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Retired NBME 22 Answers

nbme22/Block 1/Question#30 (reveal difficulty score)
A 42-year-old woman is brought to the ...
Temporal lobe ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +19  upvote downvote
submitted by โˆ—moloko270(77)
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FA p.547 - burning rubber smell hallucination occurs as an aura for temporal lobe epilepsy

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l0ud_minority  I thought that if there is a generalized tonic-clonic seizure there would be no focal points. The aura got me. +



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submitted by โˆ—drmohandes(193)
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Primary olfactory cortex is located in the temporal lobe.

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rockodude  I feel pretty dumb for not knowing where smell is processed in the brain at this point in my medical education. Glad I learned it now! +3



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submitted by monique(10)
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Does anyone know where I can find this information on FIRST Aid 2020? I can not find it . Thanks for posting the answer!

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eghafoor  Page 559: Olfactory hallucinations "often occur as an aurea of temporal lobe epilepsy (burning rubber) and in brain tumors" +3



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submitted by hemoglobin_(2)
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UWorld q#15278 explains that when the affected area is the frontal lobe (motor cortex)= face/ limb twitch or jerking, temporal lobe= auditory and/or olfactory hallucinations, and if the occipital lobe affected= visual phenomena can precede or accompany a seizure.

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