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NBME 22 Answers

nbme22/Block 3/Question#14 (reveal difficulty score)
A 57-year-old woman comes to the physician 2 ...
IntercostalπŸ”,πŸ“Ί
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 +23 
submitted by βˆ—nala_ula(123),
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The istogyohl si fo scsreeoyhtp lmlsa( csehrapli clsel /ow lreatcn ol)rlp.a ratireHyed hsirsopcsoety is ude ot efectd in rnpsioet nreinttacgi thiw CBR anreembm klotenes and asmpal meebrmna kynian,r( andb ,3 nierpto ,4.2 npt)s.icre ysMlto louatmaso tionamdn cinrtinheae s(o zoeogteysruh attinomu cneis uyo nyol ndee noe ttaunm aelell ot tge the isa)d.ese


 +14 
submitted by βˆ—ilikecheese(47),
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fI yuo wnta ot nikth of this il,symp eth risb are cteoncdne yltisooerrp ot eht veertrlab uocnml. and eht eciaontrslt esvin nru eebwten mh,et so hyte ear hte lecsost to eth evlbartre lmuocn.

umpalumpa  Shouldn't it be mammary vein the answer? The breast cancer in question vignette is MEDIAL (medial part of the breast gives blood to mammary veins. The route should be: breast-->mammary veins-->anterior IC veins-->posterioir IC veins-->vertebral venous plexus. Therefore, the most direct pathway is provided by going through the mammary veins. +  



 +10 
submitted by βˆ—mcl(631),
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roaeIttcnls snvei aridn tnio the ygsgaymhaeouizz/suo e,insv hchwi unr irtgh exnt to teh tbavelrer m.ncolu Areotnh fseuul irdaamg ognihsw tlef and girth rstitlaneoc n.ievs




 +9 
submitted by βˆ—monoclonal(24),
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gi/iAtp2oEZgmucnft3.hm.pa:.r//

Thsi eigma ohsws het emutllpi venis ihhwc adrin betsra utise.s asey sialuv. ot( easy to sism ,ti utb i di)d

yb_26  this one is the best, thank you! +1  
canyon_run  very nice! +  



 +3 
submitted by βˆ—the_enigma28(55),
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rUlWod :DQI 74117 iopnto .A

e"Th PVV loas iascmoncetmu htiw eth gayzso vein ni hte ,cesht hcwhi niaxespl in patr wyh tbreas and lgun sccaner qenureytfl teeaistzmas ot het roctchai "nsepi.

erBast β†’ anrteIlstoc nveis β†’ gsyuzoA ienv β†’ ebrertaVl suovne lpexus (V)VP β†’ rreebeaVt

srmtn  https://i.imgur.com/3fZ2AaE.png +  



 +1 
submitted by βˆ—d_holles(208),
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ojlnaG imednonet hits ton( seru hawt trceeul -- ighmt ehva enbe eth dnoe e).no




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