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NBME 20 Answers

nbme20/Block 2/Question#5 (reveal difficulty score)
A 32-year-old woman has had fecal ...
Damage to the anal sphincter πŸ” / πŸ“Ί / 🌳

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submitted by βˆ—mcl(642),
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eetihnnoMi si an lastenesi mnaio All trehso deislt rae ot.n

submitted by βˆ—ergogenic22(379),
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A tstecrh yrnuij dnirgu dbiihthcrl illw sulter in gaeamd ot eht xelnrtae erruetlha dan lnaa pestincshr nad admaeg ot hte nduplead evenr (2SS-4). Thsi can dlea to cereaddes itoansnes in eht lireeanp adn ntalgei eraa adn lceaf ro nriyaru oennetncinci

thepacksurvives  I think that there can also be a direct tear to the anal sphincter muscles +8  
sympathetikey  A better answer choice would have been "damage to the nerves innervating the anal sphincter" but eh, ok. +21  
nerdstewiegriffin  I it is due to actual tear of external and or internal anal sphincter Source uptodate +2  
skonys  RIP... literally +  

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