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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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submitted by โˆ—sympathetikey(1600)
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niPa m;&ap eteaeprmtru erfsib ofr teh githr dise emco ni on het raolsd tighr ei,sd scros at the arneoitr ihwte miesmocu,r adn atvelr pu in het amniocihpalSt ta.crt

VsXA-:rkBAp7a8-tkli3h-cu9WtAI6-49cj/40gglsejhb.AAsll/64eIp.rigj3YuoQ2th/so6mnuGnoT2o9H1y4A/e4m.6XretAg/-8lgeo0///gZAt

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focus  eTh dirgmaa erhe si ttryep gat,re ,too rof hte nlsiaoicthpam rttca (dan ti si eresetpnd ides by sedi iwht het rolasd moulnc for )poiaons:mcr gctpn/nettl-rhteaittionacaco1-adc//cs/2yne.y/h-hooepsmgoxpnr:rsap/y4abstpel +


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submitted by โˆ—lispectedwumbologist(122)
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erW'e ingweiv iths iscel of hte lanisp cdro ormf eht ttboom irtg?h The etfl gtrih elbasl yaalws imx em p.u

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mcl  ,ahYe I sjtu tdsrea ta stih ngiaa fro a sdloi 5 estuinm srtiahtg pu ndgiy. I inhkt if re'ew gogin itwh eth RL/ lslaeb sa htye are hoswn no eht gie,ma neiamgi eth napttei lynig on ehtir shmcaot htiw trhie teef ipondet staowdr yuo and it luosdh amek een.ss +10
ankigravity  tuB why dluow aonnye vere wvie a tneapit leki att?h I mea,n ni the aer of iCvdo nad rnopg,in .ebaym +


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submitted by โˆ—anechakfspb(77)
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sloA oyu nac aepoextlrat that teh ibfser cgsnuai ihs inpa have dyaaerl eoscsrd rveo caeusbe stih si a vecliarc ipsne c,nstoie dan hte aipn hs'e avighn si urb/hcmcltaaoir

He'esr a iptecur ttha leyral :ledehp Xwc1p58er_vrco0_cbUCdhaYNax5rpKFl&saoj_/g0imyh8s;v33A.l4cFegnq3/spxh8=gshs7mM6pS+Hrsew1l=m1t8+shA&pa:wrmnU4r8aCl8prat==wSm8173i0bmYo2Ea=1o+/8udcuose&QliAcIlw0apcmt1XU=vQl;g&hksmQAMoccX;jg=+wKisaHr2ap+pmaJbmfaim&e;;a6aueabIUfs0o?+13o=uUsrpsn20&4t:c+eCUrc=;;AzKAimvsRw5tm;LGeS4ichmc=&ilpH0desM#3l&iEG.EqB9qbewoD

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 +1  upvote downvote
submitted by bigbootycorgi(5)
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ehT nhgti is, eth haitnliampsoc tctra ocssesr 2 bltvearer veslle pu nad thne esudceatss ta eht atirrnoe hwtie smmsiueorc to etg ofmr eth ihtgr ot het ,eftl os hwo do I nwko wchih bavreretl levle d'I eb gniowrk on siht ug?y

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chris07  I thkin eht ntamuspiso eerh si that we are egilnad tihw eht cdro oeitsnc ta the elvle fo the mbpor.el ehT tupreci si celidbryin lnmaise.idg oYu aehv to ntoire rofl.eysu eTh aorsld slmcuon F, E, ,A B rae icfgna the p'aintset .ipeorotsr eOnc uoy royplrep oinert ti in D3 cpaes, uoy wnko ahtt 'wthas lelbeda "ihrt"g si aactyull hte npaei'stt ,tlfe adn 'awhst leelbad "e"tfl is sih rtihg edsi. Suerp .suincnfog +2
sne  Teh pinut serasi in a /tmalirbp of body ta eth vlele fo e,inlos ternse hhgtrou teh osldra otro rcupetdi( tnbeeew A and )B, atssseeudc dan ndesacs at teh aoienrtr mrssmeci,uo and nfylial nespsyas on teh decosn rdreo noreun ni teh laeatrl tncailiasmpoh tcar.t So eth mcnoataihislp tcrta si rbeilpnesos rfo rtcaaertnallo ipan nda rereuttemap osetn.isan So AT HET ELLEV ceiltnalcyh dwoul be ni het adlsor lcmnuo +13
nwinkelmann  os,la 7rsh@c,0i I hnkit 'uryeo wogrn otuba teh lblase bgeni onwgr on eth ei.mga caeeuBs eth ithnalapcimso rttac = raarcleltaotn pian and tpreaemet,ur dna hte neitastp' anip si no the ghitr s,die oyu douwl atnw to grttea hte ftel taopmiahnslci ctrat rfo iapn fe,irel e.i. eth reaa lbeldea H. eTh aare balleed D lduow eb het tgrhi pihaoinsat,clm ulprye uesebca atht si who teh mgiae is l.eaeldb If you ueassm hte lbela si neffeirt,d uyo ilwl egt it .owgrn +12
kpjk  es@n I otd'n nhtik gnnrteie mrof hte ldaors ootr owdlu be ewbente A nda B. It wuodl eb arpt fo eht gyar tramte s,o tlalrae to B dan F +3
ih8payingfordis  I thkin eht key itnhg heer si ot gzrinocee thta teh ssrco seoctin wr'ee oolngki ta si a IAEVCCLR ntoseci, wihhc mnsea it's etilyefind ihgerh anht the eorcus of npia bak(c and nd.emao)b Thta elstl uoy that hte tcart sumt evha cdseors leyadra os ouy taterg eth atrraeallncto ids.e reeH si a odgo nkli to fdnteiyi ewrhe eht ocrd is rfmo vcr,ecail( ,htccaior ulrmba dna )lrasa:c ./stgpmeP/u/ms:wLhfhb/tS0doeF..uu1nipotn/.a8tsr0mgntn4yaac +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)

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submitted by โˆ—donttrustmyanswers(74)
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Wath si hte raea adbelle G'' dna ''C? And emor tscahrreca?

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alexxxx30  retllaa pstlairnoicoc i htikn +5


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submitted by alexv0815(10)
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uoy era oglonik at hits obomtt up sa( if nospre si on s)thcoam os L is titanep L nad R is npeiatt .R Tish sha eeacunt nad cialsgir sarct,t hciwh snema it is geihrh pu in occhitra pnlias docr adn os eth iompicaathsln ash lraydae eretdne and cedrsos. So eth phatway is mrfo het rdosla otro ognlgnai no R esdi -&t;g sreocss CAW -t;&g sgeo pu to ianbr at etlf "".H

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submitted by โˆ—handsome(3)
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AF 2020 PG 058 he seylilfaicpc ntisop to i rhgt danegnisc ltlaera oitalhmacipsn ttcar bet. ascalr cairlecv -for-- pain nda rttmereueap

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