2020 Dec 3, MRCEM Primary Q & A
A. Upper Limb
1. Pitcure of Lift- off test- Subscapularis,……
2. Woman age ?55 no history of injury, cannot abduct, her work plasterer—Supraspinatus,…….
3. Pt with shoulder dislocation and loss of sensation in rebridgemental area- Axillary Nerve,….
4. H/O injury ( not mention area) Pt can’t abduct above 90 degree and injury from – Roots, Divisions,
Trunk, Lateral cord, Medial cord
5. Wrist injury- Choose from position which can’t do- Opposition of thumb, Abd, Add,….
6. After injury, can’t do finger adduction, can do wrist extension, C7-T1, C5-6, C6-7,….
7. Feature of Fromet sign, which muscle— Adductor pollicis,….
8. Antecubital fossa injury and large nerve injury, which function impair least- Little finger,…
B. Lower limb
1. Pt with loss of sensation below groin after injury- L1, L2,….
2. Pt with loss of sensation over iliac crest- iliohypogastric, ilioinguinal, femoral,….
3. Injury and avulsion fracture 5th metatarsal , which will injure- peroneus brevis, peroneus longus,…
4. Muscle of hip flexion- psoas major, Sartorius, pectineus, iliacus
5. Injury to sole superficially and which will injure- Lateral planter Ar, Medial paternal Ar, Tibialis
posterior, FDL,….
6. Nerve injury which pass between medial mellolus and calcaneus- Tibia, Saphoneus, sural, …
7. Lateral border of femoral triangle- Sartorius, adductor,….
8. In femoral hernia, in anatomical proximity, which will be compressed- Femoral vein, AR, Nerve,
Iliacus, Psoas
9. Testicular tortion and cremestic reflex, which nerve- Genitofemoral, iliohypogastric, ilioinguinal,…
10. Nerve injury when to Adductor canal- Saphenous, Obturator,…
11. Sole of foot nerve block which one--……
12. Anterior compartment syndrome, when pain elicited—extensor halluces longus, peroneus,….
, C. Thorax
1. Thrombosis related and CT, IVC pierce diaphragm- T8, T10,….
2. Oesophagus pierce diaphragm- T10, T8,…
3. Child with swallowing coin and it is in oesophagus, which area impact in anatomical position- T5, T10,
C6,…
4. Pt with pneumia, auscatation for middle lobe—Rt 4th rib, Rt 6th rib, lt 4,lt 6,…
5. Feature of thoracic outlet syndrome, which vessel- subclavian, brachiocephalic, jugular,…
D. Head & Neck, CNS
1. IVH only in lateral ventricles and hydrocephalus, which area block—Foramen of Monro, Cerebral
aqueduct,…
2. Basal skull # and loss of sensation in upper teeth and upper lip, which foramen—Rotundun, Ovale,
stylomastoid,…
3. Injury infront of lt preauricular, which facial N branch—Temporal, Auricular, ….
4. Nerve to orbicularis oculi- Facial, Trigeminal, occulo?,….
5. Injury to eye at 12 o clock position 2mm L/W to conjunctiva, which injure—Tarsal, levator palpebrae, .
6. Middle forehead L/W, which N- Supratrochlear, Supraorbital, …
7. Injury to N Pt with adducted eye- Abducens, Trochlear, oculomotor,..
8. Horizontal diplopia—Abducens, Trochleal, Occulo,…
9. Injury to superior orbital fissure—Occulomotor, 6, 4,…
10. Dental abscess at 2nd molar teeth and Ludgwid angina, which—mylohyoid, jugulohyoid, …..
11. Inferior orbital # which bone—Maxilla, saphenoid, ethmoid,….
12. Pt with pontine haemorrhage which presentation—Reduced conscious, hemiparesis, Hemiplegia,…
13. Headache, profuse sweating, tingling of hands, which visual field defect—Bitemporal hemianopia,
Contralateral hemianopia, monocular loss,…
14. Injury to spinal cord, loss of motor lower limb, sensory loss in pain and temperature and preserved
proprioception and touch—Anterior cord syndrome, B-S syndrome, posterior cord,…
A. Upper Limb
1. Pitcure of Lift- off test- Subscapularis,……
2. Woman age ?55 no history of injury, cannot abduct, her work plasterer—Supraspinatus,…….
3. Pt with shoulder dislocation and loss of sensation in rebridgemental area- Axillary Nerve,….
4. H/O injury ( not mention area) Pt can’t abduct above 90 degree and injury from – Roots, Divisions,
Trunk, Lateral cord, Medial cord
5. Wrist injury- Choose from position which can’t do- Opposition of thumb, Abd, Add,….
6. After injury, can’t do finger adduction, can do wrist extension, C7-T1, C5-6, C6-7,….
7. Feature of Fromet sign, which muscle— Adductor pollicis,….
8. Antecubital fossa injury and large nerve injury, which function impair least- Little finger,…
B. Lower limb
1. Pt with loss of sensation below groin after injury- L1, L2,….
2. Pt with loss of sensation over iliac crest- iliohypogastric, ilioinguinal, femoral,….
3. Injury and avulsion fracture 5th metatarsal , which will injure- peroneus brevis, peroneus longus,…
4. Muscle of hip flexion- psoas major, Sartorius, pectineus, iliacus
5. Injury to sole superficially and which will injure- Lateral planter Ar, Medial paternal Ar, Tibialis
posterior, FDL,….
6. Nerve injury which pass between medial mellolus and calcaneus- Tibia, Saphoneus, sural, …
7. Lateral border of femoral triangle- Sartorius, adductor,….
8. In femoral hernia, in anatomical proximity, which will be compressed- Femoral vein, AR, Nerve,
Iliacus, Psoas
9. Testicular tortion and cremestic reflex, which nerve- Genitofemoral, iliohypogastric, ilioinguinal,…
10. Nerve injury when to Adductor canal- Saphenous, Obturator,…
11. Sole of foot nerve block which one--……
12. Anterior compartment syndrome, when pain elicited—extensor halluces longus, peroneus,….
, C. Thorax
1. Thrombosis related and CT, IVC pierce diaphragm- T8, T10,….
2. Oesophagus pierce diaphragm- T10, T8,…
3. Child with swallowing coin and it is in oesophagus, which area impact in anatomical position- T5, T10,
C6,…
4. Pt with pneumia, auscatation for middle lobe—Rt 4th rib, Rt 6th rib, lt 4,lt 6,…
5. Feature of thoracic outlet syndrome, which vessel- subclavian, brachiocephalic, jugular,…
D. Head & Neck, CNS
1. IVH only in lateral ventricles and hydrocephalus, which area block—Foramen of Monro, Cerebral
aqueduct,…
2. Basal skull # and loss of sensation in upper teeth and upper lip, which foramen—Rotundun, Ovale,
stylomastoid,…
3. Injury infront of lt preauricular, which facial N branch—Temporal, Auricular, ….
4. Nerve to orbicularis oculi- Facial, Trigeminal, occulo?,….
5. Injury to eye at 12 o clock position 2mm L/W to conjunctiva, which injure—Tarsal, levator palpebrae, .
6. Middle forehead L/W, which N- Supratrochlear, Supraorbital, …
7. Injury to N Pt with adducted eye- Abducens, Trochlear, oculomotor,..
8. Horizontal diplopia—Abducens, Trochleal, Occulo,…
9. Injury to superior orbital fissure—Occulomotor, 6, 4,…
10. Dental abscess at 2nd molar teeth and Ludgwid angina, which—mylohyoid, jugulohyoid, …..
11. Inferior orbital # which bone—Maxilla, saphenoid, ethmoid,….
12. Pt with pontine haemorrhage which presentation—Reduced conscious, hemiparesis, Hemiplegia,…
13. Headache, profuse sweating, tingling of hands, which visual field defect—Bitemporal hemianopia,
Contralateral hemianopia, monocular loss,…
14. Injury to spinal cord, loss of motor lower limb, sensory loss in pain and temperature and preserved
proprioception and touch—Anterior cord syndrome, B-S syndrome, posterior cord,…
