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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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niaP ;&pma rmtpeuerate sbeifr ofr eth igrth deis mcoe ni on eht olsrad hgrit esdi, srocs at hte reaitnor hietw rieu,cosmm adn learvt up in eth anSiliatcpmho cr.att

4riXb2Akr-3piAj8t.tj-he34Yumeg8Wol/14Xllu.BG2g/tZVs9A7ogm6AAg/oc4-A4lg6o6atcH9Q/-ktn0Ay/o0/IIs-Aejs9/r/heuh:l6Tegn.ps

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focus  The amargid hree si rypett a,regt ot,o rof teh liinaapohmcst ctart na(d it is erpsntede eids by idse wiht hte aldsor ucnlmo orf :msnor ipoa)cpalmeyndpxs-2tta/roo1catso-sn/c:nt/entolrbpt/ihty/ryh-aoaccgsi/gchnep.4eepa +


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submitted by โˆ—lispectedwumbologist(122)
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rW'ee ivienwg hsit ciles of hte nispla odcr fomr eht moobtt gi?rht hTe tfel tgihr sbllea yalaws xmi me u.p

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mcl  Ye,ah I tsuj rdaset ta htis again fro a lodis 5 iusentm hgtrasti up id.gyn I hinkt if r'ewe ginog tiwh hte L/R llbsea sa hyte era nwohs on teh ,giame imagien hte naeiptt ylngi no hietr omchast wtih tirhe etef pentoid odwsart uoy and it shuldo eakm es.sne +10
ankigravity  But why lowdu ynenoa reve veiw a ttpniea liek tath? I e,anm in hte rea fo Codvi nda ,inonrpg byeam. +


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submitted by โˆ—anechakfspb(77)
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lsoA uyo anc topaetrxela atth eth ersbif inuacsg sih pina evha adyearl ecssdor rveo ecubsea tshi is a rlcvaeci sinep isto,nec dna het napi hs'e higavn is irhracatbulocm/

'eesHr a tiurpec atth lylrea edh:lpe ;t&oFwEoomUX+=;8s11aeH58=Uaahwsocsqt47pL1illd+impa+a8X5/nssuper/e5ts;ovCbleaw&BmE:c;qo=4srYl8Cpphrf8cMDUcfGwsa&_ucliaM0t4u;cQxA:tg0.l22Sc08iAmXpUdmcKpibpc2bgreIebqze#+cQeis8Uw1&&;jmmsl9Cklo=susv&a3jer6a;R04Yrr=&0mFbna+Smhmsgm=3c_=Qpcwa10issm=rgHvoc7y1Hh_0+n36rhhMm.EA8;AKalemiJ=+NrGx3wIdapgo1hSpKA&Ui/=v3a?A3w

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submitted by bigbootycorgi(5)
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Teh hgint ,is eth hctoplaimsani rtatc socesrs 2 aerevrltb lleesv up and neth eestsdcuas ta eth noeatrir ewtih ssoicemurm ot tge omfr the ihtgr ot eht fte,l os hwo do I know whchi ltbaevrre evlel 'Id eb rgiwokn no shti y?ug

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chris07  I kithn eth uastompnis ehre si atht we rae naglied tiwh the rcdo censoit ta the evlel of eth rolpeb.m hTe eptucri is ierdnilbcy lisgm.nedia uYo ehav ot ointre ufls.ryoe The dosarl nocslmu ,F E, A, B rae canfig the tip'atnse estoprr.io Ocen ouy lprreypo otenri ti in D3 sac,pe ouy wnok hatt hta'ws lelbead g"ir"ht is aullcyat eht 'panstiet elf,t dan a'shwt dlebael etl""f si sih hgtri sdei. epruS fuog.nnisc +2
sne  The nptui sesair ni a pirma/btl of oybd ta eht lelev fo il,esno ersnet hhtrgou hte orlsda oort ucr(pidte eewtnbe A dna B,) sctsaesued dan asdnesc at the eriraont eosi,musmcr nda lyiflan psysensa no the dsceno order orneun ni eth eltrala tliamcaphnios atc.tr oS hte nlptmasiachio tctra is oressilenbp for ctoentalrrlaa pnai dna eeuemrtatrp eossnaitn. So AT HTE LVLEE ealnclhtiyc dwulo be in het sraold mnclou +13
nwinkelmann  os,la s0,@7rich I ikthn ruy'oe owgrn toabu hte elsabl nbgei wngor no hte aeim.g aseBceu het inapclmioasth cttra = ectllonaraart pani adn meerru,ettap nad hte ips'aetnt ipan is on eht htigr ise,d oyu wdolu tnwa ot atgert eht eftl lnsaomptiiach attrc ofr pani f,eierl .ie. eth aear bdeaell H. hTe aear leabedl D ludow be eht itrhg onsthp,aclimai upeyrl eubeacs atht si how het gaiem is dlebale. fI uoy emasus eth bllea is fnt,irdeef uoy llwi gte ti wrnog. +12
kpjk  sen@ I tnd'o hintk itnergne morf het dlosra otro wlduo eb ntebewe A and B. tI lwdou be trap fo teh grya tetram s,o ltaaler to B adn F +3
ih8payingfordis  I nthik eth yke ngthi eerh si ot ceozengri ttah eth ocrss etcinso 'rewe longiok ta is a LCCEIVRA ,oecnits hiwch mnsea st'i nyifdleiet gehirh nhat hte eouscr of apni cbk(a dan doben.m)a athT ltsle oyu ttah eht attcr sutm evah essdorc redalay os oyu rgteat the tlearacrlntoa de.is er eH si a odog lkin to ytdinfei ewrhe teh codr si ofrm a,c(rlceiv ircatohc, umlarb nda l)raacs: .c1.tLpytPdmmuip/4/8/eFt0s/:o.utbnofrshngS.asagwu/hane0tmn +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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Wtha is teh raea dbaelle ''G adn ''C? dnA roem trarahce?cs

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alexxxx30  taerlal lrtioaoispcnc i nithk +5


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submitted by alexv0815(10)
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you ear glnoiko ta sthi obttmo pu as( if posner si on )smcaoth so L is epintta L adn R is tpaietn .R hTis sha etneuca dan islicrag tartsc, ihchw easnm ti si ihgreh up ni ccraitho sainpl ordc dna os the pcsnioiahmlat ash aderyla ertndee nda orscsde. oS eth waythpa si rmfo eht orlasd otro anogngil on R desi t-g;& rscosse ACW g&t;- goes up to nibar ta flte "."H

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submitted by โˆ—handsome(3)
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AF 0202 PG 085 eh elpcilyfasic iostnp to th igr aisencgnd lrteaal mslphaiinoact rtatc teb. lacrsa lviarcec -o--fr pnia nad eemprrtuate

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