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Retired NBME 22 Answers

nbme22/Block 3/Question#1 (reveal difficulty score)
A 35-year-old man comes to the physician ...
C7 nerve root 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by paulm(9)
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reP ldrUoW ID( 5)1355

heT 7C orto si the sotm utlnyeferq eeffdact nerev troo in ntpetisa with celarvci iyolrctaupdah, nuiestrgl ni csteiifd srsaco eth ndaeim nda adialr vneer roiitidnbts.us

n"tgligin oainensst of r"sfnieg → emnaid nreve

isre"cpt csmeul erelfx is edeesrd"ac → aralid nreve

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carmustine  nehArot oiantmrtp itdncaiino ttah tihs esnlvivo hte dnaemi nrvee si teh snkweesa in ap.noorint oniroPtna fo eth eorafrm si mreedrpfo by the rpaontor steer adn hte otaonrpr uutas,aqrd obht of ichhw aer denveiatnr yb het meandi vrene. +4



 +5  upvote downvote
submitted by ∗mcl(671)
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otanroPr rsete and qtrsauuad aer obth dieplsup by ndmiae veren T5/7/16,CCC8C/(/ so tthas' ton pseru lfphul.)e sioentExn of hte emarfro si ailrad never (losa ,-T1C5 asol ton )llfpe.uh hisT odes ltle su is ti 'natc be etliodsa dmanei ro rdai.al rTscpie nnetod relexf is 78C,C/ cwihh onsarrw ti odnw ot heest .wto

aCn yonnea iealpxn yhw 'sti 7C evor ?C8

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joha961  emSa oseqni.ut oHw uldco uyo etiendrme nweteeb eht fpsciiec nvere storo C(7 sv. C?8) +2
mcl  eeSoomn I was lkgtnia ot d(an stop bw)oel wsa gynisa htta itrsf dai osntemni srptcie is ,7C so htsa't hwta 'osdeulhv eneb het gib thgin for us. +4
joanmadd  you htmig see soem rlnau rvene vtennoelivm fi 8C saw lnvvdeio erh +1
passplease  tbu eh ash rldegaeznei ngntlgii hhciw si ni bhot rnual nad idamne n?igosre +
chaosawaits  o,slA C7 si eth mots mmncoo fecetfda veern tor.o If is't a cehico teewneb C7 nad mngioesht l,see go thiw 7C lsaywa lnusse ouy cna enlefitdviiy rvpeo is't on.t +
freemanpeng  I ctnihk tsi' eth yli.ogeto gneiSl C7 v-s-Cencili-ar-elo ap(htyoraMluisdcto nomcmo e:on 6-67C oi;)Nscd husc hintg as lSnige 8C .lenios lutcyAal ermo C8 adn 1T (sLwnioerole rntu)k +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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ccgrnAiod ot ,wrdUol D:QI 917 C771 omtyome is ivndveol in wbole kns isoee.onLtxo ielk it !tlsseet

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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So I thikn taht issue of wisrt iexnseton r/adno eigrfn ropd udwol be mroe raladi vnre.e r,voHwee ehtre wsa orme ailpxorm e,assnewk so it uwdlo be 7.C

87-" ayl mhte sathr,itg" het tp cound'tl y"la meht itatrhgs" so ti wdulo eb C7 otor

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welpdedelp  s*A na ,dnoaiitd emiand eevrn ovelntievnm duolw veha ndelae orme dtaorw C8 than .C7 +11
meningitis  oD uyo aevh mnyeaor ufelsu mocnesimn for rbahlcia ?ulpexs +
henoch280  FA gp 944 orf cnsimomen +
winelover777  ns'eDto look iekl tereh era myan ni FA .1902 S2S/1 - lkcBeu ym eho.s 3LL4/ - hutS eht o.dro C/C65 - Pkci up isk.tsc +
drzed  4S2S- ksepe het piens ffo eth floro :) rtreecas(m r)exlfe +
peridot  Wsha't crayz der@zd si atht in AF 9012 it ysas L12-L ctelei(ts"s moev") on 89.4p os I ornewd fi ttha nhgaecd +



 +1  upvote downvote
submitted by obliviondo (1)
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oAdcnircg to FA 1029 rcTepi xfeRel is amdeeidt yb C,6 esy 6C TNO ,C8 adn C7 [nI L,BDO pilinmgy ti is orem tn]opia.tmr

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peridot  siTh is on p94.8 of FA 0219 fro nynaoe cruouis +
thatmd  FA 2021 gp 762 avhe C7 in lobd rof rsepitc rfxlee +



 +1  upvote downvote
submitted by delamj(3)
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yM thhtguo rssecop no thsi uqet:snio

  • nweskeas of mar nnoteisxe adn naotoirnp = unossd elik necuoutlusmcsauo nvere CC5(-7)

  • scepTir rtectsh lxeerf C;-)8(C7

t:euuolRs ecipsB is 6-C5C so r/o C.6 C8 ndot'es itf tclocusmusneouau elcums tiacsno atinco so /ro .6C aieMnd adn ladaRi srenve vhea fetnifred lmcsue tnoasci so r/o hesto as wl,el agievln stju C7 btse nftiigt het t.negtive

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delamj  C8 ontdse' fit ouoacentulcsumsu cmleus tsionca tcaion so or/ 8C**. +1
lsp1992  I kihtn yuo ahve teh ftcnunio fo teh luoocautssmnuecu vnere w.gnro ssooc atulucnuMu 'versne tomro incfnout is einoxlf ep(bsci, sibacalhir nda hbrilcr)ioaaacohcs nad tnausino.ip ocMuusesauucotln nynocdfutsi odulw uaecs swesnaek of eilfonx adn .opnintisau s seenaWk fo xoiesnetn uldow eb aaidrl ever.n snkaWese fo otpoanrin luwdo be nimade +1



 +1  upvote downvote
submitted by ∗azibird(279)
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eeHr si a atrp fo hte UlodrW ebtal tabuo crilavec oc.pautldesiiahr nAd yse ethy idd ays thta C7 is the msto uqyeltfern edovn.vil I hknti eht raswen is htat C6 wuldo onlevvi teh spci,be 8C ulwod evnvoil teh ig,srnfe adn aitnnopor si imedan nerve. oS ti sah ot eb C.7

.t/gCmsju/hm//vraU1mt:opcGi

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 +0  upvote downvote
submitted by magrufnis(0)
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Im’ scfnodeu touba hits eno. kesnaesW fo enetionxs nda irnnaootp of eht hgirt omfae,rr twhi a ceareesdd ptrices scemul ctsetrh e.relfx eTh nwears aws C7 vreen oo,rt btu owh rae yuo bael to laelzioc to 7C and tno C6 ro C8? I rgduife taht nexsnetio is raila,d 1-T,5C dan nprnotioa is nme,dai laso -C15.T ciseTrp lfxere is 7CC8- (A9F021 syas .7)C6-C oHw olwud ouy awrorn wndo to utjs 7C gadea?m

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txallymcbeal  yM A1F280 sah 7“”C ,beodld gimanen it is teh iman ernve .otor Btu I asol tog tihs noe nwrog so I ’ncat eb uchm ephl bessdie atth. +1
mnemonia  yltosenH tjsu a egssu utb I evha tsih uavge surdndigantne ahtt inrnctiis hnda sucmlse are C81-T so we eg’himtv epcedtxe oerm ahnd rotmo ifngidsn sa lwle tiwh a C8 sone.il +5
theecohummer  I aewnorrd ti ondw to 7C uisgn eht caft taht het C7 tmoymoe si welob sne.ioetnx I losa denrela taht teh C7 reevn toro swa the main rnbcroiutot ot eth tsrpeic RDT os I jsut tenw hwti ttha. +
mchu21  ehyT saol noeitdmne ahtt het prseno hda eekasnws panignort eht hrtig rfemora wichh is oprfemdre by eth ic.bpes Bespci si dnieveanrt by the oucceusuluomntas enerv hiwhc si C75-C dan tt'ahs thaw dhelpe me ikpc C7 > .8C +4
mcl  S,yror I ougtthh eth ipecbs swa a ruoniaspt of eht r?eafmro +16
henoch280  sey.. tsi eth potsrunai otn ooatprnr +



 +0  upvote downvote
submitted by ∗feanor(2)
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heT C7 rnvee rtoo is ni lobd on P4a.eg94 FA 1820 in eth rpTcie efxlre lot,srote at'Tsh enghuo rof em o.ll This might sdnou a bti naedtcalo tbu I bermeemr riengda esehrmoew htta evwnhree C8 ro 1T osge hte isriinctn cesumls fo eth anhd era yswala t.eecfdfe

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 +0  upvote downvote
submitted by ∗madamestep(17)
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Teh" lexrof ougpr fo smuscel is vondilev ni tponinrao fo eth eraomfr and flxoien of eth itwsr and fsn,eigr eihlw the neexostr gropu fo lssceum is ldovienv ni teh istinoanup fo eht romrefa dan ionentsex fo het tsriw dna if.genr"s

mFro bsosmA

nWkeesas of seonintex l(Raaid )n nad npniotroa Md(neai .n)

6C aamged duwlo ievg you MC issng. C8 uodlw egvi uoy rluna gisns. 7C geos to adienM dna Raa.idl

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submitted by ∗nwinkelmann(366)
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Pre ik:dipaeiW eTh rpcsiet fele,rx a deep onednt ,eflexr is a xerlfe as ti ctiiesl tnrulinayvo nncattriooc of teh srectpi ihrabic .csumel tI si itteniaid yb het irvlcaeC f(o the ekcn neorig) pisnal veern 7 vrnee rtoo (the malsl gmenset of het enrev htta eemresg romf eht ilasnp r).dco ehT relefx is dtsete as tarp fo hte lcgoeniaorul atnimnoeaxi ot ssessa teh seonyrs adn tmoor sptaaywh wnihit the 7C dan 8C nplsai enevsr.

sAlo, rofm a fnerdifet tib:ewes eTh retspic erfxel si edtmaied yb het C6 and C7 vrene sor,to drmopnnltyaie yb .7C euiudmtobx./suuy/p/enhse/earsreslpnmrehro./t/.rd:glltcf.esmtuyeumdfnio.

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this is my way to think(please correct me if it's not correct: a. weakness of triceps muscle reflex --> C6 / C7 / C8 problem (FA P498 2019) b. weakness of extension of the forearm --> radial nerve is involved --> damage of C7 root leads to axillary or RADIAL nerve defect (FA P441 2019)

+/- joyceeepan(6)


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