Chapter·AnatomyUpper/Lower Limb

Nerves and blood supply of upper limbDownloads

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2Tables & Flowcharts

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Sample Questions

1

A patient presents with difficulty extending their wrist following trauma to the posterior forearm. Which of the following muscles would be most affected by injury to the posterior interosseous nerve?

AExtensor carpi ulnaris

BExtensor carpi radialis brevis

CExtensor pollicis longus

DExtensor digitorum

2

A 53-year-old woman comes to the physician because of a 3-month history of intermittent severe left neck, shoulder, and arm pain and paresthesias of the left hand. The pain radiates to the radial aspect of her left forearm, thumb, and index finger. She first noticed her symptoms after helping a friend set up a canopy tent. There is no family history of serious illness. She appears healthy. Vital signs are within normal limits. When the patient extends and rotates her head to the left and downward pressure is applied, she reports paresthesias along the radial aspect of her left forearm and thumb. There is weakness when extending the left wrist against resistance. The brachioradialis reflex is 1+ on the left and 2+ on the right. The radial pulse is palpable bilaterally. The remainder of the examination shows no abnormalities. Which of the following is the most likely diagnosis?

ACarpal tunnel syndrome

BSyringomyelia

CAmyotrophic lateral sclerosis

DC5-C6 disc herniation

EThoracic outlet syndrome

3

A 30-year-old man presents with weakness in his right hand. He says he has been an avid cyclist since the age of 20. He denies any recent trauma. Physical examination reveals decreased sensations over the 4th and 5th digits with difficulty extending the 4th and 5th digits. Strength is 4 out of 5 in the extensor muscles of the right hand and wrist. When the patient is asked to extend his fingers, the result is shown in the image. Which of the following nerves is most likely damaged in this patient?

AMedian nerve

BMusculocutaneous nerve

CAxillary nerve

DUlnar nerve

ERadial nerve

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