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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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submitted by paulm(9)
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Per WUrlod (ID 5)5351

hTe C7 otor si hte stmo yqeltufner efctafed eevrn rtoo ni ttanipse whti cavlceri trphcdly,ouiaa sgrtineul in sifdeict cssroa eth amndie and aildar reevn drstiiit.nsbou

ingt"ignl asinonets of "snerigf → madine rneev

cpset"ri ulcmse lerxef is ars"dedece → dairal eevrn

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carmustine  Anoerht nipmratto iinodnicat hatt stih sinovlve hte mnaeid neerv si eth kwsesaen ni poiorntna. tiaPnorno of het efmoarr is pfremeodr by eht rraontop etsre nad eth rroapont rdauusqat, hbot of hichw rea nirdaevten by teh idname .rnvee +4


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submitted by mcl(671)
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oPraornt eerts and rtasqduua are tboh lspudeip yb emdina vreen C17//C8/CC(T/65, so stha't not reusp .ue)hllpf onsEtixne fo hte rafmeor si drlaia rneve sola( 1-,C5T oasl otn ).lleufhp hsiT eosd tlle su is ti t'nca be eoadslti daienm or iarda.l rceisTp eotdnn xelref si 8,CC7/ wichh rroanws it wdno to ethes tow.

naC oenyna nalxipe ywh t'is 7C vore ?C8

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joha961  meSa oenqtus.i wHo oulcd you mnedreiet beneewt the iicscepf verne osrot C(7 s.v 8?C) +2
mcl  noSmoee I asw likagtn ot (dan sotp ewo)bl aws sanyig that tirsf adi monesint sripcte is 7,C os thas't twah 'vhdlueso nebe eht ibg ngthi orf .us +4
joanmadd  yuo tmihg ese omes nrlau evrne velteoninmv fi C8 aws vnvdlieo erh +1
passplease  tub he sah degnerezial ilitnggn hwhic si in tboh nrual and admeni eirosn?g +
chaosawaits  oAs,l C7 si the tmso ocnmmo fatfeedc reven t.roo If its' a eiccho wbneete C7 nda esnohigtm see,l og wtih 7C awasly usnels uyo nca eiednilvftyi peorv its' nt.o +
freemanpeng  I nitkhc st'i het iy.ogolet eiglSn C7 anie-rs--oil-eCcvl psyM(ioluaartohtdc common e:on 76C6- i)Noc s;d chsu inhgt sa nieSlg C8 .leinso tlclAuay omre C8 dna T1 eeoLslnro(iw unkr)t +1


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submitted by oslerweberrendu(4)
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Aondcrgic ot ,lrUdow DI:Q 97717 1C mteoomy si lnvvoedi ni bleow Lieko.nxt nossoe lkie ti lee!stts

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submitted by welpdedelp(270)
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oS I thnki taht isseu fo iswtr etsoninex noa/dr genrif pord lduwo eb mero arldai ren.ev vrweHe,o hteer was rmeo rxiaopml a,snewesk so it dwolu eb C.7

78"- yal temh trt"a,gihs eth pt c'tldoun "yla tmhe hittsar"g os ti wdlou eb 7C orto

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welpdedelp  s*A na di,ndtoia aindem rnvee eovnlmnvtie wlduo evah eeadln reom otrdaw C8 tnah C.7 +11
meningitis  Do uyo vahe oeryamn esuful monsmiecn ofr hcabrila u?xspel +
henoch280  AF pg 944 rfo incsonemm +
winelover777  Dn'toes kolo lkei hrtee era amyn in FA 1092. 2SS/1 - ukBecl my e.ohs 3L/4L - Stuh eth droo. 5/CC6 - kPic up ist.kcs +
drzed  S42-S pksee eht esipn ffo eth lfroo :) tsre(remca erxef)l +
peridot  s'tWha rczya z@dedr is atht in FA 2019 ti ssya L21-L lcstt"sei(e "ovme) on 48p9. so I eodnwr if hatt dganech +


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submitted by obliviondo (1)
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Agnoccidr ot AF 9021 peircT lxReef si etimddae yb C,6 esy 6C NOT ,8C and C7 In[ DB,OL ygiilpnm it is omer torna.p]imt

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peridot  ishT si no .p498 of AF 2190 fro eynoan uirucso +
thatmd  AF 0212 pg 627 ahve 7C ni dobl for septicr erexlf +


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submitted by delamj(3)
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yM utgthoh scesopr no stih qs:uetnio

  • eneksasw fo mar xeosnteni and tapirnoon = sdnsou leki muouosnsltacuuce rnvee )5-7(CC

  • rpseTic ecttrsh fexrel (C)-78C;

lesuuRt:o p eBsic is 5CC-6 os o/r .C6 C8 e'nodst tif utonuulcameuscso smleuc csaonit cianot so or/ C.6 Mdaine nda aliaRd svnere vaeh efrentidf ceulms snaicto os /or othes sa le,lw vleaign jstu C7 ebst iignftt teh eevint.gt

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delamj  C8 doe'nts fti ausmnuoscuceltou mlsuce contsai ainoct so o/r 8**.C +1
lsp1992  I ikhtn you aveh het conftiun fo het snucsuouuclemaot eenrv nr.wgo stucauoouc nslMu re'vnse troom onnuicft is loenfix (ebscip, iachiarslb nad acralcohcar)hoisib dan isp.iounnat luoeuutunoacMssc cnntusiyfdo dlowu scaeu saneswek fo lfinexo nda s.aitpunoin ssnee kWa fo tnesexnio wodlu be aadrli ern.ve ksseeWna fo oairnnpot wudol be adienm +1


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submitted by azibird(279)
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reeH is a patr of eht rldUWo tebal abuot reavcilc auhce.liorspdtai Adn eys eyth idd ays tath C7 si eht most utlnqrfeye vi.olnevd I tnkih het neswar si tath C6 ldowu iovlven het s,ipceb C8 dulow veloinv the ifsgenr, and anoroinpt si danime er.ven So ti ash to be C7.

1/tjpiu.h:mUmtmvoGa//sgcr/C

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 +0  upvote downvote
submitted by magrufnis(0)
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Im’ dnuofesc toabu isht e.on sesenkaW fo osnintexe dan naopitonr of eht higrt fmrer,ao wtih a saeddrcee septcir uslmec thscert lfrex.e eTh wrsean asw 7C rneve ,root ubt hwo ear yuo labe ot alleiozc to 7C dan ton 6C ro ?8C I guifdre htat noeestinx is ,aridal 5C,-T1 adn noitnoapr is nm,adei asol T-.C15 ispTerc lferex is 7CC-8 012F(A9 says C)6.-7C oHw udolw ouy owrran nwod ot jtsu C7 a?degma

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txallymcbeal  My 2108AF ahs C7”“ de,obdl ennmagi ti si eth aimn vreen ro.ot uBt I slao gto iths neo owgnr so I nct’a eb hmcu pleh esbiesd .htat +1
mnemonia  yHltnoes juts a ssgue ubt I evha iths euvag dinntesdguran hatt intiicsnr nhda lsumcse rae -T1C8 os ew etimghv’ etxepdce more dhna rotom nsifgind as lwle ithw a 8C lise.no +5
theecohummer  I wordrean it wdno to C7 nigsu teh caft atht hte 7C emoyotm si owbel ieotenx.ns I oasl rledena hatt the 7C rveen orot wsa het ianm rbuitnoocrt to eth rsipcet TRD so I tusj ntwe hiwt a.htt +
mchu21  yehT loas deonetimn thta het eonspr adh nseawkes rgoptnani teh ghirt armerof hwihc is dfmoeprre by eht ibpc.se Bisecp si erientdnav by hte suuaocuenlsuomct nerve iwhch si -57CC nad tt'hsa twah edlphe me kcpi 7C > 8.C +4
mcl  ro,ryS I oguhhtt eth ibescp swa a tauironps fo hte farem?ro +16
henoch280  e.sy. its het inpsuoatr tno rrootnap +


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submitted by feanor(2)
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Teh 7C eenrv otor is ni dlbo no a9eg.P44 FA 0128 in hte iTrpec xelfer rtoot,sel hTs'at unoegh orf em o.ll hiTs hmitg dunso a tib ndleacoat tub I rmrembee greanid rmweesheo ttha reveewnh C8 or T1 oegs eth isrniicnt smucsle of the anhd ear slwyaa deeefct.f

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submitted by madamestep(17)
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"The foxrle uropg of lcusmes is dnvoliev in notroianp fo hte efarmor and ionlfxe of eht siwtr adn nfsre,ig iwhle teh rxestone pgruo of sulecsm si divevonl ni the outspianni of teh raormef adn iexesontn of the irstw and sg.ifr"ne

Form bAssmo

aeesnsWk fo oesntixne ldaaiR( )n dan ipnorotna (dniMae n).

C6 aademg uodwl ivge uoy MC s.gnsi 8C uodwl evig you ulnra gssin. C7 oegs ot ndiaeM nad ialRad.

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submitted by nwinkelmann(366)
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Per aikiWp:die eTh cstipre lerx,fe a eped netodn ere,xfl si a efxerl sa ti teilsic rylnatvnoiu attnocnorci of hte rpciets hrabcii meucls. tI is niatdeiti yb hte caevCrli (of eth kcen nor)ige laipns eevrn 7 neevr oort th(e lmals etgenms of teh nerve htta mgreese orfm eht slnipa cd.ro) hTe lreexf si stteed as atpr of teh logciueaorln aaixnetmino ot asssse the yessnor nad rmoot yspahatw ithwni teh C7 nda C8 sanilp ensver.

,Also mfor a tedirffne tsew:bie The esprcti lxeref si eietmdda yb the C6 and C7 evren ,tsroo aoepylntmdirn by .7C //.gh.seureus:/unrtou/mte/nrlp.dsredeyumofmopetfxt.cirsmeasy/lidlhunbe.

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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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