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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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reP UdroWl DI( 5153)5

The 7C orto is eth toms ltfeuqyner ftcdeeaf nvere troo in ipaetstn hwit lcervcia it,ahuyapolrdc riugtsnle in dsticife aocssr teh eaidnm nda liadar neerv itstodibnsur.i

gtnin"gil oiastnsen fo frg"esni → iedmna eevrn

strpice" usecml fxelre is a"sdeecedr → draail eevrn

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carmustine  rAhenot iontmtrpa tnidciaion htta ihst evnilosv hte iandme vrene si the kewansse in ipnaortn.o iPatnoron fo eth aefrmro is rdoreemfp by het nrraopot etesr nad eht tpoornar qduaaru,ts btoh of iwhhc ear ernavneidt by hte diaemn vnere. +4



 +5  upvote downvote
submitted by ∗mcl(671)
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rPaonotr tesre adn daqrsuaut ear thbo disluppe by nmiaed eevnr 71,5C6/TC/CC8(// so ha'tts nto pruse p.hfe)lul nintoxEes of eth remarof is arliad reenv aol(s 51,TC- oasl nto uepf)lh.l Tshi eods tell us is it tnca' eb asioledt nmdiae ro ril.ada Treicps edontn rxefle is C/8,C7 chihw rsrawno ti dwno to teshe .tow

naC neoayn axpnile yhw it's C7 reov ?C8

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joha961  mSea istuqne.o owH cldou ouy meetdreni wnbetee eth cefcisip nreve osrot 7C( vs. )?8C +2
mcl  oSmeoen I wsa ltgakni to ad(n ostp owbel) saw asyign ttah ftrsi dia imnneost cspiret is C,7 os ht'sat whta dlhoeuv's eben the gbi inght fro .us +4
joanmadd  ouy hgtim ese semo runal vrene levvmneoitn if 8C aws dvielvno hre +1
passplease  tub he has reeizldngea nilgngit iwhch si ni both nlura adn enidma r?gisneo +
chaosawaits  l,Aso C7 si hte msto cnommo tafedfec enrev r.oot If si't a cchoei etewneb 7C adn siogmtneh ,esle go hitw C7 aslawy sulnse uyo cna efiitvieyndl vrpeo 'sit no.t +
freemanpeng  I hnkitc it's teh tyoeilgo. Segnli 7C iC-lacnse--rilev-o Mral(ytahcstidoupo mmonco neo: C67-6 N;c is)do chus htngi sa inleSg 8C eolins. tluayclA oemr C8 nad 1T sLoowen(eril ktru)n +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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idgnAoccr ot ,Urodwl QDI: 97C17 71 eommoty si ovdeilvn ni lbewo Loxsoeokse t.nni ekli it tseslet!

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I kniht thta suesi of rstiw enneotxis /adorn inefgr rpod ldouw eb rome diraal renve. ,oevHwre teher saw rmeo rxloipma esnsea,kw so it olduw be C.7

"-78 lya tehm sr"ghia,tt eth pt lutoc'nd lay" thme irtts"hga so it lwoud be 7C otor

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welpdedelp  sA* na a,itddion deanim reevn nimenvoevtl uwdol ahev ldneea erom dtraow 8C ntah C7. +11
meningitis  Do oyu ahev anomrye leusfu smcniomen ofr hlriacab spul?ex +
henoch280  AF pg 449 rfo ncsenmomi +
winelover777  tse'Dno ookl klie eerht are nmya in FA 2.910 S2S/1 - uekclB ym es.ho 43LL/ - Stuh hte .rodo 5/C6C - Pcik up kcs.tis +
drzed  -2S4S skeep het insep ffo het oolfr ): rre(cmteas xfeelr) +
peridot  ts'hWa rzacy zdre@d is atth ni AF 1290 ti sasy -LL12 tec"eslt(si ")evom on .4p98 so I dwrone if atth cdahegn +



 +1  upvote downvote
submitted by obliviondo (1)
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gdircAcno ot AF 0912 ecrTpi exRefl si imeetdda yb C6, esy C6 OTN C8, dan C7 [In DLBO, lmigpnyi ti si eorm t]iran.mtop

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peridot  Tshi is no p49.8 of AF 2910 fro naenoy uoisrcu +
thatmd  FA 0212 gp 276 ehav C7 ni oldb for icsrtpe leexfr +



 +1  upvote downvote
submitted by delamj(3)
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yM uhgttho srpcoes on htsi t:iunoesq

  • nsesewka of ram noesxtien adn nonrpaoit = dsuosn keli leasnusmocctuuuo evern 7C5(-)C

  • pricseT thectsr rxelef 8-7C()C;

ouRtlu:se cispeB is C6-C5 os or/ C6. 8C od'tnes itf lsuecumaoctnousu uscmle atsconi cnaoti so ro/ C.6 nMaeid and alaRid nrvsee veah neefdfirt csulme aoticns so or/ hesto sa wl,el avglnei sutj 7C sbte tifignt het eeintg.vt

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delamj  C8 sodnte' tif osunmceoucltusau uslemc sntioca ntcioa os /or 8*C*. +1
lsp1992  I nitkh uyo ehav eth tofcnnui of hte anecoousuluuctms rveen rgnw.o ns cluoatMuocsuu 'evners trmoo citfunon si fniexlo eip,(csb sihbailcra adn hcclcairioar)oahsb nda nsiuatnpo.i oocuuMetulscsaun dtiysufnnco uowld saecu nkwessea fo liefnxo dan npusnt.aioi kes Wesan of eexonsnit udlow be ridala v.rnee eWeknass of ornopaitn udolw be ienamd +1



 +1  upvote downvote
submitted by ∗azibird(279)
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eeHr si a atrp of hte drWlUo lbaet utoab ilcvreac ioe.actrpidluahs And sye tyeh idd ays tath C7 si teh tsom tfuyeelqnr leivo.vdn I khtin eth swrane is atht 6C ulodw lnovevi het cbisp,e 8C ludwo vinvelo eht fe,ngirs dna tinoprano si eaidnm e.ervn oS ti sha to be .7C

ovUgt/ujGi:a1m/t.chms//Cpmr

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 +0  upvote downvote
submitted by magrufnis(0)
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I’m dfcousne tubao siht n.eo nWasskee of txoneenis nda aotorinpn of the trihg aremro,f htiw a aeecsderd ctperis esumcl thestrc ree.lfx Teh easwrn saw C7 nreev toro, but how ear you able to icelzola to 7C dan ton C6 or 8?C I efruidg ttha eiexosntn si ldaria, 5,1-TC adn pnratonio si iaednm, aslo 1-5.TC iTrpces ereflx si -87CC 9F12A(0 ysas )6C7C-. woH loudw yuo wroanr wdno to stju 7C emgaad?

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txallymcbeal  My 0A8F12 ahs ”“7C dlde,ob nmngiea ti is het mnia vrnee oot.r tuB I olsa tog ihts neo ognrw so I ’atnc be umhc lpeh sbsdeei att.h +1
mnemonia  sHenotly jtus a usegs btu I heva itsh vegua nenidurtndags htat ctiinrisn adnh smulecs ear -TC18 so ew ihevm’gt exeedpct mreo anhd ormto gdnfnsii sa llew htiw a C8 inle.os +5
theecohummer  I eoarwrnd ti odnw ot C7 nusgi hte cfat that hte 7C mtoemoy si lbowe st.oeenxni I slao eealndr taht eth C7 enver root asw eth mina boticutnror to the rsceitp TRD so I jstu enwt htiw ha.tt +
mchu21  yThe aols tenoidmne tath teh npreos ahd ewesanks niargtonp het rhigt eoafrrm hhiwc si eepomrdfr yb hte .cpbise psBcei is anevdetirn yb het umeuoslocuasctnu evenr hchiw is C75-C adn ast'ht thaw dlehep me ikcp C7 > .8C +4
mcl  rroS,y I tuohtgh teh esbcip wsa a nsioratpu of het amrr?foe +16
henoch280  sye.. sit the siunorpat not atrropon +



 +0  upvote downvote
submitted by ∗feanor(2)
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Teh 7C neerv orto si ni blod no eg.4P94a AF 2810 in eht icerTp eelfxr olrteso,t shtT'a guneho rof me .oll sThi gitmh uosnd a tbi aetolacdn tub I ememrerb dinrgae eowermesh atth renhvewe C8 ro 1T osge eht nnictsiir lcsemsu fo het danh rea alwysa fe.ecfetd

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 +0  upvote downvote
submitted by ∗madamestep(17)
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h"Te fexolr uopgr fo ecumlss is vlivdeno in naoitnpor fo eht emrfroa nda oifelxn fo het iwrts nad eirgsf,n hweil eth rnoextse gporu fo lmssuce si lviovned in eht itunspiano fo eht rrmaeof adn stinoxene fo the rtsiw and "isgefn.r

rmoF osAsmb

seWseank of esinonetx dRiaa(l )n adn trnopnaio nMd(aie .)n

C6 admgea olwud gvei uoy CM si.gns C8 oduwl evig oyu ranlu gssni. 7C eosg ot iendMa nad aal.iRd

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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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reP apedWik:ii hTe tipescr erfe,xl a edpe ndtneo relexf, si a fxerel sa ti eiiclst oyvrtuianln rtcnicatoon of het ctripse caibihr cmlu.es tI si tdniteiai by het ilarCvec (of eht eknc )gnroei plnias verne 7 nerve oort h(te slmla tegmsne of teh nrvee htta smeeger mrfo het lnaisp do.rc) Teh exrfel is dttsee sa atpr fo the olnaeocigrul mntenoixaai to esasss het enyrsos dna omrot hwptaays wthnii the 7C nda 8C lspian n.reevs

Aslo, ofmr a fdftieern etiw:ebs ehT terpcis xerelf si eietaddm by het 6C adn C7 enerv ost,or lnorntepydaim by C7. eaumon.edce/mmhu/t.nriydefr.f/lspdxets.nlogritu/:uruhuetesrme/p/osylsb.

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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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