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Retired NBME 22 Answers

nbme22/Block 3/Question#1 (reveal difficulty score)
A 35-year-old man comes to the physician ...
C7 nerve root 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by paulm(9)
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Pre lWrUdo (ID )31555

heT 7C oort is het sotm urlnqeetfy fedftaec envre toor in nasttipe twih arilcecv cpoyruhidtaal, lnrguesti in cdiitsef cosars hte dimnae and ldaiar nrvee it.nsbtdouisir

gil"nntig siennsota of enfsg"ir → nmadie eenrv

cesir"tp umsecl lfrexe is r"sdeeadec → airald vneer

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carmustine  orhnteA iropnatmt anoiintidc taht hsit neoilvsv hte amiend envre si hte ekwsasne in o.triapnon oatiornnP fo the eraofmr is mrpoedfer by hte rotrapon esetr nad hte trnraoop u,asqtdaru hbto of cihwh era tednrivean yb teh adnemi nerev. +4



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submitted by ∗mcl(671)
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artnroPo trsee nad urqdstaua are thob dpslipue yb inaedm nreve CT/6C518CC(///,7 os hs'tta ont puesr .)felulph onEtnsxei of eht mrrfeao is iaradl nerve (slao -1T,5C also tno ehllfu).p iThs oeds tlel us si it c'tan be ateoldis dmeain or dilaar. iesTprc onndet elrxef si C8C/,7 cwhih awrsnro it dwno to etshe ot.w

nCa yneaon exnlipa yhw si't 7C over C?8

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joha961  eSam iuts.nqeo owH could uoy ireetnedm nbeeetw the ifscipce nreev osrot 7C( vs. C?8) +2
mcl  ooeSmen I saw atngkil ot ad(n tspo ob)ewl asw nyaigs ahtt stirf iad stnieonm iscertp is ,7C os s'hatt hawt uleoshdv' bnee het gib intgh rfo .su +4
joanmadd  yuo hgmit ese mose lnuar vneer mvenetiolnv fi C8 wsa idvonlve her +1
passplease  but he sha gazendrleie lningitg whcih is in hotb arnul dna mednia ?rsoegni +
chaosawaits  osAl, 7C si het osmt onmcmo ftfeadce ervne o.rot If sit' a chcoie teebnew C7 adn mihegtnos ,esel go wtih C7 asawly snsuel ouy nca fdiyeiitnevl eorpv 'tis n.to +
freemanpeng  I khcint 'tsi teh gyl.eitoo nlgSei C7 sla--i-eirCv-enloc oitprya(tuolcdshMa moomnc neo: 6C-76 sN id;)oc hcus tghin sa lgeiSn 8C eoi.nsl cAtluyal oemr C8 adn 1T rwneoesol(Li r)uknt +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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goAndircc to Uwlro,d :DIQ 777C9 11 eyommot si nedlivvo in owlbe skLooiest.nonxe kile it sette!ls

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I thkni that sesiu fo wirts oeinxnste aod/rn riegfn ordp lwduo eb ermo adaril en.evr vrwHeo,e teehr aws mroe polixmar ,enksswae os ti louwd be C.7

87"- lya mthe "tatrs,gih eht pt 'nulocdt yl"a emth att"irgsh so ti dlwou be 7C ootr

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welpdedelp  s*A na idant,oid dimnae eevnr evvlnnmotie would ehav dnleea omre awrdot C8 ntha 7C. +11
meningitis  oD yuo vahe enymora uslfue csonnmemi orf crablaih esplux? +
henoch280  AF gp 494 orf oninmsemc +
winelover777  o'snteD loko kile ether are many in FA 2.910 SS21/ - eklcBu ym ohes. L/34L - tSuh eht ro.od 65C/C - Pikc up .csktsi +
drzed  S-42S eskep eht epins ffo the lfoor :) eeas(trcrm elx)erf +
peridot  Wth'as zcyra drzd@e is tath ni AF 0192 it yssa 12-LL e(itcslts"e )vemo" on 84p.9 so I ndwoer fi thta ahcgden +



 +1  upvote downvote
submitted by obliviondo (1)
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Aocnidgrc ot FA 1902 rpcTie fxeleR si aidmetde yb 6,C yes C6 NTO ,8C dna 7C In[ D,LBO ilnygmip it is ermo mp]ir.ttaon

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peridot  Tsih si no p.984 fo AF 1092 rfo eyanno usroicu +
thatmd  FA 1220 gp 726 eahv C7 ni obld rof scetipr eexrfl +



 +1  upvote downvote
submitted by delamj(3)
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yM thhugto rcsspoe on htsi neuiq:tos

  • nswekeas of ram nioentxes nda anntporio = sonsud like uscooselnucuutma revne CC)75(-

  • cTerpsi hettrcs frxlee -CC78(;)

:slteouuR scepiB is C6-5C os o/r 6C. C8 notdes' fti sluuotocmeusnuca mleusc ocsatni otncai os r/o 6.C nMaedi nad Rliaad esvrne evha tdnffriee eusmlc atoicns so ro/ etsho sa lewl, ngvaeil stju 7C estb itgnift eht .evngtiet

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delamj  C8 do'tsen tif esusoclmauoctnuu semluc cinaots cniato os /or .**8C +1
lsp1992  I ntkhi uoy evha eth noncitfu of eth ouumsuoensacluct ervne rgwn.o cltsuuuooMsauc n neesv'r otmor fcotunin si enlfixo sc(ibep, ciiaarhlbs adn ahhrrscocioalic)ba nda itsauopnin. uauclsouMeoutsnc synciudontf olduw aecus nakswees of ofleinx dna piatni.uosn sasenW ke fo oexntneis would eb rialda ev.ern keWnsaes fo annorotpi uldow be eiamdn +1



 +1  upvote downvote
submitted by ∗azibird(279)
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Heer is a rapt of eht oldUrW ealbt otabu crcelavi lt.ourihspdaciae dAn esy ehyt idd yas ttah 7C si eht msot eyfrelntuq ldoev.inv I htkin hte rswaen is ttha C6 lowud neoivlv hte ,cesbpi 8C woldu vvnoeli hte r,sgnief dna rnonatoip is inmdea vre.ne oS ti ash ot be C7.

t1h//p.aCgmmr:/Uimjt/ovcusG

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 +0  upvote downvote
submitted by magrufnis(0)
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m’I soncufde aubto shit .oen naeWekss fo xtnnieose dna aintorpon fo het igrth mrfreao, thiw a dsdeeacer itsrcep slcemu srttehc e.xerfl The wsaner asw C7 nevre o,otr tbu ohw ear uyo bale ot lczieoal to 7C dan tno 6C ro ?C8 I riuedgf atht isenxonet is arlaid, 5CT,-1 nda tpnoaonir si eimand, oasl -5T.1C eTciprs ferxle is CC78- (219F0A asys .)CC7-6 oHw udowl you anrorw odnw to sjtu C7 aae?gmd

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txallymcbeal  My 8A21F0 ahs ”7C“ debold, ngminea it is hte mina nerve o.tor uBt I oals got tihs oen rgwno os I tc’an be chmu hlpe dieessb hatt. +1
mnemonia  nstolyHe just a sgeus btu I ahve htsi uaevg ndudtairnensg that nsirciint ndah ssumelc rae -C81T so ew tmi’vgeh etpeedxc emro hadn otmor gnidsinf sa llew iwht a C8 s.lonei +5
theecohummer  I edwronra ti down ot C7 ngsui eht ftac hatt the C7 mytmooe si olweb .oxtennesi I also aeenlrd ahtt het 7C eevnr orto wsa eht iman icrboounttr to the scipert DTR os I stuj nwet wtih taht. +
mchu21  Tyhe osal nimtenedo atth hte rsonpe adh awkesnes agninortp the grhti fmrareo chwih si rdomrpfee by het pe.ibsc cBpeis si edrnavntei yb hte mcsauuscnelouuot vener hchiw is -C5C7 nad 'sahtt hwta heepdl me cikp C7 > 8C. +4
mcl  orS,ry I thought eth episbc wsa a rtounpsai of teh mfa?roer +16
henoch280  .ey.s sti the aptrsinou not ntrorpoa +



 +0  upvote downvote
submitted by ∗feanor(2)
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Teh C7 nvree toro si ni ldbo on 4g9P4e.a AF 8102 in hte cprTie rfxele ottrl,ose Th'sta hoegun for em .llo siTh mhgti dnsuo a tbi tlcoeadan but I meererbm raeidng eoewesmrh ttha hewvreen 8C ro T1 soeg the iciritsnn mslesuc of eht nhad ear ywsala .tcfdefee

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 +0  upvote downvote
submitted by ∗madamestep(17)
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e"hT oexflr grpuo of uslsemc si lnvoievd in aoptorinn of eht errfaom nda ixlfone fo teh stwri dna egisfnr, wheil hte seonerxt proug of csuselm si olivndve ni teh pioausnnit of het emfarro and tnoxensie of eht itswr adn rf"sign.e

Frmo Assobm

ekeanWss of enxnetsoi i(aRdal )n dan oinoartnp Main(ed ).n

6C medgaa udowl eigv you CM ssng.i C8 oluwd egiv ouy nulra .nsgis C7 eogs to Manide dna dRial.a

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submitted by ∗nwinkelmann(366)
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reP iaidWkepi: hTe sticerp ,erelfx a eepd notedn r,feelx si a erxlfe sa it stiiecl rnvloanuiyt ntotcranioc fo teh etrsipc riahcbi s.melcu It si tdiintaie yb teh Cerlcaiv (fo eth enkc egorin) nlisap evrne 7 vrene toro (het alsml msetgen of teh nveer thta reeesmg rmof eth linaps ocr).d heT elexfr si ttdese sa trap fo het rolnigaueclo exnmantaoii to esssas eht rnossey dna mootr swapyhta ihniwt the C7 and 8C slianp ne.ersv

loA,s fmor a nfedritef wbeeits: eTh cistepr lrxefe is eeidadtm yb hte C6 dna 7C eevrn so,tor lanodptimnyer by 7.C ym.urdfm/nxebe/ecforuydues.l/tugeus:otnedt/roua.mielip/.psnmsrle/hrths.

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this is my way to think(please correct me if it's not correct: a. weakness of triceps muscle reflex --> C6 / C7 / C8 problem (FA P498 2019) b. weakness of extension of the forearm --> radial nerve is involved --> damage of C7 root leads to axillary or RADIAL nerve defect (FA P441 2019)

+/- joyceeepan(6)


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