PG NEET Orthopaedics MCQS 35 – Nerve Injuries

  1. Wallerian degeneration is:
    1. Necrotic changes that appear in muscle after ischemic
    2. the process of degeneration distal to a point of injury to a nerve
    3. Seen in bone following  infection
    4. In a nerve injury the reaction proximal to the point of detachment
      1. Ans(2)
  2. In high lesions of ulnar nerve like elbow fractures or dislocation, the degree of clawing is markedly less than in low lessons this is called ULNAR PARADOX and is due to
    1. The fact that the ulnar half of the FDP is paralyzed and hence there is no flexion at the IP joints
    2. The lumbrical are spared and hence there is no clawing
    3. The median nerve compensates ulnar nerve
    4. the interossei increase their tone and extend the IP joint
      1. Ans(1)
  3. Which nerve repair has worst prognosis?
    1. Ulnar
    2. Radial
    3. median
    4. Lateral popliteal
      1. Ans(4)
  4. Forment’s test is done for:
    1. ulnar nerve
    2. the median nerve
    3. radial nerve
    4. sciatic nerve
      1. Ans(1)
  5. Tinel sign is used
    1. To access 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 of nerve
      1. Ans(4)
  6. In a 50 yrs, diabetes/Alcoholic patient presented with 15-degree flexion deformity of the little finger what is the most appropriate management
    1. Wait and watch
    2. Subtotal fasciectomy
    3. Total fasciectomy
    4. percutaneous fasciotomy
      1. Ans(1)
  7. Regarding upper limb peripheral nerve injuries which are correct
    1. Injury to the median nerve results in a wrist drop
    2. Injury to the median nerve results in loss of sensation over the palmar aspect of the index finger
    3. Injury to the radial nerve results in loss of sensation in the anatomical snuffbox
    4. Injury to the ulnar nerve results in a claw hand
      1. Ans(2)
  8. Claw hand is caused by lesion of
    1. Axillary nerve
    2. Median nerve
    3. Ulnar nerve
    4. radial nerve
      1. Ans(1)
  9. Which is not a feature of cervical syringomyelia
    1. Hypertrophy of abductor pollicis brevis
    2. Burning sensation in arm
    3. Biceps reflex absent
    4. Extensor plantar
      1. Ans(1)
  10. A patient presents with loss of sensation of ring and litter finger with wasting of hypothenar muscles
    1. Deep ulnar
    2. Superficial nerve
    3. Ulnar before division into deep and superficial
    4. the median nerve
      1. Ans(3)
  11. The root value of the long thoracic nerve is?
    1. C 3,4,5
    2. C 4,5,6
    3. C 5,6,7
    4. C 6,7, T1
      1. Ans(3)
  12. Neuropraxia of Ulnar nerve is managed by
    1. Electrophysiological studies and then based on the results
    2. Knuckle bander splint only
    3. exploration of the nerve
    4. tendon transfer
      1. Ans(2)
  13. 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 the reasons except?
    1. No endoneurial tube
    2. Glial scar formation
    3. Absence of growth factors
    4. Lack of myelin inhibitors
      1. Ans(4)
  14. Froment’s sign is characteristically seen in
    1. ulnar nerve injury
    2. Median nerve injury
    3. Radial nerve injury
    4. Intercostobrachial nerve injury
      1. Ans(1)
  15. Person with accident unable to abduct shoulder and flex at elbow due to
    1. Shoulder disloc
    2. medial cord injury
    3. Lat cord injury
    4. upper trunk injury
      1. Ans(4)
  16. Following an incised wound in the front of the wrist, the subject is unable to oppose the tips of the little finger and the thumb. the nerve’s involved ia/are
    1. Ulnar nerve alone
    2. Median nerve alone
    3. Median and ulnar nerves
    4. Radial and ulnar nerves
      1. Ans(3)
  17. Which of the following diagnosis modalities can be used to distinguish between pre and postganglionic branchial plexus injuries
    1. Angiography
    2. sinography
    3. Intradermal histamine test
    4. radionuclide  imaging
      1. Ans(3)
  18. A boy presents with an injury to the medial epicondyle of the humerus. Which of the following would not be seen
    1. the weakness of the ulnar deviation and flexion
    2. complete paralysis of the index and Little finger
    3. Atrophy of the hypothenar eminence
    4. decreased sensation of the hypothenar eminence
      1. Ans(2)
  19. Which of the following serve as donors for nerve grafting procedures
    1. Spinal accessory nerve
    2. Superior mental nerve
    3. Sural nerve
    4. anterior interosseous nerve
      1. Ans(3)
  20. Damage to the radial nerve in the spinal groove spares the
    1. lateral head of triceps
    2. Long head of triceps
    3. medial head of triceps
    4. Anconeus
      1. Ans()
  21. A person with a history of tetanus vaccination in the deltoid 5 days back presents with pain in the shoulder with wasting of the muscle of the arm. the most probable cause is:
    1. Brachial neuritis
    2. Radial nerve entrapment
    3. Thoracic outlet syndrome
    4. Hysteria
      1. Ans(1)
  22. the following are affected by low radial nerve palsy except:
    1. Extensor carpi radialis longus
    2. Extensor carpi radialis brevis
    3. Finger extensors
    4. Sensations on dorsum of head
      1. Ans()
  23.  All the following are true about musculocutaneous nerve injury EXCEPT
    1. Mid – prone forearm
    2. Loss of flexion of forearm
    3. Loss of flexion of wrist
    4. flexion of shoulder joint
      1. Ans(4)
  24. Best prognosis after the repair is for which of the following nerve?
    1. Ulnar nerve
    2. Radial nerve
    3. the median nerve
    4. Musculocutaneous nerve
      1. Ans()
  25. All are lost in Erb except
    1.  Flexion ar elbow
    2. Adduction at shoulder
    3. external rotators at shoulder
    4. supination of the forearm
      1. Ans(2)
  26. In a failed suicide gesture a depressed student severs her radial nerve at the wrist. the expected disability is;
    1. Loss of ability to extend the wrist
    2. Loss of ability to flex the wrist
    3. wasting of the intrinsic muscles of the hand
    4. sensory loss over the thenar pad and the thumb web
      1. Ans()
  27.  Klumke’s paralysis is due to injury
    1. C8, T1
    2. CT, C8, T1
    3. C7, C8
    4. C6,C7,C8,T1
      1. Ans(1)
  28. Arm injury With loss of Sensation Dorsum of Hand Inability to Extend Wrist Wrist and Fingers
    1. C7 Neuropathy
    2. radial Nerve injury
    3. PIN injury
    4. Brachial Plexus injury
      1. Ans()
  29. The nerve involved in anterior dislocation of the shoulder is
    1. Radial nerve
    2. Axillary nerve
    3. Ulnar nerve
    4. musculocutaneous nerve
      1. Ans(1)
  30. Injury to radial nerve in lower part of spiral groove
    1. Spares nerve supply to extensor carpi radialis longus
    2. Results in paralysis of anconeus muscle
    3. Leaves extensions at elbow joint intact
    4. weakens pronations movement
      1. Ans()
  31. Major causalgia develops after injury to a major mixed nerve commonly the
    1. Median nerve
    2. Ulnar nerve
    3. Femoral nerve
    4. Obturator nerve
      1. Ans(4)
  32. Most common cause of neurological deficit in upper limb is:
    1. Polio
    2. Erb’s palsy
    3. C1- C2 dislocation
    4. Fracture dislocation of cervical spine
      1. Ans()
  33. APE thumb deformity is seen following injury
    1. Radial nerve
    2. Ulnar nerve
    3. Axillary nerve
    4. Median nerve
      1. Ans(3)
  34. Most common site to involvement common peroneal in injury is”
    1. Shaft of fistula
    2. Proximal Tibia
    3. Lower femur
    4. Neck of Fibula
      1. Ans(4)
  35. A “true claw hand” of severe type results from:
    1. A lesion of the ulnar nerve at the elbow
    2. A lesion of the median nerve at the elbow
    3. A combined lesion of median and ulnar nerves at the elbow
    4. A combined lesion of ulnar and radial nerves at the elbow
      1. Ans(1)
  36. Meralgia paraesthetica is due to the involvement of the
    1. Ulnar nerve
    2. Median nerve
    3. Lateral cutaneous nerve of thigh
    4. Lateral peroneal nerve leg
      1. Ans(2)
  37. Pointing index is because of
    1. Median nerve injury
    2. Radial nerve injury
    3. 1st metacarpal fracture
    4. Ulnar nerve injury
      1. Ans(1)
  38. All the following are fractures of Morton’s metatarsalgia except
    1. The initial complaint is sharp pain in the fore foot
    2. The cause is osteochondritis  of the second metatarsal head
    3. Tenderness is usually localized to the interdigital space the third space being the commonest
    4. It is a type of compressive neuropathy
      1. Ans(3)
  39. All are fracture of anterior interosseous nerve syndrome except
    1. There is sensory loss on the medial 2 fingers
    2. Inability to perform OK – sign
    3. AIN is entrapped under pronator teres, flexor digitorum profundus flexor carpi radialis
    4. conservative treatment generally surgery rarely
      1. Ans(1)
  40. All the following clinical signs are positive in CTS except which of the following
    1. phalen test
    2. tinel sign
    3. Tourniquet test
    4. Finkelstein’s test
      1. Ans(4)
  41. Loss of sensation in lateral 3and 1/2 finger test to determine all except
    1. Finkelstein test
    2. phalen test
    3. Tinel sign
    4. Tourniquet test
      1. Ans(1)
  42. All the following are complication of surgical release of the carpal tunnel for treatment of CTS except
    1. Cutting off the palmar sensory branch of the median nerve
    2. cutting of the median nerve while separating the ligament
    3. Cutting of transverse carpal ligament
    4. Injury to superficial palmar arterial arch
      1. Ans(3)
  43. Median nerve compression syndrome in which the patient has motor weakness of the flexor pollicis longus and the flexor digitorum profundus of the index finger without alteration insensibility is due to:
    1. Compression of the median nerve at the elbow by the alerts fibrous
    2. Compression of the median nerve in the axilla
    3. compression of the anterior interosseous nerve by the arcade of Frohse
    4. Compression of the anterior interosseous nerve an aberrant accessory forearm muscle.
      1.  Ans(4)
  44. All the following are causes of persistent pain in previously operated cases of carpal tunnel syndrome
    1. Accidental division of the palmaris Lingus tendons
    2. Hyperplasia of the tenosynovitis
    3. Almost complete reformation of the transverse carpal ligament
    4. scarring and constriction
      1. Ans(1)
  45. the most common physical findings in a patient with median nerve compression at the wrist are:
    1. Diminished two-point discrimination and dryness of the index and long fingers
    2. Atrophy of the abductor pollicis brevis and opponents pollicis
    3. A positive percussion test at the wrist and a positive wrist flexion test producing paresthesias at the thumb
    4. A weak grip in addition to hand cramping and difficulty writing
      1. Ans(3)
  46. carpal tunnel syndrome is a compressive neuropathy of the
    1. Median nerve
    2. Sciatic nerve
    3. Basilic nerve
    4. Radial Nerve
      1. Ans(1)
  47. Compression of a nerve within the carpal tunnel products inability to
    1. Abduct the thumb
    2. adduct the thumb
    3. Flex the distal phalanx of the thumb
    4. oppose the thumb
      1. Ans(4)
  48. the carvical RIB is likely to produce:
    1. Torticollis
    2. Scoliosis
    3. Pain in neck
    4. Paraesthesia in upper limb
      1. Ans(4)
  49. Ape thumb deformity is seen in involvement of
    1. Median nerve
    2. ulnar nerve
    3. radial nerve
    4. axillary nerve
      1. Ans(1)
  50. All the following are the different anatomical structures that compress the posterior interosseous structures that compress the posterior interosseous nerve at the redial tunnel except:
    1. Fibrous band near the ant aspect of the radial  head
    2. a vascular leash of the recurrent redial artery
    3. Distal extensor carpi redial is Brevis tendon margin
    4. Proximal end of the brachioradialis
      1. Ans(4)

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