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Retired NBME 21 Answers

nbme21/Block 1/Question#34 (reveal difficulty score)
A 30-year-old man develops urinary ...
Pelvic nerves ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—hungrybox(1277)
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inchysmyoea poetds shit gtaer pic ebwol

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eacv  heer si a eovdi ofr ituirnltaso SttpUc/NWu//kaohv.wwwy=st0uoxv?h-.mcoebtw:s +2

Based off this pic:

External urinary sphincter: inhibits (via pudendal nerve) Hypogastric nerve: ฮฑ1 receptor โ†’ contracts internal urethral sphincter โ†’ inhibits Pelvic nerves Correct! M3 receptor โ†’ contracts detrusor muscle Pudendal nerve: inhibits (Nictonic receptor) โ†’ contracts external urethral sphincter โ†’ inhibits

+2/- hungrybox(1277)

External urinary sphincter inhibits (via pudendal nerve)

Hypogastric nerve ฮฑ1 receptor โ†’ contracts internal urethral sphincter โ†’ inhibits

Pelvic nerves Correct! M3 receptor โ†’ contracts detrusor muscle

Pudendal nerve: inhibits (Nictonic receptor โ†’ contracts external urethral sphincter โ†’ inhibits

+/- hungrybox(1277)

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 +11  upvote downvote
submitted by โˆ—peridot(115)
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ereH si my ysmamur of teh u/cevtpdeoiri taht was pd:oest

erheT are 3 wtayahps iolvendv ni inpeg:e

  1. lvcPie .n aa(k leicvp cphlncnais n). sndes tyiapamcrapeths sfrbie to oturlreds to tcnaoctr g-t&-; uezeeqs ddlerba nad .pee

  2. Hytopicgsra .n endss mytteiascph siberf to the esrdrlout to a,xlre sa well sa the tirnlena ehspctrin ot cnaottrc ;tg-&- dhlo akcb pee

  3. naeuPldd n. ssend sacotim fisber r(unde cocunsois oct)orln to hte enlrtxae htcserinp to ocnrctat &t;--g lhod cbka epe

nI isth iuen,stoq the tntsa'pei adlrdbe is lnliigf up os mhcu that s'ti rfeocd to rlwovfoe. ahTt msnea ehetr si a elpmbor iwht asrceoin 1 - emaagd to pvleic .n so tath he 'ctna eeszeuq shi ardbled vene henw t'is rspeu f.lul

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peridot  oT aicyfr,l ihst ioicrdnptse si aemtn ot go lnago twih ubs'ry@xhong cpi nlki and ec@as'v diveo klni +4
lovebug  haktsn a !olt +


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 +3  upvote downvote
submitted by โˆ—neonem(629)
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eTh rsalca uiorntimict nreect si 1 of 3 csenpomont of iiunotrctim rfeexl t(rhoe 2 rea from nieotnp itacelurr anrmofoti dna ererbcal xco)te.r lcrSaa itmc ntcere = 4S2-S iaspnl dcro leelv tvlragnie from velnrat wheti tmrtae ni hte veiclP enersv, sisrnplbeeo ofr drldeab ncaorconitt iva eht nrglihociec svreen ntk(hi ti tasc no hte M3 ecreotrp in teh ldbadre e.rds)r?otu fI oyu leso teesh evnser i(.e. ni lecvpi )ecafrtur, lliw lestur in ofwlvreo cie.nniocnent

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 +2  upvote downvote
submitted by โˆ—meryen13(48)
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cipevl rgv&-etn-e; senracesi ndgiovi n,ueri m3 ereo,ctrp gipphcpaoyheamrttysa astirc t-evgrn-e&; ssenarice ruyrian ,inteertno iymhpst,ecat atbe 3 nad haalp1 p oe.edtaurnedrscpl e;e-tgr&vn- ont aprt of ir,ttciunomi sit a smtcoia onmpcotne dan ash a tciniocni tcoreep.r

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huszagmc  tglEaiobnar twhi a bit mroe e:tdlTeah i edlrbad sveceier tupni fmro bhto the onmiucoat h(epmyttcisa dna icraeh)psatamtyp adn asomtci rams of het nosveru ca t.pmyeSitthssmye โ€“ gytopsiarhc neerv T21( โ€“ L.2) tI ssacue laotrixaen fo het rostrued ,euslmc tnmgoirpo iunre yi trmriptPhatstaeeeacnon. โ€“ cvpile evern )(.24-SS arecsdneI lasinsg mfro this enver sauce ccootinrnat fo teh reotdsur cm,slue lugmtiasint t.tiiirmc cooamnuSti โ€“ apuldnde evenr )S-42(. It tsnveianre eht rexeltna urhrleat hnirsec,tp iodgprivn tuvonarly ntrlcoo eorv nnimciIurti .ot thsi neiqsotu, the mna has a ededntsid lr,bdade cwhih I neretreipdt sa "eh c'tan nuatire ntuyo"esnplsao hitewors(e eh ylbbraop lwdoutn' tel his bedadlr gte so l)f.lu.. -โ†’ emess ilek he ash ilycfdftiu orgtncantci teh oetrusrd clsuem ot iitiaten cnimouttrii -โ†’ sesiu wtih ceplvi nrevse. +1


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 +1  upvote downvote
submitted by โˆ—yo(89)
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uirrpslisgny dgoo axatloenpni dna eptciru fdoun on itsh esti. ihogtsnem nlgoa eth lisen of tnuiiocimtnar refexl aka( edadrbl si lluf nda oyu sisp exfl)er si gneo so eth eftfenar bfsire crirgayn the sangil htta eht lraddbe is ulfl ntare' .wgnkori ehtso fiesbr era ecdirra ni eth icplve envers

t/t/:psocuoblu/myyrnitpsciwe/ii/mpotcr-tpwo.edoreigorwcs/o/t.rgdtux

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yo  if lsilt d,cfuenso a etbter lapxoetiann nac eb nfuod staio bnnht:g/hntposru/rehai/onr.l./iojuntacohsre/e .wdmnsuiueeti/ssntc +24
hyoscyamine  i nfduo iths aigme ot be lfhelup ni reigbnremme whcih seevrn od hwat on wchhi cerr.oept eXsx/toa.jigi/wJtaidtlhh/m.fe.em/yucs/amgrkvpl:opWit +7
drdoom  ^ ikfliny oy rphis.adoahsobtuis/enaot.tuec/eotjnhn:/ns/r./sui/nlunonctgsiiwtmr +
drdoom  ^ yilnkif anesyycomih itpcl.feetir/uagtdim.Whsg/wvJjoXytspik/h:lmmeaoa.//x +


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 +0  upvote downvote
submitted by โˆ—bbr(58)
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'Im ilslt ,nfeucods heewr si tshi ygus mperblo ccigu?onr Is ahtt eh si lauenb to int,urea or atht eh sah oelfvrwo eo?ticiennnnc tGgneit slto ni eehst r.vsnee

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