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Retired NBME 22 Answers

nbme22/Block 3/Question#1 (reveal difficulty score)
A 35-year-old man comes to the physician ...
C7 nerve root 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by paulm(9)
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rPe UWdlor (DI 55531)

eTh C7 ootr is eht otms nlqyteefru atdcffee venre otor in pniattes thwi clevcira hcuori,atapdyl igrunselt ni dscftiei saoscr eth dmeani nad iadalr eevrn oiri.ttbdssinu

gtglnni"i oenassint of sgefi"rn → idenma evern

rec"ptis slemcu rleexf si "dcerdseae → diaral evner

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carmustine  Arhonet anttrmpoi cinotaiidn taht hsit nsleoivv the endmai neevr is het ansewkse ni oti.rnaonp tiaonrPon of hte erormaf is frormeepd yb the ropnatro retes dan teh nptoorra uuqsaatr,d bhto fo hhcwi era arenndteiv yb teh naedmi ev.enr +4


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 +5  upvote downvote
submitted by ∗mcl(671)
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ratoonPr ertse and asdqrauut rea hobt ipepdslu yb daneim nreve /76//1CC5CTC/8(, os th'ats ton spuer fulpleh). xEtsoneni fo teh merrofa si ridlaa eenvr al(os -5C,1T osla not luf)hp.le hsiT osde tlle us is it 'acnt be dieltsoa daiemn or d.aarli serTpci doetnn efrlxe si C7/,8C hicwh snarwro it dwon to esthe ow.t

nCa oneyna pnxiale ywh its' 7C vero ?8C

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joha961  aSem s.nutqeio wHo could yuo emeritnde ebwenet eth ipcescfi enevr tsroo (C7 s.v C?)8 +2
mcl  nemeSoo I saw tkgnila ot (nad stpo oel)wb aws isaygn ttha fitsr ida mitsneon ticsper si C,7 os 'astht wtha v'slhuode been hte big ihgtn for .su +4
joanmadd  oyu hgimt see oems arlnu evenr etnilmvonev if C8 aws vndoliev hre +1
passplease  tub eh ash zrgnaeideel igltnnig hwhci si ni hbot luarn nad eindma sronige? +
chaosawaits  l,soA 7C si eht msot mnoocm aedcteff eevnr oort. If 'sti a ocihce nweebet 7C dna isnetgomh s,lee go ihtw 7C awylas lenssu uyo nca fyileveniidt vpero ts'i .tno +
freemanpeng  I nhctik ti's the .looeyigt egnilS C7 lciies-Cn-e-ro-avl poidytaaMoulhscrt( mconom o:ne C676- o;)dNcsi hucs tingh sa gnliSe C8 sn.ileo Atlayclu moer 8C dna T1 loewLsero(ni tknru) +1


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 +2  upvote downvote
submitted by oslerweberrendu(4)
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ngAoicrdc to wold,rU DIQ: C977 171 yotmmoe is vidovnle ni ebwlo Lsonen iexst.oko leki it st!eetls

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 +1  upvote downvote
submitted by ∗welpdedelp(270)
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oS I nhitk ttah susei fo rwtsi onesxntie o/dnra efignr dpor dwluo be roem dliraa .envre Hower,ev ehtre asw omre arpxoilm sensak,we so it woldu eb 7.C

"8-7 lay mthe i,ttr"shga het tp o'lutncd y"la htem si"tgrath so ti luowd eb C7 oort

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welpdedelp  *sA na dii,odtna midane ernev vniolmtneev lwuod hvea aelnde mroe rdtaow C8 ahtn C7. +11
meningitis  oD uyo have ynremao eluusf nmcnmsioe fro icrbaalh slpe?ux +
henoch280  AF gp 944 rof ecmnimons +
winelover777  o'Detsn loko klei hreet rea yman ni AF 0921. /21SS - lkeBcu ym .seoh LL/34 - htSu the oo.rd CC56/ - kPci up citss.k +
drzed  2-S4S peeks teh iensp ffo eth lrfoo :) reascmrt(e )eexflr +
peridot  sh'tWa aczry d@erdz is ttha ni AF 2190 ti sysa 2L-1L teietcsl"s( ev)om" no p.498 so I neowrd if ahtt hengdac +


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 +1  upvote downvote
submitted by obliviondo (1)
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cicrgnoAd ot AF 9021 ipecrT leRefx si iteaedmd by 6,C sye C6 ONT 8C, adn C7 nI[ OB,LD pgynimli it is mero imat]otr.np

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peridot  iThs si on 8p94. of AF 9210 ofr aoneyn ricuous +
thatmd  AF 0221 pg 726 evha C7 in lbdo rof certspi elerfx +


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 +1  upvote downvote
submitted by delamj(3)
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yM ohhttgu ssrepoc on ihst nuq:tesoi

  • enawseks of rma itexnosen dna oirnpaont = odnuss ekil uonuutlucasosecm erven 7(CC5-)

  • csTierp hcttser rfeexl )C7(;C-8

uRltue:so eB pisc si C-C56 so ro/ .C6 8C e'dnsto tfi omccnaustlusuuoe clemus asictno onciat os /ro C6. dinMae adn Rialda servne veah eftfnired lscuem tsocnai os /or stheo sa lwel, lginaev ujst C7 sbte initgft het etgetiv.n

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delamj  8C enos'td fti cmuseounculsuota smulec siatnco ntcaio so or/ 8C*.* +1
lsp1992  I nkith you have eth cnuntofi of eht nasuumcouetcosul nrvee wgno.r cuu cosutMslouan vensr'e omtor utnfcoin si floienx ,cbpsei( ihraiblsac adn )coocaaraisiclhbhr dan ntaiupoi.sn castusecuunlMouo otyfnucsndi dluow seacu kewaness of ofnexli and uiptasn.noi ae Wssken fo xetiesnno ldouw be railda .erven aesWknse fo iortoapnn uwold be anmeid +1


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 +1  upvote downvote
submitted by ∗azibird(279)
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eHer si a ptra of eth WoldUr tblae tobau rlcaeivc idoipauslach.ter nAd eys teyh did say thta 7C is eth omst reuntylefq diloenv.v I nhkit het srwane si htta 6C wloud lnvoevi eth ec,pbis 8C duolw eolvivn eht eisrfn,g nad oitarponn si dnaeim ver.en So it has ot be C7.

ohUm1pgiv:.a//ttumGj/smrCc/

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 +0  upvote downvote
submitted by magrufnis(0)
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mI’ nsufcode touba stih eon. ssenaWke fo xneonstie adn ntpnraioo of the ihgrt r,mferoa wthi a aresdedec rtpceis mcsuel tetsrch rxfel.e The wneras asw C7 veern too,r tub who rea ouy laeb to oiacllze ot 7C nad otn 6C ro C8? I rfugeid taht nstexneoi is l,daira T,-15C and toranpoin si ,andmei soal T5-C1. srTipec elrefx is -7CC8 A2(9F01 syas -67.)CC woH dwluo uoy oawrnr nowd ot ujst 7C aa?dmeg

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txallymcbeal  yM 8A021F sha 7”“C eold,db agimenn ti si the nmia vrnee or.ot uBt I lsoa ogt stih oen rongw os I ’catn eb cmuh plhe isbesed h.tat +1
mnemonia  tnosHeyl sjut a sgeus utb I eahv ihst uegva dsdnireuntgan that inirsnict andh csesmlu era 81CT- so ew mgih’tev depxceet rmoe adhn mtroo disnifng as well whit a C8 ns.lieo +5
theecohummer  I rodnarew it ndow to 7C gisnu teh fcta ahtt eht 7C mtoymoe si lebwo xt.nesieno I asol dnraeel ttah het C7 erven otor was het mnai ctionutrorb to eth irsptce DRT so I ustj wetn wiht .thta +
mchu21  ehyT sloa neeomtidn tath het noserp dha easnksew trgpnaoin eht hrgti rmearfo hiwch is ferrmeopd by the pc.bsie Bseicp is nrvndeatei by eht scensauumuolocut eevrn wchhi si -75CC dna 'thtsa htaw elhped me pcki C7 > C8. +4
mcl  ryorS, I ghhoutt het scibpe swa a nsitaupro of teh r?omafre +16
henoch280  .e.sy tsi het sraonputi otn onatrorp +


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submitted by ∗feanor(2)
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hTe C7 enerv rtoo is in obdl no 4P4aeg.9 FA 1208 ni teh pTierc xeefrl oore,tlst 'Thats huegno ofr me oll. sihT gmthi snduo a itb clnedotaa tbu I ebrrmeem edirnga mwsrehoee thta nreevhew 8C or 1T geos eth irtcinisn esmcsul fo hte dhna aer aslway tfe.ecedf

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 +0  upvote downvote
submitted by ∗madamestep(17)
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eTh" efolrx porgu of scemlus si volnivde in iptranoon of eht fomrare dan oinlxef of eth wsitr adn iernfs,g iwlhe eth rtexsneo upgor of sumslec si edlnvvoi ni teh intnuispoa of hte raofrem adn esiteoxnn of teh rswti dna f."srgein

rmFo Asosbm

seksenaW of eionnxset lai(adR )n adn npntioroa danie(M .)n

6C admgea lodwu ievg yuo MC i.snsg C8 uowdl evig ouy ulnar igs.ns C7 oegs ot denMai nda daRal.i

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submitted by ∗nwinkelmann(366)
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Per i:Wpiiaekd heT cepsitr lrexf,e a pede ednont e,relxf si a freexl sa ti itlecis vnitylnarou naotctrcnoi fo hte cepistr ibhcari ulce.ms tI is tateidnii by the ceirlaCv of( hte ecnk in)gore ialsnp veern 7 rnvee oort e(ht lsmal gmsente fo the enevr atth reeesmg rfmo the lsiapn .cr)do heT lrexef is deetst sa atrp of eht rlocaleiougn nemaxtaonii to sesass teh seysonr adn tmoor sawahpty tiwihn het 7C dan 8C snilpa s.veren

Aosl, rmof a efeinrdft e:teswbi Teh retpcsi felerx si edaemidt by hte C6 dna 7C eernv os,rto eonryainldpmt by .7C eihetr.mnduum.mmunr/:rlyh.uosgr/eo/issbnfts/pltc./af/tserdopeedxulyeeu.

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this is my way to think(please correct me if it's not correct: a. weakness of triceps muscle reflex --> C6 / C7 / C8 problem (FA P498 2019) b. weakness of extension of the forearm --> radial nerve is involved --> damage of C7 root leads to axillary or RADIAL nerve defect (FA P441 2019)

+/- joyceeepan(6)

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