"rh the tp u'ctldno y"la hemt gthits"ra so ti uodwl eb 7C root

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welpdedelp  *sA an dano,diti mdenia nreev itnevlemvon lwodu ehva ednlae oemr dawort C8 anth 7.C +11
meningitis  Do you ehva naeryom eusluf mcinnosem fro abiclhra ?upsxle +
henoch280  AF gp 449 fro smoecnmin +
winelover777  otsDn'e loko ekil ehter era yanm ni AF 291.0 S/S21 - Beklcu my .sohe /3L4L - Suht het o.dro C6C5/ - Pcki pu ktcs.si +
drzed  -24SS skeep hte nesip ffo the orfol ): rac(esmtre )rlexef +
peridot  hts'aW yczra zrdd@e is atth in FA 2091 ti ssay 2L1-L tcsl(i"stee )mevo" no .9p84 so I ewdrno fi htta enhgcda +


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 +1  upvote downvote
submitted by obliviondo (1)
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ciogndcAr to AF 0921 priTec lexeRf si imaedted by C,6 sye 6C NTO ,C8 nda C7 I[n ODBL, ymilnigp ti si oerm atpti.nm]ro

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peridot  sTih is no 48.p9 fo FA 9021 rfo onanye uuoircs +
thatmd  FA 2210 gp 627 eahv C7 ni dolb rfo strcpei eerlfx +


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 +1  upvote downvote
submitted by delamj(3)
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My uogthht sopsrce no itsh nstoiu:qe

  • kwesnase fo arm sxineonte nad pooriantn = dsousn lkie ueoucutounsacmsl vnere -C7C)(5

  • ceTirsp tsehrtc erxefl )(;7CC-8

tulRue:os pceisB si C5C-6 os r/o C.6 8C dn'esto tif uuunoomesclscaut csmlue tcoanis naicto os or/ 6C. eMiand nad aRldia nvsere evha reftfeind mcuels tnoisac so /or osteh as ew,ll nagvlei ujts 7C btes nttifig eht tngitee.v

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delamj  C8 seo'ntd itf suacsonteumocluu melusc satnoci tonaci so o/r C8*.* +1
lsp1992  I hktni ouy ehav eth fouitnnc of het nmuoletccussaouu enrve gnrw.o sn lascuMcuouotu erne'vs otmor noitcufn si ieofxnl bcpei,s( hsarbaclii adn rhcoacbclis)aohair and tisnno.ipua sctuuuasnMoueclo intufydcnso dulwo esuac assweenk of oiflnxe and asiptunnoi. Wsnesae k fo etsoxnien dluwo be aldari vrn.ee nekaesWs fo ortnaopni odluw eb adnmie +1


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 +1  upvote downvote
submitted by ∗azibird(279)
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eHer si a ratp of teh UlWdor aeltb uotab arlevicc oasidc.iatphrleu And sye yeht ddi asy htta C7 si the msot lryefeuntq lvd.ovnei I inhtk the asnrew is ttah 6C wudlo ieolvvn the pibcse, 8C dlwou vielvno hte eigfs,rn and ronaoptni si adeimn nveer. oS ti ahs to eb 7.C

rGmCogpt:///mtvs1c/hujia.mU

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 +0  upvote downvote
submitted by magrufnis(0)
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Im’ duencsfo toabu shti en.o sesaWnek of xnnoietes nad oritnopna fo the tihgr o,raemrf ihwt a deeecdsar preisct mseulc tcthesr f.lexer The rasnwe wsa C7 revne troo, but owh rae uoy bale to coilalez to 7C adn nto 6C ro ?8C I ugerfid ttah xniesnteo si il,dara T5-,1C nda pinootnar si me,nadi aols .1TC5- ipseTcr elefxr si CC8-7 1AF2(90 sysa 6C7-).C owH uwldo you rwrnoa down to usjt 7C a?gmade

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txallymcbeal  yM 1F082A ash 7C”“ oedl,bd ennimga it si eht mnia nveer oot.r utB I losa tog isht eno nrwog so I ’atcn be cumh lpeh ibesdes ta.ht +1
mnemonia  estolnyH stuj a ugsse but I hvae sith evagu dngisanrdntue tath irsnincti dahn usmslec rae 81-TC os we hem’givt dptxeece mero ndha morot giindfns sa llwe thwi a C8 soe.nli +5
theecohummer  I orwdaern ti wond to C7 suign teh tfac tath eht C7 yotmoem si eolbw ixnntse.oe I osla aledenr htat het C7 ernev toor asw teh anmi tricuonbtor to the icspter TRD os I ustj enwt hitw aht.t +
mchu21  hyeT asol motdeinen ttha het porsne had newkseas ntpgriona eth tgrih feraorm hcwhi si mpreoredf yb hte siecb.p Bscipe si tnvnardeie by eth nusoccomtseuulua nreve hhciw si C-C57 and at'ths athw pldehe me ipck C7 > .8C +4
mcl  ryo,Sr I htthoug teh bpisec aws a stnrpaiou fo teh foar?rem +16
henoch280  s.ey. tsi teh rouistanp tno otpranro +


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submitted by ∗feanor(2)
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The 7C reven roto is in olbd on 944eag.P AF 1820 in eht Trciep erxelf ,tsreotlo s'thTa unoehg for me o.ll sThi mhgit dsonu a bit deaocalnt tub I eermmrbe rgiedna eesmeowhr htat wrehnvee 8C or 1T esog teh rtniicins lcesmsu fo the nhda are aasywl tfdeecef.

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 +0  upvote downvote
submitted by ∗madamestep(17)
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heT" orexlf ropgu fo meclsus is enivolvd in oitorpnna of eth maofrre and feonlix of eth swtir nda ngfesir, eiwhl eht stoxreen proug of lsuemsc is divolven ni the aosntuinpi of eth rrmfaoe nad osninxete of the wsrit nda ge.sfi"nr

oFmr smosAb

asknseeW of sxietonen (ilRaad )n nda pnotroian ae(Mind n).

6C geadma douwl vige uoy CM ssin.g 8C doluw veig uyo ralnu .isnsg C7 oesg ot nMeiad adn adlaR.i

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submitted by ∗nwinkelmann(366)
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rPe aieiipk:Wd eTh ipertsc erexl,f a depe noendt x,lefre si a rxfeel as ti ielsict yinroautnlv irontanotcc of eth etrcpis chiirba sul.cem It is idtitaeni yb hte cravlCei fo( hte cnek ng)iroe inspla rneev 7 verne rtoo eth( msall ntesmge of teh renve htta gesreme omrf hte spnila or.dc) The efrelx si estetd sa tapr fo teh aguieloclnor itoeaxmnina to sssase het seyrsno dna tmroo whtyspaa hwntii het C7 adn C8 aslipn nres.ve

s,olA mfor a ffdteiern weibts:e ehT etrsicp xerefl is deitamde by teh 6C and 7C envre ,otsro irdlopmtnynea by .7C orftearorimmd//tdfcp.ux.uulrbme/e/rlisuyeslu.t/hgnnmue/dpeeoeytsss.nh:.

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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)

+/- joyceeepan(6)

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