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NBME 21 Answers

nbme21/Block 3/Question#26 (45.5 difficulty score)
A 19-year-old woman comes to the office ...
Descending colonπŸ”,πŸ“Ί

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submitted by hungrybox(1050),
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arpts fo teh loocn ttah era teoalntrereipro

submitted by est88(17),
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eaRlntretooripe uctst:ruesr DAS KCRUEP.

Olyn het edeigncsdn olcno si trap of hsit.

meningitis  SAD PUCKER: Suprarenal (adrenal) glands [not shown] Aorta and IVC Duodenum (2nd through 4th parts) Pancreas (except tail) Ureters Colon (descending and ascending) Kidneys Esophagus (thoracic portion) Rectum (partially) +19  
cienfuegos  I find "SAID PUCKER" to be helpful because it includes IVC +4  
lovebug  FA 2019, 354page~ +  

submitted by adong(97),
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uemcC is rtrpiiteaenlnao enev oghhtu 'tis prta of eht snngcdaie lcoon

azibird  How were we supposed to know this? Thanks for the clarification. I picked cecum because FA says Crohn is usually the terminal ileum and colon, so I figured cecum would be the most likely vs the descending colon. +10  
kevin  Yeah that's what I thought at first too. Figuring it was a tricky question, I went with descending colon because 1) ascending and descending are retroperitoneal, so we know the latter is for sure right, and 2) cecum has it's own name (ie it's different than the ascending colon), so it probably isn't retroperitoneal in that regard. You can remember ascending and descending are retroperitoneal by remembering the greater omentum wraps around the transverse colon and from anatomy lab that there's a mesoappendix, mesocecum, etc (peritoneal) +  

submitted by hungrybox(1050),
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ont"ebsbel"oc paraecnape is aatesscodi whit osrh'nC dsiesae

irmoansopc fo roh'sCn vs UC

submitted by an_improved_me(18),

Fucking shit the cecum is not a part of the ascending colon