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Retired NBME 20 Answers

nbme20/Block 1/Question#16 (reveal difficulty score)
A 30-year-old woman with multiple sclerosis ...
Pons 🔍 / 📺 / 🌳 / 📖
tags: Neuro

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 +19  upvote downvote
submitted by whossayin(35)
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ehT ennmoimc I keil orf rmieernmebg eth oiolsntac fo eht anlcari revens is eht ",,,4422 ulr"e

eovbA mrtsean=bi CN I + ir nIbIdMa=i CN II,I nVsoIP = NC V, ,VI I,VI lV=eal dIMIuI NC ,XI X, XI, IXI

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lovebug  yinh@swaos xthan so u!hc!m! +



 +16  upvote downvote
submitted by thecatguy(19)
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sThi si a eyvr ypinitkc niuqost.e As I ees t,i teh 3 nmia ctseconp dsette r:ae

  • iTsh petinat sah eirlniamgt iuraanlge hrs,a(p ,rfibe epdoscii ainp in het c,)eaf ihchw is uadsce yb a oeslni ot primary ysnsreo sberfi htta rracy anip nisonetas fomr het f.eca
  • piMtuell escli,orss wchih teh tipaetn sha, is a inmingdyleate esiesda ie..(, ti faecfst thwie )t.rtmea
  • hTe nimaetyled noxas yiacrrng ipan tnoeisnas mrfo the seaptlariil faec eetnr teh inatermbs at eht lelev of teh opsn dan tehn desdecn ecmoeb( eth lspnia rctat of het gi.na)iremtl shTee hetiw amttre sbefri pssa thhugro het spon to ansspye no the spilna ucleusn fo hte ineai,lgrmt ichwh is ni het lledamu es(nuulc = argy t.raemt) (cteruip erhe). ,rrhfoeeTe a lsieon in the whiet amtter .e.i,( lpqeau) in the npso ldouc secau mtagnieilr ,elaranigu dan isth eonhoenpnm has been desrvebo.

Aoebv hte elvle fo eth btearmins slhatam(u p&ma; areblrce ),tcxeor uoy vahe oscned drreo noyrses oe.rusnn onsseiL ni ihts part fo het iicturc era nto lrnlgeaye in ilaitmnreg ral.ungaie I sppseou eyht sola antw us to msueas tath neco het lpsani crtat of eht tealirinmg teersn eth melauld, t'si tno lenitameyd eynr.aom I d'tno itknh isht is elctyopmel et,ru ubt vgein teh oilcg rdsbecied aobve, npos ouldw tisll eb hte brtete rne.aws

sA eolppe hvea enpodti u,to teh iryampr eryssno sfberi gryncair tiglh hutoc nnstsoeai ofmr eht feca esanyps on hte cehfi nysreos secunul in hte npso dylmamiieet ftrae ehyt teern eht spn.o Tihs tuesoinq si otn gnkais botua eshot srebif u.oghht

I ogt eth nteqosui rgnwo ot.o.

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mightymito  oWw isht is teh setb xoniaalepnt e!ty nsTahk so hmuc ofr veyr lcaelry ikwangl su ohgtrhu a rkycti oniqteus. +5
lovebug  ycuhagtte@ ...rAe. ouy a ooersfr?ps ahknt ouy vyer hmuc ): +1



 +3  upvote downvote
submitted by feliperamirez(45)
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I od dnuasdtner htat hte racnplpii cunusel of hte tlaiiengrm envre is lectaod at eht so.np tuB cnsei thsi peiantt is gnvaih eimiranglt liagaeunr 'twldoun uyo be tndgiirusp hte aphtyaw veniovdl in naip nda erm,auttrepe hhiwc ni hist caes wodul eb het ilpnsa eunclus lecaot(d ni the duelml?a)

ie,dBess I onduf htsi at na earlitc

A rnecte psyoshihte tteratuibs hte aipn fo tglaimrnie aiuenalrg to a rtecnla caehisnmm nivnvogil hte psra srialo of the spnali netmraigil uns.c5ule[]

2lmksKwpch9n./..t7/nb9ihg.onoN//is5bowv3B/:tw

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pg32  I reliytlla adh ldulema teedcesl hte wohel etim nad neth cdeahgn it to posn sylmip sueacbe i lfet the etst irtwres erew sujt ingsee if we wenk rwhee eht rnaligtmei nerve aws coe.dtal bumemr esacebu I nktih oyur oglic si way .rtbeet si't whta i ritfs gtuhoht hwen i arde teh .cesa +1
l0ud_minority  ehT eiunqots sah a dnmcioeb enoisl tath oudlc eb in hertie the onps ro llamude eivgn het eosutqin tm.es Theer si rsevee igothson ainsp hhiwc wudlo netdiiac eth Salipn uesucnl fo V (lminya pain and atemptreur)e sa llew sa the inaM rsesnyo euuslnc of V (lniyam cohtu). reHe si an igeam fro enereerf.c /nftxeeitoh/hmr:-ten-aymiscsgutyme/pmeeo--stn.eserasotsynoonsao-pla/ky +



 +3  upvote downvote
submitted by sympathetikey(1600)
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Prielicpn rSesony uluceNs of het eTmigainrl is dtoeacl in eth no,sP sa si the Motro arnmelTiig Nleuscu of het posn. iThs enanptersoit si pbroaybl igdnlea rome hitw the iipPelrcn nreSyos cNeuslu.

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 +2  upvote downvote
submitted by strugglebus(189)
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The spno ahs eesrvn 8-,5 so het lgaietnmri woldu be tfcedefa heer

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masonkingcobra  ailchTma anpi oysmdner wodlu nveliov seyhatsidses no hte etenri olantartrclae ybdo so erom nath jtsu hte e.acf losA it srcuco feotn afetr ort-ks.tpose dnl,taodlyAii thees ssdysiasethe apepra htekenswmso/ e trla +15



 +1  upvote downvote
submitted by woodenspooninmymouth(2)
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SM is a miletdieganyn s.adseie haTs't why I tnidd' cpik orctxe or ;aasuhmtl ethy aer yegr m.ttear I edcpki laldume suceeab I eht ioemgiarstnipnl nreevs rrtaseev het .ellmuda I suges ew era stju eposdpsu to aessmu eht tdlyanoieemin is hiepangnp in hte psno? I dn'to n.wok

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woodenspooninmymouth  ory,rS I mnaet ot say htat eht posn doulw vahe eth clle seobid orf het amti/eppn ensr,uon no? +
athenathefirst  onpohino@towmmndyeuso sith si lesipyccilaf igrlmaient eraiuangl whti ilesnvvo naalcri venre ;&--t5g rwhee soed CN 5 alleicoz ?to t'is teh sonp. fI uoy dnto' gte tsih outisqne ls,ilt ctahw het uelR of 4s in draBso dna edoByn tceiosn no ensBtaimr. +



 +0  upvote downvote
submitted by lilyo(94)
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I saw nikgtinh gloan eht nisel fo clfaai nisatosne hhcwi is teaemdid yb teh inigealmrt evren nad hte atfc htat eht talmigrien nerve is adceolt ni hte ps.on

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 +0  upvote downvote
submitted by chandlerbas(118)
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hrtees na ssaaitncooi dmea in 2107 hwti iaetinlgrm eigaulanr nda SM - ihcwh is ahwt i ikhtn hsti tp hs.a yek ihgtn ot tone is taht ilhew all morot dna synoser rfbise of CN 5 ernte at hte evlle of het nsop eohewrv( msoe olsa do ernte at the ellve of emudlal nad eenv the sc avi het npials atctr of 5 to epsynas hitw eht nolg soyrsne sneluuc of 5) serh e the knil of rngmteliai guiaenarl dna :S Mh/orlPh7.piM3sCatscwet//4t6ncwln/bc/i.m:4v.5inpw/mg9.

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 +0  upvote downvote
submitted by mamed(25)
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erP bdasro nda ,dboyne ni eht llretaa spon is teerh si het niapsl V lcseunu hihcw srecari elcarloanrtat napi dan e.errmteutpa wnKogni atht + CN V airsse ti in hte ,osnp I tnew thwi s.opn The lyon teohr itoonp I hda tfle not cssdero out saw ecrralbe hhesmireep tbu atth demsee to r.odab

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vivarin  BB also dasi ont ot sue eht eurl of 's4 ot ceolizla NC V to the osnp os ttahs' ywh I csdoesr ti .tou.. +1
athenathefirst  vavnrii@ tpeolmyelc arege iwth oy,u tbu iths si EBMN ylaswa glniki ot ticrk dan sefunoc su. +



 +0  upvote downvote
submitted by athenathefirst(7)
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Hwo is tshi 6.21 leevl fo fltcdyifui hewn ttaisbos qsouitens ear lasyulu 17 ro 18 rcin#yg

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