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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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nPai pa&;m uepmtarreet siberf ofr teh ihrtg dsie omce in no teh adsorl rghti edis, scsor ta eth eranirto wieth cimmeuors, and ralvte pu in eth lhiaicotaSpnm cartt.

ggiXe8l1ts//84Aj64a9Yto9gA4ge39/huQuhBZV0enroo7gs2-b6l-hoIeTcAWA./tp0lsgAnl6m-lrye-ukA/3iX4A4o.r-p/Gm62:kt/jctI.sjA/H

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focus  Teh aaimrgd reeh is ttepry tearg, o,to rof eth hosiamnlapcti rctta (nad ti is rednpseet esdi by dies thwi the oarsld cmluon ofr orn:so)aic pmreoldnpxalphtypyo/sn-eercganny:s-m/ochsi./ea-e/occpttg/posbtta4icah2ar1tn/t +


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submitted by โˆ—lispectedwumbologist(122)
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eWe'r iivwegn ihts lesci fo the nipsla docr omfr teh bootmt ?hrtig Teh ftle gtihr lslabe awlays mxi em u.p

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mcl  ehYa, I juts estadr at hist aanig rfo a olids 5 emintsu stgahtri up n.diyg I thkni if we'er onigg thwi het L/R albsel as ehty rae howsn no het g,emai nmgiiea teh entatpi lyign on tehir hamtsco iwth trhei etef oepdtin arstdow oyu and ti odluhs kame ssnee. +10
ankigravity  Btu ywh wodlu oanyne reev weiv a intptea ikle hta?t I am,en ni eth rea fo doCiv and ,gninpro e.aymb +


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submitted by โˆ—anechakfspb(77)
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Aslo you can etaolxrapte atth eth fibrse sacnugi hsi apin veha yaarlde rscdeos vero scueeba stih si a vlcciaer pneis noisce,t dna eth apin s'eh vignha is mtiaurchboracl/

eesr'H a cprieut tath eyalrl he:pdel Ui.t/A/bt1ocpae1;Gis2sgaSXt_UjQ+qh0amhj7xm=&=:aamca3srcDHr2bccle30=gec#c8CQAxlr0Lepwucns&=ghsKel8pN0wGaoArbMtgr=01ppues/E+?livKmo&+omdpmepAm=hlKaw5CsY8sqw;9o1r8c4&lnC4a3m2+Rrw=0a&cvrlAcIo3or;Fl70Si.:q8di&_=4Hp86oaa;;8;3gahE+dFlbJheMmpup15a+fseUu;ir1QnUwSEm&scsmsI_m=A1t&wk+4YMs6spwafUeHmvU58cih;XzBo=yimvi3Xsb

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 +1  upvote downvote
submitted by bigbootycorgi(5)
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eTh hgitn si, teh ptincahmlasio tctra rscesos 2 artelvebr esllve pu nda hnte taucesdess ta eht nrirtaoe hewit soecmumsri ot get mrof the htrgi to het felt, so woh do I wkno hcwhi tvebealrr vllee d'I eb rkwnogi no siht ?ugy

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chris07  I thikn het astpuminos ereh is taht ew are giledna thwi eth ocdr tcsneio at the lleve of teh .roemlbp heT pucteir si lryicbdien sim.lgeaind oYu vahe ot oneitr usyfoe.lr heT rsdoal uoslmcn ,F ,E A, B rae infagc het 'atepisnt rrspoiteo. Onec you lperoypr onteir ti in D3 es,acp uoy nkwo tath hatws' ladlebe ih"rt"g is atlylauc the ptn'siate l,tef dna at'swh lbeeadl fe""lt si ish hgtir d.eis Seurp .usnnigcfo +2
sne  heT ptniu issrae ni a t/palrimb fo dboy ta het vleel fo silon,e ntsree outghrh eht darslo toro cietudp(r tebewen A adn B), tcassedues adn sdcsaen at eth eronrtai ,mrcssumieo nad fiyllan esnsspya no teh esdcno ordre ruoenn in teh arllaet shntlacmpaoii ca.trt oS hte nptshiicaloma atrct si spinoebrlse rfo rcnolarttelaa anip and epttreaeurm annistsoe. So AT EHT LELEV clilyctenha ulwod be in hte adslro uoclnm +13
nwinkelmann  losa, ci@0sh,r7 I ktihn ueyro' ronwg ubota eth llsabe ebnig nowrg no eht aie.gm aBseecu eht pmitailsachon cttar = rnoelcrtaaalt nipa nad teperau,etmr adn eht sn'tpetai ipan is on teh rhtgi edi,s ouy owudl tanw ot tagret hte flet ipsamcnhaiotl tartc ofr ainp lr,fiee ie.. eth eraa ledalbe .H The aaer ldelbae D dwoul be hte rihgt toli,ainacsmhp leurpy ebuecsa ttha is who het igaem is ebdel.la If yuo sauems eht alelb si erie,fntdf yuo will egt it rw.gon +12
kpjk  nse@ I no'td tnhki tigrnnee frmo het ardols troo ldwou be webeten A nad B. tI uolwd be rpta of eth ragy trtema o,s atrelal to B nda F +3
ih8payingfordis  I kihnt eht key hngit erhe is ot ceozgiren hatt het rssco senitco 'weer kloigno at is a IVCCRLEA ncoi,ets hwchi nemsa sti' ynedflteii eighrh hnat the rocseu fo anpi (cbak and eomnba.)d ahTt ellts ouy thta teh cttar ustm eavh scrosed ladyrea os uyo regatt teh llotaacratren d.sie e Hre si a godo nkil to difniyte herwe teh drco is orfm areci(vc,l caichtr,o ubmlar nda aralcs:) pufsh.n/Fthtoe///nP408oamans/eag.SdLstrbnuwg.0.:c1ptituymm +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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athW si eht raae aledlbe G'' dna ?'C' A dn eomr he?arcastcr

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alexxxx30  eatalrl iaccstoprnlio i ihnkt +5


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submitted by alexv0815(10)
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oyu are ioognlk ta iths ottbmo up a(s if npsreo is on h)acsmto os L si ptateni L adn R si ntaetip R. hsiT sah cnetuae and grsaicil ,rtacts chwih smean it is geihrh pu ni hcortaic psinla droc adn os eth moiactalhinps ash yaeladr terdeen nad scs.redo So eth wtypaah si fomr eth drsola toro ngangloi on R edis ;-t&g osescrs CWA &g-;t eogs up to aribn ta felt H"."

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submitted by โˆ—handsome(3)
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AF 0220 PG 850 he fcpliclieasy ospint to igrht csnaidgen lrtlaea omnaiiltchpas arttc bt.e lrasac rcliavce o-f-r- naip nda reaemtutepr

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