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NBME 23 Answers

nbme23/Block 4/Question#2 (47.6 difficulty score)
A 60-year-old woman with type 2 diabetes ...
Subacromial bursitis🔍

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luaimcraobS isustbir = rtalnuNoc Eaoebacntirx fo ianp, inap vraheo,de anpi wtneebe toiddle dan AC jnoti

oN intmmpigene = ton ortoart ucff inetstidin

keiL hayaHya aisd "eseiadvh isslupctia eacsus srveee iesoritctnr fo boht ceativ nda paesisv geanr of mtevomen fo teh reulnahegmol jinot in lal elnpsa "

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hWy si eht wseanr to tsih nqouetsi ont seiAvhedi .lsiutsC.iap.

hayayah  Adhesive capsulitis causes severe restriction of both active and passive range of movement of the glenohumeral joint in all planes (especially external rotation). +19  
catch-22  Adhesive capsulitis is aka "frozen shouder" so you can expect exactly that. The entire shoulder will be hard to move in all directions. +2  
meningitis  Since it says there is NO impingement sign, it cant be rotator cuff tendinitis correct? What other signs eliminate this option? +  

yex  There is a Q on UWorld about rotator cuff tendinitis #380186 w/ a similar presentation... I kind of remembered about that, but honestly I do not know how I got it right. +  
yex  Correction: Q id is # 1732 +  

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submitted by hello(247),
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Why rea oortat"r ffuc trae" dna atot"ror cuff "tnesiindt r?nwog si ti cb hbto fo heste dulow hswo impmntineeg ngis? si tereh a yaw ot DDx one fmro eht roth?e

snripper  It can't be rotator cuff problems because abduction is normal up to 90 degrees. +1  

Can anyone explain why bicipital tendonitis is incorrect?