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Retired NBME 13 Answers

nbme13/Block 3/Question#41 (reveal difficulty score)
A 60-year-old man comes to the physician ...
Difficulty swallowing ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—trazobone(97)
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SMH I was thinking alcoholic B12 loss of vibratory, so obvious now he has ALS. Hyperreflexia UMN sign, fasciculations LMN sign. And common cause of death is due to aspiration pneumonia because of dysphagia (LMN deficit). FA 2018 p 514

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trazobone  Sorry dysphagia (UMN deficit) +
trazobone  SMH I was thinking alcoholic B12 loss of vibratory, so obvious now he has ALS. Hyperreflexia UMN sign, fasciculations LMN sign. And common cause of death is due to aspiration pneumonia because of dysphagia (UMN deficit). FA 2018 p 514 +
cheesetouch  UMN vs LMN is FA18 p 513 also! +1



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