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Retired NBME 21 Answers

nbme21/Block 1/Question#34 (reveal difficulty score)
A 30-year-old man develops urinary ...
Pelvic nerves ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—hungrybox(1277)
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ynyeicamsho sodtpe htis grate pic blowe

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eacv  ehre is a doive rfo itaonsilutr t:UmbW=yxs0t/Su/?whecoovt/woNc.p.kavswwuht- +2

Based off this pic:

External urinary sphincter: inhibits (via pudendal nerve) Hypogastric nerve: ฮฑ1 receptor โ†’ contracts internal urethral sphincter โ†’ inhibits Pelvic nerves Correct! M3 receptor โ†’ contracts detrusor muscle Pudendal nerve: inhibits (Nictonic receptor) โ†’ contracts external urethral sphincter โ†’ inhibits

+2/- hungrybox(1277)

External urinary sphincter inhibits (via pudendal nerve)

Hypogastric nerve ฮฑ1 receptor โ†’ contracts internal urethral sphincter โ†’ inhibits

Pelvic nerves Correct! M3 receptor โ†’ contracts detrusor muscle

Pudendal nerve: inhibits (Nictonic receptor โ†’ contracts external urethral sphincter โ†’ inhibits

+/- hungrybox(1277)

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 +11  upvote downvote
submitted by โˆ—peridot(115)
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eHer is ym msuyamr fo teh drtuco/peviei taht asw :dpeost

rehTe ear 3 payshwta evldinvo ni eenpgi:

  1. liPvec n. (kaa pievlc hlccnanisp ).n ednss mciptaapsteyhra sbefri to sdetrorul to tacntcro -;&g-t qzeesue erbddal adn .eep

  2. ostrayciHgp n. dssne csptheymait birfse to eht leourtdrs to exr,la as lelw as eht iaeltnnr tnsechrpi to nctotrac -t&-g; ldho cbka eep

  3. ldnauPed .n dnses smaitco erfisb redu(n cousiscno trc)onol ot eht tnaleexr niphsrect ot tatnrcoc ->-; ohdl akbc pee

In tsih qu,teisno the te'nsiatp dderbal is gillfni up os uchm taht i'ts deocfr ot o.lwvrefo tahT smane teher si a lpbemro hwit nsicareo 1 - aaegdm ot picvle .n os taht he tc'na eeuzsqe hsi drdbale eevn wneh 'ist seurp ful.l

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peridot  oT cl,irafy sthi ditsrionecp is taemn to go nlaog twih sb@'nogrhuxy pci ilkn dna acevs@' idoev lnik +4
lovebug  nhsatk a to!l +


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 +3  upvote downvote
submitted by โˆ—neonem(630)
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Teh ralasc rmincitiotu reenct is 1 of 3 moptnoscne of tmonctuiiri eflerx tro(eh 2 era orfm oenintp ectrlruia frmiaonto nda balrcere x)trc.eo raacSl tmic erntce = 42-SS nipasl odcr veell tearvngil romf tvnrael iehwt eatmrt in het iPvcel venres, orpelesbisn rfo eabdrdl rociocnattn avi hte rehilicogcn eenvrs kn(tih it csta no teh M3 teerropc ni het eadrbld re.uor?st)d If uoy soel sehet esenrv ie..( ni clivpe ,rac)rtfeu wlil uletsr ni ofverwol ncc.onninitee

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 +2  upvote downvote
submitted by โˆ—meryen13(48)
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lpcive n;&eevgrt-- iseracsen vndgoii u,rnei 3m e,eroprtc pi rcygmehpyipasatrtoahctas &tv-neger;- nrieecssa ynrauri otnietnr,e csptyhaitm,e taeb 3 adn lpa1ah el. urcdatppdeensor ge-en&v-;rt tno tpar of nr,cuiiiomtt tis a mcaosti ponomtcen nda sah a tcininico e.reotprc

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huszagmc  roEbitnagal htwi a itb meor : iTaheedlt lareddb veseeric pitun mfor tobh teh tcmnoouai ptchti(sayme nda tycptreapmish)aa nda iaotcsm rsma fo eth onvurse sSptsemmytcei.ytha โ€“ psayitgchro evnre T12( โ€“ .)2L tI ucessa irealtoaxn of hte rroutsed sel,cmu roptimgno einru hoPa.ine yapmctretetnraits โ€“ eplvci enrve 4-2)SS.( edseaIrcn sisganl mrof ihst ernve saceu cotncanoirt of teh ordutsre ,lsecmu silnmatutig inoruattimcim it.oSc โ€“ lduapedn nreev (2-S).4 It neenrivtsa the erxnleat rleuahrt rs,peihntc nrdgoviip lvtornayu ctlonro voer Iutimiontc .rni shit squt,nieo the amn has a sdedtnide la,erbdd ihcwh I rtpndeeetir as h"e n'act niatrue psya"tolnnoseu hesoe(ritw eh bbryapol w'utnodl tel ihs ldaredb gte so .).ul.fl -โ†’ emess klie he sha ituycflidf tncncrtioga eht dersruto ulmsec ot itiintea rtimictnuoi -โ†’ isesu twih pvliec rnv.see +1


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 +1  upvote downvote
submitted by โˆ—yo(89)
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sgurnpyislri dgoo aeoplintnax nad iueprtc fdnou no itsh si.te gtoemhisn nagol eth nslie fo ciattiuonnimr fleexr (aak lberdad si lufl dna uoy pssi f)reexl si geno so het efrnefta frbsei irygcanr hte ainslg ttah the dbalred si lflu ntare' gnikwro. thoes ersbfi rea arrcdei ni the ivpcel rsvnee

tp/t:/sipwgpml/i.tceoi-esttnuyor//wu/csrwoxrbdooc.errmydouit/gpicot

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yo  if still snue,fcod a betret lxotaanpein acn be onudf icsnahriohstrsrhtth:suurnsnopasjoeotene/m/iuwiiant.gt.//eodn/bl/n.e c u +24
hyoscyamine  i dufno hist amegi to be llepfhu in rgrbenmieme hihwc evrnse do wtah no whhic cepreo.rt ihyimtgdWxs/cpvels.:wJt./mho.kptlaamiitrjX//fgae/ueo +7
drdoom  ^ iinkyfl oy sottbnduohsnaetncjs/itsn/t/re.ir/o./u.h/:ouliiwnutoepicmnrhansgas +
drdoom  ^ yniiklf ocemnhyaiys rsiexgk/emavmJl/a.cooethjs.ptpd//hX:y/muagWi.tiitflw +


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 +0  upvote downvote
submitted by โˆ—bbr(58)
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mI' ltsli ed,ocfuns rehew is stih ygus rlmpbeo ccuoni?gr sI taht eh is elaunb to ,uterain ro atht eh ahs orfvlweo ineonncnc?ite egttiGn slto in etesh nrev.se

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