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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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nPia ;apm& etputearrme fiesbr rfo eht rhtig edsi coem ni on eth oasrdl irhgt s,ied socrs ta eht eortiarn hwite emsm,ociru and vrealt pu in het tipaiocnlamhS .trtac

yYe.-/s46/-inoVr9iA34A/apWAs8lBtT/tIcgr6p6j/ekGuH0h3tA2-Q/omo/8:2h/bonAulAs69lmut-ZAegkh9ggl0jjg4.oetlcAe-X4r4X7Ig.s1

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focus  Teh rdamgia reeh is rtytep tra,eg t,oo orf het hpicnalaotsmi cratt nda( it si eertespnd ised yb dise iwth teh ldaosr mnlouc orf rnomp:)o iascb/rnoy/-hnyptmpptrtg.ttena/2ehnael-ccosy1dcgsex-ni/haceailop:t/opr4aosc/ats +



 +2  upvote downvote
submitted by โˆ—lispectedwumbologist(122)
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e'Wer enivgiw htsi ecils fo eht lnpais ocdr omfr teh mtobot irth?g eTh eltf grtih elalbs lsyawa mxi me .up

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mcl  Yea,h I utsj dresta at stih agnai rfo a sodli 5 semnuit grtitsha pu .nygdi I tknhi fi rwee' nigog whti the /LR llesba as hyet aer hnosw no eht ,giema imgaien eht iettnpa nlygi on rihet mahtsoc itwh rieht efet dentpio asrtowd uyo nda ti udhslo meka se.esn +10
ankigravity  utB yhw olwud enyano reev eviw a epittan leki h?att I nme,a ni the rea fo Cvodi nad norgip,n .emaby +



 +1  upvote downvote
submitted by โˆ—anechakfspb(77)
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lsAo yuo anc eletartoxap htat hte isbefr gcasuni his pani haev rleyada cdsreos reov besucae this si a eaicvclr sepin icentos, and teh apin hse' nhviag is rcuachorlatbi/m

s'Here a ueptrci atth arlley hd:peel m_+cacU0dilro.sipMbC8nNlsb1psHlwr&q;M=JUl4laa;Q3H0=+maEv&pa+ootpLq3K8m=omlp/hAp25oSU4Sg+50000hU8cco;IH6;mApUis;wf+givccGw7:;3+m:=mm8AE5rnwe1K&rAd=lIcbasr34#3pDwmschFmwaU4+=reBXsr8v2ase_as1/A&Gmrccs&ceta&2tv/b3nmu.mK&eXs10QFmcXgaaxxdhsp1hYwEigMpQiu8aueoC9=ojqAc6jysh;lsShC_Rirglzi1as7p=;&o88ekbit=eru=Yetefw?a1

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 +1  upvote downvote
submitted by bigbootycorgi(5)
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The tginh ,si teh poascminilhat atctr sersocs 2 lvreaterb levsel pu dan tehn ssetsaedcu ta eth erionart eiwth uosemcimsr ot teg morf hte ghitr to the ltf,e os owh od I kown ihchw lrtereabv vllee d'I eb wirngko on this gy?u

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chris07  I thkni eht uasmtnospi eher si thta we rea dieglna iwht eth crod enocsit ta eht evlle fo the .lermbop eTh tpeuirc si yldicbnier .amegnsliid oYu haev to ineotr ofru.esyl The lraods nsmluoc ,F ,E ,A B ear cafnig the att'npsei ro.sortpei encO oyu epolrypr tnoeri ti in D3 case,p yuo konw atth hat'ws dalleeb h"i"trg si aallyuct eth tsapin'et ftl,e nad wah'ts lealbde t"elf" si ihs rgith de.is eurpS ouc.sfngni +2
sne  hTe ntipu sesari ni a il/pbmrta of obdy ta teh lvele of nioel,s eesnrt uhghrot the rdoasl orot (iutpcerd wtenebe A dan ,B) secatsudse dan dasescn ta the nortiaer eimsormus,c nad llfayni nsspsaye no teh ecdson rdreo runnoe in the ealtrla mschaiinloatp .acrtt oS teh hloimacsatpni attcr is lronseipbse orf retcatalroaln niap and ertterepuma ntone.ssia So AT TEH VELEL htcceialynl odwul eb in eth oadlrs ulonmc +13
nwinkelmann  ls,ao h0r@,c7si I tkhni o'eyru onwrg tbauo eth lbsael giebn ornwg no teh g.iema sacueBe eth ptniilosmcaha arttc = trnacaretoall inap nad etrmurpeaet, dan the asitpn'et niap is on teh hrtgi ,idse yuo ulowd ntwa to gretat eht eltf apclmhotsniia rctat fro ipan lfieer, e..i het raea lbedeal H. Teh eaar lldaebe D woldu eb hte thrgi toismpcan,ahli uyerlp acueebs htta si how het eagim is dabele.l fI ouy usmaes eth blela is fnrf,ietde uyo lilw egt it w.onrg +12
kpjk  @nes I 'tdno kniht nngeirte rfom hte drlaso otor dlouw be eetwneb A nad .B tI udolw be prta of eth rayg etamrt ,os llatrea ot B and F +3
ih8payingfordis  I tnhki eth eyk gnhti eehr si to rozneigec hatt the rssco soiectn we're lgonoki ta is a VACICREL tc,isneo iwchh neasm ti's fyedtilein reghhi htan the uscore of pina abkc( nad .ma)endbo htaT eltls yuo htta eht arttc tsmu heva sdsoerc adyerla so you tgtrea the racalletatron .sedi e rHe is a odgo lnik to tedyinif ewehr hte odrc si fmor ,ecvcl(ria ,riotchac urblam and al:rca)s //s.Prga.a0s:10pnFentn/em8nbw/dt.uhs4p.icotmfLmtugSuy/aoht +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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aWht is eth eaar albedel 'G' nda C''? A dn eorm aacr?shetcr

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alexxxx30  llertaa orisotcilpanc i ikhtn +5



 +0  upvote downvote
submitted by alexv0815(10)
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yuo ear okgloni ta tshi mottbo up s(a fi oenspr is on tsco)hma os L si anptite L dan R is tpniaet R. Thsi sha eaentuc nad algrsiic acrtt,s cihhw aemns ti is hrgeih pu ni cochiart pslina rdoc dna os eth aimnstiloapch ash adleyra tedneer dan sr.oedsc So the pwatyah is mrfo eht asldor troo ngloiagn no R sdei &-gt; rscsoes WCA -;t&g geso pu to rainb at felt "".H

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 +0  upvote downvote
submitted by โˆ—handsome(3)
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AF 2020 GP 058 eh psfliccaeiyl pintso ot rithg dcnanesig trellaa lsnhaociaitmp cattr bet. carlas ericclva -ro--f aipn adn eerrutempta

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