Chapter·AnatomyDermatomes and myotomes

Dermatome overlap and clinical implicationsDownloads

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1

You are seeing a patient in clinic who presents with complaints of weakness. Her physical exam is notable for right sided hyperreflexia, as well as the reflex finding shown in the image below. Where is the most likely location of this patient's lesion?

APostcentral gyrus

BNeuromuscular junction

CLateral geniculate nucleus

DInternal capsule

ESubthalamic nucleus

2

A 50-year-old male is brought to the dermatologist's office with complaints of a pigmented lesion. The lesion is uniformly dark with clean borders and no asymmetry and has been increasing in size over the past two weeks. He works in construction and spends large portions of his day outside. The dermatologist believes that this mole should be biopsied. To prepare the patient for the biopsy, the dermatologist injects a small amount of lidocaine into the skin around the lesion. Which of the following nerve functions would be the last to be blocked by the lidocaine?

APain

BTouch

CTemperature

DSympathetic stimulation

EPressure

3

A 65-year-old man presents to a clinic after 2 days of pain just below the right nipple. The pain radiates to the scapula. The rash was preceded by a burning and tingling pain in the affected region. His medical history is relevant for hypertension and hypercholesterolemia. He does not recall his vaccination status or childhood illnesses. A physical examination reveals stable vital signs and a vesicular rash distributed along the T4 dermatome. Which of the following is most appropriate for treating his condition and preventing further complications?

APrednisone

BValganciclovir

CGabapentin

DAmitriptyline

EFamciclovir

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