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MMLU / A 55-year-old male presents to the emergency department with a 2-day history of…

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question

A 55-year-old male presents to the emergency department with a 2-day history of severe epigastric pain and vomiting. Past medical history is negative for any similar episodes. He does not take any medications. He smokes cigarettes, has a 40 pack-year history, and consumes more than 8 cans of beer per day. Abdominal examination reveals epigastric tenderness. Laboratory studies reveal a serum amylase level of 467 U/L (reference range: 28-100 U/L) and a γ-glutamyltransferase level of 212 U/L (reference range: < 55 U/L). Referred pain in this patient is transmitted to the spinal cord by which of the following nerves?

choices

  1. anterior rami of T1-T5
  2. anterior rami of T6-T10
  3. anterior rami of T11-T12
  4. posterior rami of T1-T5

subject

professional_medicine

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