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NBME 23 Answers

nbme23/Block 2/Question#23 (reveal difficulty score)
A 75-year-old man with prostate cancer has ...
Prostatic venous plexus to the vertebral venous plexus 🔍 / 📺 / 🌳 / 📖
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 +18  upvote downvote
submitted by usmleuser007(464)
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  1. enrCasc fo the pis,lev iudngnlci hte aertostp, apsdre to hte saobmrulcla sienp aiv eth brvetarle suonev pxselu )V(.PV

    • hTe VVP ccmtaemuonsi whti a ebmnru of soevun treknws,o nlngdiciu the tprsiotac vnuoes sp,elxu ihhwc esrecevi het ovnseu lppysu morf eht orspatt,e epsin, dan .ebrldad

    • VPV nsru pu het irente lisapn ucomln adn sonccent ihwt teh osuven ypupls fo hte ainbr vai a evvalssel tmssye (astBo’sn Pe)sulx iwchh llowas ofr oibritacenlid owfl nad uogrntaeli of nirlianraact rp.Teshrseisu vnseou eticonconn ot hte lbreerac naoccritilu mya pleh ieapnlx eth snretipyop fo uosrtm to zsimsatatee to eht ria.nb

  2. eTh VPV lsao umcatcisenom iwht eth aosyzg evin ni teh hesc,t chwhi laspeixn in trpa yhw erbtas adn nlug ccaresn rufnteeqly etisaetamsz to the cochtira n.seip

    • l,arSiymli eud to ypalomrnu soenuv irdngeaa ntoi het lfet dies fo eht ter,ah nlgu tsomur fenot sardpe ysleimlcayts via the raairtle eymtss.
  3. hAgltouh hmypl nsoed are the msto conomm tseis of etstmaisas ni neel,arg ctyhimpla psarde to eth tslealek smsyet si evry rear.

  4. hTe rpipoiamnmf xsuelp ecsveire ueovsn drngaaei mrfo teh ises,tt ,seymddpiii dna tudscu rdenefes and rnidas tnoi het tcasilruet vn.eis

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chaosawaits  ,kyaO eyabm I'm na doiit btu I thtghuo het niam ncscrae hatt paerds healnseyotmuog weer rmsas,aco erauhtlceallpo ar,nmoicac re,oaoicromcahnc lanre lcle anomca,cir dan fcruliloal cacranmio of hte y.rhoidt +1
kcyanide101  I dfalei stih Q sebuaec of tshi aeons.r I swa ntrgiiozanali tath it saw a o,cmarncai echen suohdl eb ....LN +
sd22  do"G aevg [men] lal a pnsei adn a rin,ab btu oyln hgoeun oodbl to run neo ta a e.it"m nb-Rio lamislWi +
thatmd  wu ionuqest 7#1147 +



 +1  upvote downvote
submitted by usmleuser007(464)
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.3 sracCne of eht ,spveil ungcidinl the e,rtsptoa predsa ot eth arolaluscbm epsni via vtrealr behet svunoe PpVe.sVu)x(l  .a ehT PVV ccnmousiaemt twih a renbmu of evnosu sronkwet, .i nngiuicld irhtoct ptaes onvesu xes,pul hhicw reeveisc teh unsveo ypulps fmor eht aro,tpets n,ieps dna dbde rla. b. VVP surn up teh eteirn sainlp uclmno dan ctscoenn wthi eth uvesno uslpyp of hte rniab avi a lalesvsev mestys o(Ba'snst )exusPl .i hhwic slaowl rfo ldeanicrtiiob owfl nda lutenrioag of tcinralraina  ss.reurpe .ii hsiT nusoev nceoiotncn to teh rcbrlaee cnratiioucl yam lhpe pliaexn teh styeipnpro of mstruo ot tatsiesezma ot eht . i.4arnb ehT VVP alos ancmesuiotmc twhi teh yaogzs veni in hte thce,s hiwhc aslenipx ni ratp hyw bretas dna lgnu nccsera teeunqylrf eaiazmtesst ot hte hrtiocca enp si. a. ilmraySil, ude ot mpolynaru ouvens egnraadi tnio teh ftel dies of teh r,teha glnu uosmtr tfone psarde syleycaistml iva het aaitlerr est. .sy5m Auoghhlt plymh denos era hte tmos nomcom sstei fo tassasmtie ni ,arlneeg lchtyimpa asrdep to eht ltkaseel temsys is vyer .rr 6a.e hTe oanfppimmri xesplu reesvcie svouen dagiearn orfm eht ise,stt ismpdied,iy dan sdctuu fnedsree dna radnis inot eht iearustlct .ei svn
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 +1  upvote downvote
submitted by d_holles(218)
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eLsosn ldnreea -- the EMNB o'dtens aply tkrsci. fI it klsoo ,htigr it is r.itgh

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thotcandy  tbu sola hnwe it lsoko grwno s'it ,grthi ro nehw ti olosk gihrt 'tis wg,ron or ewhn it skloo orwgn sti' worg.n yuo enrev know twhi ENBM ): +12



 +1  upvote downvote
submitted by cuteaf(11)
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yhW is it nto aswenr " ticsPota eouvsn espxul to eht teh erilntna claii nevs"i I huttgoh the rueot of asmessteat to het nspie si atrpoets expuls ;-> tealinnr iiacl sniev ;g&t- reerbtlav eux?slp?

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mariame  Teh ramjo ttmcaestia atywpah to hte tlabvrree noculm si aiv the lebretavr sveoun yssem,t dna ti aeprpsa hatt srptateo acenrc eclsl sitfr miaetsestaz ot eth aeretlbrv byod dan hnte srdape naolrcdisye to teh eorpcsess or hoert evareebt r.90e.n.i8pdl65s/nonm.t9bt:ih/p5/um.g/bcvh +



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