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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 fdruaretc irmcobrirf aplet ei(troarn uskll mutar)a nca uerslt ni enkliga fo inarcrleoepbs iudfl oitn eht neso nda sosl of esnes of s.mlel mSell laspy a alegr oler in the cerepiontp of tsaet. oS, ni pearci,tc a ttinaep may malncpoi fo sosl fo taest erthar tahn of .ellms

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 a'ntc be teh ialcaF ,nevre csiaplhy oxianenmiat swa ml.orna omnoSee uowld alyprobb tenoic eth feac p.motsmys

I wnte twhi gels,ranpolysaGho utb ttha sntw'a i.t

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