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nbme24/Block 2/Question#13 (reveal difficulty score)
An 80-year-old woman, gravida 4, para 4, ...
Damage to the rectovaginal septum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

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 +56  upvote downvote
submitted by โˆ—drachenx(72)
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eesTh nidks fo onietusqs rae aelrly adhr seceaub I've rneev nsee aefeml eevopcrturdi estrtcsuur lri. :c

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nbmehelp  Lmao +3
regularstudent  Lmao +1
mutteringly  Lmao +
rockodude  lmao +
abkapoor  Lmao +
dang90  LMao +
noopnoop  Lmfao +
stunna216  LMAO +
icrieeverytiem  lmao +
peteralamir  Lmaoo +
empem28  lmao +

 +3  upvote downvote
submitted by โˆ—beeip(141)
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uoY can ees eht aotennoeferidm eursrutct ni tsih r.iamadg

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lsmarshall  Rectal prolapse through posterior vagina ("rectocele"). +8
famylife  "When a rectocele becomes large, stool can become trapped within it, making it difficult to have a bowel movement or creating a sensation of incomplete evacuation. Symptoms are usually due to stool trapping, difficulty passing stool, and protrusion of the back of the vagina through the vaginal opening. During bowel movements, women with large, symptomatic rectoceles may describe the need to put their fingers into their vagina and push back toward the rectum to allow the stool to pass (โ€œsplintingโ€). Rectoceles are more common in women who have delivered children vaginally." +19
usmleuser007  really like the pubic hair.... +5
nnp  why not spasm of external anal sphincter? +
vulcania  After looking it up I think that external anal sphincter spasm would be more associated with rectal pain and maybe fecal incontinence. I chose the same answer because I figured if there was a problem with the rectovaginal septum it would have been noted on physical exam... +1
ajss  I did the same, put sphincter spasm because I thought a rectocele would be found on a physical exam. +
thisshouldbefree  this is the map ive been looking for +1
mnunez187  I didn't choose spasm because the stem says there the rectal tone is normal +1

 +2  upvote downvote
submitted by โˆ—yex(128)
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Teher ear esqointsu ubota gltpisinn no atePsts adn .WU WU q di 81581 whsso atenorh narsc.eio Godo emaisg no hte xailaoenntp ho.tghu ,rlsilupNoua ensoeobn 39 yo/ lpievc psrrusee ;ap&m ntsatnipooci dan eods itgnplisn to tefecdea, bla bal la.b :Eamx eayrrlluigr lngedare usute.r Dx asw iroptrsoe slesubraos nireteu ooiammely dna eoeectlcr saw on eht ti.ons.o.p tpnilSing si NOT jstu orf cer.eoctle

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 +0  upvote downvote
submitted by โˆ—an1(114)
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ig"l"ipnnts i(sguhpn hte aginlva anlca wiht esifnrg ot ed)tafcee si cmloyomn eens tiwh a rctlecoee.

Pvc+iel angor sppaoerl ncudlsei cvilpe urespers l"fgi(ene a lugeb ro htat oghtimesn is lnlaifg otu of teh a)aigvn"

oPiosrte+r naivgal lawl eslpropa eole()cetcr nca seacu nooaittincsp

sni+pigtln is oomnmc but nto niurtee tmreengenal

rPaeoslum,npe+a senneoob lliuapnuors mowen are at wslote ikrs rof vcleip rgnoa loeapprs.


ltooS seesm to og aodwtsr hte aivlang ,llaw tbu ednts'o ecmo tu.o unpsghi eth SITORREPO vaanlgi alwl dratows eht bmu lilw ehpl ithw etndeofaic

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drdoom  quick tip! if you want to make a bulleted list, put a space after the โ€™+โ€™ sign ๐Ÿ‘ +1
an1  I tried haha, this is what came out lol +
drdoom  there is no space after your plus sign above; if you put a space after, it will work! (``+ Pelvic`` instead of ``+Pelvic``) hope that makes sense! +1

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