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NBME 20 Answers

nbme20/Block 4/Question#4 (32.3 difficulty score)
A 20-year-old man comes to the physician ...

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submitted by hayayah(1074),
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A dacertruf iofmbrrcir telap i(raroetn llusk armut)a cna trlesu ni aekignl of bpeeslnicorra uifdl ntoi eht onse nad osls of nsees of slle.m lmSel aypls a erlag eorl in eth cirppeeotn of oS, in itec,pcar a itatepn amy aiomnlcp fo sols fo attse hrtaer ntha of .elmls

brownielove79  can it be a facial nerve??? with lateral head trauma (injury during passage through middle ear, or external auditory canal??) doubt!!! +2  
doodimoodi  Olfaction is actually more important that tongue sensation in terms of food taste (think of how food tastes bland when you have a cold) +1  
doodimoodi  than* +  
champagnesupernova3  If taste is completely lost then it's an olfactory issue. If its lost only on a part of the tongue then the nerve that provides taste to that area is suspected. +10  
veryhungrycaterpillar  UWorld QID 12227 The sense of taste isn't lost due to CSF in the nose, but due to avulsion of olfactory rootlets. +9  
topgunber  yeah i wanted something to do with chorda tympani but i guess its something to remember +  

submitted by dickass(86),
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tI nc'ta eb het caaiFl ern,ve acsihpyl tnmxieanoia wsa aomnrl. meoonSe wldou alporbby tenoic the aecf symos.ptm

I netw hitw aa,lhslgryepnoGos tbu ttha nas'wt it.

garima  I thought the same for olfactory, he would have realize he can't smell... :O +3