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Retired NBME 23 Answers

nbme23/Block 2/Question#25 (reveal difficulty score)
A 44-year-old man with invasive pancreatic ...
Area labeled โ€˜Hโ€™ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +2  upvote downvote
submitted by โˆ—sympathetikey(1600)
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inPa am;&p rteeapeutrm ifbrse rof eht ghtir sied cmoe in no eth dloars gtihr ds,ie rossc at het otrieanr wieth ,omeuimrsc nda atelvr pu ni eht iaoihatpmnlSc t.ract

m06og.ttg1/Ab-2.hA/rAyA93tsgnAkQuscluIe3hpA//-eh-l6rj//4ll4uZ.0Wk6c44/n9sgsejoYtg:ao8r/XH9AI-igA6ejiVX2l8pm-GTt4Boeo7

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focus  ehT agdrima eehr is tprtey greta, ,too ofr teh aonmlaitpsihc rttac na(d ti si resepndet ieds yb ides tihw the salrod lnucmo fro :pio ronmasc)xt1.s-dsenrhatettstytic/pllnee/oypgc4a-pm/io:nobpc/2ygpacotarhhaoa-ne/sn/rc +



 +2  upvote downvote
submitted by โˆ—lispectedwumbologist(122)
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e'erW iwgenvi shti sleci fo eht nplsia odrc ofrm the obottm ?ghitr heT etlf rhitg belals yawlas mix me pu.

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mcl  ,eYha I tujs serdat at hsti iagan fro a isdol 5 mutnesi tgsihatr pu ydgi.n I knthi fi e'erw gogni htiw teh /LR lblsea as yteh ear oshwn no het ime,ga iimnega the ttnpiea iygln on rieth caohstm twhi etirh teef eiptdon adtrosw oyu nad it hldsou akme .snsee +10
ankigravity  But hwy uwdol oeynna evre ewiv a tnptaie elki ?ttha I man,e ni the era of dviCo adn nprniog, by.eam +



 +1  upvote downvote
submitted by โˆ—anechakfspb(77)
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lsAo uoy acn xetplteoara taht the bifrse ngasiuc hsi pnai avhe lraayed oredcss orev ubecase itsh si a clveicar ipnes enicot,s adn the apin hs'e inghav is /cmtracibuhlora

'srHee a rpcietu ttha rlelay lph:ede iap+mns=yojwe3x8rmgs/S2lIw1osYC16aXCbKrwAsm8C8ei=a5l&c?.9o45fcapMaS0gQ+pbp&L+02aA#anU_less=lXgaKk50A:buwpoaUfpp4lcl0SEU&eo1UegI;KaimbFsr14+X/mmclvpchhqAmc&7B=&wosr/czahi;s=mHsNteu13tslv8vEi=8;JGcp&Ec6mehterthmY=pqmm&o==Avl.ardr433eu8unc;s;+id;+rDsa:a3icFRUQpUm_dc8H3=wwj;G8aMmcA1sQ;Mr&Hhgqrw0ioob_2eih71s+t0x0

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 +1  upvote downvote
submitted by bigbootycorgi(5)
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The hitgn i,s eht ciopmlnisatha ttarc scsorse 2 rvbeartel sllvee up dan neth casssedtue ta the raetnior whiet ommseuirsc ot tge mfor hte igrht to the fl,et os hwo od I wnko hiwhc terrlaevb vleel dI' be gkirown no tsih uyg?

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chris07  I inkht eth osupitnsam rhee si that ew are nialegd twih hte crod icosetn at het ellev of eht emblrop. ehT tuirpce si nblirdeyci eidmingl.sa uoY veah ot tneori s.efryuol eTh aldosr lmouscn ,F E, ,A B ear cniafg eht e'tantips iotps.roer Ocen ouy porpyrle ernito ti in 3D peacs, uyo kown tath hwsa't leblaed ihg"r"t is alualtcy the 'pitanste te,lf and tsa'wh ebladle ltfe"" is ihs grhti .ised Speur f.nicsgnou +2
sne  eTh uiptn serias in a taibmrlp/ fo bdyo ta eht ellev of i,nelso tresen utghrho eht drlaso oort pitrudec( nebweet A nad B), usseadtecs dan edsncas ta het raoitenr ,scirmumseo dan aiyflln nssepasy on hte nedcos ordre ueronn ni eth latelar aiiplhncomtsa tcra.t So the iiltopacnshma ttcra si obeisprnsle for toaletaalrrnc anpi dna rauteterpem intssno.ea oS TA ETH ELELV yihaenlcctl ldowu be in teh ldrsao mlncuo +13
nwinkelmann  l,aso rs70ich,@ I tikhn o'eury nrwgo tbuao hte blsael einbg wrgon on hte imega. cuaeBes eht aoahsmtipclni tract = anlaolcrterta ainp adn t,mrraepeetu nad the 'ntateisp ipan is no eht igrth eds,i uoy odluw awnt ot teargt het etfl scnthamlpiaio atrtc for npia ler,ife ..ei eth eara ebleald .H Teh aare lbeelad D lwdou be the rihtg a,mcopnilistha eupyrl ucebeas thta si hwo the aemig si edlab.le fI ouy aesums eth eallb si ,fetnidefr uyo illw etg ti wrngo. +12
kpjk  @esn I dtn'o ikthn nneigetr fmro eth ardlos otro olduw eb etwebne A adn B. tI doluw be tapr fo hte ragy mtaert os, aelrtal to B nad F +3
ih8payingfordis  I nhikt eth yek nhgit eehr is ot oegzrnice hatt teh corss nsiceot e'erw lnkiogo ta si a CCRAEIVL eictons, chwih emnsa st'i fienilydet hrghie tnah het cseuro of pina (acbk nad maen.db)o tTha lltes yuo ttah het catrt stmu aehv coedrss aladyer os ouy trgeat the ttaarclaloern .isde eeHr si a oogd nlki to niiyfetd weher het dcro si rofm r,lvaceci( ai,orctch lrbaum adn crsl)a:a i0Ln.cas/Suot..yempPhtn:wrfmnm//0atngt/84apsF.ugs/obtduh1e +4

If you assume that because the pt has R-sided back and ab pain somewhere in the lower thoracic, and you know that this slice of cord is above that because it has a posterior intermediate sulcus present (i.e. has both a gracilus and cuneatus track), then you know that the spinal cord slice is likely above where the pain is, therefore the spinothalamic has crossed over already.

+6/- spow(50)


 +0  upvote downvote
submitted by โˆ—donttrustmyanswers(74)
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htaW is the reaa blaeled G'' dan '?'C d nA reom a?shaccrert

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alexxxx30  rtlaale cotrpicnasoil i hntki +5



 +0  upvote downvote
submitted by alexv0815(10)
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oyu are loiogkn ta itsh ttmobo up a(s if orpnes si on mth)ocsa os L si iptnate L and R is aietnpt .R Tshi sha tenecau dan csargiil a,scttr wihhc anmes it si heghir up in itrcoach ipnsla codr dna os het nmailtpcashoi ahs raldeya nteeder dan edsrocs. So hte wyatahp si rmof het sodrla rtoo ganlongi on R side -&;tg reosssc AWC &t;-g gose up to ibran at etfl H.""

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 +0  upvote downvote
submitted by โˆ—handsome(3)
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FA 2200 GP 085 eh fcyiispaellc inpsto ot htirg gaeidcsnn leraatl alctpanmiohis rctta bt.e cslraa lceirvca -fro-- npia nda rrmeetupeat

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