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NBME 23 Answers

nbme23/Block 3/Question#41 (reveal difficulty score)
A previously healthy 45-year-old man comes to ...
Infraspinatus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +12  upvote downvote
submitted by โˆ—sugaplum(487)
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always remember them in order with formula, SITS=AEEI
and the two on the END are AD-DUCTION

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makinallkindzofgainz  The supraspinatus AB-ducts. The Subscapularis ADDucts +
makinallkindzofgainz  disregard my comment, I misread what you meant +
drzed  How are you supposed to remember which S is which? +2
drschmoctor  @drzed "Supra" = on top, so the 1st S is for supraspinatus. +1
usmleaspirant2020  according to Physeo : INFraspinatus--EXternal rotaTION------INF-ECTION +
destinyschild  wow, sugapulm, that mnemonic is gold. you are gold. +2



 +5  upvote downvote
submitted by โˆ—yotsubato(1208)
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So this question is describing a guy having difficulty externally rotating his arm while the forearm is flexed. He is able to supinate while his arm is extended (because of the supinator muscle and biceps). In the rotator cuff, only the infraspinatus performs external rotation, so that is the best choice.

Biceps works fine here

Subscapularis performs internal rotation.

Supraspinatus performs abduction

Triceps provides extension of forearm.

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bigjimbo  technically rotator cuff infraspinatous and teres minor do ER (but teres minor is not a answer choice0 +9



 +1  upvote downvote
submitted by โˆ—skonys(58)
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This exam writer probably has the nicest shoulders ever. It was most all the anatomy questions.

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 -2  upvote downvote
submitted by โˆ—paperbackwriter(161)
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INfraspinatus goes OUT (i.e. external rotation) and therefore supraspinatus does opposite (internal rotation).

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paperbackwriter  Apologies! Subscapularis does internal rotation. +2



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