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NBME 21 Answers

nbme21/Block 2/Question#41 (reveal difficulty score)
A 75-year-old woman has the sudden onset of ...
Posterior inferior cerebellar ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro strokes

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 +4  upvote downvote
submitted by โˆ—hyoscyamine(59)
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Tihs si trlaela ynd/beuIlreClrmagAWalle/P .yesmordn ehT oanwm sah maaedg in eth ptmtiahsyce nhaci yers(osn snsmydore are rlaaelt aogcncdri to eth elru of )4s tulrsinge in rorneH e,osrdmyn mhpsicotnalai tratc (/inateppm hhicw era sloa s,re)yons dna NC IX nad CN X nuoydscftin nsuigelrt ni hte dyaar/hyiitsrgadashp pelhs( us ilaceloz to eht uaed).llm

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nala_ula  oAls, tjsu ot ,dad FA csisefpie thta Nculesu uigbmasu scteffe aapsidg,y(h rsnaees,soh deeasdrec gga exefr)l ear fipscice to IACP osils.en +2
cienfuegos  knsahT orf eth ni.tup I haev awalys udnfo tish tpcoi to be ytrkci adn ujts aecm crssao siht crtaeil ttah phldee me uot a otn gdgnarier teh urel fo '4s mnhcseayio intmsone e.bova p/s./tu:Lrtbj/ehbcOdB +9
lovebug  FA 1029 5!2g0p +
pfebo  oD'n"t PIAC shore essea)(ohsrn ttah cnt'a ate spdg"ih(ay)a +2

if you learn the rule of 4 its going to make this question really easy and almost a free mark. I learned it from Boards and beyond but I'm sure you can find it in other resources. so, horner is sympathetic damage--> s is on the side loss of pain and temp--> sensory--> s is on the side so we know its lateral now which cranial nerves are affected? dysphagia and speaking are both symptoms of damage to cranial n. X. rule of four says the first 4 cranial nerves are above pons, the second 4 are in pons and the last 4 are in medulla. so this is a lateral medullary syndrome.

+3/- meryen13(48)


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