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Question 1: A 31 year old female gymnastics instructor presents to your clinic with a complaints of right hand weakness and numbness.She also works as a receptionist part-time and states that her symptoms are worst at the end of her workday. On physical examination there is a loss of sensation along the palmar aspect of her thumb and first two digits. You note atrophy of her thenar eminence as well. The nerve implicated in her symptoms innervates which of the following muscles?

  1. Flexor digitorum superficialis

  2. Adductor pollicis

  3. Extensor digitorum

  4. Abductor pollicis longus

  5. Flexor carpi ulnaris

 

Reference: Moore, KL, et. Al; Clinically Oriented Anatomy. Lippincott, Williams, and Wilkins (2014). Philadelphia, PA.

Question 2: What type of symptoms would you expect in a patient that presents with the following imaging finding?

  1. Alteration in pain and temperature sensation in a cape-like distribution

  2. Quadriparesis

  3. Loss of joint position and vibration sense in the upper extremities

  4. Vocal cord paralysis

  5. Sensory ataxia

 

Reference: Greenberg, David A, et al.: Clinical Neurology. 5th ed. Feb 9, 2002.

Sports Medicine Question Bank

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