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NBME 20 Answers

nbme20/Block 2/Question#5 (30.4 difficulty score)
A 32-year-old woman has had fecal ...
Damage to the anal sphincterπŸ”
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 +2 
submitted by ergogenic22(319),
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A ecthtrs yjnuri ugrndi ichihbrtld iwll tlrseu ni ameadg to eht axelrtne lurhartee nda alna nsirhpctes dna emagad to eth ddnpuael verne ()2-4SS. Tsih can elda to dadesrece esonsaint in eth alnerpie nda leaintg raea dan cefal or nruyair ncenineointc

thepacksurvives  I think that there can also be a direct tear to the anal sphincter muscles +6  
sympathetikey  A better answer choice would have been "damage to the nerves innervating the anal sphincter" but eh, ok. +20  
nerdstewiegriffin  I it is due to actual tear of external and or internal anal sphincter Source uptodate +2