NBME 23 Area labeled ‘H’ (NBME Answers)

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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 ‘H’ 🔍 / 📺 / 🌳 / 📖
tags:

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submitted by ∗sympathetikey(1600)

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aniP a;p&m eteatumrper ifrsbe ofr hte hrgit eids coem ni no eth odrsla thrgi si,de ossrc ta het rrientoa whtie ri,mscuemo adn vtealr up ni the mliShioncpata ttar.c

mm4kAssrpht1llB-e7r48AYT0oAAsiArj/0-2o44tu6/.-kg/63onhAlgutytGegous/g29ep-Q-gg./c964c3AZ.I/I:i8/V/nhXllt9jAbHXea6jWoe

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focus eTh daairmg reeh si trypte arte,g to,o rfo eht hsmntipialaco actrt dn(a ti is dneeertps sedi yb deis thiw eth rlodas clounm fro iracopm)o:n sopgpdy-n./itnprtpt/ht:r4snc/ehcxilelysgo2naeotesbycachtaat-aeoon/sr//am1pc- +

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submitted by ∗lispectedwumbologist(122)

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rWee' iignwve shti iecls of het lspani cdro mofr teh obomtt gr?hit heT lfte ghrti salleb swalay xim em p.u

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mcl Ya,he I jstu aesdrt ta itsh niaag rof a soldi 5 ntiuems shrgttia up niyg.d I knhti if wree' iggon ihwt het /LR blseal as thye rea ohswn on eht am,eig gmaiien het tpaenti lying on riteh soacmht twih hirte etef odetipn doswtra ouy nad ti lsdhou amke neses. +10

ankigravity Btu yhw uwlod aeonyn reve wiev a eainttp keli ttah? I ,enma in hte rea fo Cvdoi adn pongr,ni baye.m +

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submitted by ∗anechakfspb(77)

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loAs you anc trpleatxoae atth teh sbirfe gnciusa his apni have yadrlea ssdcero vroe abucees shit is a leciavrc eisnp t,osenic and eht naip eh's gaihnv si aiarctcubor/hlm

rs'eHe a rtciupe atht lrleya h:ledep &Xqsht3o1mnr;cuspayccbh&S428;_mh4ccKwe&eizg+=f2smbGRirmwN3lgablp+AI0DoAoru/tE.iaLod7YoAJlU+mwa11i4n#emj6x+mm8namYAe=Fsaw:KpHdsBsj9aws3srX1ioa_U;;u8k;m+;+18=a5AexGpU0=a02vplQtQhXcpieEA/br3ta41s;Chcg&u&q0UpMcc7e&vcqM?lCpwrF=r3ilm+U&:S3w=f50E8vpsCgIcr=_U.va8eQbmhi=r=5pS0t8/sssd&aHslhM6=eomog1aecrlacl8swi0HpKo;m

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submitted by bigbootycorgi(5)

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ehT ghitn is, eth omcpthniaaisl atrtc oecssrs 2 eeartrblv llseev pu nda nthe ducstseeas at teh aoterinr white smcieourms ot gte fomr eht rihgt to eht f,let so owh od I okwn whhci tarlbeerv elvle dI' eb nowkgri no isht g?uy

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chris07 I ktnhi het ainmustpos eher is ahtt we aer egiladn itwh het rodc ocenist at eht lvele fo the .berolpm eTh ipetruc is ienirlbdyc de.naimsilg oYu heva to ntiore .yrlusfoe heT ordsla nlcuoms F, ,E A, B ear anfgci het ntpti'esa sopiert.or eOnc yuo eoypprlr neriot ti in D3 ,pcase uoy wnok tath hts'wa leedbla "hg"rti is laaulcty het tne'iptas ef,lt nda wh'sat edlebla t"l"fe is hsi itrhg seid. Srepu f.sungocni +2

sne eTh tinpu reissa ni a /lbatmipr fo boyd ta the levle fo lis,noe tneres hohgutr the olsard toro rptiuced( bewntee A dan )B, seestsaudc and daenssc ta hte rtoreani ummrsc,oise dna lyainfl eyssapns on het eoscdn odrer nuenro ni the rtaelal imctpsoihlaan atc.rt oS the atnichapolims ctatr si onlesipbres orf aactoralnelrt inap dan epemurtraet nosnia.tse So AT EHT LELEV acnycitehll ouwld eb in the ardols noclum +13

nwinkelmann soal, ,0ic7hs@r I nkhit 'yeruo orngw uotab het sealbl genbi nrowg no eht gia.me euBceas eth aaoniitspchlm atrtc = raellcrotaant anip and mtrteaeep,ru adn teh tne'ptisa pina is no eht rhgit d,sie oyu lowud wnat to rttaeg teh tfel sptaoinhcmial rctat for ipan feelr,i e..i hte aear abldlee .H eTh aera albdeel D udwlo eb teh girth mslpcniaioath, eyplru csbaeeu ttha si woh teh agmie si el.dalbe fI uoy semusa teh llabe is ietrfdf,ne you lwli teg it .orngw +12

kpjk esn@ I d'ont hnkit nengetri romf hte dosral orto olwdu eb btweene A nad .B It oludw eb trpa of hte rgya mttrae os, taraell ot B nda F +3

ih8payingfordis I hnitk eht key gitnh hree si ot zeonecrgi ttah teh oscsr tcnsioe erw'e loognik ta is a RAECVCIL cni,eost chwih esman tis' lneiifedty rhehig anth teh ocruse of niap kbac( nda .danom)eb atTh lelst you ahtt eht atrct mtsu have cosrsde aydarel os uoy tterga teh oartrtelcanla sid.e r eHe is a ogdo kinl to idtinfey ehrew het orcd si omrf cc,ilr(eva iohrtcca, ubalrm and rs:a)lac /hetmg/SLwnhnr4msuonuPs:yo.ap81itd/apt.e/snbtmuat.0F.fc/g0 +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 ∗donttrustmyanswers(74)

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ahtW si eth raea ebaldel G'' dan ''C? nAd orem saa?ccrhetr

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alexxxx30 taellar nicorpaclitso i tknhi +5

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submitted by alexv0815(10)

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uyo era ooglnki ta hits otmtob pu (as fi esnrpo si no at)somhc so L si ittnpae L adn R is patteni .R ihsT sha aeuntce dna rgiiascl ct,atsr hcwhi means it si hgirhe up ni hiacotcr lpisan rcdo nad os the ompacaiintslh sah alayred eredent and .dessroc oS teh yawathp is rmof hte arsodl otro nlgoiang on R esid ;g-t& soerscs AWC g;&-t oseg up ot abrni at elft "".H

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submitted by ∗handsome(3)

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AF 0202 PG 850 he pcyaecfiilsl onispt to hirg t esicdgnan tlrlaea cpoismtaialnh attrc e.tb aasclr cacilevr fr---o napi and reampetertu

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