ANATOMY NBME-CLINICAL CORRELATES
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ANATOMY NBME
What is Scoliosis? Correct Answer Lateral deviation, or torsion,
that is caused by poliomyelitis, leg length discrepancy, or hip dx
Where does the spinal cord end? Correct Answer L2- Adults
L3-Kids
Where is a needle inserted for a lumbar puncture? Correct
Answer L3/L4 or L4/L5 at the level of the horizontal line through
upper points of iliac crests (supracristal plane LV4)
As you are doing a lumbar puncture, what is the needle passing
through from superficial to deep? Correct Answer Skin--> Fat-->
Supraspinous Ligament--> Interspinous Ligament--> Ligamentum
Flava--> Epidural Fat + Veins--> Dura--> Subarachnoid space
Where does the dural sac end caudally? Correct Answer S2
Where does herniation of the disc typically occur? Correct Answer
Lumbar: L4/L5 or L5/S1
,Cervical: C5/C6 or C6/C7 (ppl under 50)
Symptoms of a herniated intervertebral disc? Correct Answer
Back pain that radiates down to lower limb
Pain begins after lifting something heavy
T or F: Herniated lumbar disc compresses the nerve root one
number ABOVE Correct Answer FALSE: A herniated lumbar disc
compresses the nerve root BELOW
Ex: Herniation of L4/L5 compresses the L5 nerve root
T or F: Lower limb reflexes are decreased on the side of a
herniated disc Correct Answer TRUE
ex:
Patellar reflex will be affected with herniation of IV discs L2/L3 or
L3/L4
Achilles reflex affected by herniation of L5/S1
What is Kyphosis? Correct Answer Exaggerated thoracic
curvature (concave anterior)
,Ex: Hunchback of Notre Dame!
Kyphosis can cause what dx? Correct Answer Osteoporosis in
the elderly
-multiple compression fracture of vertebral bodies)
Can also cause disk degeneration
What is Lordosis? Correct Answer Exaggerated lumbar curvature
(concave posterior)
May be temporary (think of pregnant women)
What are some causes of Lordosis? Correct Answer Pregnancy,
spondyloisthesis or potbelly
What are 4 humerus fractures and what is injured? Correct
Answer Surgical neck of humerus
- Axillary N + Posterior Humeral Circumflex A
Midshaft
-Radial N + Profunda Brachii A.
-Affect the origin of brachialis muscle
, Supracondylar region
- Median N + Brachial A
Medial Epicondyle
-Ulnar N
What is the most common fracture of the forearm? Correct
Answer Transverse fracture within the distal 2cm of the radius
Most common after age 50
What is Smith's Fracture? Correct Answer Results from a fall or
blow on the dorsal aspect of the flexed wrist
Produces ventral angulation of the wrist
Distal fragment of the radius is ANTERIORLY displaced
What is Colle's Fracture? Correct Answer Results from forced
extension of the hand, usually as a result of trying to ease a fall by
outstretching the upper limb
Dorsally- "dinner fork deformity" The ulnar styloid process is
broken off
What is a scaphoid fracture? Correct Answer Results from a fall
onto palm when hand is abducted
2026 LATEST UPDATES|| FAMILIARIZE WITH
ANATOMY NBME
What is Scoliosis? Correct Answer Lateral deviation, or torsion,
that is caused by poliomyelitis, leg length discrepancy, or hip dx
Where does the spinal cord end? Correct Answer L2- Adults
L3-Kids
Where is a needle inserted for a lumbar puncture? Correct
Answer L3/L4 or L4/L5 at the level of the horizontal line through
upper points of iliac crests (supracristal plane LV4)
As you are doing a lumbar puncture, what is the needle passing
through from superficial to deep? Correct Answer Skin--> Fat-->
Supraspinous Ligament--> Interspinous Ligament--> Ligamentum
Flava--> Epidural Fat + Veins--> Dura--> Subarachnoid space
Where does the dural sac end caudally? Correct Answer S2
Where does herniation of the disc typically occur? Correct Answer
Lumbar: L4/L5 or L5/S1
,Cervical: C5/C6 or C6/C7 (ppl under 50)
Symptoms of a herniated intervertebral disc? Correct Answer
Back pain that radiates down to lower limb
Pain begins after lifting something heavy
T or F: Herniated lumbar disc compresses the nerve root one
number ABOVE Correct Answer FALSE: A herniated lumbar disc
compresses the nerve root BELOW
Ex: Herniation of L4/L5 compresses the L5 nerve root
T or F: Lower limb reflexes are decreased on the side of a
herniated disc Correct Answer TRUE
ex:
Patellar reflex will be affected with herniation of IV discs L2/L3 or
L3/L4
Achilles reflex affected by herniation of L5/S1
What is Kyphosis? Correct Answer Exaggerated thoracic
curvature (concave anterior)
,Ex: Hunchback of Notre Dame!
Kyphosis can cause what dx? Correct Answer Osteoporosis in
the elderly
-multiple compression fracture of vertebral bodies)
Can also cause disk degeneration
What is Lordosis? Correct Answer Exaggerated lumbar curvature
(concave posterior)
May be temporary (think of pregnant women)
What are some causes of Lordosis? Correct Answer Pregnancy,
spondyloisthesis or potbelly
What are 4 humerus fractures and what is injured? Correct
Answer Surgical neck of humerus
- Axillary N + Posterior Humeral Circumflex A
Midshaft
-Radial N + Profunda Brachii A.
-Affect the origin of brachialis muscle
, Supracondylar region
- Median N + Brachial A
Medial Epicondyle
-Ulnar N
What is the most common fracture of the forearm? Correct
Answer Transverse fracture within the distal 2cm of the radius
Most common after age 50
What is Smith's Fracture? Correct Answer Results from a fall or
blow on the dorsal aspect of the flexed wrist
Produces ventral angulation of the wrist
Distal fragment of the radius is ANTERIORLY displaced
What is Colle's Fracture? Correct Answer Results from forced
extension of the hand, usually as a result of trying to ease a fall by
outstretching the upper limb
Dorsally- "dinner fork deformity" The ulnar styloid process is
broken off
What is a scaphoid fracture? Correct Answer Results from a fall
onto palm when hand is abducted
