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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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ePr odlWUr ID( 35)551

ehT 7C otro si the tmso eeqfyrlnut atffcede vener root ni tanpiets whit lavircec ,ltcryaohduapi ugnreislt in isifcdte orcass eht nadime adn idaarl verne siniuo.idtrtsb

nilgtig"n ssotaenin of rie"fgns → idaemn enver

"setpric cueslm xerfle si reeescad"d → rilaad vrnee

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carmustine  hrAneot tpmaoinrt nindiicaot atht isth losevivn teh aeimdn veren si hte ewkasnes ni otanr.onpi tnniaoroP fo eth romfaer si edprfermo yb teh otroranp sreet dan hte patrrnoo atdaqsruu, htbo fo wchhi are tenaveidrn by eth imaend neve.r +4



 +5  upvote downvote
submitted by ∗mcl(671)
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Ptroonar esrte nad asuratudq are tboh udslpepi yb aedinm nvree 8//,C5C/6(C7T1C/ so ta'sth not esrup hpu)fl.el neiEnostx fo eht aefrrom si driaal reven s(oal -51,TC asol otn eu)lfp.hl hsiT esod letl su is it atcn' eb esltidao dnmaie or iadral. rceiTsp ntdoen xlefer si 78/,CC icwhh srwnaro ti wond ot heets .owt

aCn onaney pelinax ywh tsi' C7 voer C8?

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joha961  eamS outsqnie. owH loucd uyo drnemeeti etwneeb eth isicpefc eevrn otrso C(7 v.s )?C8 +2
mcl  oeoSmne I swa inklgat ot (adn ptso w)lobe saw agisny atth rifst iad monitsen irpecst is ,7C so hast't ahwt sdh'euvol eenb eht igb tihng orf su. +4
joanmadd  ouy mhtgi ese eoms narlu vnere mtvoneeilvn if 8C wsa nvdveiol reh +1
passplease  tbu he hsa nlziegrdaee gntnilgi hiwhc is ni othb rulna adn deanmi n?sirgoe +
chaosawaits  lsoA, C7 is hte msto cmnomo cffdeaet renev too.r If s'ti a iccohe teenweb 7C and ohmeigtns ,eesl og ihtw C7 aywsla esslnu yuo anc dlyeitvieifn oprev st'i on.t +
freemanpeng  I ikcnth ti's teh igtyoo.le lenSig C7 norivc--asiC-ell-e auortthoa(sycilpMd onmmoc :one -667C )cisdoN; hcus inhtg sa nilSge C8 ieson.l tayluAcl oerm 8C nda 1T rsle(ioowLen rn)ktu +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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cgcoAndir to l,drUow QD:I 71797C1 oeymtmo si dovenvil ni loweb xtoon. esoeiknsL ikle ti es!tltes

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I inkth htat usies of wirst oexesitnn n/odar nfrieg drpo luwod eb oerm aialdr nrev.e re,eHwvo eterh was mreo pirlxmao snws,ekea os it uwdlo be 7.C

-"87 ayl temh "ghtrasti, eht pt nlt'cduo "ayl meth "itrshtag os ti dluwo eb C7 toor

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welpdedelp  A*s an dniiaodt, anmeid vrene nvetvnleomi wdluo vaeh daenel meor troadw 8C hant .C7 +11
meningitis  Do you vahe ryoemna ulfeus ncsiemonm ofr lcarbhai exlsp?u +
henoch280  AF gp 494 rfo mneoinmsc +
winelover777  e'stDon oklo kiel erhte are myan ni FA 1.029 S2S1/ - ukcelB ym h.ose L3/L4 - Shtu eth oord. 6/CC5 - ickP pu ts.kisc +
drzed  -2SS4 kpees the piens off eht rolof ): maerce(tsr )eelxrf +
peridot  'htWas yarzc @reddz is atht ni FA 1092 it says 1L-2L lec"etstsi( ev)mo" on p.849 so I odnwer if tath ecdhgan +



 +1  upvote downvote
submitted by obliviondo (1)
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iccAordgn ot AF 0219 pirTec eexlfR is idtmadee by C6, yes C6 OTN 8C, nda 7C I[n LDB,O liigpmny it is oerm tnraitmpo.]

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peridot  iTsh si on 9p8.4 fo FA 1902 for naneyo ruuocis +
thatmd  FA 1022 pg 276 ehva C7 ni blod rof sticepr rfleex +



 +1  upvote downvote
submitted by delamj(3)
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My hthutog coesrps no tish neiusoqt:

  • ensaskwe of amr soitxnene dna anoroinpt = dunoss lkie ossecalonutuucmu evnre -CC5)(7

  • pisceTr csrhtet exefrl ;(C7C8-)

oustl:ueR pei csB is C56-C os /ro 6.C C8 t'sneod fti tmnuselaosoucucu emulsc nisatco iatcno os /or 6.C iMaden adn alidRa evrnes ehva netifrdef seclum anoisct so or/ ohtes as wlel, vganile tujs 7C estb infigtt teh tei.nvetg

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delamj  C8 t'onesd tfi uclmsuenusatcoou lscmeu scotnai ctanio os /ro *.8*C +1
lsp1992  I ikthn you ehav teh cnnoftiu fo eth ucetucaoolmssunu enrve wro.gn uulocuscaMn tsuo e'nrvse toorm uotnnfci si ofexnil cbpi,e(s sralciahib adn ccao)rilroabhishac nda noun.tipasi ouccMoasutueslun nyucodtnsfi lowud eacsu nskesawe of xneofil nad ptons.iuina nasekWse fo neonextis ludow be dairal nr.vee Weenkssa fo nnopraito ludwo eb dnaiem +1



 +1  upvote downvote
submitted by ∗azibird(279)
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eHre is a rapt fo teh dlorUW tleab buota clicearv dehiciu.polaarts nAd yes yhte idd asy ahtt 7C si eht stmo etyunlfrqe ei.vodlnv I tnikh hte esanrw si hatt C6 uldwo vnvloei eht c,sbpei 8C lowdu einolvv eht gisrf,ne dna opinortna is neadim vne.re So it sha to eb .C7

1miGUcah/ojgvt:umCm/.p/srt/

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 +0  upvote downvote
submitted by magrufnis(0)
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I’m cneudsfo taubo hist .eno neksesWa of teosiexnn dan ponnroita fo teh irhgt rmoaer,f twhi a dredeseca teiprcs muslce etrhtsc rfexel. ehT ranswe was 7C enrev oro,t but how rea uoy aleb ot oliaezcl ot 7C nad tno C6 or 8?C I fiugrde hatt sxieetonn is r,adial 1C-,T5 and ntpnoioar si ,nideam losa 15TC.- Tcpeirs reeflx is C7-C8 A921F0( says C.)67-C owH lwdou you onwrar wdno ot tsju C7 eamdga?

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txallymcbeal  My A281F0 sha C7“” o,delbd nmgniea it si eth mnia evrne r.oot tuB I olsa tgo tish neo onwgr os I nt’ac eb uchm lehp deisseb .htta +1
mnemonia  oenstlyH tjus a sgues tbu I hvea isth vgaue ednsdanungirt atht icisinnrt hnda eulcsms era -C8T1 so we vihegtm’ eedcpetx ermo adhn rotom inngfids as llew with a C8 .soinle +5
theecohummer  I onrwdare it ndwo ot C7 nisgu eth fatc taht teh C7 otommey si blowe e.esotxnni I sola nrlaede ahtt het C7 verne oort swa eth nami nrrctitoubo to the icrspte DRT os I stuj tenw htwi ht.at +
mchu21  hyeT alos mnntieoed atth hte pnrseo adh wksnseae npartiogn hte hgrit armroef cihwh si rermpdfoe by het bp.cesi episBc is interaenvd by hte ocuutacouumnsles enrev ichhw is 7-C5C nda tshat' hwta dlehep me cikp C7 > .C8 +4
mcl  yor,Sr I tghuhto het csepib asw a uisornatp of hte ?frrmaoe +16
henoch280  ..sey tis eht nsaurtiop otn pnaortro +



 +0  upvote downvote
submitted by ∗feanor(2)
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heT C7 never toro is ni blod on a.P4e94g FA 2108 ni eht pTceir xelrfe l,soetort hstaT' nhoeug orf em l.lo hiTs gihmt osndu a bit dtclonaae tub I eerbmmre arnedig sewhmeeor hatt ewnverhe C8 or T1 geos eth iisicrntn essclum of teh ahdn rae swaaly fefece.td

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 +0  upvote downvote
submitted by ∗madamestep(17)
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h"eT loxref orgpu fo slmsecu si dvoleinv ni noiropatn of eth rrmaeof dna fixloen of teh wtisr dna ng,iserf ielhw het sxtoeren group of seulcsm is vvoilnde in het oinpusinta of teh armofer nda intsonxee of het isrtw nad ier"snfg.

mrFo Asobms

nesesakW of nnxseoeit ia(Rdal )n nda onotapnir eniMa(d n.)

6C eamgad oduwl vieg you CM i.ngss C8 ouwdl vieg uyo rnlua .gisns 7C eogs ot ndiMae dna .ldiRaa

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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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ePr dakiiiepW: The tpecsir ferlxe, a edep dneotn feexr,l is a rxlefe as it tselcii rnanvliyuto tncnatrcooi fo teh pitresc icbihar uecls.m tI si tediiaint by the elvcarCi of( eht nkec nger)io lanips nveer 7 reven toor et(h lsalm smetgen of the veenr taht esermge romf teh linspa )rod.c ehT relfxe is tedste as atrp fo the lueocornaigl xnaaienoitm to essass teh oersyns adn orotm tawpyash htwini teh C7 and C8 anipsl .ervnes

lsAo, mfro a nteiredff ieswtbe: The erscpit eefxrl si edmdieat yb hte C6 dan 7C enver o,orts lrpnoyndatmei yb .7C urustl..rdeyosnd/slp/ioe.fhyufem//./utbeurssmrnxopeglmcahtieedum/:enrt.

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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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