NBME 24 Answers : Block 1 : #3 = A 52-year-old woman comes to the physician ...

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NBME 24 Answers ↦

nbme24/Block 1/Question#3 (35.5 difficulty score)
A 52-year-old woman comes to the physician ...
Intercostal🔍
tags: metastasis oncology lymph

+23 upvote downvote
submitted by lsmarshall(345),

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artist90 VEINS: 1-Intercostal veins drain into Azygous vein which drains into SVC BUT some blood from this Azygous vein is also draining into BATSONS VERTEBRAL VENOUS PLEXUS how the breast cancer metastasizes to vertebral column. 2-Internal thoracic(mammary) vein drains directly into Brachiocephalic vein. 3-Lateral thoracic vein drains into Axillary vein which drains into Subclavian vein which drains into Brachiocephalic vein. ARTERIES ARE DIFFERENT: Subclavian artery----branches into---Internal thoracic(mammary) artery---Intercostal arteries. Internal thoracic artey is used for CABG if there is 1 vessel block. +10

+1 upvote downvote
submitted by zbird(2),

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+1 upvote downvote
submitted by yex(60),

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medguru2295 this was nearly word for word on NBME 22. Slightly different wording maybe? +

+0 upvote downvote
submitted by suckitnbme(113),

Tfw NBME said there's no repeats on 23 and 24 and then you get a repeat.