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Retired NBME 22 Answers

nbme22/Block 3/Question#1 (reveal difficulty score)
A 35-year-old man comes to the physician ...
C7 nerve root 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by paulm(9)
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ePr lrUdWo (ID 513)55

hTe C7 rtoo si the mtso etlnuyqref tfceedfa neevr rtoo ni niptetas tiwh icvcalre aucphoritydl,a gterulins ni idcstife soscra eht aienmd dan drlaia rvnee idrbustoti.nsi

tgnig"nli ssnnitaeo of s"egnfri → demnia evenr

pe"cirts ecumls lexref si esredc"ead → dalria eevrn

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carmustine  reotAnh intpmtoar aoitciidnn thta isht nilvesov hte aidmne rnvee si eth saenwkes in ton.ponrai aoitonnPr fo eth ferroam si rmeefoprd yb eht rpntorao rtees nda het rtnaoopr uaa,urdstq htbo of wihch are rneneadtvi by teh maneid e.ernv +4


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 +5  upvote downvote
submitted by ∗mcl(671)
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tarnProo steer and ruastdqau era boht uldispep by dieamn rveen ///T7C,/861C(C5C os 'htast nto psure leuhl)f.p stxnoneiE of teh mareofr si iaradl reenv sal(o T,-C51 sloa not le.puflh) hTis oesd llte us si ti n'tac be oitdlsea aemnid ro aira.ld csrpieT dnoetn rfexel is /8C7C, chhiw nosrarw ti odnw to thsee tw.o

anC yeanno peilaxn wyh i'st C7 vero 8?C

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joha961  meaS qnoueits. woH ulcdo uoy idrnemete wtenbee teh fecciips envre otsor (7C vs. 8?C) +2
mcl  Soomnee I was lkantig ot a(dn ptos lwbeo) asw aginys taht frist dia nsminote eritpsc si C,7 so ttha's wtah 'vdlosheu bene eth big ghint ofr su. +4
joanmadd  uoy gtmih see meos nlaru envre omntleneivv fi 8C asw edvilnov hre +1
passplease  ubt eh ash eineerdgzal innigglt whihc si in htob unarl nad dieamn neors?gi +
chaosawaits  ,Asol 7C is the tsom nmocom etfcedaf nevre rt.oo fI tsi' a choeci ebwetne C7 nda mienhstog ls,ee go twih 7C wlaays nsluse oyu nca teiinvefdyli proev its' ont. +
freemanpeng  I cikhtn t'is the oygltieo. lngeSi 7C n-aser-Cei-ocliv-l Mhtaypaoicltod(rus cmnoom n:eo 66C7- soiNdc ); cush ihtng as lSeing C8 nl.eiso uAycatll ermo 8C adn T1 Lwlor(esneoi ktru)n +1


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 +2  upvote downvote
submitted by oslerweberrendu(4)
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cdrgcniAo ot lrU,wdo ID:Q 9 1717C7 momtoye is vediovln in elbwo ieso.onxsL kento like it l!ssteet

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I iknth htat siesu fo stirw eoneintxs nr/aod frnegi podr louwd be emor adiral vere.n ,worHeve tehre was erom paixlmor aweekssn, os ti duwlo be C.7

7"-8 yal mthe tah,isg"tr the tp odc'tuln "aly mhte tsarhit"g os ti dulow eb C7 roto

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welpdedelp  s*A na ,idtiadno maenid nreve emvoenltnvi wodlu vhea enlead mroe rtdwao 8C htna C7. +11
meningitis  Do ouy ehva yarmeon usfeul incoemsmn orf alihcabr uslp?ex +
henoch280  FA pg 944 rof insnomcme +
winelover777  'oDsnte olok leki rthee are anym ni FA 1290. 2SS/1 - Beukcl my oh.se LL/34 - tShu teh oord. /5CC6 - kPic pu kt.csis +
drzed  2S-4S kpsee eht ienps off eth forol :) tmcseea(rr ree)lxf +
peridot  a'Wtsh ycraz zrded@ si ahtt ni FA 2901 ti says L-12L (i"cttsslee mo)"ev no 948p. so I nerowd if ahtt egandhc +


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 +1  upvote downvote
submitted by obliviondo (1)
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ccngroidA to FA 0219 peTric feeRlx is iddmeate by 6C, sye C6 NTO ,8C nad C7 nI[ O,BLD mnlyigpi ti si mroe pm]iarn.ott

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peridot  Tihs is no .498p fo AF 1029 ofr ynenoa uosruic +
thatmd  FA 1220 gp 627 vhae C7 in bold rof rscitpe xrlefe +


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 +1  upvote downvote
submitted by delamj(3)
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My uthhotg eoscsrp no htsi stieuq:on

  • swseanke fo mar ienetxson adn oorapnitn = ondssu ikle eluccunssuauomot enrev CC7-()5

  • sTpecri thtcers feexrl 8;C(7C)-

ouuetlR:s e pscBi si 6CC-5 so ro/ .6C C8 to'esdn tif csumuausetlcooun cmleus atoicsn cntoai so /ro C6. aMdine nad ldaaiR rveens aehv ndefritfe muecls onsitac os o/r hoets as well, lagevin tsju C7 bste tnigfti eht gtv.tinee

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delamj  C8 ndse'to ift unausetucmosuolc suclem niotasc oacint so r/o C*.8* +1
lsp1992  I kniht uoy ehav eht tnufoinc of eht unlsmsoetuauccou veren grw.on ouc oaclsutMsuun seenv'r moort fucniotn is ionfexl (ipc,bes biaaisrhcl adn bchacaroarihs)iolc dan punano.itis unsotcoMcualsueu dutcnfosniy wudol uscae esswkean of nxoeifl dna tnao.inuspi kaens eWs of itxnoeesn olwdu be dialar ne.evr ssekanWe of otrpnnioa would be edinam +1


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submitted by ∗azibird(279)
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eHer si a ratp fo eth rolWUd tbeal otbua varicelc trolspecu.aiiadh Adn sye eyth idd ysa that C7 si eth most eqleufyrnt .olvvinde I tihnk the swaenr si ttha 6C lduwo niveolv teh s,bpeic 8C ouwld vlvenoi het ,rgfesin nad nrniopota is daimne ere.vn So ti ash to be .C7

.1is/Ut:mt/ajCrupchGmmog/v/

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 +0  upvote downvote
submitted by magrufnis(0)
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I’m ofseducn utaob shti ne.o knaWssee fo eisnxonet adn irnoonatp of het tighr ,eromraf thwi a dasrcdeee ritpces muslce thtcser xlfree. The rwnaes wsa C7 evern tr,oo btu who are yuo leab ot iaocelzl to C7 nad nto C6 or C?8 I fduerig atht neexistno is laidra, T1C-,5 nda itrnonapo si ameni,d losa 1.5-CT sprcTie relfxe si C7C8- 10F2(A9 sasy 7-C.C6) owH uolwd uoy woarrn wdon ot just 7C me?dgaa

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txallymcbeal  My 1F8A20 sah “C7” dldoeb, nmnagie ti is the naim rneev ot.or tuB I laos ogt shti one wngor so I ta’cn be uhcm lehp ssedibe h.att +1
mnemonia  elsyHont just a suseg but I vaeh sith vgaeu gaunennddsirt thta tciinirsn ahdn lscmuse era C-T18 os ew ’gthviem dpeecext eorm hdan orotm dfinigsn sa lwle thwi a C8 nl.oesi +5
theecohummer  I nrerwdoa ti ndow ot 7C nsgiu eht acft that teh C7 yeoommt si lbwoe tx.eienosn I sola nelaerd tath eht C7 ernev orot saw hte inam ortnbrciout to het ipecsrt TRD os I tjus etnw ihwt atth. +
mchu21  hyTe losa ieomndten thta teh esronp had wkaeesns aigrnontp hte irght mreoarf ihwch si rdoeprfem by the i.sebpc espBic is inevtdrena by hte msculutseuoucnao nerve hihcw si 7C5C- nda ta'sth awht heedlp em cipk C7 > .C8 +4
mcl  Sry,or I gohtuht teh escpbi asw a sorptiuna fo eht omrefra? +16
henoch280  se.y. tsi eht ripsuntoa nto anorotrp +


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submitted by ∗feanor(2)
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ehT 7C nerve ootr si ni ldob on 9ge4a.4P AF 0218 ni teh ipcreT ferexl loostrt,e h'Ttas houneg orf em .llo shTi mhigt uosnd a tib eltacaond tbu I bmererem aridgne wsermheoe thta weeenvhr 8C ro 1T geos hte citinnris csesmul fo het adnh aer ysalaw teef.cedf

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submitted by ∗madamestep(17)
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Teh" ofxlre rpoug of slmuecs is vvdnelio in ooatnnrpi of eth amrfoer nad xoniefl fo teh stwir nad fsreng,i hewli het roeexstn pguro of meuslsc is vnedloiv in het sanpoiutin of teh eforarm adn exisotenn fo eth swrti nad rfn."egsi

orFm smbAos

aeseWkns fo einxnsoet aRa(dli )n nad inrtaonpo Mienad( .)n

6C dgeama olwud vieg ouy MC i.gnss C8 dwlou egiv yuo lnrua snsi.g C7 gseo ot nadieM nad aiadl.R

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submitted by ∗nwinkelmann(366)
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Per :dpaiiekWi eTh sticerp eexrf,l a edpe tednno fexler, si a fleexr sa ti stecili uyailrontvn ntrcaotnoic of teh prtcsei bhrciai cus.elm It is aentitiid yb eht iCevarcl (of hte cnek )rienog saplni eervn 7 nveer root (eht msall tsgemen of het reenv ahtt seemegr rmfo eht inslpa d.roc) The refelx si tdetse as tpra fo eth ulieoncralog axiamnenoti ot esssas eth yossnre and mootr whytpaas iwtnhi teh C7 dan C8 nlsiap vens.re

oAl,s rofm a fieftnedr bwit:ees heT ticserp efrxle is edadimet yb teh C6 dan C7 vnere oo,str dmytiaplnonre by C7. stnhfosmhgunu/pe.r:yem/olel/mtmes/brlr/.ednst.iutoire.s/uyupareuecfddx.

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this is my way to think(please correct me if it's not correct: a. weakness of triceps muscle reflex --> C6 / C7 / C8 problem (FA P498 2019) b. weakness of extension of the forearm --> radial nerve is involved --> damage of C7 root leads to axillary or RADIAL nerve defect (FA P441 2019)

+/- joyceeepan(6)

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