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Retired 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. ncCesar fo het plievs, dlgicnuin eht roaep,tst redsap ot the bclsmualora ienps via eht altevrerb esnvuo elupsx (.VV)P

    • eTh VPV imoctsamceun iwht a mruenb of euosnv ,wtoenrks nciudilng eht ptsacroit esvnou xlu,sep cihwh eserveic eht sunevo ppulsy romf hte ttraospe, ep,sin and rbde.lad

    • VPV rsnu up teh erneti plinsa oclnum adn ncnctoes thwi eth esovnu spylup fo hte barin via a laevvsels ymsets Bss’ot(na xe)Puls iwhch lwsola fro iiadoilectnrb lofw and aunoeirtlg fo rcnnialraait sTpsresu.rihe onvuse ceotcnnino ot hte arberelc iorcnualitc may hple eapnlxi eth tnoprpysei of rsmuto ot taesztseima to hte .riabn

  2. The PVV asol snmeauitocmc tihw hte gsyaoz inve in hte stc,he iwhch epxasnli ni tapr hyw raebts nad ugnl nercacs elrftuneqy ezatasesmti ot hte corachit s.enpi

    • mriylSa,il ude to rplyaunmo suonev adgnriae onit eth eltf dsie of teh aet,rh nlgu sruomt notef arepds liysmetlcsya iav hte terraial e.msyts
  3. hAuogtlh yhlpm nodse rae the stom noommc itess of atassseimt in nl,eaerg yltimcahp daerps to eht leleakst estsym is ryve are.r

  4. The pfapimrnoim upsexl eeivcers usveno daeginra omrf het ti,stse deypmiid,si adn dstucu fseenred nad nsdiar iont eht luasirtcet .ivnes

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chaosawaits  kyO,a bamey 'Im na iiotd ubt I thghuot hte niam rccensa ttha rpades unshoeogyematl weer scaarso,m hultlrecpoeaal iarn,occma herarcaooccmno,i naerl elcl crnaaoc,im nad oaclulrifl mcaoaircn fo eth riyhd.ot +1
kcyanide101  I eilfad ihst Q baueecs of htis esno.ra I wsa nntgloaazirii atht ti wsa a acicamn,or ehnec sdulho eb L..N.. +
sd22  od"G aveg ne]m[ all a pines dna a banir, utb only egunho ldobo to run one ta a iem.t" n-ioRb mlisWlia +
thatmd  uw ueqnitso 1714#7 +


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 +1  upvote downvote
submitted by usmleuser007(464)
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.3 nseCcra fo teh psil,ev lgiiunncd het epoa,tsrt rpsdae to eth lmorausalbc pinse vai etvhteabrlre  uvnose p lVuVePx).s( a. heT VPV menicaumocts iwht a remubn of ueovsn skrewnto, .i inncgdlui aoh tecitrpst nsuvoe xeuspl, wihhc esrieevc hte oeusnv yslupp rmfo eht tearps,to np,eis dna  brddale. b. PVV usnr pu the trenie isplan omnucl dna ncceonts tiwh the eouvsn sylupp fo eth inbra avi a avsvellse smytse aBst(sn'o u)slxeP .i cwhih sllwao rof ndeacbitilroi flwo dan oliatrnuge of rlacnatriian srseu.rep  ii. Tshi euosnv onocnceitn ot eht elarcbre rcocnailiut aym hlpe inplexa teh ietopsnrpy of tsumor ot semtziaseat ot teh 4a.inr .b ehT VVP laso canmocseumit wthi eth aoyzsg nvei in teh ehcs,t wchih piaxelsn in ptar ywh sertba and ungl raccsne ntueqfrely semttsiaaez ot het tcaicrho .einp s .a Srlm,aiyli deu to ymparlonu vesuno daargein tnio the ltfe sied of hte ar,eht guln toumrs oetfn sderap ycsmlestayli via hte arilaert set.5y.s m oAhgluht yhlpm soned ear eth mtos mnomoc siset of eaassmtits ni ,nreleag lpmayhict asrdpe ot teh lkateels yessmt is yrev ae6 .rr. heT pmiomfrnipa sxpleu sierceve nouves angaride mfro hte iste,st piiyidd,esm nda tuucsd nreedefs dan irdnas otni het ltctsierua s.ie vn
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 +1  upvote downvote
submitted by d_holles(218)
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esLson elrndea -- eth NEMB ntd'oes pyal istrc.k fI ti lsoko i,gtrh ti si irt.gh

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thotcandy  utb aosl ehwn ti kolos gwrno i'st th,igr or ehnw it olsko tighr 'sti go,nrw or hnwe it kolso orgwn 'tsi wngro. ouy veren kwon hwti MNBE ): +12


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submitted by cuteaf(11)
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Why is ti tno awesrn " taiscotP noseuv explsu ot hte eth lainenrt icali veis"n I ohtuthg eth troue fo aasststeme to het npsie si rosttape xsluep ;t&-g nnalteir laici vsnie g-;&t lvbetarer l?xpesu?

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mariame  ehT rojma tttimacesa yapwtah ot het eetlvbrar molucn is iva eth ervlbrtae usneov ,mysets nad it rsapaep htat aptretso ecacrn llesc ftrsi stzaaimeest to hte breletvar bydo nda ethn arespd coeildasrny to eht eoscrsesp ro rhoet trrea eb.evbp.m9:/.t.ve/.sc5htong/95/lbip68hiundnm0 +


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