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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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Per lWrodU I(D 51553)

heT 7C roto is het toms leeqtyfnur eafftdec ernev orot ni tesiatnp iwth vcacriel ,uycdiltaparoh nutgesril in iicsetdf arssco eht aeidnm nda adirla reevn roisdit.subnti

ingtn"gli nisaenots of "reigfns → medina ernve

ctersi"p csulem ferxel si aededr"ecs → aaridl eevnr

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carmustine  rhenAto otinpmart ntnciadioi thta tshi onslvive het aednim reenv si teh sksnaeew ni tponi.naor itnorPnao of the oeamfrr is fmderorpe yb eth rootarnp seter nad teh rtnroopa uuqsaatr,d tbho of hwcih rea tndraenevi by eht eaidnm v.enre +4


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 +5  upvote downvote
submitted by ∗mcl(671)
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tarrooPn etesr adn auqudarts era hobt seduppil by inmdae rveen ,/6///C75C(18TCC os 'astth ont rpuse fph)l.ule iExsnoent of the afmreor is dralai nveer loas( 15C-T, aols ont lu)p.fhle Thsi sode ellt us si ti 'catn be odlastie niamed ro idalr.a eripsTc dtoenn eerxfl is C8C/7, hwhci wnsaorr ti wond to eseht tow.

nCa neynoa lnxepia hwy si't 7C oevr C8?

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joha961  aSme nsq.uoeit woH uocld uyo emtireend tnweeeb eht secpfcii eenvr orots 7(C v.s )?C8 +2
mcl  Snoemoe I swa iglnakt ot (dan tsop bw)leo was iasngy ttha rtfsi iad oenimstn csipert si 7C, so tshta' htwa ulh'eovds been het igb tgnhi rfo .su +4
joanmadd  yuo gmtih see smeo urnla vnree tivleevonmn if 8C swa neodvilv hre +1
passplease  utb he ash eielazredng lninggit wihhc is ni othb lnuar dna dnaeim r?geinso +
chaosawaits  ,losA C7 si hte msot monomc decaeftf vrene roo.t If sti' a cciohe beenetw 7C adn itgosnemh esl,e go ihwt C7 aalyws ueslns ouy acn dnleyiitifev vorep its' .otn +
freemanpeng  I nhkcit sti' het ytel.igoo Sgneli 7C -oerie--salnlvicC- dasliypMctra(tuoho mooncm :one 67C6- ;i sNcd)o ucsh tgnih as lniSge 8C lnose.i tlcAylua orme 8C and T1 erlL(nwsioeo utrk)n +1


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 +2  upvote downvote
submitted by oslerweberrendu(4)
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icnoAdrgc to l,owUdr DIQ: 719C7 17 etyoomm is eodinvlv ni lwoeb et kiLnxsoo.seon lkei it !eetstsl

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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So I nihtk thta ieuss fo sirtw otxenesni noda/r gefrin oprd ldwou eb eorm raladi neev.r e,rHwvoe teher was rome xrlaopmi ,neewsska so it ulowd eb 7C.

7-"8 ayl meht tsh"aig,rt eth pt dcul'ton yal" ethm shtg"airt so it wodlu eb C7 otro

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welpdedelp  As* an ,noiitadd amendi ernev ovtnnmveile wluod aveh dleean eomr arotwd 8C htna 7.C +11
meningitis  oD uoy evha yonmera flseuu encminosm rof hriaalbc x?pluse +
henoch280  AF gp 494 rof imnmoncse +
winelover777  s'tnoDe lkoo kile etreh era myan ni AF 902.1 1/S2S - leuBkc ym .eosh 3LL4/ - uthS teh orod. 5CC/6 - Pkci up kct.iss +
drzed  S24-S espke het nsiep fof hte oofrl ): sacm(reetr xer)elf +
peridot  aWhts' crzya ed@rzd is that in AF 2019 ti syas LL1-2 (essic"tetl o)me"v on p498. so I noredw if that ehdcagn +


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 +1  upvote downvote
submitted by obliviondo (1)
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ccodigArn to FA 0291 pceirT fexleR is dteiaemd yb ,6C sey 6C TNO ,C8 nda 7C [In DB,OL lymginip it is rome tiorm.tp]an

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peridot  Tihs is on 98p.4 of AF 9102 ofr yaonne ruoscui +
thatmd  FA 1202 pg 762 avhe 7C ni obdl for screitp leexrf +


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 +1  upvote downvote
submitted by delamj(3)
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yM utohtgh ercspos on itsh :tsuoneiq

  • sseewkan of rma nneoixset adn atopinnor = osndsu keil omucnaeuuoslcstu revne )(C-5C7

  • epTsric thtesrc eefrlx -C7)(;8C

oRue:ustl cpes iB si 56CC- so ro/ .C6 C8 onesd't tif noucuaucsltsemou secmul nctoais niotac so o/r C.6 Mednai dan ladiaR eversn ehva eedrtfnif smecul asctoin so o/r shtoe as le,wl ngeailv usjt C7 btse itnfgti het e.vttngei

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delamj  C8 eo'stnd tif tunocuoeumsuscla emlscu tosnaci naocti so or/ .*C*8 +1
lsp1992  I nhikt you vhae eth nnfiutco of eth muasnucoueustcol neerv .nogwr tsuoolcM asuucun sneevr' omtro uftncnio is xfoilne (bes,icp criiashlba dan lbicshraroh)ocaica nad uitop.nisna eoluctMsusuocanu ytnfsinocud dwolu eucsa wsasnkee of nfoxile and oiuainpsn.t sanWseke of nnoisxete dlwou eb daarli rev.ne neekWass fo ntoinrpao duolw eb daeimn +1


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 +1  upvote downvote
submitted by ∗azibird(279)
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eHer si a ptra of the lUdoWr lbtea abotu ccveailr du.paischelrtaio dnA yes ehyt did asy ttha 7C is eht tsmo qnteyulfre n.ivdelov I hnkit eth eswrna si ttah C6 duowl lveionv hte pice,sb 8C lduwo vlioven eht ,rsifneg adn orniaotpn is eiamnd .veenr oS ti ahs ot eb .C7

tsc:prt1h/imG/Uvmugaoj/./Cm

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 +0  upvote downvote
submitted by magrufnis(0)
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’mI efsocdun oautb shit ne.o nWeesaks fo tenonixse dna rntinapoo fo teh thigr feam,rro hiwt a esecedrda sprctie lcusem thrtces e.rxefl eTh aesnrw saw 7C erevn ,rtoo btu who are ouy lbea to ilzoeacl ot 7C dna nto 6C or C?8 I dgureif htta eisnetnxo si dara,il 51CT-, nda inpotanor si e,mdian osal .-T1C5 epTcirs lxfree si 7-8CC 0A(91F2 ysas )6-7.CC woH wdulo ouy awronr wdon ot tujs C7 dmea?ag

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txallymcbeal  My 081AF2 has 7“”C ,ddeolb namengi ti si eht nmai nerve .toro tBu I oals ogt this one orwng os I ’cnta be hucm hple edesbis .tath +1
mnemonia  yeosnHlt ustj a sgseu ubt I ahev tshi evgua nandnrugiesdt ttah iisrcntin anhd elsumsc aer 81-TC so we hvigmet’ cxtdpeee more nadh moort nndgsiif sa ewll ithw a 8C .elsoni +5
theecohummer  I rendrwao ti nowd to 7C nsigu eth actf atth eth C7 mooytme is lwobe xnotiee.ns I osla arnlede that eht C7 vnere otor aws het nmai cotrbuortin to hte tpsiecr RTD os I tjsu wnte wtih ht.at +
mchu21  Tyeh salo oednemtni atth teh peorns ahd wasknese airgtopnn the irtgh oraefrm ihcwh si efeporrmd by het .pcbies ecisBp si vdrenetnai yb eht untcuoslosumecua veenr hchiw is C5-7C nda at'hst awht lpdehe em cikp 7C > .C8 +4
mcl  rS,oyr I ttgouhh het icbesp saw a naupostri of the frr?meoa +16
henoch280  es..y sit eth aptunsrio tno otproran +


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submitted by ∗feanor(2)
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heT 7C nvree roto si ni odbl on gP49a.e4 AF 2810 in eht pceirT lfeexr sl,orteto h'Tast negouh orf me l.ol iTsh mtgih nusod a bit ndaltcaoe utb I ermeberm dingrea ereemwohs atht wenrehev C8 or 1T geos the isnitrnci ulcesms fo the dnha rae yalaws fdeee.ctf

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submitted by ∗madamestep(17)
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he"T lrxoef roupg of sumelcs is idlenvvo ni ptairoonn of the aofrmre dna eolxfin fo het rstiw dna gfrni,se hilwe the sneetrox ogrpu of mcsleus si vvleoidn ni eht iitsnaunop of eht afrmero nad nsneexoit of eth rwist adn .senf"gri

Fomr ssoAmb

saWesnke fo tnexnsioe idlaa(R n) nda itoropann (iendMa ).n

C6 amegda woudl gvie ouy CM s.ings C8 duwlo vieg you uranl .ssign C7 oesg to eManid and dalia.R

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submitted by ∗nwinkelmann(366)
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Pre ieidpWi:ak The tpercsi e,eflrx a pdee neontd ,rxlefe is a lxefer as ti iceitls nuatiyornvl citaoncront of eth ctrsipe ahiibcr mselu.c It si iaineditt by eth lCcivear o(f the neck noergi) lnsapi erven 7 rnvee otro teh( msall gtenems fo eht rveen atth seegmre orfm eth lapsin cdo).r ehT eelfrx si seettd sa atpr fo the nulreoocgial onitaamenix ot saesss het rnseyso dan motor saypawth iinhtw teh C7 adn C8 iaslnp v.sener

olsA, rfom a fnedrtfie :eiswteb eTh tsecpri ferelx si deaemdit by eht 6C nad C7 nvree tosr,o epnatimrdolny yb 7.C pxftfeecrtlu/emeoo/rsld.eoeegnubu.us/yuymni.trd/sshn/muptedrrsalm:i./h.

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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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