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NBME 20 Answers

nbme20/Block 1/Question#10 (47.0 difficulty score)
A 77-year-old woman has been having ...
C7-T1 foraminal stenosis🔍,📺

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submitted by hayayah(1101),
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liLett nrgefi = unral .vener

C8T-1 rae eht soort of the ulnar ,evern hchwi si a nbhrac fo the ldmiae cdro. heT anulr reenv si tno fdnou ni hte aarlpc unentl e(th lademi ernve )is.

lrnaU .n agedma nca dael ot lsos fo riwts noeilfx and ndot,ucida nleifxo of midlae gfires,n dcnatioub nda udnoaidtc of giensrf ei)seosit,n(r aositcn fo elmiad 2 abrucillm ossL of atnssione ervo adilme 1 12/ f,sgirne inngicdlu noeayhhptr nne.meeic

sugaplum  Also to add: since it is a bilateral sx it is more likely to be coming from the spinal cord then from equal compression of ulnar nerve (in guyons canal) on both sides. unless she is a cyclist +28  
thefoggymist  shouldn't the other nerves of the same roots be affected? +1  
thefoggymist  shouldn't the other nerves of the same roots be affected? +  
charcot_bouchard  Not really. In klumpeke paralysis ulnar nerve s/s dominates (Almost same cause) +  
topgunber  is this related to RA? Where there is cervical subluxation or am I going nuts +