share email twitter ⋅ join discord whatsapp(2ck)
free120  nbme24  nbme23  nbme22  nbme21  nbme20  nbme19  nbme18  nbme17  nbme16  nbme15  nbme13 

NBME 23 Answers

nbme23/Block 2/Question#23 (24.3 difficulty score)
A 75-year-old man with prostate cancer has ...
Prostatic venous plexus to the vertebral venous plexus🔍
tags:

Login to comment/vote.


 +16 
submitted by usmleuser007(377),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)
  1. Csrcena fo eht psl,ive nlgdciniu eth rotaesp,t esdarp ot eht aualmosrlbc pseni iav eth etlrabrev vsonue slpxeu VV.)(P

    • ehT VPV tiecmaocmusn htiw a remnbu fo eovuns wren,skto iglnudcin hte actotpirs vesnou sx,eulp hhcwi eesvicre the oevuns uppysl frmo het oerp,atts ip,esn nda ddl.eabr

    • VVP nurs pu the reetin iaplns olnmcu adn ensctcon iwth eth nuoesv ppulys of the bnria avi a vellseavs eysmts ona’t(Bss ulPxs)e hhwci slawlo for ierlocdnbitai olwf dna raenilogtu fo lirtnaiaranc hsiserrepsu.T uovnse onenctcino ot eth rblceaer ucratniolci aym hepl iexnalp eth nsioteppyr of murtos ot esiatstaemz to eht rbia.n

  2. hTe VPV sola ecamomutsicn wtih eht zagsoy inev ni het htecs, icwhh pilenasx in ratp hwy raebts nad lung csaercn nqrelfeuty asaesmeittz ot eht ihrcocta pesin.

    • y,lailSrmi ude ot mponayrlu vnuose dregiaan otni teh telf esid fo the aht,er nlug umstro efotn psaedr syemyltiascl iva hte etrarlai .teyssm
  3. oAhhtgul lymph sndeo ear het stom mconom tesis fo smsataeist in nr,eaelg hciatmply sdarep ot teh eelastlk mtyess si vyer arr.e

  4. ehT imarppfionm lspxeu evrseiec oeuvns ageindar mofr the ie,sstt edid,iiypsm adn cuudst rdnsfeee and rsdain otin eth uslatertic is.vne




 +1 
submitted by d_holles(173),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

Lsoesn dnereal -- eth NBME dnt'eos aypl i.rktcs If ti oslok gthir, it is hrt.ig

thotcandy  but also when it looks wrong it's right, or when it looks right it's wrong, or when it looks wrong it's wrong. you never know with NBME :) +8  



 +0 
submitted by usmleuser007(377),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)
3. reCancs fo het epsv,li ugcinldin hte otspt,aer psarde to teh ocramaulslb neisp avi talhrete rbve uvones p(exVlu)Ps .V a. hTe VVP cetnasmiucom tihw a nmuebr of suvone wnosket,r i. dlicnniug chrseatitp ot osenuv eusp,xl ihchw eisevcre het suevon plyusp orfm het ttpa,reos nipse, and dbdel.ra  .b VPV usrn pu the ienert plsain mconul nda teonncsc ithw hte svneuo puypls fo eht inrab iva a velsselva mytess sta('soBn Pxsu)le .i cwhih lslawo fro nerilaticbodi wflo nad ogriauentl fo rictnnlaaiar .srpur ese i.i sThi snvoeu ncionceont to het ebrerlac acnltruioic yam phel pxlaine hte tnseorippy fo ursomt ot tsaazeimest ot teh ..irban 4 Teh VPV alos cmtceisounma twih het soygaz evin in the hs,etc whihc pislnxea in atpr why etrsab nda gnul nrccaes uyelefqnrt aemszattsei to teh cctiraho  ien.ps a. iarlylmSi, edu ot lauympron vsoenu iaagrdne noti eth letf eids of eht eath,r unlg mtsuro foent spared iyyseslmtcal vai eth liaratre y e.s.mst5 tAghohul mhpyl enods are the omts cmoonm ssite of siasteastm in e,gnlera hmaitpcyl pdrsae ot the ekleslta ytmsse si yvre re..ra 6 The nmarmippfio psxuel eieecsvr voesun daegrnai fmro teh e,stist diisipye,md dna uucdst nfedeser dna naidrs ntio eth istcutrela v. ensi



 +0 
submitted by cuteaf(5),

Why is it not answer " Postatic venous plexus to the the internal iliac veins" I thought the route of metastases to the spine is prostate plexus -> internal iliac veins -> vertebral plexus??

mariame  The major metastatic pathway to the vertebral column is via the vertebral venous system, and it appears that prostate cancer cells first metastasize to the vertebral body and then spread secondarily to the processes or other vertebrae. https://pubmed.ncbi.nlm.nih.gov/8065995/ +