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WorksheetsNerve Injury Clinical Scenarios -- UE
Total questions: 46
Worksheet time: 23mins
A patient using crutches complains of wrist drop and inability to extend the wrist. Which nerve is most likely injured?
Ulnar nerve
Axillary nerve
Musculocutaneous nerve
Radial nerve
A football player suffers a separated shoulder. Which joint is likely injured?
Glenohumeral joint
AC (acromioclavicular) joint
Sternoclavicular joint
Scapulothoracic joint
A stabbing injury to the bicep causes difficulty in elbow flexion. Which nerve is likely damaged?
Radial nerve
Median nerve
Musculocutaneous nerve
Ulnar nerve
Hitting the medial epicondyle causes tingling in the 4th and 5th digits. Which nerve is involved?
Median nerve
Ulnar nerve
Radial nerve
Axillary nerve
A patient cannot abduct her shoulder after a humeral neck fracture. Which nerve is injured?
Radial nerve
Axillary nerve
Ulnar nerve
Long thoracic nerve
Carpal tunnel syndrome results from compression of which nerve?
Ulnar nerve
Radial nerve
Musculocutaneous nerve
Median nerve
A patient cannot flex the first three digits or oppose the thumb (Hand of Benediction). Which nerve is injured?
Ulnar nerve
Radial nerve
Median nerve
Axillary nerve
A friend calls you in a panic saying that after bumping some part of his arm (he can't remember) his medial two lumbricals curled up to resemble a part of a claw. What nerve did your friend likely injure?
Median nerve
Ulnar nerve
Radial nerve
Axillary nerve
Which nerve is injured at the radial groove of the humerus?
Median nerve
Ulnar nerve
Radial nerve
Axillary nerve
Which nerve is injured at the medial epicondyle?
Median nerve
Ulnar nerve
Radial nerve
Axillary nerve
Which nerve is injured at the distal end of the humerus?
Median nerve
Ulnar nerve
Radial nerve
Axillary nerve
A patient is following up in your office after being injured in a car crash. He tells you that the ER doctor explained to him that because he injured his deltoid he will be unable to abduct his arm, but is confused because he can still abduct it about 15 degrees. You explain to him this is because he is using what muscle to initiate the abduction?
Deltoid
Supraspinatus
Infraspinatus
Teres minor
A colleague tells you that one of his patient has a lesion of the dorsal scapular nerve. What muscles are affected by this lesion?
Supraspinatus and infraspinatus
Rhomboid major and minor
Trapezius and levator scapulae
Teres minor and major
A tennis player comes into your practice complaining of a rotator cuff injury. Which muscles could be injured?
Deltoid, teres major, biceps, subclavius
Supraspinatus, infraspinatus, teres minor, subscapularis
Biceps, coracobrachialis, supraspinatus, infraspinatus
Deltoid, supraspinatus, trapezius, subscapularis
You explain to a patient that she has an injury to her thoracodorsal nerve and that she should expect to have trouble with what actions?
Flexing and abducting the arm
Supinating and pronating the arm
Extending and medially rotating the arm
Abducting and externally rotating the arm
A patient complains of a loss of sensation in the lateral portion of his forearm. Which cutaneous nerve is damaged and from which nerve of the brachial plexus did it come?
Radial nerve
Medial antebrachial cutaneous
Lateral antebrachial cutaneous; musculocutaneous
Ulnar nerve
Your friend calls you on her way back from the doctor's office and tells you that she has a fractured surgical neck of the humerus. She said that the doctor told her to expect not to be able to abduct her shoulder because her deltoid and teres minor muscles had the nerve innervating them damaged. She is concerned though because she has lost sensation in her shoulder and forgot to ask her doctor about that. You tell her that it is likely due to an injury of which nerve that came from which nerve of the brachial plexus?
Musculocutaneous nerve
Axillary nerve
Long thoracic nerve
Radial nerve
Your brother, who is also a medical student, has carpal tunnel syndrome. He asks why he can still feel his fingers since he knows his injury is due to a medial nerve compression. You explain to him that the cutaneous branch of the medial nerve doesn't pass through the carpal tunnel. What is the name of this branch?
Palmar cutaneous branch
Recurrent motor branch
Deep branch
Dorsal digital branch
You are walking with a friend when he bangs his medial epicondyle on a table. He complains about the tingling sensation down his arm and into his medial two digits because he banged his ulnar nerve, but can't explain why he has lost sensation in the medial part of his palm and hand? You explain to him that it is because the ulnar nerve's two cutaneous branches are?
Lateral and medial
Palmar and dorsal
Superficial and deep
Radial and ulnar
Your gross anatomy lab instructor points to a space and tells you that it is the cubital fossa and asks you what its contents are. You respond:
Ulnar nerve, brachial artery, triceps tendon
Median nerve, brachial artery, biceps tendon
Radial nerve, axillary artery, biceps tendon
Median nerve, radial artery, coracobrachialis
There is an upper and lower triangular space. What is contained in each?
Upper: Radial nerve; Lower: Axillary nerve
Upper: Circumflex scapular vessels; Lower: Radial nerve and profunda brachii artery
Upper: Posterior circumflex humeral artery; Lower: Thoracodorsal artery
Upper: Suprascapular nerve; Lower: Subclavian artery
You find a space bordered by Teres Major, Teres Minor, Triceps brachii, and the humerus. Your classmate tells you that this is the quadrangular space. What is contained in the quadrangular space?
Radial nerve and profunda brachii artery
Axillary nerve and posterior circumflex humeral artery
Suprascapular nerve and artery
Circumflex scapular artery
The serratus anterior is a muscle required to raise your hand above your head. Which nerve innervates it?
Dorsal scapular nerve
Long thoracic nerve
Thoracodorsal nerve
Axillary nerve
A patient comes in with a winged scapula and an inability to raise his arm over his head. You immediately suspect an injury to which muscle?
Trapezius
Rhomboid major
Serratus anterior
Levator scapulae
You have a friend who, for some reason, likes to flex his forearms to show off. Which muscle is used for forearm flexion?
Biceps brachii
Coracobrachialis
Triceps brachii
Brachialis
The deltoid is involved in many movements of the arm, but not adduction. Which muscle, in addition to flexing, also is used in arm adduction?
Deltoid
Coracobrachialis
Infraspinatus
Supraspinatus
Two critical components of the rotator cuff, the supraspinatus and infraspinatus, are both innervated by which nerve?
Dorsal scapular nerve
Axillary nerve
Subscapular nerve
Suprascapular nerve
A lesion on the C8 Spinal nerve root will affect all of the following except:
Flexion of the thumb
Finger Extension
Extension of the wrist with Ulnar deviation
Extension of the wrist with Radial deviation
A pt. is showing weakness in elbow flexion. What might be damaged?
Median Nerve
C7 Spinal Nerve
the Lateral Cord
Middle Trunk
A lesion on the anterior division of the lower trunk just before it becomes the medial cord will affect all of the following except:
Sensation of the Posterior Hand
Sensation of the medial arm.
Sensation of the medial forearm.
Sensation of the palm of the hand.
Honeymooner's palsy would affect what muscles the most?
Elbow flexors
Wrist flexors/ulnar deviators
Shoulder flexors
Scapular depressors
A pt. cannot pinch their right index and thumb fingers together at the tips to make the "OK" sign (Try to remember when you use this test). What other muscle might be affected if the nerve that supplies the muscle of this action is damaged?
Pronator Quadratus
1st Lumbrical
Flexor Digitorum superficialis
Opponens Pollicis
Weakness in shoulder retraction could be due to a lesion on which structure?
Thoracodorsal Nerve
Long Thoracic Nerve
C5 spinal nerve
the Lateral cord
Medial winging of the scapula would indicate damage to which of the following:
the Long Thoracic Nerve
the Dorsal Scapular Nerve
the Spinal Accessory Nerve
the Lateral Subscapular Nerve
You detect weakness in a pt.'s hypothenar muscles. You also find weakness in a pt.'s triceps. Without performing further testing, what do you suspect might be damaged?
the Radial Nerve
the Ulnar Nerve
the C8 Spinal Nerve
All of these
Which of the following muscles are NOT innervated by the C5 Spinal nerve?
Latissimus Dorsi
Subscapularis
Pectoralis Major
Brachioradialis
All of the following are innervated by the Deep Ulnar Nerve except:
Flexor digiti minimi
Abductor digiti minimi
Palmar interossei
Palmaris Brevis
Damage to the Lower Trunk of the Brachial Plexus would lead to all of the following except:
Loss of strength to elbow extension
Loss of sensation to the medial half of the palm
Loss of strength in FA pronation
Loss of strength in shoulder abduction
Damage to the Radial Nerve might manifest as:
Wrist drop
Saturday Night Palsy
Trigger Finger
Loss of thumb-pinky opposition
A pt. comes into your clinic after having surgery on their biceps tendon in the cubital fossa. There was a complication in the surgery and now they have weakness in their FA flexors that is not due to muscle damage and they can still pronate their forearm. What nerve structure may have been damaged?
Radial Nerve
Posterior interosseous nerve
Median Nerve
Ulnar Nerve
Damage to the anterior division of the upper trunk of the Brachial Plexus would affect:
Pronator Teres
Teres Minor
Triceps
Supraspinatus
Damage to the posterior division of the lower trunk would affect all of the following except:
Latissimus Dorsi
Subscapularis
Triceps
Anconeus
Damage to the middle trunk would affect which of the following most?
Flexor digitorum superficialis
Extensor Carpi Radialis Longus
Palmaris Longus
Extensor Carpi Ulnaris
Weakness in muscles involved in scapular stabilization might indicate damage to all of the following except:
C5
C6
C7
C8
A lesion on the C8 spinal nerve might lead to decreased sensation to all of the following except:
the medial forearm
the lateral forearm
the medial arm
the palm of the hand
What portion of the brachial plexus are in the axilla?
the Roots
the Cords
the Terminal Branches
Cords and terminal branches.
