OMT FINAL EXAM QUESTIONS WITH
COMPLETE ANSWERS { GRADED A+}
A patient presents with a neurological deficit resulting in an absent
triceps tendon reflex and weakness in the extensors of the hand, wrist
and elbow. Which nerve is most likely involved?
A) Musculocutaneous
B) Median
C) Radial
D) Ulnar
E) Axillary - ✔✔C
,The radial nerve innervates the extensors of the upper extremity
[elbow (triceps), wrist
and hand]. An absent triceps (C7) reflex and wrist drop will indicate
radial nerve pathology.
The musculocutaneous nerve innervates the biceps, brachialis, and
coracobrachialis. A patient with a
musculocutaneous nerve injury presents with a loss of the biceps reflex
(C5, C6). Answer A
The median nerve innervates forearm pronators, wrist and finger
flexors and thenar muscles. Answer B
The ulnar nerve innervates flexor carpi ulnaris, hypothenar muscles and
the adductor pollicis. Answer
,D
The axillary nerve innervates the teres minor and deltoid muscles.
Injury to the axillary nerve results in
atrophy of the deltoid and weakness with shoulder abduction and
flexion. Answer E
A 45-year-old male with a history of diabetes comes to the emergency
department with acute
onset of low back pain. The pain started suddenly when he was sliding
into home plate during a
softball game earlier today. The pain is severe and radiates into his right
lower extremity. He
describes an electric type pain shooting into his right foot. What are
some findings you would
expect to see when examining him?
, A) Edematous, boggy tissue with palpation, and full active range of
motion of the lumbar
spine. Decreased sensation on the dorsum of the foot.
B) Severe, sharp pain with palpation of lumbar tissues, guarded range
of motion of the lumbar spine, and increased deep tendon reflexes of
the right lower extremity.
C) Warm tissue texture changes, hypertonic muscles, and decreased
range of motion of the lumbar spine.
D) Little to no edema or erythema, cool dry skin to palpation, ropy and
fibrotic muscles, and
decreased - ✔✔C
COMPLETE ANSWERS { GRADED A+}
A patient presents with a neurological deficit resulting in an absent
triceps tendon reflex and weakness in the extensors of the hand, wrist
and elbow. Which nerve is most likely involved?
A) Musculocutaneous
B) Median
C) Radial
D) Ulnar
E) Axillary - ✔✔C
,The radial nerve innervates the extensors of the upper extremity
[elbow (triceps), wrist
and hand]. An absent triceps (C7) reflex and wrist drop will indicate
radial nerve pathology.
The musculocutaneous nerve innervates the biceps, brachialis, and
coracobrachialis. A patient with a
musculocutaneous nerve injury presents with a loss of the biceps reflex
(C5, C6). Answer A
The median nerve innervates forearm pronators, wrist and finger
flexors and thenar muscles. Answer B
The ulnar nerve innervates flexor carpi ulnaris, hypothenar muscles and
the adductor pollicis. Answer
,D
The axillary nerve innervates the teres minor and deltoid muscles.
Injury to the axillary nerve results in
atrophy of the deltoid and weakness with shoulder abduction and
flexion. Answer E
A 45-year-old male with a history of diabetes comes to the emergency
department with acute
onset of low back pain. The pain started suddenly when he was sliding
into home plate during a
softball game earlier today. The pain is severe and radiates into his right
lower extremity. He
describes an electric type pain shooting into his right foot. What are
some findings you would
expect to see when examining him?
, A) Edematous, boggy tissue with palpation, and full active range of
motion of the lumbar
spine. Decreased sensation on the dorsum of the foot.
B) Severe, sharp pain with palpation of lumbar tissues, guarded range
of motion of the lumbar spine, and increased deep tendon reflexes of
the right lower extremity.
C) Warm tissue texture changes, hypertonic muscles, and decreased
range of motion of the lumbar spine.
D) Little to no edema or erythema, cool dry skin to palpation, ropy and
fibrotic muscles, and
decreased - ✔✔C
