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Nerve Injury Clinical Scenarios -- UE

Total questions: 46

Worksheet time: 23mins

Name
Class
Date
1.

A patient using crutches complains of wrist drop and inability to extend the wrist. Which nerve is most likely injured?

a)

Ulnar nerve

b)

Axillary nerve

c)

Musculocutaneous nerve

d)

Radial nerve

2.

A football player suffers a separated shoulder. Which joint is likely injured?

a)

Glenohumeral joint

b)

AC (acromioclavicular) joint

c)

Sternoclavicular joint

d)

Scapulothoracic joint

3.

A stabbing injury to the bicep causes difficulty in elbow flexion. Which nerve is likely damaged?

a)

Radial nerve

b)

Median nerve

c)

Musculocutaneous nerve

d)

Ulnar nerve

4.

Hitting the medial epicondyle causes tingling in the 4th and 5th digits. Which nerve is involved?

a)

Median nerve

b)

Ulnar nerve

c)

Radial nerve

d)

Axillary nerve

5.

A patient cannot abduct her shoulder after a humeral neck fracture. Which nerve is injured?

a)

Radial nerve

b)

Axillary nerve

c)

Ulnar nerve

d)

Long thoracic nerve

6.

Carpal tunnel syndrome results from compression of which nerve?

a)

Ulnar nerve

b)

Radial nerve

c)

Musculocutaneous nerve

d)

Median nerve

7.

A patient cannot flex the first three digits or oppose the thumb (Hand of Benediction). Which nerve is injured?

a)

Ulnar nerve

b)

Radial nerve

c)

Median nerve

d)

Axillary nerve

8.

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?

a)

Median nerve

b)

Ulnar nerve

c)

Radial nerve

d)

Axillary nerve

9.

Which nerve is injured at the radial groove of the humerus?

a)

Median nerve

b)

Ulnar nerve

c)

Radial nerve

d)

Axillary nerve

10.

Which nerve is injured at the medial epicondyle?

a)

Median nerve

b)

Ulnar nerve

c)

Radial nerve

d)

Axillary nerve

11.

Which nerve is injured at the distal end of the humerus?

a)

Median nerve

b)

Ulnar nerve

c)

Radial nerve

d)

Axillary nerve

12.

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?

a)

Deltoid

b)

Supraspinatus

c)

Infraspinatus

d)

Teres minor

13.

A colleague tells you that one of his patient has a lesion of the dorsal scapular nerve. What muscles are affected by this lesion?

a)

Supraspinatus and infraspinatus

b)

Rhomboid major and minor

c)

Trapezius and levator scapulae

d)

Teres minor and major

14.

A tennis player comes into your practice complaining of a rotator cuff injury. Which muscles could be injured?

a)

Deltoid, teres major, biceps, subclavius

b)

Supraspinatus, infraspinatus, teres minor, subscapularis

c)

Biceps, coracobrachialis, supraspinatus, infraspinatus

d)

Deltoid, supraspinatus, trapezius, subscapularis

15.

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?

a)

Flexing and abducting the arm

b)

Supinating and pronating the arm

c)

Extending and medially rotating the arm

d)

Abducting and externally rotating the arm

16.

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?

a)

Radial nerve

b)

Medial antebrachial cutaneous

c)

Lateral antebrachial cutaneous; musculocutaneous

d)

Ulnar nerve

17.

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?

a)

Musculocutaneous nerve

b)

Axillary nerve

c)

Long thoracic nerve

d)

Radial nerve

18.

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?

a)

Palmar cutaneous branch

b)

Recurrent motor branch

c)

Deep branch

d)

Dorsal digital branch

19.

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?

a)

Lateral and medial

b)

Palmar and dorsal

c)

Superficial and deep

d)

Radial and ulnar

20.

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:

a)

Ulnar nerve, brachial artery, triceps tendon

b)

Median nerve, brachial artery, biceps tendon

c)

Radial nerve, axillary artery, biceps tendon

d)

Median nerve, radial artery, coracobrachialis

21.

There is an upper and lower triangular space. What is contained in each?

a)

Upper: Radial nerve; Lower: Axillary nerve

b)

Upper: Circumflex scapular vessels; Lower: Radial nerve and profunda brachii artery

c)

Upper: Posterior circumflex humeral artery; Lower: Thoracodorsal artery

d)

Upper: Suprascapular nerve; Lower: Subclavian artery

22.

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?

a)

Radial nerve and profunda brachii artery

b)

Axillary nerve and posterior circumflex humeral artery

c)

Suprascapular nerve and artery

d)

Circumflex scapular artery

23.

The serratus anterior is a muscle required to raise your hand above your head. Which nerve innervates it?

a)

Dorsal scapular nerve

b)

Long thoracic nerve

c)

Thoracodorsal nerve

d)

Axillary nerve

24.

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?

a)

Trapezius

b)

Rhomboid major

c)

Serratus anterior

d)

Levator scapulae

25.

You have a friend who, for some reason, likes to flex his forearms to show off. Which muscle is used for forearm flexion?

a)

Biceps brachii

b)

Coracobrachialis

c)

Triceps brachii

d)

Brachialis

26.

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?

a)

Deltoid

b)

Coracobrachialis

c)

Infraspinatus

d)

Supraspinatus

27.

Two critical components of the rotator cuff, the supraspinatus and infraspinatus, are both innervated by which nerve?

a)

Dorsal scapular nerve

b)

Axillary nerve

c)

Subscapular nerve

d)

Suprascapular nerve

28.

A lesion on the C8 Spinal nerve root will affect all of the following except:

a)

Flexion of the thumb

b)

Finger Extension

c)

Extension of the wrist with Ulnar deviation

d)

Extension of the wrist with Radial deviation

29.

A pt. is showing weakness in elbow flexion. What might be damaged?

a)

Median Nerve

b)

C7 Spinal Nerve

c)

the Lateral Cord

d)

Middle Trunk

30.

A lesion on the anterior division of the lower trunk just before it becomes the medial cord will affect all of the following except:

a)

Sensation of the Posterior Hand

b)

Sensation of the medial arm.

c)

Sensation of the medial forearm.

d)

Sensation of the palm of the hand.

31.

Honeymooner's palsy would affect what muscles the most?

a)

Elbow flexors

b)

Wrist flexors/ulnar deviators

c)

Shoulder flexors

d)

Scapular depressors

32.

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?

a)

Pronator Quadratus

b)

1st Lumbrical

c)

Flexor Digitorum superficialis

d)

Opponens Pollicis

33.

Weakness in shoulder retraction could be due to a lesion on which structure?

a)

Thoracodorsal Nerve

b)

Long Thoracic Nerve

c)

C5 spinal nerve

d)

the Lateral cord

34.

Medial winging of the scapula would indicate damage to which of the following:

a)

the Long Thoracic Nerve

b)

the Dorsal Scapular Nerve

c)

the Spinal Accessory Nerve

d)

the Lateral Subscapular Nerve

35.

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?

a)

the Radial Nerve

b)

the Ulnar Nerve

c)

the C8 Spinal Nerve

d)

All of these

36.

Which of the following muscles are NOT innervated by the C5 Spinal nerve?

a)

Latissimus Dorsi

b)

Subscapularis

c)

Pectoralis Major

d)

Brachioradialis

37.

All of the following are innervated by the Deep Ulnar Nerve except:

a)

Flexor digiti minimi

b)

Abductor digiti minimi

c)

Palmar interossei

d)

Palmaris Brevis

38.

Damage to the Lower Trunk of the Brachial Plexus would lead to all of the following except:

a)

Loss of strength to elbow extension

b)

Loss of sensation to the medial half of the palm

c)

Loss of strength in FA pronation

d)

Loss of strength in shoulder abduction

39.

Damage to the Radial Nerve might manifest as:

a)

Wrist drop

b)

Saturday Night Palsy

c)

Trigger Finger

d)

Loss of thumb-pinky opposition

40.

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?

a)

Radial Nerve

b)

Posterior interosseous nerve

c)

Median Nerve

d)

Ulnar Nerve

41.

Damage to the anterior division of the upper trunk of the Brachial Plexus would affect:

a)

Pronator Teres

b)

Teres Minor

c)

Triceps

d)

Supraspinatus

42.

Damage to the posterior division of the lower trunk would affect all of the following except:

a)

Latissimus Dorsi

b)

Subscapularis

c)

Triceps

d)

Anconeus

43.

Damage to the middle trunk would affect which of the following most?

a)

Flexor digitorum superficialis

b)

Extensor Carpi Radialis Longus

c)

Palmaris Longus

d)

Extensor Carpi Ulnaris

44.

Weakness in muscles involved in scapular stabilization might indicate damage to all of the following except:

a)

C5

b)

C6

c)

C7

d)

C8

45.

A lesion on the C8 spinal nerve might lead to decreased sensation to all of the following except:

a)

the medial forearm

b)

the lateral forearm

c)

the medial arm

d)

the palm of the hand

46.

What portion of the brachial plexus are in the axilla?

a)

the Roots

b)

the Cords

c)

the Terminal Branches

d)

Cords and terminal branches.