Muscular Anatomy System: Case Study
Welcome to the electronic classroom of the 21st Century. This case study deal with a 42 year old sewing machine operator at a local factory making men's pants. When "fill-in" questions appear in this case study, please enter all your answers using lower case letters.
I wish you good luck and ear high marks in this human anatomy and physiology activity.
Questions and Answers
- 1.
What are the main complaints of pain for the past 2 months?
- A.
Both legs
- B.
Left hand and fingers
- C.
Left knee
- D.
Right hand and fingers
- E.
Neck region
Correct Answer
D. Right hand and fingersExplanation
The main complaint of pain for the past 2 months is in the right hand and fingers.Rate this question:
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- 2.
After using a reflex hammer on the inside of the right wrist. What does the physical examination reflect?
- A.
Wallenberg Syndrome
- B.
Tinel's sign
- C.
Wilson Disease
- D.
Broca Aphasia
Correct Answer
B. Tinel's signExplanation
The physical examination reflects Tinel's sign. Tinel's sign is a test used to assess nerve irritation or injury. It is performed by tapping or pressing on a specific area of the body, in this case, the inside of the right wrist, to elicit a tingling or electrical sensation that radiates along the nerve pathway. This can indicate nerve compression or damage, such as carpal tunnel syndrome or peripheral neuropathy. The presence of Tinel's sign suggests a potential nerve-related issue in the wrist.Rate this question:
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- 3.
The health clinic discovered after a brief interview session that Patricia Rider has a family history of heart disease.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The given statement is "The health clinic discovered after a brief interview session that Patricia Rider has a family history of heart disease." The correct answer is False. This means that the health clinic did not discover during the interview session that Patricia Rider has a family history of heart disease.Rate this question:
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- 4.
After a complete physical examination, Miss. Rider is diagnosed with carpal tunnel syndrome. Which of the following nerves is usually involved with this diagnosis?
- A.
Femoral
- B.
Median
- C.
Ulna
- D.
Radial
- E.
Humerial
Correct Answer
B. MedianExplanation
Carpal tunnel syndrome is a condition that affects the median nerve, which runs through the carpal tunnel in the wrist. This nerve is responsible for controlling sensation and movement in the thumb, index finger, middle finger, and part of the ring finger. The symptoms of carpal tunnel syndrome include pain, numbness, and tingling in these fingers, which is why the median nerve is usually involved in this diagnosis. The other nerves listed (femoral, ulna, radial, humeral) are not typically associated with carpal tunnel syndrome.Rate this question:
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- 5.
Miss. Rider physician has ordered that she wear a right wrist splint held in place by an Ace bandage. Which one of the following is the BEST rationale for this treatment?
- A.
It will stabilize the joint
- B.
It will decrease swelling
- C.
It will remind Miss. Rider not to lift heavy weight
- D.
It will decrease the repetitive motions of wrist
- E.
It will increase tendon inflammation
Correct Answer
D. It will decrease the repetitive motions of wristExplanation
Wearing a right wrist splint held in place by an Ace bandage will decrease the repetitive motions of the wrist. This is because the splint provides support and restricts the movement of the wrist, preventing excessive and repetitive motions that can lead to further injury or strain. By limiting the range of motion, the splint helps to protect the wrist and promote healing.Rate this question:
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- 6.
What is the name of inflammation of the tendon sheath?
- A.
Arthritis
- B.
Rheumatoid Arthritis
- C.
Tenosynovitis
- D.
Gouty Arthritis
Correct Answer
C. TenosynovitisExplanation
Tenosynovitis is the inflammation of the tendon sheath. This condition occurs when the sheath that surrounds a tendon becomes inflamed, leading to pain, swelling, and difficulty in moving the affected joint. It is commonly caused by repetitive motions or overuse of a particular tendon. Unlike arthritis or rheumatoid arthritis, which involve inflammation of the joints, tenosynovitis specifically affects the tendon sheath. Gouty arthritis, on the other hand, is a form of arthritis caused by the buildup of uric acid crystals in the joints and is not related to inflammation of the tendon sheath.Rate this question:
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- 7.
Carpal tunnel syndrome is not related to heavy lifting.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm to the hand, becomes compressed or squeezed at the wrist. This compression is typically caused by repetitive hand and wrist movements, such as typing or using a computer mouse, rather than heavy lifting. Therefore, it is accurate to say that carpal tunnel syndrome is not related to heavy lifting, making the answer true.Rate this question:
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- 8.
Please check those characteristics of Carpel Tunnel Syndrome which are correct.
- A.
Burning in the thumb and index finger
- B.
Weakness
- C.
Tingling in this affected area of the hand
- D.
Pain in this affected area of the hand
- E.
Pain radiating to forearm and shoulder
- F.
Tingling radiating to chest region
Correct Answer(s)
B. Weakness
C. Tingling in this affected area of the hand
D. Pain in this affected area of the hand
E. Pain radiating to forearm and shoulderExplanation
Carpal Tunnel Syndrome is a condition that affects the hand and wrist. It is characterized by symptoms such as weakness, tingling, and pain in the affected area of the hand. The pain can also radiate to the forearm and shoulder. Therefore, the characteristics listed in the answer are correct. However, there is no mention of burning in the thumb and index finger or tingling radiating to the chest region, so these characteristics are not included in the correct answer.Rate this question:
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- 9.
During the routine examination, Miss. Rider is found to have a slight separation of muscle when she is asked to lift her head off the examination table while in supine position. Which muscle do you expect to show this separation based on the above description?
- A.
External oblique
- B.
Internal oblique
- C.
Rectus abdominis
- D.
Transversus abdominis
Correct Answer
C. Rectus abdominisExplanation
Based on the given description, the slight separation of muscle observed when Miss. Rider lifts her head off the examination table in a supine position is likely to be the rectus abdominis muscle. The rectus abdominis is a paired muscle that runs vertically along the front of the abdomen and is responsible for flexing the trunk and compressing the abdominal contents. When the head is lifted off the table, the rectus abdominis contracts, causing a separation or bulging of the muscle.Rate this question:
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- 10.
Which patients usually have a separation of the rectus abdominis muscle? (HINT: Please check all correct answers.)
- A.
Obese females
- B.
Obese males
- C.
Women with past pregnancy
- D.
Basketball players
- E.
Football players
Correct Answer(s)
A. Obese females
B. Obese males
C. Women with past pregnancyExplanation
Patients who usually have a separation of the rectus abdominis muscle are obese females, obese males, and women with past pregnancy. This condition, known as diastasis recti, occurs when the connective tissue between the abdominal muscles stretches and weakens, causing a separation of the muscles. Obesity and pregnancy are common factors that can contribute to this condition. There is no information provided about basketball players or football players, so it cannot be determined if they are more likely to have a separation of the rectus abdominis muscle.Rate this question:
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- 11.
The physician tests Miss. Riders right brachialis muscle strength. Which one of the following cirrect describes this procedure?
- A.
Forearm should be flexed at elbow
- B.
Forearm should be extended at elbow
- C.
Extends her elbow & pushes against the wall
- D.
Miss. Rider is asked to lift a heavy object
- E.
Forearm should be flexed at wrist
Correct Answer
A. Forearm should be flexed at elbowExplanation
The correct answer is "Forearm should be flexed at elbow." This procedure involves testing the strength of the brachialis muscle, which is a flexor muscle of the elbow joint. To isolate and activate this muscle, the forearm needs to be flexed at the elbow. Flexion of the wrist or extension of the elbow would not specifically target the brachialis muscle. Asking Miss. Rider to lift a heavy object or pushing against a wall would involve multiple muscles and not specifically test the strength of the brachialis muscle.Rate this question:
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- 12.
What type of medical procedure is observed in the gross surgery image?
- A.
Tenosynovitis
- B.
Carpal Tunnel
- C.
Tendonitis
- D.
Wrist Dislocation
Correct Answer
B. Carpal TunnelExplanation
The correct answer is Carpal Tunnel. Carpal Tunnel is a medical condition where the median nerve in the wrist becomes compressed, leading to symptoms like numbness, tingling, and pain in the hand and fingers. The gross surgery image is likely showing a procedure related to the treatment of Carpal Tunnel, such as a release surgery to relieve the pressure on the nerve.Rate this question:
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- 13.
DeQuervain's tenosynovitis is a condition that causes pain associated with movement of the _____.
- A.
Wrist
- B.
Index finger
- C.
Thumb
- D.
Elbow
Correct Answer
C. ThumbExplanation
DeQuervain's tenosynovitis is a condition that causes pain associated with movement of the thumb. This condition is characterized by inflammation of the tendons that run along the thumb side of the wrist. The pain is typically felt when the thumb is moved, such as when grasping objects or making a twisting motion. The condition is often caused by repetitive thumb movements or overuse, and can be treated with rest, immobilization, and anti-inflammatory medications.Rate this question:
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- 14.
Some epidemiologists specialize in the field of occupational health, the study of health matters related to work or the workplace.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
This statement is true because epidemiologists can specialize in various fields, one of which is occupational health. Occupational health focuses on studying and addressing health issues that are directly related to work or the workplace. Epidemiologists in this field may research and analyze data to understand and prevent work-related illnesses, injuries, and exposures. They may also develop strategies to improve workplace safety and promote the well-being of workers.Rate this question:
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- 15.
Carpal tunnel syndrome can limit movement of the following locations. (HINT: please check all correct answers to receive credit for this question.)
- A.
Hand
- B.
Wrist
- C.
Fingers
- D.
Thumb
- E.
Elbow
- F.
Knee
Correct Answer(s)
A. Hand
B. Wrist
C. Fingers
D. ThumbExplanation
Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm to the hand, becomes compressed or squeezed at the wrist. This compression can lead to symptoms such as pain, numbness, and tingling in the hand, wrist, fingers, and thumb. The condition specifically affects the hand, wrist, fingers, and thumb because these are the areas where the median nerve travels and innervates. The elbow and knee are not directly involved in carpal tunnel syndrome.Rate this question:
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Mar 18, 2023Quiz Edited by
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Mar 28, 2012Quiz Created by
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