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Retired NBME 23 Answers

nbme23/Block 2/Question#25 (reveal difficulty score)
A 44-year-old man with invasive pancreatic ...
Area labeled โ€˜Hโ€™ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—sympathetikey(1600)
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Pnai pm;&a eapteeumrrt sfrbie rfo het trihg ides mcoe in no teh slaodr tgirh ,dise orscs ta eth rteiaron weith uc,simeorm dna valrte pu ni hte pinchlaaioStm c.rtta

6.seo4r3atQW7mYlAT4tsiX/tgAHt6/ep4:jl6-n9un.g/A4/huc/mk3oZieA2u/I9jbggB-.kAr4ry1osjl80-h2VA9c-gGtlolX8A/6g/-e0IAhpoes

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focus  Teh raigadm eher si rtyept etarg, ot,o orf hte salinmacophit tract nda( ti is edetsrpne deis yb sdei iwth hte dsolra cumlon orf ia:pcn sroom)r/ypn/txchmi2scssphaatt41a/.goeecnc-lponogttnrcya/nh:esroeed//-pt-itlaapyob +


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submitted by โˆ—lispectedwumbologist(122)
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'erWe geiwvni ihts icels fo eht iasnlp orcd orfm het obmtto hgit?r Teh fetl grthi sllaeb aswyal ixm me .pu

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mcl  aehY, I usjt drseat at sith ngaia fro a osild 5 imsetun hgitatrs up gyid.n I iknth if w'eer oggni wthi eth /RL baesll sa tehy are owhns on hte agie,m aingmei het pnaiett inygl no tehir hmastco tihw etihr teef dtnoipe tswarod uyo nda ti lhudso eamk e.nsse +10
ankigravity  tBu ywh uodwl yoenan ever ievw a atietnp keli ?atth I mane, in teh rae of oCdiv and gnin,rpo me.aby +


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submitted by โˆ—anechakfspb(77)
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olsA uoy cna larexpaetot hatt eht sfibre gnaucis ihs ianp ahev eyralad rsodsce veor uaseebc tish is a civarlec epins ocint,se dan hte ainp se'h ivgahn is orractmhablui/c

seeHr' a urietcp thta elyral :peeldh 54+:=7m=s5atduN;i8:smc/XbgDi4+cje==l4=q3Am.oL+ovm1=Yo0a0saUbR;a;2pcA0iHlhpcl1cegUm&te&alosaiGs;8&p1&HMECwch=waxc6nm;J7beoyUFmKCs=aw;&32lB1&gUswk8Fpm3UhgqSKsuarprfslpiEhpuoXebpQMmGeerssmpIr#9=i+&C4i=/th8;i_3vrhpuem2zaQvtlctKm.rx01d61ocaXer185Ecl_b++wv8orh/AU&wnwjswA8ags3me0HcofmisIlQ_?dY+00ScnprMqaacS3A8;arsA

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submitted by bigbootycorgi(5)
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heT itngh si, eth ahmiitpnaclso tratc crssoes 2 lveaebtrr lvslee up and nthe suaesedtsc at eht atnirreo tewih smcoerusmi to egt mrof teh tgrih ot eht letf, os who od I wkno cihwh tlrervbae vlele dI' eb wrkgoni no htsi ygu?

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chris07  I inhtk eht upostsainm eehr is taht we rae ilaegnd htwi het rocd steicon ta teh lleve of het epmbor.l heT ircupet si inydribcle i.mgnlesaid You avhe ot einort oefy.rlus heT dlaosr sonumcl ,F E, A, B era aicnfg the isn'petat tespriroo. encO uyo rrploeyp itnero ti ni D3 eps,ca yuo nowk atht was'th bedeall i"tghr" is ucayaltl eht tatnep'is ,left nad w'hsat baleled ""tefl si ish itrgh sied. pSreu uignncof.s +2
sne  Teh unitp resias in a ramb/tilp of obdy at eth lvele fo se,onli srntee hotgruh hte alsodr orto trpiuec(d wntbeee A adn ),B ectessudas adn csndsae ta teh rtoinrea me,siucmors nad filaynl assnpeys no teh osdnec drroe eronnu in hte atrlela mslniaphtiaoc rctta. oS eht npsaitmilahco acttr si eneisblrspo for trenctarallao pian dna erramtuptee ni.osenast So AT THE LEELV nlteiyacclh dwolu be ni het lodasr lcnuom +13
nwinkelmann  sao,l is7c0r,@h I nthik uore'y wonrg aotub eht llbesa gienb wrogn no teh ma.gie eBsceau the insiahamotlcp ratct = aranloetrtlac inpa nad rereetmtpua, and hte tsn'itape ipan si on het hitgr sd,ei uyo dulwo tawn ot raegtt hte flte lacmahpiisnot attrc ofr niap ,rileef i..e eth raae adlebel .H hTe aaer ldblaee D woldu be the hrtig mocinpihstla,a lreyup csebaue htat is woh the eamgi is ldela.be fI uoy smuaes het alble si eft,enifrd you will get it on.grw +12
kpjk  @sen I ot'nd hinkt inegetrn mofr het oldras toro uwdol be ebenetw A dna .B tI duwlo be arpt of the gary retmta s,o aleratl ot B nda F +3
ih8payingfordis  I thkin the yek hgtni rehe si ot ceniorzge tath the osrsc stecnoi rew'e niolgko at is a LRVCEAIC cins,toe ciwhh maesn t'si dnieetfily hhrgei nhta hte eocrsu fo npai c(kab nda .onbm)dea taTh llets ouy htta the crtta mtus ahev reodcss elyrada os you aergtt the nelaatrctrola ed.si eerH si a good klin ot eytidnfi ehwer eht odcr is from vai,cre(cl o,ractcih rmbula adn ra:)acls shsupftmtgnmtSP.Lb/1en.stnuawmct.n/0ge/ur/F8o4pah/:ido.0ay +4

If you assume that because the pt has R-sided back and ab pain somewhere in the lower thoracic, and you know that this slice of cord is above that because it has a posterior intermediate sulcus present (i.e. has both a gracilus and cuneatus track), then you know that the spinal cord slice is likely above where the pain is, therefore the spinothalamic has crossed over already.

+6/- spow(50)

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submitted by โˆ—donttrustmyanswers(74)
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thWa is hte aaer dleblae ''G dan C''? Adn mreo rhe?acrcsat

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alexxxx30  aaetllr oitasicporlcn i kithn +5


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submitted by alexv0815(10)
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yuo rea olngiko at isth otombt pu s(a if orsnep is on shmtcao) os L is tiaptne L dna R si eitptan .R Thsi sha aetceun adn sarlicig castrt, hhciw amens ti si hgiher pu ni rtaiccoh pilnsa codr dan os teh oaanpmiislthc has yaarled drneete adn osrcsd.e So eth tpwahya si mrfo the sradol orto oannglgi no R edsi t;&g- cssores AWC &t-;g sego up ot bniar ta etfl ""H.

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submitted by โˆ—handsome(3)
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FA 0220 GP 805 eh yscfipiellac spnito ot tgr ih ecnginsad erlatal tiashocipmnla ttrac t.be arslca vleircca -or-f- inap dan etprametuer

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