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Hand Nerves Quiz 1

Quiz by Miguel Dorante

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Q 1/2
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A 40-year-old man who is an avid cyclist comes for evaluation of a 5-week history of numbness and tingling of the ring and little fingers of the left hand. Conservative management has failed. Physical examination shows weakness of grip strength. Sensation over the dorsal ulnar aspect of the hand is intact, and results of elbow flexion testing are negative. Which of the following structures are most appropriate for surgical release?
29
Osborne ligament and volar carpal ligament
Transverse carpal ligament and arcade of Struthers
Pisohamate ligament and volar carpal ligament
Osborne ligament and arcade of Struthers

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Q1
A 40-year-old man who is an avid cyclist comes for evaluation of a 5-week history of numbness and tingling of the ring and little fingers of the left hand. Conservative management has failed. Physical examination shows weakness of grip strength. Sensation over the dorsal ulnar aspect of the hand is intact, and results of elbow flexion testing are negative. Which of the following structures are most appropriate for surgical release?
Osborne ligament and volar carpal ligament
Transverse carpal ligament and arcade of Struthers
Pisohamate ligament and volar carpal ligament
Osborne ligament and arcade of Struthers
60s
Q2
A 30-year-old woman comes to the emergency department after cutting herself with a kitchen knife. Surgical exploration shows that the median nerve had been cut at the distal forearm. The distal nerve is relatively fixed, but the proximal nerve has been lifted and twisted. Immediate repair is planned. The motor fibers of the proximal nerve end are most likely in which of the following locations relative to the sensory fibers?
Dorsal and ulnar
Dorsal and radial
Volar and ulnar
Volar and radial
60s

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