2026 Exam Questions and
Answers | Already Graded A+
A 30-year-old male comes to your office for evaluation of hand
weakness. On examination you
detect weakness when he tries to bring his thumb and index finger
together. For confirmation
you ask him to try to hold on to a piece of paper between his thumb and
index finger while you
,try to pull it away. He is unable to resist when you pull on the paper.
The most likely explanation for these findings is an injury to the -
ANSWER ✔✔e - ulnar nerve
Initial general neurovascular assessment of an upper extremity injury
includes evaluating for radial pulse
and digit movement and sensation. Weakness of the thumb and index
finger pincer mechanism is indicative
of an ulnar nerve injury. Weakness in the shoulder or upper arm would
indicate a potential brachial plexus
injury. Symptoms related to the median nerve generally include
paresthesia of the thumb, index finger,
and long finger. Weakness of supination of the forearm would indicate a
potential musculocutaneous nerve
injury. Weakness of active wrist extension would indicate a potential
radial nerve injury.
Weakness of the thumb and index finger pincer mechanism is indicative
of an _________ nerve injury. - ANSWER ✔✔Weakness of the thumb
and index finger pincer mechanism is indicative
,of an *ulnar* nerve injury.
Symptoms related to the __________ nerve generally include
paresthesia of the thumb, index finger, and long finger. - ANSWER
✔✔Symptoms related to the *median* nerve generally include
paresthesia of the thumb, index finger,
and long finger.
Weakness of supination of the forearm would indicate a potential
________ nerve
injury. - ANSWER ✔✔Weakness of supination of the forearm would
indicate a potential * musculocutaneous* nerve
injury.
Weakness of active wrist extension would indicate a potential ________
nerve injury. - ANSWER ✔✔Weakness of active wrist extension
would indicate a potential *radial* nerve injury.
A 30-year-old male is diagnosed with hereditary hemochromatosis.
Periodic therapeutic phlebotomy may be appropriate to prevent
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, A) chronic liver disease B) chronic renal disease C) encephalopathy D)
myelofibrosis E) Wilson disease - ANSWER ✔✔A) chronic liver
disease
Hereditary hemochromatosis is a common inherited disorder of iron
metabolism. Iron deposits in the liver
may lead to chronic liver disease and hepatocellular cancer. Screening
for hereditary hemochromatosis
includes serum ferritin levels, a family history, and genetic testing.
Chronic renal disease, encephalopathy,
myelofibrosis, and Wilson disease (disorder of copper transport) do not
result from iron overload.
A 70-year-old female sees you for a Medicare annual wellness visit. Her
past medical history includes hypertension treated with enalapril
(Vasotec). She states that she "couldn't be better" and says that she has
no new symptoms or health concerns. She has a blood pressure of
159/90 mm Hg, a temperature of 36.7°C (98.1°F), a heart rate of 76
beats/min, a respiratory rate of 17/min, and an oxygen saturation of 98%
on room air. On examination you note a new harsh systolic murmur that
is heard best at the second right intercostal space and can also be heard