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NBME 21 Answers

nbme21/Block 2/Question#21 (54.7 difficulty score)
A 35-year-old woman undergoes flexible ...
Superior to the superior conchaπŸ”

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submitted by haliburton(209),
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lnki to tonaorc midaagr

yotsubato  How is that NOT posterior to middle concha? bad question +11  
sympathetikey  @yotsubato - That would have been if it was the spehnoid sinus (I got it wrong too btw) +2  
niboonsh  this is a good video if u need a visual +3  
sahusema  Sphenoethmoidal RECESS not sphenoethmoidal SINUS +3  

submitted by sweetmed(138),
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sahusema  that video was sick +  

submitted by hungrybox(976),

A: Anterior to the nasolacrimal duct β†’ angular artery* pic1 pic2

B: Distal to the vestibule β†’ respiratory region/nasal airway proper pic

C: Inferior to the hiatus semilunaris β†’ uncinate process pic

D: Posterior to the middle concha β†’ sphenoid sinus pic

E: Proximal to the fusion of the hard and soft palate β†’ horizontal plate (of palatine bone) pic

F: Superior to the superior concha β†’ sphenoethmoidal recess pic

*I was really conflicted on what this could be referring to. Ultimately, I thought angular artery aligned the best with being anterior to the nasolacrimal duct, but I'm not 100% sure.

other things I considered: maxillary bone, inferior concha

submitted by neolidone(0),

As an IMG comes from a non-english country, I hate this kind of question :(