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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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erP dUrWlo I(D )31555

ehT C7 orto si the tmso flqtyrueen ecftdfea eevrn rtoo ni sttanpie htwi cirlvcae dahrclt,aiopyu turgeilsn ni edcitsif rocssa het eanidm dan idarla veenr iut.notsiribds

gnin"tlgi saeintons of sefgir"n → einmda nvere

est"iprc smlcue lerfxe si ceaedd"sre → irlaad rveen

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carmustine  honAret tintrpmao iactniidno that hsti vnsevilo eth damnie ervne si het eeksawns ni rp.ooniant Poantirno fo the fraemro is rmofepedr by eht rtnropoa retse nda teh rootrpan udusa,qrta both of hchiw ear nrentviaed yb eth nemdai en.erv +4



 +5  upvote downvote
submitted by ∗mcl(670)
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roantPor erets adn rutasuqda are obht lpeupisd yb iedamn reven 7C/8(51T///CCC,6 os sah'tt not rpseu )pulhle.f sneoEnitx fo eht omraref si lrdiaa renve ol(sa C-1T5, aols ton pfleul).h hTsi oesd eltl su si ti t'nac eb saltoeid neamdi ro d.ilraa spiTcre ndneot xfreel is C/8,7C chiwh rawonrs ti ondw to hetes ot.w

Can yaneon naxpiel yhw 'tsi C7 vreo 8C?

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joha961  aSem qute.oins owH ucdol uyo dterenime bnteewe the cepisifc venre oorst (7C sv. ?C)8 +2
mcl  ooeemSn I saw aiglnkt ot d(an tosp l)oweb aws igayns ahtt tfris iad esiotmnn citpres is C,7 so at'sth hwta vsheu'lod eenb teh gib ntihg ofr u.s +4
joanmadd  you higmt see some ualrn vnere ivenltveomn if 8C asw eodivnvl her +1
passplease  utb he ash rzedgealeni ingtgiln cihhw is in hotb unalr adn anmied r?seingo +
chaosawaits  Al,os 7C is het stom nmcoom ceteffda enerv to.or If ts'i a cihoce enwtbee 7C and ingsmehto es,le og ithw C7 lasayw nslsue oyu anc ielydniifevt porev tsi' ton. +
freemanpeng  I knicth t'si teh ygoi.etlo gliSen 7C Cnalrl-e-ci-eo-vsi ohytditlMap(asruoc nmcmoo eno: 6C6-7 id;s)co N cush tnhig sa nSgile C8 e.nosli Aclyutal moer C8 and T1 eoLrwo(inesl turk)n +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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nocArcdgi to ldwr,oU :DQI 717C9 71 ytemoom si vnvedoli ni weobl tokxnseioL.on se ikel ti steetls!

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I khtin ahtt esius fo iswrt seieontxn ondr/a fgreni dpro duwlo be reom rlidaa e.envr vew,Hero htere was omer xmpoialr nsask,eew os ti dulwo be .7C

"-78 ayl hetm t,aihsrt"g the pt ontdl'cu "lya hemt grsati"ht so ti odulw eb 7C orot

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welpdedelp  As* na ,oinatdid eandmi neerv veetlnionmv ouwld vaeh dleaen mreo trdoaw 8C hnta .C7 +11
meningitis  Do oyu heva eaornym ulesuf smconnmie orf ariabhlc ?sxluep +
henoch280  FA pg 944 orf nmsincmeo +
winelover777  eo'tnsD oolk eikl ehtre rae nyma in FA 9.021 SS1/2 - luBkec ym seo.h L/L34 - tShu eth .doro C5C/6 - iPck up st.cisk +
drzed  -SS42 espek het neips fof teh folor :) ec(trramse e)xrfle +
peridot  Wht'as azcyr zdr@ed si hatt in FA 2109 it sysa L12-L "c(teieslts m"o)ev on .849p so I enrwdo fi tath aehgdnc +



 +1  upvote downvote
submitted by obliviondo (1)
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Aocgrnidc ot AF 9201 ripTce felRxe is tmddeeia by 6C, esy 6C TON 8,C nda 7C nI[ ,OLDB pgliynmi it si rmeo tr.o]atpmni

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peridot  sTih is no 9.84p of AF 0219 ofr eonyan iocruus +
thatmd  AF 1202 gp 276 avhe 7C in blod for cpirets lfexre +



 +1  upvote downvote
submitted by delamj(3)
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yM tohghtu escspro on isht qeioun:ts

  • eenksswa of arm xninsetoe nda taopnrion = nosdsu lkie autmlcouueocssun ernev 5(C-)C7

  • picrsTe strcteh reelfx -7;C)(C8

u:uosetlR esBcip is -C6C5 os o/r .6C C8 esodn't fti uuucctemnasluoos eclsmu notsica ioatnc os ro/ C6. enaMdi and Raldia evenrs hvae ernfdfiet melusc ntoscia os /ro sothe sa e,llw ailnevg usjt 7C sebt iinfttg eth neiegvt.t

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delamj  C8 osent'd fti ecnltmuuuocsusoa lumecs toncais tnaoic so or/ .*C*8 +1
lsp1992  I khint you haev hte icnnutfo of eth nsleumauucotsouc ervne nrwog. ucoclauMt osuuns nsvere' mtroo unitcnof si feloxin pes(bci, bhacirlisa adn cariohcsihaarcob)l and .iiusnanopt acutusueslcoMoun sncnuiytfdo owdlu usaec kwsanees of eonilxf dan unsto.iinap sanek Wse fo oneisentx ouwdl be ialrda nre.ev kWsaeens of raoointpn luowd eb dminea +1



 +1  upvote downvote
submitted by ∗azibird(279)
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Here is a aptr of eht lUdrWo ebtla tabuo liercvac uapaethi.idlocsr dnA eys tyeh idd asy that C7 si eht mtos uyfnlqeter od.lievnv I knhti het warnes si thta 6C dwlou nveviol het psie,bc 8C ldwuo lnvieov eht fsinge,r and npairoont si dmeani ee.rnv So it hsa ot eb 7C.

hra.pt1:/couUC/tsvmg/m/mijG

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 +0  upvote downvote
submitted by magrufnis(0)
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I’m decousfn atbou thsi .one ksaseenW of onnieesxt adn nitpaonro of teh thrgi fraoem,r htiw a aecrsdeed crpiste mulsce ettcrsh eef.rxl Teh awsner swa C7 erven oo,rt ubt woh era yuo aelb ot iclaloez ot C7 adn tno C6 ro 8?C I ufigrde hatt sxtoneeni is a,adlri T51C,- dna irnpnotao is ,ndmeia losa .1-T5C sirpTce rxeelf is C7-C8 (F920A1 ssya .)C7C6- oHw would oyu oawnrr dwon ot stuj C7 aead?gm

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txallymcbeal  yM 28FA10 ahs C”“7 dbledo, iannmge it is het nmia reven ootr. uBt I olas got ihts one rwong os I ’tacn eb hucm pehl esdseib tah.t +1
mnemonia  olHnytse jstu a suesg btu I hvea ihst evagu denauindgntrs hatt iiscrnnti andh mseulsc are T8C1- so we hvtmgie’ eptdcxee eorm adhn tmroo ginnisfd as llew ihtw a 8C eoln.si +5
theecohummer  I drnoreaw it wnod ot 7C siugn eth afct htta the C7 ytmmooe si lobwe sxi.tneoen I also eneadlr hatt the 7C nvere orto was teh aimn uorrtticnbo ot het citsrpe RDT os I usjt wtne twih tt.ha +
mchu21  Tyhe aosl deoennmti htta het enorsp dah wksesena inrpgaont het ightr rorfame hiwch is eerdopfrm by teh .eisbcp siBpce is rvdaneitne yb hte oetuuscsocunualm vreen hwcih si 7C-C5 nda ht'tsa waht helped me kpic 7C > .C8 +4
mcl  yr,oSr I ghohttu teh ipbsec wsa a nusotiarp fo het formrea? +16
henoch280  ys.e. its eth staprouin otn tonroapr +



 +0  upvote downvote
submitted by ∗feanor(2)
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hTe 7C rneve troo is ni bold no 9.4ae4gP FA 0281 in hte ceriTp lxefre stretolo, Tath's hngoeu rfo me l.lo hsiT imgth ousdn a bti edoltnaac ubt I bemmerer andrige heesrowme thta newvhere 8C or 1T esgo teh iiictsnnr usmlces of eht hdan ear ysaalw f.eefdcet

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 +0  upvote downvote
submitted by ∗madamestep(17)
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heT" oelxrf pogru of smcsleu is evolnivd in aprotnion fo eth fermoar dan iexlofn of eht rwsit dna gfsein,r lhewi the xtornsee gpuor fo escumls is nvdvloie in teh noutniasip fo het moraerf and neonixset fo eht rtiws nda eir.g"snf

romF mAsobs

ksesWaen fo xieosentn Rialad( n) dan onpraonti ied(aMn .)n

6C aademg dwoul vegi you CM s.gnis 8C dluwo vgei uyo rlanu .sisng C7 oges ot einMad nda .dliRaa

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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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erP Wipeiia:dk Teh etrscpi felrxe, a eedp nnteod l,erxef si a rleefx sa ti tiecisl ivunyralotn nctocrontia of the rtcsipe riicbha mcus.le It si ttniieiad yb teh iaecrClv (fo eht ncke inergo) pialsn verne 7 neerv orto he(t slalm tnmeseg fo eht evenr ahtt esemreg rofm the sanipl rcd).o ehT lrfexe is detset as tpra of eth cuiaooglernl otaimaninex to sssesa hte syosnre dan rootm tayhswpa niwhti hte 7C nad 8C inslap nesvre.

slA,o omfr a enfifrdte bet:weis Teh cpistre flexre si demaidte yb the C6 dna C7 revne o,otrs nearonmyltipd by C7. cu./hs/ldteurosmhl/r/gbisueeseueotnmmlryrpe:..mfttrdaxeeu/pisf./ynnoud.

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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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