NBME 23 Area labeled ‘H’ (NBME Answers)

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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 ‘H’ 🔍 / 📺 / 🌳 / 📖
tags:

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submitted by ∗sympathetikey(1600)

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ainP mp&a; uetmpraeter sreifb orf eht thrgi iesd meoc ni on hte saoldr ihtgr ei,sd cossr at eth anitrore heitw soeim,mcru nad vtealr up in hte iapihloancSmt act.tr

hcmT-e324G64otAe3gioV.Ae287heg9so80bgWatk.0AkuyiQA/s-/-lZnr.t/6ph/Bjoll4cetou4H9496/s1t:AA/rr/I6p-ljjsgg/mnAXgXlIuAY-

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focus heT agdrmia rhee is tertyp ret,ag oo,t orf eth tnlsicoihaapm tctar dan( it si pneedtser esdi by dies htwi eht arsdol lncmou ofr capmri)so: no/soic/htn-d:4cs-oae/lsrgr1pat/hiote-esccltapgnanpytpotraee/yypco2nb/natxmh. +

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submitted by ∗lispectedwumbologist(122)

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eeW'r igievnw this lisce fo eht iaslpn ordc fmor eht obmtto grtih? hTe tlfe hitgr leblsa aslywa ixm em u.p

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mcl h,aYe I just rsdtea ta hsti ingaa rof a osidl 5 smetiun ghtstari pu iygn.d I hkitn fi ee'rw igong htiw het R/L sbleal as ethy rea whsno on eth eia,mg gnieima hte tetpian glyni no rieth mcahtso tiwh rhiet efet dipoent dwsarot yuo nda it hdlsou kame nsse.e +10

ankigravity utB yhw wudol yoenan eerv ivwe a tpntiae liek tat?h I ,eamn in teh rea fo oCvid dan nroip,ng amby.e +

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submitted by ∗anechakfspb(77)

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oAls you anc elxartopaet atht het iserfb sgaucin shi pian hvea lraeyad rcoessd orve bceuase ihst is a ialcecrv sinpe ,eisocnt adn het naip hse' hginav is arccaubmithorl/

se'Her a tuciepr that ryelal lhep:ed MdMmppre+mU=1A=/v+wsUo.aUyI:U=&2e8j0eea1/Gu3ll7KCbsUv;r&l=Sc?fpB3hs&dsE+ar1X=;8daYasF2ategGillArmmhphrzco#ir+H541+;3psi6ccAwhKwamNA_/6soiCql;t8=cq1e.fowhreQ7oblgeop_stq=mpub00asmoa8m8asHrE1wcwc;L&4&uRbs_8oc0t9nXc&s3=+mlruj:&m=vDAtQScocIs84mcigxJMia&l2Q1cnCp0akXip+h3smm0eSa5aKsbraeFn=U;YghEHi8w3;vi4;Agmp50wpx

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submitted by bigbootycorgi(5)

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heT gnthi si, eth imlaactospnih atrct seocsrs 2 etrbarvel vleles pu and nhte esussdetca ta eht ientraro ehitw mcmieursso ot tge mfro het rhgit to eht t,lef so who od I wokn wihch lvertbrea elvle d'I be koirnwg no sthi uyg?

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chris07 I inhtk teh usmstpnoia here is thta we rae ngldaie twih hte drco ntsocie at eth velel fo teh lreop.bm eTh cpeirtu is eycdbniilr ns.eaiildgm oYu have to eitrno foseuy.rl hTe lsador ulmncso ,F ,E ,A B are cagnfi the natp'esti spot.rorei eOcn you lyerporp oinrte ti in D3 csape, oyu nkwo htat 'sathw abledle hgi"tr" si aalycltu the ieapsn'tt tl,fe nad awth's llebeda "etf"l is sih rihtg ieds. Srepu un.foscing +2

sne Teh nupti sseira ni a ilarmtbp/ of bdoy ta teh elvel of o,ilens tersen uhghrot the aodlrs root teu(ridpc ebewent A dna B), sdauesetsc dna ancsdse ta hte irneoart moecusrmsi, dna ylanfil apesnsys on eth sonecd redro ronune in eht laltrea icmhipnlsaota crt.ta So eth cistnaamhopil tcatr is sebiorselnp rof eoalrlctanrta pnai adn tueemrpetar steosa.inn oS AT HTE ELELV hayetccllni ulodw eb in hte osldar olcmun +13

nwinkelmann o,als hr7ic0@,s I knhit eryuo' grnwo otabu hte saelbl ingeb owgnr on eht gei.ma saBeeuc teh msihcanalpoit rattc = anaarcrlotetl ipna dan pemreatet,ru nda the e'nisaptt pnia is on het rtigh idse, uyo uwold awnt ot aetgtr het lfet coaiinlhtmasp rctat fro pina eerl,fi .e.i hte eaar ealeldb H. The arae dbllaee D udolw eb hte gthri hiaosilca,ntmp rypuel aceebus ttah is owh eht gmiea is de.ablle fI you auesms hte elbla si dtfenirfe, you liwl egt it gornw. +12

kpjk n@se I o'tdn hntki innreegt form het osardl ootr loudw be enbewte A dan B. tI wduol eb trap fo the aryg etmtra ,so laeltra ot B adn F +3

ih8payingfordis I itnhk hte key ntigh ereh si ot enizegrco atht hte sosrc oitncse we'er lioongk ta is a ICAREVLC cn,teiso ciwhh menas t'si ftyeideiln ghhrie anht het ceousr fo pnai (bcka dan b.eaodn)m Thta esltl you taht hte tactr usmt heva docesrs dyrleaa os oyu atgtre the naoltcrteaalr se.di e eHr is a ogod lkni to inyeiftd ewher teh ocdr si rfom ,alcvc(rie ,tcchoair lrbuam adn rcsaa):l .rp:ctp1S.tmn/ethyu0st.fowusnsgn48abon.u/P0ai/tgL//hmFmade +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 ∗donttrustmyanswers(74)

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thaW is eht aear bllaeed 'G' dna ''C? A dn ermo haasrre?cct

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alexxxx30 aalelrt iolnriacsoctp i tiknh +5

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submitted by alexv0815(10)

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uyo rae oloinkg ta shit ttbomo pu (sa if eosnrp si no msaocht) so L is aneiptt L nad R is teinpta R. Tsih sah aenuect dna igaslirc ra,tsct ichhw semna it si ehghir pu ni tcahiroc alipsn ordc dan so eht lnipaocathmsi has yrldaea retdeen nda ss.roecd So the aapythw is fmor eht rasodl oort nogignal on R sdie -&g;t sscsero ACW -;gt& seog pu to arbin ta left H"".

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submitted by ∗handsome(3)

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FA 2200 GP 085 eh yepcclsiifal isopnt to rthig gicsdanne tlarale aiactosimlpnh ratct tb.e clasra criaecvl --of-r ianp nda etmteepuarr

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