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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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eocmshaiyyn sodpet tish retga ipc blewo

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eacv  rhee is a ovide ofr atlonrsitiu tUxcvk/SwNwuwbvhwptotuoe0s:.c=sm/?.Wth-oa/y +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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Here si my yuammsr of het cvurti/epeiod htat wsa tpod:se

erTeh rae 3 wyashpta vvlnoeid in :pieneg

  1. vliecP .n k(aa lipvec cpliacsnhn )n. sends escrpaatihtypam firbes ot tusrrdoel ot ttrnocca g&;-t- ueqezes dabelrd nad eep.

  2. oHpsratciyg n. esdsn tctmsihapey resbif to the odturersl ot axe,rl as elwl as eth natlreni tceiphnrs to rntactco ;-t-g& dohl kcba pee

  3. dPaeunld n. dnses stmciao ebsfri n(ured scocsnoui otor)cln to eth exlranet cnhetpirs to ocrcantt ;t&g-- lhod cakb pee

nI tsih iotqeun,s hte snttipae' lerddba is ilgilfn up so hcum hatt sit' rfeocd ot frevool.w tTah nasem heetr si a oeblprm thwi craoeisn 1 - dameag ot pcveil n. so ttha eh ca'tn sezeeuq ish edrbdal eenv wenh 'tis upres .full

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peridot  To ayrlc,fi thsi tsicropndie is tnmea ot og nolag with ybngh@'xsoru pci nkli nda es@avc' doeiv knil +4
lovebug  ahnkts a o!tl +


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 +3  upvote downvote
submitted by โˆ—neonem(630)
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eTh aarcls mniruociitt cetenr is 1 fo 3 ootnsnpmce of outmiritnic exelrf (hteor 2 are mrof itoenpn rureltica tirafnmoo and ebrlrace tr.ce)ox larcSa ctim ertenc = 4S2S- lnaspi drco lelve aingvrtle frmo lntrvae hteiw rmetat ni the ciPelv nresve, sebrlnipose fro dedblar ncooraittnc via hte ihlcecnorgi rvsene ti(hkn it tsac no teh M3 rcetrpoe in hte rleddba sdteoru)r?. If ouy leso heest serenv e..(i in clvpie ar)tcf,ure lwil retlsu ni rwoovelf ntnnenioci.ce

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 +2  upvote downvote
submitted by โˆ—meryen13(48)
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vciple envt;r&ge-- rnescesia idgvnoi re,niu 3m po,etrrec pyiamcshiyaarg stpcrphtoate nte-e;g-&rv rasncsiee yrriuan note,tnier schematti,py btae 3 and p1ahla nptdspeue .odcarerl ;n-tgr-&eev ton aptr of cuitoi,itmnr sti a msacoti tcmnpooen dan sha a tiiocincn pceot.rre

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huszagmc  oaEagntilrb thwi a tbi eorm :ladhete Ti ldrdeab sreieecv ntiup rfom hobt eth tmuooanci phtits(ayecm dna acrtt)pspaymeiah nda osictma rmsa of eth nvuseor isamtmtscyeSpt ey.h โ€“ aghrtcopisy envre (T12 โ€“ )L.2 It secuas aetixrolan of het etosdrru cel,usm noimrtopg uerni icrsetmn.peareinh atyoPtat โ€“ elicvp eenrv .S-4(2)S nedIcrase lgissna mrof tshi nerev uscea acortncniot fo het derousrt ml,scue lmsatiguint caooiitmnrtiicumS .t โ€“ adeldunp enrve (4.2-)S tI tneersvani eth nelxtaer ahtrelur p,hnisrect viogprdin oyturlanv torlnco oerv Iircit tmonun.i tshi oe,squtin eth nam sah a dsdeietnd el,arbdd icwhh I diteprtrnee as "he antc' ntreiau yeoosatn"uspnl sriehweo(t he yopabrlb w'ltdonu let hsi erbaddl get so u.fl..l) โ†’- eemss liek he sah ficiudltyf cotngctarni het udrersto cesmul to iaetitin iuiocnirttm -โ†’ uessi twhi elpcvi s.vnree +1


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 +1  upvote downvote
submitted by โˆ—yo(89)
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rrlpsiuyinsg doog paonlntxaie nda riupetc fdnuo no shti e.its tohgiesnm loang the elins fo nturmnoiciati xeerlf aa(k brledda is ulfl adn uyo sips frel)xe si geno os the tffreena eibfsr yrcingra hte ngiasl atht eth edbdrla is flul aetrn' gnroki.w etohs ebrsfi rea draecri ni het piclve seevnr

t//ts:pioo/nwoeplcesigtor/osidguxu-robri/ey/wco/tcpwtdyrmtmi.tc.pur

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yo  if itlsl oesdc,fnu a breett etlnpiaaoxn acn be ufdno ontr s.opeasnten eetrtcti//outmirnria.ngdisoi:caslunbs/s/ouh/heuwjhh/.n +24
hyoscyamine  i dfuno hist egima ot eb hflepul in eremmbernig which sreevn od hwat on hcihw o.eprrcte ttJoixWsyhXarpk/gtlcp/.e/jtf/esomm..l:ehavimgiua/iwd +7
drdoom  ^ yilknfi yo usensnbg/.aoiernhi/tiatwstju/noec:/uni/onttds.hutia.mpln/ooshrcrs +
drdoom  ^ fkliniy samncoyieyh xcsi/eevumtwi:.l/egmsJdkjag.hrWyt/.flmiaioottX/app/h +


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 +0  upvote downvote
submitted by โˆ—bbr(58)
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I'm lilst end,fcsuo hewre is hits gysu rlpmeob r?cniucog sI atth eh is luaebn to arneuit, or that eh sah vwoorfle cnetio?ecninn intgGte ltso ni sethe sren.ve

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