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Free notes, MCQs, tables & flowcharts for USMLE Step 1 Anatomy
A 67-year-old woman is brought to the emergency department by her husband because of a 1-hour history of severe groin pain, nausea, and vomiting. She has had a groin swelling that worsens with standing, coughing, and straining for the past 3 months. Her pulse is 120/min. Examination shows pallor; there is swelling, erythema, and tenderness to palpation of the right groin that is centered below the inguinal ligament. The most likely cause of this patient's condition is entrapment of an organ between which of the following structures?
AInferior epigastric artery and rectus sheath
BLacunar ligament and femoral vein
CMedial and median umbilical ligaments
DConjoint tendon and inguinal ligament
ELinea alba and conjoint tendon
A 17-year-old boy comes to the physician because of a 3-month history of pain in his right shoulder. He reports that he has stopped playing for his high school football team because of persistent difficulty lifting his right arm. Physical examination shows impaired active abduction of the right arm from 0 to 15 degrees. After passive abduction of the right arm to 15 degrees, the patient is able to raise his arm above his head. The dysfunctional muscle in this patient is most likely to be innervated by which of the following nerves?
ALong thoracic nerve
BSuprascapular nerve
CUpper subscapular nerve
DAccessory nerve
EAxillary nerve
A 35-year-old woman comes to the physician because of progressive left flank pain over the past 2 weeks. She has a history of type 1 diabetes mellitus. Her temperature is 38°C (100.4°F). There is tenderness to percussion along the left flank. Passive extension of the left hip is painful. Her leukocyte count is 16,000/mm3. An axial CT scan is shown. The underlying pathology is most likely located in which of the following anatomical structures?
AQuadratus lumborum muscle
BAbdominal aorta
CPsoas major muscle
DLeft kidney
EIliacus muscle
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