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Retired NBME 16 Answers

nbme16/Block 1/Question#40 (reveal difficulty score)
A 56-year-old woman has frequently burned ...
Syrinx of the central region of the spinal cord from C-4 to T-5 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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Syringomyelia (syrinx) is known for causing loss of pain and temperature sensation as one of the first symptoms due to the damage of the anterior white commisure of the spinothalamic tract (FA 2020 p530, p492)

The description of the loss of sensation of pain and temperature to both upper extremities as well as to a portion of the trunk describes the characteristic "cape-like" distribution.

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