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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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rPe WodrUl ID( 51)355

Teh C7 toro si het mots lyrfuneeqt aefcedft renev orto ni ptisaten hwit calvreci trphycuola,dai giuetlsnr in dtiescfi srasco the damnei and lradai evenr iuiotrtisdsbn.

igtginn"l nestasnoi fo grie"fsn → aemnid vnere

citep"sr semluc eerxfl si ascdreee"d → radlai evner

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carmustine  tohArne atitmnopr icotiniadn ttah isth vinolvse teh madnei vrnee is hte nekwssea in onnip.otra oorPantni of teh ormafer is frrepoedm by eth aprnotro serte dan eht atrroonp qdaurus,at htob of hihwc era ertevadinn yb eht ndmiea .enevr +4


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 +5  upvote downvote
submitted by ∗mcl(671)
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aPorrnot eestr adn usqtaadru rea hobt dipuplse yb ideamn nerve 6(T,/81CCC/C5/7/ so tht'sa otn srpue hplfe.lu) exoinsEnt fo the maerorf si ialrad eevnr aso(l T5C,-1 loas tno efpuh)ll. iTsh osed etll su si ti can't eb daseloti edniam ro drilaa. escriTp endtno efrlex si C,C78/ wcihh onrwsar it dnwo to sthee wo.t

anC anneyo inpxael ywh 'its C7 erov C8?

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joha961  mSea osutqin.e Hwo lcuod ouy dieetmner btewene eht picecsif evern oosrt 7C( s.v ?)C8 +2
mcl  Soneemo I swa igtalkn ot ad(n sotp owl)be was iagsny thta sftir ida innoetsm csrpeit is ,7C so hts'at tahw 'vlsoeuhd eben eth gbi nihgt for s.u +4
joanmadd  oyu imtgh see emso anlur enver vmiontelenv fi 8C swa edvlniov hre +1
passplease  but he ash lageidenrez giigtnln wchhi is ni tohb unalr adn maidne nre?osgi +
chaosawaits  ,lsAo C7 is teh tosm nommoc ctefdeaf envre o.ort If s'ti a eccoih btnewee C7 adn ogmhtnise e,esl go tihw C7 aawlsy uessln oyu nac eldivnfeiiyt ovper t'si tno. +
freemanpeng  I hntick 'sit eht iyeoo.glt liegSn 7C cCnei-or-i--laeslv doiaolttypMarc(hus ommcno neo: -76C6 c)d;Noi s suhc hgnti sa ngSile C8 ionlse. luAaltcy omre 8C nda 1T sLo(liworeen )kurnt +1


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 +2  upvote downvote
submitted by oslerweberrendu(4)
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rniAdocgc ot ldwrUo, IQ:D 7 79C117 mometoy si dlinoevv ni leobw ssooeikLxontn e. liek ti et!lstse

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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So I ktinh that essui of srtiw tseoxinen ardn/o egifnr dpro ouwld be roem dlraia eevrn. ,wvoerHe rheet wsa oerm mxlioapr ea,nwkses os it ldowu eb C.7

"-87 lay tmhe i,rgat"hst eth pt cdnlot'u "yal them t"artishg so ti ouwdl eb C7 oort

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welpdedelp  As* na dnditoi,a madein ernve envemovitnl dluow vhae ealned omre owardt C8 tahn 7.C +11
meningitis  Do uoy heva oeaymnr fsleuu einncmoms for biharcal spul?xe +
henoch280  FA pg 494 ofr socmeninm +
winelover777  sD'tnoe look eilk erteh ear namy in FA 90.12 /SS21 - uBleck ym .sohe L/43L - uSht the d.roo C/65C - Pcik pu it.skcs +
drzed  24S-S peske hte spnie ffo het olrof :) trmeresac( xle)ref +
peridot  'hsatW yazcr rded@z is htat in AF 0129 ti ayss L-21L seectlt"(si ov"e)m no 4.89p so I wenodr fi ahtt hcanedg +


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 +1  upvote downvote
submitted by obliviondo (1)
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cogAidrnc ot AF 2109 rceipT lRxefe si edtdmaie yb ,6C yse C6 TNO C,8 nad 7C I[n O,BLD ylipgmni ti is emor tprinta].mo

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peridot  Tihs is on 9p48. fo AF 9102 rof ynoaen sriuocu +
thatmd  FA 0122 gp 627 ahve 7C ni olbd ofr prseict lerxfe +


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 +1  upvote downvote
submitted by delamj(3)
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yM htuogth ocsreps on stih stqe:niuo

  • keeasswn of ram sexinntoe dan rnponioat = dssnou elik mutsuceauloucsno nrvee (5CC)-7

  • pcTirse hcerstt erxelf C-C;7)8(

lt:eoRusu ecs pBi is 56-CC so o/r C.6 C8 'etsond tif lsuunueotomsuacc csuelm sotncai itncoa so ro/ 6C. idenaM dan alRiad ensrve ahve dtfierfne eucsml ictsona os /or sehto as ,lelw glenaiv ujst 7C sbet intfitg the .tnegitev

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delamj  8C etdsn'o ift usumuualeocconts ceulsm saocint tcoani so ro/ .8*C* +1
lsp1992  I htink ouy eahv eht fcitnnuo of the ucaucemuultsosno vnree .gwonr onousuac stulcMu rsneev' otorm ocfuitnn si lnxofei (scieb,p shairacbil dna a)csaliioobcrchrah adn oni.tpusain uoccauMtlsuneuos otindufyncs uwodl uecas aeeksswn of exolinf dan iiotpnansu. seWkaesn fo innexseto doluw eb dailra ren.ev ksWenaes of npnroaoit oudlw be mniead +1


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 +1  upvote downvote
submitted by ∗azibird(279)
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Heer is a part fo hte olrWUd taleb uatbo rlecciav duaslicaoi.retph Adn yse yeth ddi sya htta C7 is the omts lfyurtqene evvdlo.in I nkhit hte wsaner si hatt C6 loduw elovnvi het siebc,p C8 loudw liovnev eht ing,srfe nda ontianorp si iandme veer.n So it ahs ot eb .7C

//ht1sommgac/GtrvC/um:pU.ji

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 +0  upvote downvote
submitted by magrufnis(0)
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’Im doucnfse aobut hist .one sakeenWs fo nxtseenio dna rotponnai of hte itrhg or,emrfa twih a ereeacdsd irsctpe mcelsu htsrcte lxfer.e eTh enwras was 7C nevre rt,oo tub woh era uoy abel ot ieaczlol ot C7 nad nto 6C or C?8 I giuderf that nsoietxne si ,ladair T5,1C- adn ratpnonio is a,eidmn slao 51.CT- ipscTre exfelr is 8CC-7 A0(F912 ssya 7)-C6C. owH doluw uoy orwrna ndow ot tjus C7 amedg?a

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txallymcbeal  My A210F8 has ”7C“ old,ebd eniamng it is eht niam envre rot.o utB I sola got tish oen gownr os I ant’c eb hucm phel eissbed ta.ht +1
mnemonia  tHoynels jsut a uessg btu I heav ihts vguea sgrnnteinddau ttah nrtsciini ndah scselum rea CT18- os ew vmgh’tei tpdecexe eomr andh mtroo snidngfi sa wlel hwit a 8C elonis. +5
theecohummer  I wrrandeo ti wond to C7 sginu teh atcf atth the C7 mtyoeom si eblwo nen.esxiot I losa elnreda atht the C7 rneve orot saw hte mnia ubnotcotrri ot the rscepti RDT os I ujst newt thwi at.th +
mchu21  eyhT laos dnemeinto htta eth rpenos ahd eswskane gronpinat hte ritgh rromfae ciwhh is federormp yb eht secb.pi Becpis is eninervatd yb eth utomuclcuseusnoa venre hwchi is -7C5C dan t'tsah tahw lehped em pikc 7C > .8C +4
mcl  rorSy, I thuohgt het psiebc swa a atpniuosr of hte era?rofm +16
henoch280  ..yse its teh ruaitposn otn tonrorpa +


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submitted by ∗feanor(2)
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heT 7C enevr oort is ni ldob on a4.ge49P FA 1802 ni the Tcerpi xreelf tts,eorol tsh'Ta hguneo fro me .oll iTsh tgmhi sound a ibt cloeatdna utb I mmrrebee daringe rswhoeeem ttah venwheer C8 ro T1 sego teh stincirin smlucse fo teh nhda aer lywasa eeefftc.d

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 +0  upvote downvote
submitted by ∗madamestep(17)
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e"Th xrfole pgour fo cseusml si ildvoenv ni oirapnnto of the fraorem dan nliexfo fo teh rtisw dna ,grsinfe iewhl het snoxerte ropgu fo mssecul si lovdeivn ni eth pasitinnuo of eth foeramr adn isotxenen fo eth wistr dna "e.fisgrn

moFr sobsmA

easesWnk fo soxtniene l(idRaa )n dan oarpintno eMdnia( .n)

6C gaedma uowdl vige yuo CM snsg.i C8 uwold giev yuo urlan .issgn C7 oseg ot edaMin adn i.ldaaR

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submitted by ∗nwinkelmann(366)
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erP eWiapkii:d Teh rcpsiet rxlfe,e a pede tnedon rexe,lf is a ferexl sa ti eistlci onntluvrayi iconttcoarn of eth stcripe cihaibr lmcs.eu tI is eitiaintd by teh eiCraclv f(o het nkce g)oenir alsnpi evner 7 eevrn ootr (eht amlls tesgenm of het veern that meerges mrfo hte snpali o)c.rd The xferle si tedtse as artp fo teh laoruignloce oeiiantmxan to sesass teh sronsey nad orotm wtyahspa hiwnit eth C7 nad 8C nspila svnr.ee

sol,A form a effdrteni :etbiswe eTh tcsreip erxelf is dmateide by eth C6 dan 7C erven o,otsr edmoyalniptrn yb C7. dhssenndruras.elmcefflpemt/i/uyupieoloe.th.rxms/ne.tyt/rr//:gumusbedou.

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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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