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Retired NBME 16 Answers

nbme16/Block 2/Question#43 (reveal difficulty score)
A 23-year-old man comes to the physician ...
Pudendal nerves ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: erections libido

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submitted by โˆ—nbmeanswersownersucks(158)
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The patient can only achieve erections via direct stimulation aka touch. The pudendal nerve provides somatic innervation and thus sensation to the penis as well as the perineum. A purely sensory stimulated erection involves a reflex arc between the pudendal afferent nerves and efferent sacral parasympathetic nerves (aka pelvic splanchnic nerves).

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cheesetouch  Fun Facts: pudendal can be blocked for childbirth anesthetic using ischial spine as landmark. Injury to this nerve can cause fecal or urinary incontinence. Is sensory to perineum, motor to external urethral and anal spinchters. +2
cheesetouch  Obturator nerve is incorrect - the word obturator means "to close" and it innervates thigh adductors. +
cheesetouch  Genitofemoral nerve is also incorrect - sensory to scrotum/labia majora and medial thigh, motor for cremasteric reflex. FA 18 442-443 +3



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