Hand
Loss of sensation from the tip of the index finger is indicative of injury to which nerve?
Radial
Median
Ulnar
Musculocutaneous
Medial antebrachial cutaneous
what is (2) median nerve
In a fracture of the surgical neck of the humerus, which artery may be injured?
Subscapular
Posterior humeral circumflex
Radial recurrent
Deep brachial
Circumflex scapular
what is (2) posterior humeral circumflex
The vein of choice for withdrawing blood is the
Basilic
Cephalic
Medial antebrachial
Medial cubital
what is (4) medial cubital vein
The axillary nerve arises directly from which part of the brachial plexus
Inferior trunk
Lateral cord
Medial cord
Middle trunk
Posterior cord
what is (5) posterior cord
Which of the following hyoid muscles is an important landmark in both the anterior and posterior triangles of the neck?
geniohyoid
mylohyoid
Omohyoid
sternohyoid
Stylohyoid
what is (4) omohyoid
After trying to throw a curveball, a pitcher lost sensation from the tip of the little finger. This indicates injury to which nerve
Radial
Median
Ulnar
Musculocutaneous
Medial antebrachial cutaneous
what is (3) ulnar nerve
A 24-year-old female basketball player is admitted to the emergency department after an injury to her shoulder. Radiographic examination reveals a shoulder dislocation. What is the most commonly injured nerve in shoulder dislocations?
A. Axillary
B. Radial
C. Median
D. Ulnar
E. Musculocutaneous
what is (A) axillary nerve
29-year-old female is examined in the emergency department after falling from her balcony. Radio-graphic examination reveals that she has suffered a broken clavicle with associated internal bleeding. Which of the following vessels is most likely to be injured in clavicular fractures?
A. Subclavian artery
B. Cephalic vein
C. Lateral thoracic artery
D. Subclavian vein
E. Internal thoracic artery
what is (D) subclavian vein
A 54-year-old woman is found unconscious in her bed. She is admitted to the hospital, and during physical examination she has absence of her brachioradialis refl ex. The ventral ramus of which spinal nerve is re- responsible for this reflex?
C5
C6
C7
C8
T1
what is (2) C6
In a diving accident that severed the spinal cord below the sixth cervical vertebra, which muscle would be affected?
Deltoid
Infraspinatus
Latissimus dorsi
Levator scapulae
Trapezius
what is (3) latissimus dorsi
A 54-year-old woman presents with pain in her right wrist that resulted when she fell forcefully on her outstretched hand. Radiographic studies indicate an anterior dislocation of a carpal bone of the proximal row (see Fig. 6-3 on page 180). Which of the following bones is most commonly dislocated?
A. Capitate
B. Lunate
C. Scaphoid
D. Pisiform
E. Triquetrum
what is (B) lunate bone
A 35-year-old male bodybuilder has enlarged his shoulder muscles to such a degree that the size of the quadrangular space is greatly reduced. Which of the following structures would most likely be compressed in this condition?
A. Axillary nerve
B. Anterior humeral circumflex artery
C. Cephalic vein
D. Radial nerve
E. Subscapular artery
what is (A) axillary nerve
A 56-year-old woman is admitted to the hospital after a severe car crash. A large portion of her chest wall needed to be surgically removed and replaced with a musculoosseous scapular graft involving the medial border of the scapula. Which of the following arteries will most likely recompensate the blood supply to the entire scapula?
Suprascapular
Dorsal scapular artery
Posterior humeral circumflex artery
Lateral thoracic
Supreme thoracic artery
what is (2) suprascapular
A 45-year-old woman is admitted to the hospital with neck pain. An MRI examination reveals a herniated disk in the cervical region. Physical examination reveals weak triceps brachii muscles. Which of the following spinal nerves is most likely injured?
C5
C6
C7
C8
T1
what is (3) C7?
A 47-year-old female patient’s right breast exhibited characteristics of peau d’orange; that is, the skin resembled orange peel. This condition is primarily a result of which of the following?
Shortening of the suspensory ligaments by cancer in the axillary tail
B. Blockage of cutaneous lymphatic vessels
C. Contraction of the retinacula cutis of the areola and nipple
D. Invasion of the pectoralis major by the cancer
E. Ipsilateral (same side) inversion of the peri- areolar skin from ductular cancer
what is (B) blockage of cutaneous lymphatic vessels
A 12-year-old male had received a laceration in the palmar surface of the wrist while playing with a very sharp knife. The cut ends of a tendon could be seen within the wound in the exact midline of the wrist. Which tendon lies in this position in most people?
A. Palmaris longus
B. Flexor carpi radialis
C. Abductor pollicis longus
D. Flexor carpi ulnaris
E. Flexor pollicis longus
what is (A) palmaris longus
A 22-year-old male construction worker is admit- ted to the hospital after he suffers a penetrating injury to his upper limb from a nail gun. Upon physical examination the patient is unable to flex the distal inter- phalangeal joints of digits 4 and 5. What is the most likely cause of his injury?
A. Trauma to the ulnar nerve near the trochlea
B. Trauma to the ulnar nerve at the wrist
C. Median nerve damage proximal to the prona- tor teres
D. Median nerve damage at the wrist
E. Trauma to spinal nerve root C8
what is (A) trauma to the ulnar nerve near the trochlea
A 41-year-old woman is scheduled for a latissi-mus dorsi muscle flap to cosmetically augment the site of her absent left breast postmastectomy. Part of the latissimus dorsi muscle is advanced to the anterior thoracic wall, based upon arterial supply provided in part by the artery that passes through the triangular space of the axilla. What artery is forming the vascular base of this flap?
A.Circumflex scapular artery
B. Dorsal scapular artery
C. Transverse cervical artery
D. Lateral thoracic artery
E. Thoracoacromial artery
what is (A) circumflex scapular artery
A young girl fell from the uneven parallel bars. The 17- 17-year-old female gymnast grasped the lower bar briefly with one hand but then fell painfully to the floor. An MRI examination reveals an injury to the medial cord of the brachial plexus. Which of the following spinal nerve levels would most likely be affected?
A. C5, C6
B. C6, C7
C. C7, C8
D. C7, C8, T1
E. C8, T1
what is (E) C8, T1
Breast cancer cells can spread directly to the cranial cavity and brain via the vertebral venous plexus. Through which route can they reach this plexus?
Axillary lymph nodes
Internal thoracic vein
Intercostal veins
Parasternal lymph nodes
Thoracoacromial artery
what is (3) intercostal veins
A 43-year-old woman visits the outpatient clinic with a neurologic problem. Diagnostically, she cannot hold a piece of paper between her thumb and the lateral side of her index finger without flexing the distal joint of her thumb. This is a positive Froment sign and a diagnosis of ulnar neuropathy. Weakness of which specific muscle causes this sign to appear?
A. Flexor pollicis longus
B. Adductor pollicis
C. Flexor digiti minimi
D. Flexor carpi radialis
E. Extensor indicis
what is (B) adductor pollicis
A 48-year-old female piano player visited the outpatient clinic with numbness and tingling in her left hand. A diagnosis was made of nerve compres- sion in the carpal tunnel, and the patient underwent an endoscopic nerve release. Two weeks postopera- tively the patient complained of a profound weakness in the thumb, with loss of thumb opposition. The sensation to the hand, however, was unaffected. Which of the following nerves was injured during the operation?
A. The first common digital branch of the me- dian nerve
B. The second common digital branch of the me- dian nerve
C. Recurrent branch of median nerve
D. Deep branch of the ulnar nerve
E. Anterior interosseous nerve
what is (C) recurrent branch of median nerve
A 22-year-old woman had suffered a severe knife wound to the upper lateral portion of her pectoral region, with entry of the knife at the deltopectoral groove. Pressure applied to the wound had prevented further profuse bleeding. In the emergency department, vascular clamps were applied to the axillary artery, proximal and distal to the site of injury—which had occurred between the second and third parts of the axillary artery. The vascular surgeon knew there was time to repair the wound of the artery because of the rich collateral pathway provided by the anastomoses between which of the following of arteries?
Transverse cervical and suprascapular
Posterior humeral circumflex and profunda brachii
Suprascapular and circumflex scapular
Supreme (superior) thoracic and thoracoacromial
Lateral thoracic and suprascapular
what is (3) suprascapular and circumflex scapular
A 43-year-old man is admitted to the hospital, having suffered a whiplash injury when his compact auto was struck from behind by a sports utility vehicle. MRI examination reveals some herniation of a disk in the cervical region. Physical examination reveals that the patient has lost elbow extension; there is absence of his triceps reflex and loss of extension of the metacarpophalangeal joints on the ipsilateral side. Which of the following spinal nerves is most likely affected?
C5
C6
C7
C8
T1
what is (3) C7
During an industrial accident, a sheet metal worker lacerates the anterior surface of his wrist at the junction of his wrist and hand. Examination reveals no loss of hand function, but the skin on the thumb side of his palm is numb. Branches of which nerve must have been severed?
Lateral antebrachial cutaneous
Medial antebrachial cutaneous
Median
Radial
Ulnar
what is (3) median nerve