Examination of the brachial plexus

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QUESTION 1 OF 8

14.Following a mastectomy with axillary node dissection, a patient presents with asymmetry of their shoulders.
Which clinical presentation is most likely?

QUESTION ID: 2185

1. Lateral scapular winging
2. Medial scapular winging
3. Wasting of trapezius
4. Weak shoulder abduction
5. Weak shoulder external rotation
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QUESTION 2 OF 8

103 When counselling a patient with a brachial plexus injury following a RTA which of the following would be a clinical finding that does not necessarily indicate a poor prognosis with regards to the brachial plexus injury

QUESTION ID: 2197

1. Jobe test positive
2. Medial winging of scapula
3. Ptosis
4. Raised ipsilateral hemidiaphragm
5. Unsteadiness in standing
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QUESTION 3 OF 8

X A newborn baby is referred to you with a possible birth brachial plexus palsy(BBPP) of the right upper extremity.
Which of the following tests will be most helpful in assessing the elbow function.

QUESTION ID: 2198

1. Asymmetric tonic neck reflex.
2. Moro reflex
3. Palmar grasp reflex
4. Parachute reflex.
5. Stepping reflex
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QUESTION 4 OF 8

47. On assessing a patient with a suspected brachial plexus injury it is noticed that there is numbness on the radial border of the volar aspect of the forearm.
Of the following structures which one is least likely to be involved?

QUESTION ID: 2199

1. C6 root
2. Lateral cord
3. Musculocutaneous nerve
4. Radial nerve
5. Upper trunk
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QUESTION 5 OF 8

32.A 40-year-old male diabetic who six weeks ago had shoulder arthroscopy for a labral tear, presents with a 3-week history of severe pain in the same shoulder. There is significant wasting of the supra and infraspinatus fossae. An almost full passive ROM is possible.
Of the following options, which is the most likely diagnosis?

QUESTION ID: 2200

1. Adhesive capsulitis
2. Cervical disc prolapse
3. Entrapment neuropathy in the supra-glenoid notch
4. Parsonage -Turner syndrome
5. Septic arthritis
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QUESTION 6 OF 8

XA 59-year-old man underwent an uneventful anterior cervical discectomy and fusion (ACDF) C5/C7 for cervical disc prolapses with an excellent result. Four weeks postoperatively, he experienced severe pain in the right shoulder and arm, after gardening. The pain increased in the next two days and was followed by weakness of the right arm. There was also hypaesthesia in the right thumb. Three months after surgery he was seen with marked atrophy of the right shoulder girdle, mainly the deltoid and biceps muscles. There was severe tenderness over the right shoulder, biceps and elbow. Active and passive range of motion of the right shoulder were limited. The right biceps and brachioradialis reflexes were absent. The right deltoid strength was graded MRC 2/5, right biceps strength 3/5 ; all other muscles were normal. Plain radiographs and U/S scan showed glenohumeral subluxation but an intact rotator cuff. A CT-scan cervical spine showed correct instrumentation.MRI cervical spine did not

QUESTION ID: 2219

1. HIV infection
2. Lyme disease (Neuroborreliosis)
3. Parsonnage Turner syndrome
4. Postoperative C5 palsy
5. Thoracic outlet syndrome
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QUESTION 7 OF 8

123 When counselling a patient with a brachial plexus injury following an RTA, which of the following would be a clinical finding that does not necessarily indicate a poor prognosis with regards to the brachial plexus injury

QUESTION ID: 3286

1. Jobe test positive.
2. Medial winging of the scapula
3. Ptosis
4. Raised ipsilateral hemidiaphragm.
5. Unsteadiness in standing.
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QUESTION 8 OF 8

118.You have been asked to see a newborn who has the above clinical appearance.
Which statement concerning the underlying condition is most accurate?

Brachial Plexus Photo 2 Small.jpeg

QUESTION ID: 3311

1. A sling will make the child more comfortable.
2. Surgery within one month of birth carries the best prognosis.
3. The condition is congenital.
4. The initial investigation is an ultrasound scan.
5. They recover function in the vast majority of cases.
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