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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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Per WdrUol (DI 5)5351

ehT C7 otro si het mtso etflnyreuq aedcefft revne toor ni spinteta hitw ericlcav tauiy,larpdohc erlutsnig ni eftdcsii asrcos eth daienm adn aldair nvere ibr.itdinussot

"niigtlgn oannsiste fo sngfe"ir → eamidn nerve

etspir"c sulecm exfelr is eesrdead"c → ialrad renve

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carmustine  ronAhet tronaitpm actiidnino taht ihst seoivlvn het demian veren is het sseenwak ni .nanitproo noPiortan of the mareorf is rfredmoep yb het nroratpo teesr and het taornpor srqtud,aua thob of hwcih rea veantnedri yb teh iamden enr.ev +4



 +5  upvote downvote
submitted by ∗mcl(671)
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ntoPraor seetr adn utasdaruq are otbh sipdulep by aedimn nveer (/C1,C7C5C8T///6 so atth's not psreu hl)uef.pl nsiEtxoen of het roerafm is ilrada rneev s(oal 5T1,C- alos otn ef).llphu sihT does tlel us is it tc'na be edoltais meanid or liada.r Tipcres oednnt lefexr is 7/C8,C hhcwi oarnsrw it down to heset o.wt

naC aoneny leaxinp wyh its' 7C ervo C8?

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joha961  eaSm stein.quo oHw lcuod ouy einedtrem eebntwe hte iciefspc reevn oorts (C7 sv. )C?8 +2
mcl  eeSonom I saw anktigl to d(an ostp lwbeo) wsa inysga that tisfr adi notimnse cierspt is C,7 os h'tast awht us'lhoevd eben eth ibg hgnit for su. +4
joanmadd  you htgim ees soem ulran nreve tmnlveieonv if C8 aws vleovind rhe +1
passplease  utb he hsa elrgaeeznid inglitgn hiwhc si ni hbto nlrua and eimdan eo?nirsg +
chaosawaits  Also, 7C si teh smto ncomom ecedftaf nreev rto.o If it's a hcioce eeewtnb 7C nad sngtiomhe s,lee go thiw C7 wsalay lnsues oyu nac eniiildfveyt eporv i'ts n.ot +
freemanpeng  I ckhtin sti' teh oyeoil.gt iSnleg 7C el-ivairlsc-eoC--n cMtahlpstruido(oya common o:ne 76C-6 s oicd;N) uchs tinhg as gneiSl 8C iesnlo. Altacyul mreo C8 adn T1 Leo(oriwnesl n)utrk +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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oAicgdcrn ot orlw,dU IDQ: 1C9771 7 toyoemm is vieovndl in lobew oe snLok.xtoinse ielk ti lttes!es

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I nihtk thta eiuss fo rtwsi tsexionen dr/noa gefnri oprd wduol eb more adrlia e.nerv e,woveHr htere was ermo aolrmixp wneseka,s os ti dulwo be .7C

87"- aly meth "satigt,hr the pt dclot'nu "lay ethm tgitah"rs os ti owlud be C7 troo

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welpdedelp  s*A an naiiod,dt ndmiea vener inmeenvovtl would ahve enaled omer oadtrw 8C hant 7.C +11
meningitis  Do ouy vhae reamoyn ueuslf ocensminm fro alicbhra elupx?s +
henoch280  AF gp 494 ofr snmicmeno +
winelover777  esoD'tn kool liek ehtre aer aymn ni FA 102.9 /2SS1 - kulcBe my so.eh L/3L4 - hSut eth oro.d C5/6C - iPkc up c.sstik +
drzed  -4SS2 pseke eht pisne fof the lfoor ): rsteem(rca relf)ex +
peridot  ahts'W yrzac edz@dr si ttah ni FA 2190 it yssa 12L-L lee"istc(st "o)vme no p849. so I ewnrod fi ttha hdcnage +



 +1  upvote downvote
submitted by obliviondo (1)
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rccdgnoiA to FA 2901 Tricep eRxfel si etamdedi yb 6,C sye 6C ONT ,C8 and 7C [In DBLO, lgiympni it si roem .itonmpart]

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peridot  ihTs si on 98.4p fo AF 0291 for onyaen uruiocs +
thatmd  FA 1202 pg 267 ehva C7 in lbdo for tcsperi eexlrf +



 +1  upvote downvote
submitted by delamj(3)
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yM houhttg scpseor on hits oniqt:seu

  • skwsneea fo mar onistexne adn ioonrpatn = ndsous leik luocuuseacmsuont nreev )C(7C-5

  • eTrspic crstthe xrlfee C)C-8(7;

tulsuR:eo i eBscp is 5C6-C os r/o 6C. 8C 'deotsn tfi omnoecutlusauucs sumcle atoncis incota os /or C.6 nMidea nda iRdaal servne aveh etnferifd ecmsul ctosnia os or/ ethos as ew,ll levgina jstu C7 bste gnitfit hte neeti.gvt

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delamj  8C nstde'o fti cesacuuntosmluuo emcusl ncoaist taocin so /ro 8*.C* +1
lsp1992  I tkihn ouy evha eth ntnuoifc of eth otusamcleoscuuun rvnee o.wgnr clo uucsouatnsuM enes'vr motor fnictnou is noxifel se(,icbp alcbisriha nda lriiccoohhars)caab adn untisio.pan uMsoleuutsuancoc icsfynnuodt wloud secua kanwesse fo enfxlio dna spianiun.to sn Wakees fo eixsnotne doulw eb lradia vre.en asWksnee of rpaiotonn odulw eb ainemd +1



 +1  upvote downvote
submitted by ∗azibird(279)
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eHer si a patr fo the UoWdlr betal btuao evalircc slreoahpatiudi.c dAn eys htye idd yas atth 7C is eth tmos qfnryutlee vnldiove. I kthin the esanrw si ttha 6C ldowu ivvlnoe the ep,isbc C8 uwdlo lovneiv hte isfgern, dna npianootr is aeinmd enev.r So it ash ot be 7C.

/G1ra//tos/mtumUhgimC.v:cpj

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 +0  upvote downvote
submitted by magrufnis(0)
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Im’ deunsofc autob this .one nkesaWse fo eiesntonx and oopntnira of hte gtrhi morae,fr iwht a aecdderes srciept slucme hrsctet eflxer. heT eawrns was 7C rneev ot,or tub ohw are uyo labe ot zloielca to 7C nda ont 6C ro C8? I ueifdgr taht exosnntie si dlra,ai 15-T,C dna inooprant is neda,im laos 5.1C-T piscerT erxfle si 8C-C7 09F(A12 ysas 67C-C.) owH duowl ouy anrrwo down ot tsuj 7C aag?med

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txallymcbeal  yM F2A801 ash C7“” edl,odb innaegm it si eht iman vnere .toor tuB I osal gto itsh oen owrgn so I tac’n eb cuhm leph edseisb ath.t +1
mnemonia  soenHlyt sjtu a sugse ubt I ahve tish auevg intngeasurndd ahtt stcrninii hadn cmlseus era 1-C8T os ew gh’mveti decxetpe mreo ndha otrom sfinngid sa llwe itwh a C8 .sloien +5
theecohummer  I ndroreaw it wodn to C7 sinug het ctfa thta the C7 tmeoymo is elbow ens.xoietn I asol eeldanr thta eht 7C ervne ootr aws eht nmia rcibrtnuoot to het itercsp DRT os I sujt nwet with at.ht +
mchu21  Tyhe olsa nioeetdnm atth teh nrepos ahd awkssnee pntnargoi hte irhtg rramfoe hcihw si prefremod by teh ceibs.p espicB is anrnetdiev by teh uloaocscsuuumten enrev hcwhi is 7-CC5 dan saht't tahw dhpeel em ipck C7 > .C8 +4
mcl  rrSo,y I htuhogt eth cipebs aws a osutpniar fo the foare?rm +16
henoch280  se..y sit eth puontrisa not noartrop +



 +0  upvote downvote
submitted by ∗feanor(2)
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Teh C7 vnree oort is ni bdlo no 9Pa4.eg4 AF 0812 in hte eiTpcr elfxer olresto,t ath'sT egnhuo fro em .lol siTh itmgh dsnou a bti aonactedl ubt I mreermeb inaergd owmrhesee htat erwnveeh C8 or T1 egso hte inctrisni sumecls fo teh nahd ear wsayal ct.fdfeee

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 +0  upvote downvote
submitted by ∗madamestep(17)
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hT"e lorxef gruop of suesclm is invoevdl ni otnoprani fo teh mrrefoa dan oxenfli fo het srtiw adn isg,efnr eiwlh eht sroeextn urogp of sscemul is dvleoivn ni the tnpunsoiai fo hte oramfer and snxtoinee fo teh swtri nad .f"eisgrn

From oAmssb

Wksanese fo onxneetsi R(alaid n) dna ionanptor Mied(an ).n

6C amaegd wlduo egvi you MC ss.ing C8 wdoul iegv uoy nlaur gsns.i 7C eosg ot Minead dna aa.ldRi

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submitted by ∗nwinkelmann(366)
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Per a:dpiiWiek ehT strepci ,erelxf a edpe entond eelfx,r is a lfeerx as it steilci vtiarynunlo oacoitnrtnc of hte resptci birhcai lusecm. It si iinaitted by eht laicerCv o(f eht eckn noi)erg npails evenr 7 ernve orto et(h lmlsa eegsntm fo hte evrne atht mseegre mofr eth lipsna cdr).o hTe feexrl si eetdts sa arpt of the lrooaligceun maiteoaixnn to sseass the nrssyoe dna omtro ptsawyha twhini hte 7C dna 8C asnpil rse.nve

s,lAo omrf a inffeterd iewbest: heT icrstep lefrxe is timedead yb teh 6C dna C7 eernv t,soor pemayrnlnodit yb C.7 ty/mas/nsetd.rp.euxlnormc/dofe/rh/hriuu.:lmyefepouutegi.edm/uetsnssbrl.

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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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