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 (โ€œpredict me!โ€)

NBME 23 Answers

nbme23/Block 1/Question#4 (reveal difficulty score)
A male newborn has a myelomeningocele that ...
Closure of the caudal neuropore ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neurology embryology FA19p479

 Login (or register) to see more


 +6  upvote downvote
submitted by โˆ—mousie(272)
get full access to all contentpick a username

https://teachmeanatomy.info/the-basics/anatomical-terminology/embryology/

get full access to all contentpick a username
mousie  Caudal = Bottom of the SC = failure to close = spina bifida and Rostral = top of SC = failure to close = Anencephaly +14
powerhouseofthecell  I'm confused. In first Aid doesn't have meningomyelocele as failure of caudal or rostral pore to close. Is the answer Cadual because in this patient specifically, his condition takes place on L2-5 which is more caudally? +3
usmile1  its a neural tube defect aka failure of neural tube closure +1



 +4  upvote downvote
submitted by โˆ—avocadotoast(23)
get full access to all contentpick a username

This child has spina bifida. Failure to close the neural tube can lead bladder and bowel dysfunction in the fetus --> oligohydramnios --> compression of the fetus, clubfeet, etc. Axis specification and zone of polarizing activity is implying a defect in the sonic hedgehog gene that would lead to holoprosencephaly Closure of the rostral neuropore would cause anencephaly. Defective development of the apical ectodermal ridge would cause distal limb malformations. Without the neuropore, the neural plate and nervous system wouldnt form. Defect in scheduled apoptosis can present with webbed fingers, etc.

get full access to all contentpick a username



 +3  upvote downvote
submitted by โˆ—sweetmed(157)
get full access to all contentpick a username

Dont get confused with club feet. Clubfoot is a birth defect where one or both feet are rotated inward and downward.[1][4] The affected foot and leg may be smaller than the other.[1] In about half of those affected, both feet are involved.[1] Most cases are not associated with other problems.[1] Without treatment, people walk on the sides of their feet, which causes problems with walking.[2] The exact cause is usually unclear.[1] A few cases are associated with distal arthrogryposis or myelomeningocele.[2]

get full access to all contentpick a username



 +2  upvote downvote
submitted by โˆ—almondbreeze(110)
get full access to all contentpick a username

FA2019 pg.479 + spina bifida occulta: failure of cudal neuropore to close, but no herniation + anencephaly: failure of rostral peuropore to close --> no forebrain, open calvarium

get full access to all contentpick a username



Must-See Comments from nbme23

ferrero on Precapillary resistance
yotsubato on 99%
sne on Triglyceride
sajaqua1 on Area labeled โ€˜Dโ€™ (Spinothalamic tract, right)
stinkysulfaeggs on Hypoglycemia
hayayah on Iris
soph on Peak inspiratory pressure (alveolar): ...
seagull on Area labeled โ€˜Cโ€™ (Cranial nerve 8: ...
water on Dietary change
wired-in on 28.8
beeip on Binding of permeable ligand to nuclear ...
thomasalterman on Hypoglycemia
yotsubato on Inhibition of the cytochrome P450-dependent ...
seagull on Decreased sodium bicarbonate reabsorption in ...

search for anything NEW!