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
A 74-year-old male is brought to the emergency department 1 hour after he fell from the top of the staircase at home. He reports pain in his neck as well as weakness of his upper extremities. He is alert and immobilized in a cervical collar. He has hypertension treated with hydrochlorothiazide. His pulse is 90/min and regular, respirations are 18/min, and blood pressure is 140/70 mmHg. Examination shows bruising and midline cervical tenderness. Neurologic examination shows diminished strength and sensation to pain and temperature in the upper extremities, particularly in the hands. Upper extremity deep tendon reflexes are absent. Strength, sensation, and reflexes in the lower extremities are intact. Anal sensation and tone are present. Babinski's sign is absent bilaterally. Which of the following is most likely to confirm the cause of this patient's neurologic examination findings?
ACT angiography of the neck
BMRI of the cervical spine without contrast
CX-ray of the cervical spine
DCT of the cervical spine with contrast
ECervical myelography
A 62-year-old woman is brought to the physician because of 6 months of progressive weakness in her arms and legs. During this time, she has also had difficulty swallowing and holding her head up. Examination shows pooling of oral secretions. Muscle strength and tone are decreased in the upper extremities. Deep tendon reflexes are 1+ in the right upper and lower extremities, 3+ in the left upper extremity, and 4+ in the left lower extremity. Sensation to light touch, pinprick, and vibration are intact. Which of the following is the most likely diagnosis?
AGuillain-Barré syndrome
BAmyotrophic lateral sclerosis
CSpinal muscular atrophy
DMyasthenia gravis
ESyringomyelia
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