PG NEET Orthopaedics MCQS 34 – Nerve Injuries

  1. Following nerve injury, the injured nerve regenerates at a rate of:
    1. 0.001 cm/day
    2. 0.1c./day
    3. 10 mm/day
    4. 0.0001 cm/day
      1. Ans(2)
  2. Aeroplane splint is used in:
    1. Radial nerve injury
    2. Ulnar nerve injury
    3. Brachial plexus injury
    4. Scoliosis
      1. Ans(3)
  3. 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 complete recovery with/without surgical intervention
    4. Saturday night palsy involves radial nerve
      1. Ans(3)
  4. Muscles paralyzed in Erb’s paralyze are all except
    1. Biceps
    2. Triceps
    3. Brachioradialis
    4. Brachialis
      1. Ans(2)
  5. Tendon most commonly used for tendon transfer?
    1. palmaris longus
    2. Flexor carpi ulnaris
    3. patellofemoral tendon
    4. Gracilis
      1. Ans(1)
  6. Erb’s paralysis involves:
    1. C5 – C6
    2. CT1
    3. T1T2
    4. none
      1. Ans(1)
  7. Sunderland classification is used for:
    1. Nerve injury
    2. Muscle injury
    3. tendon injury
    4. Ligament injury
      1. Ans(1)
  8. Klumpke’s paralysis involves:
    1. C1 – 2
    2. C4- 5
    3. C5 – 6
    4. C8 – T1
      1. Ans(4)
  9. Nerve biopsy in leprosy is usually taken from
    1. Ulnar
    2. median
    3. Lateral popliteal
    4. sural
      1. Ans(4)
  10. Erb’s palsy involves
    1. upper trunk
    2. Lower trunk
    3. Whole plexus
    4. C5 – C6
      1. Ans(4)
  11. While performing flexor tendon graft repair graft is taken
    1. Plantaris
    2. Palmaris longus
    3. Extensor digitorum
    4. Extensor indices
      1. Ans(2)
  12. Erb’s palsy all the movements are lost except:
    1. Supination
    2. External rotation at shoulder
    3. abduction at the shoulder
    4. pronation
      1. Ans(1)
  13. A patient woke up in the morning with the inability to extend digits rest sensory any motor examination of hand was normal. what is nerve involved in this patient?
    1. C8 T1 nerve roots
    2. Posterior interosseous nerve
    3. radial nerve
    4. lower brachial nerve
      1. Ans(2)
  14. A 45 – year male present with abrupt onset pain weakness, loss of contour of shoulder and wasting of muscle arm on 5th day of tetanus toxoid immunization n deltoid Likely cause is:
    1. Radial nerve entrapment
    2. Thoracic outlet syndrome
    3. Brachial neuritis
    4. hysteria
      1. Ans(4)
  15. Saturday night palsy is which type of nerve injury?
    1. Neuropraxia
    2. Axonotmesis
    3. Neurotmesis
    4. complete section
      1. Ans(1)
  16. All are true regarding brachial plexus injury except
    1. radial nerve entrapment
    2. thoracic outlet syndrome
    3. Brachial neuritis
    4. hysteria
      1. Ans(3)
  17. A politician was shot by a gun in back in a political rally at 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. Gilar scar formation
    3. Absence of growth factors
    4. Lack of myelin inhibitors
      1. Ans(4)
  18. All of the following muscle undergo paralysis after injury to C5 and C6 spinal nerves except:
    1. Biceps
    2. Coracobrachialis
    3. Brachialis
    4. Brachioradialis
      1. Ans(2)
  19. Which of the following is true about nerve injury?
    1. In all cause of open wound with clinical signs of nerve injury, nerve exploration always be done
    2. Nerve conduction velocity is the best predictor of 48 hrs 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)
  20. Most common cause of neurological deficit in upper limb
    1. Polio
    2. Erb’s palsy
    3. C1 – C2 dislocation
    4. Fracture dislocation of cervical spine
      1. Ans(2)
  21. 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)
  22. All of the following is a fracture of musculocutaneous nerve injury at axilla except:
    1. Loss of flexion of shoulder
    2. Loss of flexion at elbow
    3. loss of supination of the forearm
    4. Loss of sensation on radial side of forearm
      1. Ans(1)
  23. Tinel’s sign is seen for:
    1. Nerve injury
    2. Fascial injury
    3. Fracture
    4. Tumors
      1. Ans(1)
  24. 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)
  25. Tinel’s sign is positive and progressive in:
    1. Axonotmesis
    2. Neurotmesis
    3. Neuropraxia
    4. All of the above
      1. Ans(1)
  26. Child after a motor vehicle trauma is unable to abduct his arm X-ray shows fracture around surgical neck humerus
    1. musculocutaneous nerve
    2. axillary nerve
    3. radial nerve
    4. ulnar nerve
      1. Ans(2)
  27. Foot drop is due to palsy of
    1. Superficial peroneal nerve
    2. Deep peroneal nerve
    3. femoral nerve
    4. Obturator nerve
      1. Ans(2)
  28. A 21- yr male with fracture surgical neck humerus presented with regimental badge sign and difficulty in abduction nerve most likely to be injured is:
    1. Axillary nerve injury
    2. suprascapular nerve injury
    3. Erb’s palsy injury
    4. musculocutaneous nerve
      1. Ans(1)
  29. Nerve with the best recovery
    1. Ulnar
    2. Median
    3. sciatic
    4. radial
      1. Ans(4)
  30. Which of the following muscle is supplied by axillary nerve?
    1. Teres minor
    2. teres major
    3. supraspinatus
    4. infraspinatus
      1. Ans(1)
  31. Motor march is seen in:
    1. Axonotmesis
    2. Neurotmesis
    3. Neuropraxia
    4. All of the above
      1. Ans(1)
  32. Axillary Nerve Injury is least likely in:
    1. Shoulder dislocation
    2. fracture proximal hummers
    3. Intramuscular injection
    4. Improper use of crutch
      1. Ans(4)
  33. A patient after sleeping on chair with hanging are 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)
  34. In axillary nerve paralysis, all the following are true except
    1. Deltoid muscle is wastes
    2. Extension of shoulder with arm abducted to 90 degrees is impossible
    3. Small area of numbness is present over the shoulder region
    4. Patient cannot initiate abduction
      1. Ans(4)
  35. 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 in identical conditions?
    1. Common peroneal nerve
    2. radial nerve
    3. Ulnar nerve
    4. the median nerve
      1. Ans(2)
  36. All of the following features can be observed after the injury to axillary nerve except
    1. Loss  of rounded contour of shoulder
    2. Loss of sensation along lateral side of upper arm
    3. Loss of overhead abduction
    4. atrophy of deltoid muscle
      1. Ans(3)
  37. 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 nerve
    2. Muscle biopsy
    3. strength-duration curve
    4. Creatine phosphokinase levels
      1. Ans(1)
  38. A patient can make his first but unable to flex his index finger. which nerve is affected in him
    1. radial nerve
    2. ulnar nerve
    3. musculocutaneous nerve
    4. Median nerve
      1. Ans(4)
  39. Nerve suturing in a clean cut injury is done best in:
    1. 6 hours
    2. 12 hours
    3. after one day
    4. after  two days
      1. Ans(1)
  40. nail bed of index finger is supplied by:
    1. Median nerve
    2. Ulnar
    3. palmar branch of the median nerve
    4. palmar branch of the ulnar nerve
      1. Ans()
  41. the following indicate better prognosis in nerve injury except
    1. Neuropraxia
    2. Younger age
    3. pure motor nerve injury
    4. proximal injury
      1. Ans(4)
  42. Damage to median nerve produces:
    1. claw hand
    2. winging to scapula
    3. Ape thumb
    4. Wrist drop
      1. Ans(3)
  43. The rate of regeneration of severed nerve is:
    1. 0.1 mm/day
    2. 1 mm/ day
    3. 1 cm/day
    4. None
      1. Ans(2)
  44. Labourer’s Nerve:
    1. Ulnar nerve
    2. Median Nerve
    3. radial nerve
    4. musculocutaneous nerve
      1. Ans(2)
  45. Tourniquet paralysis is an unfortunate complication leads to:
    1. neuropraxia
    2. Axonotmesis
    3. Neurotmesis
    4. none of the above
      1. Ans(1)
  46. “Ape thumb deformity” is observed in the lesion of:
    1. Radial nerve injury
    2. Ulnar nerve injury
    3. median nerve injury
    4. Circumflex humeral nerve injury
      1. Ans(3)
  47. In Seddon’s classification complete division of nerve is:
    1. Neuropraxia
    2. Axonotmesis
    3. Neurotmesis
    4. None of the above
      1. Ans(3)
  48. The median nerve is injured during
    1. elbow dislocation
    2. Fracture lateral epicondyle of humerus
    3. fracture medial epicondyle of humerus
    4. supracondylar fracture of the humerus
      1. Ans(1)
  49. Which of the following deformity is evident in case of Erb’s palsy?
    1. policeman tip deformity
    2. winging of the scapula
    3. Claw hand
    4. wrist drop
      1. Ans(1)
  50. Pointing index sign in seen in – nerve palsy:
    1. Ulnar
    2. radial
    3. median
    4. axillary
      1. Ans(3)

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