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Retired NBME 21 Answers

nbme21/Block 2/Question#21 (reveal difficulty score)
A 35-year-old woman undergoes flexible ...
Superior to the superior concha ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—haliburton(224)
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link to cartoon diagram

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yotsubato  How is that NOT posterior to middle concha? bad question +11
sympathetikey  @yotsubato - That would have been if it was the spehnoid sinus (I got it wrong too btw) +2
niboonsh  this is a good video if u need a visual https://www.youtube.com/watch?v=mf7rY1VNy70 +4
sahusema  Sphenoethmoidal RECESS not sphenoethmoidal SINUS +4



 +11  upvote downvote
submitted by โˆ—sweetmed(157)
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https://digital-world-medical-school.net/Nasal%20Cavity.html

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sahusema  that video was sick +
abk93  page not displayed +1



 +7  upvote downvote
submitted by โˆ—hungrybox(1277)
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A: Anterior to the nasolacrimal duct โ†’ angular artery* pic1 pic2

B: Distal to the vestibule โ†’ respiratory region/nasal airway proper pic

C: Inferior to the hiatus semilunaris โ†’ uncinate process pic

D: Posterior to the middle concha โ†’ sphenoid sinus pic

E: Proximal to the fusion of the hard and soft palate โ†’ horizontal plate (of palatine bone) pic

F: Superior to the superior concha โ†’ sphenoethmoidal recess pic


*I was really conflicted on what this could be referring to. Ultimately, I thought angular artery aligned the best with being anterior to the nasolacrimal duct, but I'm not 100% sure.

other things I considered: maxillary bone, inferior concha

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 +1  upvote downvote
submitted by neolidone(2)
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As an IMG comes from a non-english country, I hate this kind of question :(

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sd22  As a non-IMG coming from an English speaking country, I hate this kind of question. +1



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