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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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ePr UrloWd ID( )53551

heT 7C toro si teh tsom nferlqteuy aetdfcfe rveen rtoo ni snpaeitt whti ciervcal uoairdphtal,yc urigstlne in edtsiifc csasro het naiedm adn alaird rvene uiidisnsotr.tb

igtl"ning otnenasis of "isrgfen → aemidn veenr

ts"pcrie ucmsel relefx si dcae"reeds → ilaadr rneve

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carmustine  entrAoh ortnpmati nidntiaoci ahtt isth olsievvn hte amdnei venre is the eskaewsn ni ropi.tnnoa ornoinatP of eth amfrreo si rodpmrefe by eht anoptror teers nda teh norpator ,qadasturu btho fo hiwhc era erandenvit yb eth endmia enr.ev +4



 +5  upvote downvote
submitted by ∗mcl(671)
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oornratP eestr adn taurasqud ear otbh duelipps by amined enver 5C7/6(CC18/,/TC/ so sa'tht ont respu p.l)efuhl etniEsonx of eht efoarmr si raadil reenv s(lao 5-,TC1 aols ont plfelu.)h sThi osed ltle us si it nct'a eb dstoiael maendi or a.ldair icrsTep donent elxefr is C/C87, whhci soarnwr ti ownd to steeh .wto

aCn onyena lnpiaex wyh 'ist C7 evor C8?

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joha961  meSa unotqei.s woH oucdl you rmiedntee bwteeen the iscficpe ernve osrot 7(C v.s )?8C +2
mcl  meSoeno I was ainlgkt ot adn( ostp bwelo) saw sianyg ttah stfir dia omsiennt ciestrp si ,7C os sth'at htaw eshu'ldov enbe het bgi nhgit fro s.u +4
joanmadd  yuo gimth ees mseo aunlr never ievomtlvnen fi C8 asw ndlvovei ehr +1
passplease  but he has zeigdenealr iltiggnn hcihw is in hbto anlur and mdniae nsgri?oe +
chaosawaits  ,soAl 7C si hte otms ncmmoo tedaecff vnree oro.t fI is't a iohecc wteeneb C7 dan ihnteomsg e,sle og thiw C7 wlaasy ssulen oyu acn ieeidfnvtliy reovp i'st otn. +
freemanpeng  I cihntk it's het l.tgoeyio ilngSe C7 -anseCoc-l-rel-vii yrc(uopdMtlahaisot momonc eo:n -676C ;dosi)c N shuc itnhg as glenSi C8 .ilenso Aylucalt remo 8C dan 1T Lse(inorolwe uk)nrt +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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irdAnoccg ot ,ldUrwo IQD: 117797 C ytemmoo si dvilnvoe in eobwl ox oniteLk.snseo eikl it t!sltese

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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So I tnhki that issue of twisr onsntxeei no/ard grnief rdpo oludw be reom adrlia ne.evr e,vowHer reteh asw ermo iloxarpm ,snwesaek os ti odluw be 7.C

-"78 ayl thme ,rtiaht"gs eth pt lcd'unto "lya mthe trsgthai" so ti oluwd eb 7C orot

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welpdedelp  A*s an iidnoat,d edmani reven mvnevetolni odulw aehv enaled orme wotrda 8C than 7.C +11
meningitis  Do oyu vaeh eaynomr ufeuls ncismmeno fro baalihcr ?lpseux +
henoch280  AF pg 494 rof smncimeno +
winelover777  teosn'D oolk leki hetre aer aynm in FA 219.0 /S1S2 - ueBkcl ym h.oes 3L/L4 - uSth eht ord.o C56C/ - kcPi up .itsskc +
drzed  S42S- eespk het pesni off eht rolfo :) aterc(rsem )xelfer +
peridot  Wash't aycrz @dezdr is atth in FA 2910 it sasy -L12L ttiee("sscl m)e"ov no 9.p84 so I rewodn if hatt gndchea +



 +1  upvote downvote
submitted by obliviondo (1)
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digorAncc to AF 9120 Tcerpi xlefRe si dtdmeeia yb 6C, yes 6C NOT C,8 nda 7C [In O,DBL ymnligpi it si mero iar.montpt]

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peridot  ishT si no 849p. of FA 9210 orf onaney uoirscu +
thatmd  AF 2021 pg 627 hvea 7C ni oldb rof cpreist exlrfe +



 +1  upvote downvote
submitted by delamj(3)
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My hgthuto psrsoec no siht qiuon:est

  • swesanek of arm neontsxei adn riopanont = dssoun klie octcuumeusuanosl eervn ()7C-C5

  • cpersiT hetrsct xfeerl -)8C;7(C

sl:ouutRe peBsci is 56C-C so /or 6.C 8C 'tosnde fti euacssunlucotuom umlesc tiancos aonict os /ro .C6 aeniMd adn Railad esvren evha rtifdfene smceul insatco os /or tesho sa lw,le eiagnlv just 7C tesb nittfgi eht etev.ignt

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delamj  C8 so'tnde tif luessuunatccmuoo ulmecs isocatn caitno so o/r C8**. +1
lsp1992  I hntik ouy aehv teh nicuntof of eht luuoacuseotcmsun nveer .onwrg u canouostluuscM ese'nvr oomtr unntocif is xfnoeli pi(ecs,b lsarciahib dna oacalrcrshob)ihcia dna ioptnnusi.a eouMluoutnccusas indfcsynuto duowl caesu wesesakn of nfexlio dan .suponitnai akseeWns of nexnsiote ludow eb ridlaa en.rev sWseekna of pnrtoinao oludw eb amidne +1



 +1  upvote downvote
submitted by ∗azibird(279)
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eHre is a tpar of teh dlWroU abtel outab evlrccai s.aolhiturdpaeci ndA esy ethy idd ays htat 7C si the tsmo eeulqtyrfn .noivdelv I knith eth snwrea is thta 6C uoldw lovivne teh bpe,cis 8C duowl ilvnoev eth fre,nigs nda onaptiron si ndmiea .venre So ti has ot be 7C.

tt/gajop:h1ircvm/.CGU/u/mms

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 +0  upvote downvote
submitted by magrufnis(0)
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I’m cudnfsoe botua ihst oen. snesaWke fo nnoexiest dna ootainrpn of eth gthri rfamo,re hitw a drecaeesd tirepsc uecslm hrttesc rexl.fe eTh rswena was C7 vreen ,toro tbu who ear yuo leba ot iocelzla ot C7 and ton 6C ro 8?C I dfrugei tath ntosnxiee si ilda,ra -1CT,5 nad aroonnitp is ,denmai olas .5-C1T eprsiTc elexfr is C7C8- FA01(92 sysa )C.6C7- woH ouwdl yuo arrnow owdn to utjs C7 dama?eg

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txallymcbeal  My 0A28F1 hsa “C7” l,dodeb gmnenia ti is teh nmai eenvr rt.oo tuB I laos tog tish noe orngw so I ac’nt be cmhu lhep sseiebd tat.h +1
mnemonia  tHeslyno utjs a sguse ubt I aehv shti uagev ingtedaunnsrd taht iinrcinst dhna msclsue rae CT81- so ew t’hmgiev ptxedece ermo adnh rtmoo nsngfdii sa ellw hitw a 8C .lisone +5
theecohummer  I ondwearr ti donw to C7 sgiun hte tcaf taht teh 7C oeymmot si woleb e.nsxotein I olsa enlaerd that hte 7C reevn orot aws eht mian riotutnrcob to hte pirtsce TRD os I juts wtne hitw a.tth +
mchu21  yhTe saol emnonitde htta hte nopres hda kwnsasee tnrpogani eth thgir romefra chiwh is eepfdrmor by eth c.esbip ceBpis is deenraitvn by the cusulucootaumsne evnre ihhcw si 75CC- nda 'tasht htaw pdlehe me pikc 7C > .C8 +4
mcl  yr,rSo I ughttho the ecbspi aws a oapisrntu of eht om?afrre +16
henoch280  ..sye ist eht npaortsiu not trparoon +



 +0  upvote downvote
submitted by ∗feanor(2)
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ehT C7 rvene orot si ni odlb no 9ga.P4e4 FA 1820 ni eth irTecp fexrle sol,oertt Tha'ts ngheuo fro me .lol Tish higtm odsun a ibt dnclaaeot tbu I rbermeme dngriae erheewsom taht eervnwhe C8 or T1 sgoe het icrnniits meslucs of eth adnh rae wsaayl fftd.eece

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 +0  upvote downvote
submitted by ∗madamestep(17)
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hTe" fxeorl rpgou fo ulemssc is dloivevn in pioarnont fo the eraofrm dna oefnixl fo teh srwti nad ings,fer lehwi hte noexerst gpuro fo mesculs si lveodinv in the aisnpniuto fo eth rmofear dan tenonxesi of het rstiw nad "isge.nfr

Form obssAm

essnWeka of enientxso Ra(iadl )n dna artonipon d(nMaei .n)

C6 maegad uwldo iveg ouy CM nisg.s C8 uwodl vgei uoy urnla ns.sig 7C oesg to iMndae dan .Rdilaa

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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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Pre dii:ieapkW Teh ceisprt le,erxf a pdee nntdoe rx,eelf si a xfreel sa ti tilsice vnuyairotnl oitonnatrcc of eht erisptc ibhairc sume.cl It si ntdatiiei yb the eaCvirlc f(o eht ekcn eor)ign aipsln vrnee 7 vneer toro t(he lmlsa gmeenst of het eernv htta seergem rmof teh ainpls odr.)c ehT ereflx is ettesd sa ptar fo hte rgleooiaclun taaoineimnx ot essssa the nresyos and ortom aspytwah ntwhii hte 7C nad C8 sipanl ernsev.

,oAsl omfr a nifedfetr isw:etbe heT tscpeir xefrle is atmeeddi by the C6 dan 7C ervne rsoot, yendmrioaptnl by 7C. oeu/ps.tetngrxirtepfehreoetednlfs:l.iy./ymunac/u/msuurm/mos/dslbhredu..

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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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