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NBME 23 Answers

nbme23/Block 2/Question#23 (22.3 difficulty score)
A 75-year-old man with prostate cancer has ...
Prostatic venous plexus to the vertebral venous plexus🔍
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 +14 
submitted by usmleuser007(337),
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  1. casreCn fo the svpe,il ncigluind het paot,rste eapdrs ot teh laosulacmrb nipse iva hte aetbvrler nsouve pluxse V.V)(P

    • The VPV icemncmsuato whti a breumn of neovsu ntersok,w iidnugcnl hte ocitptsar eouvsn pexul,s cihhw crvseeei eht usnevo uylspp rmof the paettsro, pseni, dna r.adldeb

    • VPV rusn pu hte teeinr snpali omcnul nda nncosetc tihw het unovse plusyp fo eth nairb avi a svaseellv emtyss o’aBs(tns )esPulx ciwhh lawols fro oailirtbciedn lfwo dna orntuiagel fo aniranictrla erers.Tisupsh vuones nncnioetoc to eht berlerac ctcuoirilna yma lehp anpilex the pporenstiy of rstoum to etsieaamzts to teh .nabri

  2. ehT VPV alos euioctnacsmm wtih the gasyoz nive ni het es,tch chhwi esxnapli ni part why atrbse and guln ersaccn retlfqenuy zetmtsiaesa ot the coahitrc sien.p

    • rmalSl,iyi ued ot ponlyrmua usvoen agednira tnoi the felt edsi fo eht ah,ret lnug rtsumo fteon rpesad sicmtyelayls via eht liaertar s.mesty
  3. Algohthu hplmy snoed ear eth msot onmocm stesi of smiteatass in nagerel, cayitphml rpesad to eth aeseltkl ysmtse is yvre rer.a

  4. hTe iprapfnimom pxulse iercvese snuvoe iagrdnae frmo teh ises,tt yeipddismi, and cuutds enresdef nad adinrs toin hte tirtlcuase .nesiv




 +2 
submitted by d_holles(145),
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ssoneL eednarl -- eht ENBM s'tonde ylpa s.tkirc fI it skloo hgtr,i it is irh.tg

thotcandy  but also when it looks wrong it's right, or when it looks right it's wrong, or when it looks wrong it's wrong. you never know with NBME :) +5  



 +0 
submitted by usmleuser007(337),
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3. aesncCr fo hte ilsvp,e gindcliun eth oartspte, esdarp to eth usaroamblcl sepni iav ebheetlrtrav  unesov PVs(Vp.xe)ul  a. ehT VVP ecimtmcsnuoa hwti a rbumne of osvune ,ernstowk i. cninligud iphcettostar  euvons sux,lep whcih virsceee het uosenv uyslpp rofm eth tosre,pat neip,s nda derbald . .b VVP srun pu teh reenti spanli mcuonl nad ctecnons iwth eht uvnsoe splupy fo teh ranbi vai a levvsaels tssyme a(notssB' seP)lux i. icwhh olwals orf aioirtdiebnlc flwo dna oruitlneag fo tacrlianianr pere r.ssu i.i hiTs senovu ocnncontie ot eth ralrecbe racouilicnt aym lehp naielxp the eptiynosrp fo otrums to eaitstaeszm to teh a. i4.rnb eTh VVP olas csmocamuenti twhi het ayogzs nvie ni hte ,sthce cihwh iplnxaes ni arpt ywh aebtsr and unlg ccasrne qfteleuynr ataeestzism ot eth acthorci ip.es n a. ylaiS,ilrm edu to mypuonarl vosneu aarindeg oitn hte etfl idse of eht rth,ae lugn umtsro ftone aedrps tlayeylcsims via hte rliraate .t5ssmye . Atulgohh lyhmp soedn aer the msto onmmoc stise of isesastamt ni ,neaerlg amptycihl rpedas ot eth laekelts teyssm is eyrv a6er. .r hTe nprmifipmao uspexl eresceiv vseonu idaeargn ofrm the iestst, idsi,eympid dna sudutc sdeneefr adn dranis iont eht ulaesttrci ie svn.



 +0 
submitted by cuteaf(4),

Why is it not answer " Postatic venous plexus to the the internal iliac veins" I thought the route of metastases to the spine is prostate plexus -> internal iliac veins -> vertebral plexus??