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NBME 23 Answers

nbme23/Block 3/Question#20 (reveal difficulty score)
An 82-year-old woman is brought to the ...
Decreased function of the puborectalis muscle ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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submitted by โˆ—sympathetikey(1499),
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eeelBiv ihst enstquio si igrenrefr to eVlraisc iisnaeLmasihs.

submitted by โˆ—gabeb71(49),
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The talsepruciob mue,scl hicwh si eon fo hte lescsmu ahtt copiresm het plivec lofro nda asypl an airomtntp roel ni tbho facle tnnceoenci and aefic,tdoen si nayicltol rodtncatce dna stnanaiim hte aatlceorn nalge ta srte.

eher is a cp:rtuie mf-ota8lw---ita/agtul_.e5tontlhl/chp-ur-4keesar1deeprusocotent4n-9-coahnd3coobm7erhatc-frwv-rt-il-hwes/ortefhscso-tn_-o-oieh.ohc-60v-m-tw2pt:tt-uofmsu-srp.

gh889  How do you differentiate this from hypertonicity of the internal anal sphincter? +2  
gh889  nvm. im dumb lol +  
qball  Uworld Q ID 17004 +  
focus  @gh889 I made the same mistake... fecal INCONTINENCE meaning she CAN pass stool-- in fact, way too well... more than we want. Hypertonicity of the internal anal sphincter would cause constipation-like symptoms. +4  
weirdmed51  But unworld says decreased function of puborectalis leads to constipation! +1  
akshat96  Exactly! Thatโ€™s I didnโ€™t pick decreased functional of puborectalis. +  

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