PG NEET Orthopaedics MCQS 29 – Nerve Injuries

  1. complete wrist drop occurs  in:
    1. the median nerve
    2. radial nerve palsy
    3. ulnar nerve injury
    4. erb’s palsy
      1. Ans()
  2. nerve injury that causes pointing index is:
    1. the median nerve
    2. facial nerve m
    3. radial nerve
    4. ulnar nerve
      1. Ans()
  3. Froment’s test is done for:
    1. the median nerve
    2. radial nerve
    3. ulnar nerve
    4. musculocutaneous nerve
      1. Ans()
  4. The muscle NOT involved in low ulnar palsy:
    1. flexor digitorumprofundus
    2. abductor digitiminimi
    3. thenar muscles
    4. dorsal interossei
      1. Ans()
  5. A feature of radial nerve injury at spiral groove:
    1. no wrist drop
    2. sensory loss over deltoid
    3. thumb, finger, wrist drop
    4. pointing index
      1. Ans()
  6. Froment’s sign is due to a lesion of:
    1. opponenspollicis
    2. adductor pollicis
    3. abductor pollicis
    4. abductor hallucislongus
      1. Ans()
  7. compression of the nerve that passes through supinator results:
    1. claw hand
    2. ape thumb deformity
    3. wrist drop
    4. loss of sensation over the dorsum of the hand
      1. Ans()
  8. the mode of injury of klumpke’s paralysis
    1. claw hand
    2. ape thumb deformity
    3. wrist drop
    4. loss of sensation over the dorsum of the hand
      1. Ans(0
  9. which of the following statements about low radial nerve palsy is not true:
    1. loss of nerve supply to brachioradialis
    2. loss of nerve supply to extensor carpi radialis
    3. loss of nerve supply to extensor pollicis brevis
    4. loss of sensation over first dorsal web space
      1. Ans()
  10. modified jones tendon transfer involves a transfer of pronator teres to:
    1. ECRB
    2. EPL
    3. palmaris longus
    4. EDC
      1. ANS()
  11. Cervical rib arising from:
    1. C1
    2. C6
    3. C7
    4. T2
      1. Ans(3)
  12. tardy ulnar nerve palsy is caused by:
    1. # medical condyle of humerus
    2. Elbow dislocation
    3. #supracondyle of humerus
    4. lateral condyle of humerus
      1. Ans(1)
  13. brand’s multi tendon transfer EF4 T=Extension to flexion 4 tails (surgical method for reconstruction for lumbrical paralysis ) is done for:
    1. index and ring finger
    2. middle and ring finger
    3. middle and little finger
    4. index, middle and little finger
      1. Ans(3)
  14. compression of the nerve that passes through supinator results
    1. claw hand
    2. ape thumb deformity
    3. wrist drop
    4. loss of sensation over the dorsum of the hand
      1. Ans(1)
  15. the muscle not involved in low ulnar palsy
    1. flexor digitorumprofunds
    2. abductor digitiminimi
    3. thenar muscles
    4. dorsal interossei
      1. Ans(4)
  16. Following nerve injury, the injured nerve regenerates at a rate of:
    1. 0.001 cm/day
    2. 0.1cm/day
    3. 10mm/day
    4. 0.0001 cm/day
      1. Ans(2)
  17. seddon’s classification all are true except:
    1. complete anatomic division of nerve is classified as neurotmesis
    2. axonotmesis has tinel’s sign positive and progressive
    3. neurotmesis has the complete recovery with/without surgical intervention
    4. saturday night palsy involves radial nerve
      1. Ans(3)
  18. tendon most commonly used for tendon transfer?
    1. palmaris longus
    2. flexor carpi ulnaris
    3. patellofemoral tendon
    4. gracilis
      1. Ans(1)
  19. sunderland classification is used for:
    1. nerve injury
    2. muscle injury
    3. tendon injury
    4. ligament injury
      1. Ans(1)
  20. nerve biopsy in leprosy is usually taken from:
    1. ulnar
    2. median
    3. lateral popliteal
    4. sural
      1. Ans(4)
  21. while performing flexor tendon graft repair, a graft is taken from:
    1. Plantaris
    2. palmaris longus
    3. extensor digitorum
    4. extensor indices
      1. Ans(2)
  22. A patient woke up in morning with an inability to extend digits rest sensory and motor examination of hand was normal .what is nerve involvedin this patient?
    1. C8 t1 nerve roots
    2. posterior interosseous nerve
    3. radial nerve
    4. lower brachial plexus
      1. Ans(2)
  23. saturday night palsy is which type of nerve injury?
    1. neuropraxia
    2. axonotmesis
    3. neurotmesis
    4. complete section
      1. Ans(1)
  24. A politician was shot by a gun in back in a political rally at a T8 level, after which he developed paraplegia. the fact that the injured nerve is not able to regenerate is due to all the reasons except:
    1. no endoneurial tube
    2. glial scar formation
    3. the absence of growth factors
    4. lack of myelin inhibitors
      1. Ans(4)
  25. which of the following is true about nerve injury?
    1. in all cases of open wound with clinical signs of nerve injury, nerve exploration should always be done
    2. nerve conduction velocity is the best predictor within 48hrs of injury
    3. positive tinel’s sign indicates the accurate location of a lesion
    4. traction nerve injury should be repaired immediately
      1. Ans(1)
  26. tinel’s sign is used for:
    1. to assess the severity of damage to nerve
    2. to classify the type of nerve injury
    3. to locate the site of nerve injury
    4. to assess the recovery
      1. Ans(4)
  27. tinel’s sign is seen for :
    1. nerve injury
    2. fascial injury
    3. fracture
    4. tumors
      1. Ans(1)
  28. tinel’s sign is positive and progressive in:
    1. Axonotmesis
    2. neurotmesis
    3. neuropraxia
    4. all of the above
      1. Ans(1)
  29. foot drop is due to palsy of:
    1. superficial peroneal nerve
    2. deep peroneal nerve
    3. femoral nerve
    4. obturator nerve
      1. Ans(2)
  30. nerve with best recovery:
    1. ulner
    2. median
    3. sciatic
    4. radial
      1. Ans(4)
  31. motor march is seen in;
    1. Axonotmesis
    2. neuropraxia
    3. neurotmesis
    4. all of the above
      1. Ans(1)
  32. a patient after sleeping on a chair with hanging arm whole night presents with weakness in muscles supplied by ulnar nerve, causing claw hand it is managed by:
    1. electrophysiological studies
    2. knuckle bender splint and wait and watch
    3. exploration of the nerve
    4. tendon transfer
      1. Ans(2)
  33. prognosis after secondary nerve suturing is better in pure than in mixed ones. based on this criterion, which one of the following nerves should be given the best result after suturing identical conditions?
    1. common peroneal nerve
    2. radial nerve
    3. ulnar nerve
    4. the median nerve
      1. ANS(2)
  34. a pole vaulter had a fall in pole vaulting and had paralysis of the arm. which of the following investigations gives the best recovery prognosis.
    1. electromyography
    2. muscle biopsy
    3. strength-duration curve
    4. creatine phosphokinase levels
      1. Ans(1)
  35. nerve suturing in a clean cut injury is done best in:
    1. 6hours
    2. 12hours
    3. after one day
    4. after two days
      1. Ans(1)
  36. following indicate better prognosis in nerve injury except:
    1. neuroproxia
    2. younger age
    3. pure motor nerve injury
    4. proximal injury
      1. Ans(4)
  37. rate of regeneration of severed nerve is;
    1. 0.1 MM/DAY
    2. 1 MM/DAY
    3. 1CM/DAY
    4. none
      1. Ans(2)
  38. tourniquet paralysis is an unfortunate complication leads
    1. neuropraxia
    2. axonotmesis
    3. neurotmesis
    4. none of the above
      1. Ans(1)
  39. in seddon’s classification ,complete division of nerve is:
    1. neuropraxia
    2. Axonotmesis
    3. neurotmesis
    4. none of the above
      1. Ans(3)
  40. which of the following deformity is evident in case of erb’s palsy?
    1. policeman tip defomity
    2. winging of scapula
    3. claw hand
    4. wrist drop
      1. Ans(1)
  41. aeroplane splint is used in:
    1. radial nerve injury
    2. ulnar nerve injury
    3. brachial plexus injury
    4. scoloosis
      1. Ans(3)
  42. muscles paralysed in erb;s paralys are all except:
    1. biceps
    2. triceps
    3. brachioradialis
    4. brachialis
      1. Ans(2)
  43. erb’s paralysis involves:
    1. C5-C6
    2. CT1
    3. T1 T2
    4. NONE
      1. Ans(1)
  44. erb’s palsy all the movements are lost except:
    1. supination
    2. external roation at shoulder
    3. abduction at shoulder
    4. pronation
      1. Ans(4)
  45. a-45-year -male present with abrupt onset, pain weakness ,loss of contour of shoulder and wasting of muscle of arm on 5th day of tetanus toxoid immunization n deltoid. likely cause is ;
    1. radial nerve entrapment
    2. thoracic outlet syndrome
    3. brachaial neuritis
    4. hysteria
      1. Ans(3)
  46. all are the regarding brachial plexus injury , except:
    1. preganglinic lesions have a better prognosis than  postganglionic lesions
    2. erb’s palsy causes paralysis of the abductors and external rotators of the shoulder
    3. in klumpke’s palsy , homer;s syndrome ma be   present on the ipsilateral side.
    4. histaminre test is useful  to differentiate between the preganglionic and postganglionic lesions
      1. Ans(1)
  47. all of the follwing muscles undergo paralysis after injury to C5 and C6 spinla nerves except:
    1. biceps
    2. coracobrachialis
    3. brachialis
    4. brarachiorioradialis
      1. Ans(2)
  48. most common cause of neurological deficit in upper limb is:
    1. polio
    2. erb’s palsy
    3. c1-c2 dislocation
    4. fracture dislocation of the cervical spine
      1. Ans(2)
  49. all of the following are features of musculocutaneous nerve injury at axilla except:
    1. loss of the flexion of shoulder
    2. loss of the flexion at elbow
    3. loss of the supination of forearm
    4. loss of sensation on radial side of forearm
      1. Ans(1)
  50. axillary nerve injury likely to be seen in:
    1. shoulder dislocation
    2. coracoid process fracture
    3. hummers shaft fracture
    4. brachial plexus injury
      1. Ans(1)

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