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NBME 22 Answers

nbme22/Block 1/Question#8 (33.2 difficulty score)
A 16-year-old girl has pain and tingling in ...
Cervical ribπŸ”

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submitted by pparalpha(83),
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ringAcdoc ot BBn:

aievlcCr ibr is na anmolsoua txare bir fmor het t7h cialverc .ebavreert oepPel twih itsh aer ta ikrs rfo chtacoir luttoe meodynsr kaa( onecsmpsori of reensv dan seslvse ttha eevla eth ra.xtoh Tihs urocsc baoev het rsift rbi adn bndhie eth la)livecc.

lCliacni erafsuet iu:cndel

)1 aaihclrb ueplsx nujyri h(suc sa eupKklm ly,sap hichw si a reolw pulxes rnu)yij

)2 nVoeus iesmcrpoons

)3 lerAtiar nmesiropsco

An* rtinopmat iatalamonc ceerlaotr eth laesnce airtelgn iae(trorn aescnel, ddieml a,senlce aebov hte rtifs r)ib

llamastep1  The cervical rib is underneath the brachial plexus, the pressure of the backpack compresses these nerves causing the pain +1  
rockodude  link didn't open for me +1  

submitted by mcl(578),
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mroeiHgl tgo oems clivearc utolet ynmsodre dan houdsl loprabyb aekt moes tfsfu uot fo reh ckpbacka or tge eon of ohtse ill lorerl soen.

mcl  Whoops, my bad, THORACIC outlet syndrome +4  
dr.xx  Stretching, occupational and physical therapy are common non-invasive approaches used in the treatment of TOS. The cervical rib can be surgically removed. +1