to snoo-finity ... and beyond!
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I thought about that but then I ruled it out as with the NBME ethics questions the answer is almost never to defer to someone else. The question doesn't ever tell you what type of doctor you are for you to be referring to a different more specialized physician. Also I assume that they think if there was something wrong you could handle it.
Slowly raising my hand as well
Great explanation - just one addition. The retroperitoneal fibrosis could also be a direct consequence of the external beam radiation. It's linked to both causes. Either way, it's a better fit than urothelial carcinoma (in retrospect).
Forgot the time frame for Serum sickness and got it wrong.. thanks @thomasalterman
Agreed, that's how I made my final decision!
tell me about it... I got both in one block and started seriously reconsidering my answer choices!
Hate this question though... the first thing you would have to do in this situation is refuse to do what the resident asks you to do. Then you could accompany them....
But why is it external anal sphincter instead of bulbospongiosus? Aren't both attached to perineal body?
Bulbospongiosus connects to either side of the perineal body. But if you go directly posterior rom the commissure you hit the anal sphincter
I just think about how women say they done ripped their asshole while giving birth