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Retired NBME 19 Answers

nbme19/Block 3/Question#8 (reveal difficulty score)
A 32-year-old woman has had fecal ...
Damage to the anal spinchter ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—surgerydoctorca_sgu(6)
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This is question is testing your knowledge on the pudendal nerve (S2-S4).

Is this patient the the motor component - external urethral and anal spincters. Injury such as stretch during child birth, prolonged cycling, and horseback riding could cause this. Patients will present with decreased sensation in the perineum and genital area; can cause fecal and/or urinary incontinence.

It is also important to know that the pudendal nerve can be blocked with local anesthetic during childbirth using ischial spine as a landmark for injection.

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