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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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rPe dolWrU I(D 5351)5

ehT C7 rtoo si eht msot leftnqeyur teecdffa reevn orto ni tatnspei ithw rclciaev ,raahdlpiyutoc luritnseg ni itfecids ocssar teh ianmed and aliadr ernve i.iutritnsbdos

iin"tnlgg tnaeisnso of sgre"nfi → idamne enevr

sri"ectp lusmce flexer is ceeerddas" → lrdaia revne

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carmustine  torhAne amtiotnpr atcioidnni that this novisvel het eidnma enerv is the knswesae ni onor.ipnat narotnPio fo het roafemr is erpredfom yb eth rprotaon teers and het parornto arqduu,sat boht fo whihc era drveeintan yb the mdanei reevn. +4



 +5  upvote downvote
submitted by ∗mcl(671)
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ortnPora teers nda aaqsudurt are bhto spdlieup yb aminde never CCC1C/(T/,587/6/ os hs'att not uesrp f.phll)eu nestiEonx of eth raofmre is rladia nerve a(ols T1C5,- also otn .u)ehplfl iThs dseo tell su is ti atc'n be odatslei medani or ida.ral Tecpisr tnoend erxelf si 8C,7C/ hwchi warosrn it owdn to ehset ow.t

anC eyanno pnielax wyh 'ist 7C ervo C?8

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joha961  Sema ntuo.qies owH dlcuo you rdmieenet ebnetwe eht esipficc nrvee otrso (C7 sv. C?)8 +2
mcl  omnSeeo I aws nlkgtai ot dan( ptos lw)obe saw iyasgn atht itfrs dai tniemosn setcrip si 7C, so h'satt waht dvshe'luo eebn eth ibg hintg ofr .su +4
joanmadd  uyo gtihm see meso lraun vener venneioltmv if 8C aws novevidl her +1
passplease  but eh sha alidegnerze ntniggil hwhic si in both luarn and deainm so?rnieg +
chaosawaits  soA,l C7 si teh tmso oonmcm deftaecf rneev ot.or If t'si a iohecc tweeenb 7C adn ogshtmnei ee,ls og wtih 7C lsawya nessul ouy cna lyfieeiitndv ropve it's not. +
freemanpeng  I kihtcn si't eht ytoloei.g Slgeni C7 -l-eeo-sla-vCniirc acyuMdotosp(ltahir cmnoom eno: C66-7 os dc)N;i shuc tihng sa geilnS 8C sl.nieo cyualtlA omer C8 and T1 neeroi(Lowsl u)rtkn +1



 +2  upvote downvote
submitted by oslerweberrendu(4)
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Acnirgodc to l,Uwodr D:QI 77C1719 eoymmto si iolevnvd in bwoel tkos.oinnLeesox ekli it t!eetsls

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I khtni hatt susei of wtsri osnxeniet anro/d rifnge ropd uwlod be emro rdalia nreve. eHowev,r rehte asw orem xoamrlpi s,wenkeas os ti dwluo be .C7

"-87 lya meth rtas"ith,g the pt dtulocn' yal" ethm irgth"sta os ti wdoul eb 7C ootr

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welpdedelp  *As na ,ntdodiia eaimnd venre tmvevlinneo dulwo vhae ladnee emro owrtda C8 hant .7C +11
meningitis  Do yuo evha onmeyra useflu meicsmnno rfo aabirlhc uelx?ps +
henoch280  FA gp 449 rof scimnomne +
winelover777  Dt'osen lkoo liek erhet are ynma in FA 9.012 S/2S1 - kBleuc ym e.hos L/3L4 - hStu the do.ro C65C/ - iPkc up .skctsi +
drzed  S-2S4 skepe eth psnie ffo teh olofr ): scmt(eaerr rlefx)e +
peridot  Wtash' crayz dre@zd is tath in AF 2091 it syas -L21L tsese"(clit )vme"o no p98.4 os I rnwdeo if atth hgndeac +



 +1  upvote downvote
submitted by obliviondo (1)
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crcdiognA to FA 9201 ipTerc Rflexe is adtdmeei yb C6, eys 6C NTO C,8 and C7 n[I LDBO, iglmnpyi ti si mroe rmai.]opntt

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peridot  iThs si on 849p. of AF 9102 rof nyeano uruscio +
thatmd  AF 0122 gp 267 ehav C7 ni lbdo rof cptries rxleef +



 +1  upvote downvote
submitted by delamj(3)
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yM tohghut rocpses on hsit niu:teqos

  • ekwseasn of arm nxtieeosn dna ronatonip = sdsuon kile masuulsuoucctone erenv )-7C(5C

  • criseTp ehtstcr xlrfee )C8-(C;7

osRulteu: ipceBs is C6-C5 os r/o 6C. C8 tedn'so itf uomslcuueotcnsua lmceus ctsaoni aitcon so o/r C.6 naidMe dna Riadla ensrev aehv dtefeifnr cmusle oticsna so ro/ thseo sa w,ell nailevg tujs 7C btse ifngtit teh vt.eetgni

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delamj  C8 etdo'ns fit clsaonuuetcsuuom smcuel saontic caonit so o/r C*.8* +1
lsp1992  I hkitn yuo eahv eht uftnnoic of eht oenusccsualutoum revne .ognrw uoo uucaunscltsM eev'srn ortmo funitcon is ifnelxo ,(ispcbe csrlhiaiba adn r)airaclhaiocbhsco adn inauons.tip alseuusoonutMccu stconuifynd dulwo aecsu kensesaw fo fionxle nda s.aipotuinn eesW knas of senextino wolud eb alaidr vener. ksnseaWe fo iapronnto owdul eb emiand +1



 +1  upvote downvote
submitted by ∗azibird(279)
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reeH si a ptra of teh dorlUW aelbt aobut vlcacrie cosupatdrahliei. dnA yse ythe did say atth C7 si the otms telfyuqrne nldvieo.v I nhtik eth awners si atht 6C ouldw lvvieno het picesb, 8C wdulo vlvoien eht nrgesif, nad anporniot si dmniea vrn.ee So it sha to eb .7C

/pa:1Um/ct/oCjiv/usmgr.thGm

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 +0  upvote downvote
submitted by magrufnis(0)
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’Im fesduonc uobta tihs oe.n ksaenesW of etinnxose and nnatproio of teh gthri ore,fmar iwht a sedredace epitcrs elumcs ecsrhtt ferlex. Teh nersaw wsa C7 revne ,rtoo but hwo ear oyu leab ot lzoiecal ot C7 dna ton C6 ro C8? I dugrife ahtt nxenisteo si adr,lai 1T-5C, adn toipnonra is ine,dma laos TC-1.5 iespTrc lexrfe si C8C7- F091(2A ayss 7).C-C6 oHw lowud you wranor owdn ot tsju 7C ?eamdag

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txallymcbeal  My 21A08F has C7“” edldob, nemgani ti is het amin veenr oort. tuB I aols tog hits eno gnowr os I an’tc eb mhcu help sbiesed tht.a +1
mnemonia  lnoyetsH usjt a sgeus tbu I aehv thsi ugvea ndnuandgsetir atht nsrcitnii hnda lcsmuse rae 8CT-1 so ew mghtevi’ ecdpeext moer dnha tmoor idfgnsni as lewl itwh a 8C .elonis +5
theecohummer  I ernrdwoa it odnw ot 7C niugs the tfca thta the C7 tyomome si beowl nt.esxnoei I osla alrneed tath teh 7C reven rtoo saw het iman torbntiocur ot eth rpitces TDR os I jsut nwet ihtw .ttha +
mchu21  yTeh laos oeedmnnti atth eht oenpsr dha nkeaessw apngointr eht rgtih oerramf chihw si edpmoefrr by het bi.ceps secBpi si tnieednvar by the soeotclsuancmuuu eevrn hciwh is CC7-5 dan aths't hatw lhpede em icpk 7C > .C8 +4
mcl  Srr,yo I ugtohth the pcbise wsa a ursiptano fo the ferro?ma +16
henoch280  es.y. tis eht riaousntp not rotnroap +



 +0  upvote downvote
submitted by ∗feanor(2)
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Teh C7 vnere root si in ldbo no agP49e.4 AF 8210 in the rcTpei rfexle o,orttesl 'stahT hugneo ofr em .oll ihTs imthg uonsd a tbi aeotdcaln tbu I breemrme idnrega wemroeseh ttah eeenwhvr C8 or 1T soeg hte inicntris eslmusc of eht ndah rea wsylaa dfctef.ee

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 +0  upvote downvote
submitted by ∗madamestep(17)
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he"T frlexo orupg of ucemlss si viondevl ni tpaioornn fo teh ormerfa adn xfinoel of hte wrsit nad rnsg,ief lhiwe eth otxeesnr gupor of eucslsm si eiovndvl ni hte nnsatuiopi fo the morefar nda oinextesn fo teh isrwt and s"erifg.n

rmoF oAssbm

sWeaeskn of esoetinnx Rdail(a )n adn ntoirnpao ia(ndeM .)n

C6 gadame ulwdo evgi you MC sng.si C8 wlodu vegi ouy nralu nsig.s C7 oseg ot Manied dna ada.ilR

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 +0  upvote downvote
submitted by ∗nwinkelmann(366)
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reP kepiiiadW: Teh rcetsip ,eferlx a peed nteond reflex, si a xlfere as it eicslit vulnnoryita toitaorcncn fo hte critspe carhibi euscm.l It si itiaientd by eht rCviclae of( the kecn n)oeigr npiasl ernve 7 vnree toor (het mlasl egmsnet of hte evner ahtt meseerg form eht iaslnp cr.d)o eTh elxefr is tesdet as arpt fo het coreollgnuai xnaienimtoa to asssse eht nyosser dna tromo atshypwa iinthw the 7C dan 8C pinlas e.vsren

Al,so fmor a idefrentf eteib:sw Teh istrpec rexlfe is aetemidd by het 6C dan C7 evren troos, odlypnetiranm by C7. unycestemmhoue/s/blfeid/.eepousruudf.hrydntsnr/xlgeo.tr:upm/smtire/a.l.

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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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