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Retired NBME 20 Answers

nbme20/Block 2/Question#5 (reveal difficulty score)
A 32-year-old woman has had fecal ...
Damage to the anal sphincter ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: anatomy

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submitted by โˆ—ergogenic22(401)
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A stretch injury during childbirth will result in damage to the external uretheral and anal sphincters and damage to the pudendal nerve (S2-S4). This can lead to decreased sensation in the perineal and genital area and fecal or urinary incontinence

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thepacksurvives  I think that there can also be a direct tear to the anal sphincter muscles +8
sympathetikey  A better answer choice would have been "damage to the nerves innervating the anal sphincter" but eh, ok. +22
nerdstewiegriffin  I it is due to actual tear of external and or internal anal sphincter Source uptodate +2
skonys  RIP... literally +2
namesthegame22  Episiotomy can damage the perineal body as well. +



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