Peripheral Nerve Anatomy MCQs – Question Paper<\/title>\n <style>\n @media print {\n @page {\n size: A4;\n margin: 2cm 1.5cm;\n }\n }\n \n * {\n margin: 0;\n padding: 0;\n box-sizing: border-box;\n }\n \n body {\n font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Arial, sans-serif;\n font-size: 15px;\n line-height: 1.6;\n color: #000;\n background: #fff;\n padding: 15px;\n max-width: 100%;\n overflow-x: hidden;\n }\n \n @media (min-width: 768px) {\n body {\n padding: 2.5cm 2cm;\n font-size: 11pt;\n }\n }\n \n .header {\n text-align: center;\n margin-bottom: 20px;\n padding-bottom: 15px;\n border-bottom: 3px solid #2c3e50;\n }\n \n .header h1 {\n font-size: 20px;\n font-weight: 700;\n margin-bottom: 8px;\n color: #1a1a1a;\n letter-spacing: 0.5px;\n }\n \n @media (min-width: 768px) {\n .header h1 {\n font-size: 18pt;\n }\n }\n \n .header h2 {\n font-size: 16px;\n font-weight: 500;\n margin-bottom: 8px;\n color: #333;\n }\n \n @media (min-width: 768px) {\n .header h2 {\n font-size: 14pt;\n }\n }\n \n .header .exam-info {\n font-size: 13px;\n color: #555;\n font-style: italic;\n margin-top: 5px;\n }\n \n .instructions {\n background: #f8f9fa;\n border-left: 4px solid #007bff;\n padding: 15px;\n margin: 20px 0;\n border-radius: 4px;\n }\n \n .instructions h3 {\n font-size: 15px;\n font-weight: 700;\n margin-bottom: 10px;\n text-transform: uppercase;\n color: #2c3e50;\n }\n \n .instructions ul {\n margin-left: 20px;\n font-size: 14px;\n }\n \n .instructions li {\n margin-bottom: 6px;\n line-height: 1.5;\n }\n \n .section-header {\n background: linear-gradient(135deg, #2c3e50 0%, #34495e 100%);\n color: #fff;\n padding: 12px 15px;\n margin: 30px 0 20px 0;\n font-size: 16px;\n font-weight: 700;\n border-radius: 4px;\n box-shadow: 0 2px 4px rgba(0,0,0,0.1);\n }\n \n @media (min-width: 768px) {\n .section-header {\n font-size: 12pt;\n }\n }\n \n .question-block {\n margin-bottom: 25px;\n padding: 15px;\n background: #fff;\n border-left: 3px solid #e0e0e0;\n page-break-inside: avoid;\n }\n \n @media (min-width: 768px) {\n .question-block {\n padding: 0;\n background: transparent;\n }\n }\n \n .question-number {\n font-weight: 700;\n font-size: 15px;\n margin-bottom: 10px;\n color: #2c3e50;\n }\n \n .question-text {\n margin-bottom: 15px;\n text-align: justify;\n line-height: 1.7;\n font-size: 15px;\n }\n \n .options {\n margin-left: 0;\n }\n \n @media (min-width: 768px) {\n .options {\n margin-left: 15px;\n }\n }\n \n .option {\n margin-bottom: 10px;\n line-height: 1.6;\n padding: 8px 10px;\n background: #f8f9fa;\n border-radius: 4px;\n font-size: 14px;\n }\n \n @media (min-width: 768px) {\n .option {\n background: transparent;\n padding: 0;\n }\n }\n \n .option-label {\n display: inline-block;\n min-width: 30px;\n font-weight: 700;\n color: #007bff;\n }\n \n .page-break {\n page-break-after: always;\n margin: 40px 0;\n border-top: 2px dashed #ddd;\n padding-top: 40px;\n }\n \n @media print {\n .page-break {\n border: none;\n padding: 0;\n }\n }\n \n .end-marker {\n text-align: center;\n font-size: 16px;\n font-weight: 700;\n margin: 40px 0 30px 0;\n padding: 20px;\n border: 3px double #2c3e50;\n border-radius: 8px;\n background: #f8f9fa;\n }\n \n .watermark {\n text-align: center;\n font-size: 13px;\n color: #6c757d;\n margin-top: 30px;\n padding-top: 20px;\n border-top: 2px solid #dee2e6;\n }\n \n .watermark .website {\n font-weight: 700;\n color: #007bff;\n font-size: 16px;\n margin-top: 8px;\n }\n <\/style>\n<\/head>\n<body>\n <div class=\"header\">\n <h1>PERIPHERAL NERVE ANATOMY<\/h1>\n <h2>Clinical MCQs: Radial, Ulnar & Median Nerves<\/h2>\n <div class=\"exam-info\">For NEET-PG | INI-CET | FMGE | USMLE Preparation<\/div>\n <\/div>\n \n <div class=\"instructions\">\n <h3>Instructions<\/h3>\n <ul>\n <li>Total Questions: 20 (Section A: 10 | Section B: 10)<\/li>\n <li>Time Suggested: 40 minutes<\/li>\n <li>Each question carries equal marks<\/li>\n <li>Choose the BEST answer from the options provided<\/li>\n <li>Answer key provided in separate sheet<\/li>\n <\/ul>\n <\/div>\n \n <div class=\"section-header\">SECTION A: STANDARD LEVEL (Questions 1-10)<\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 1<\/div>\n <div class=\"question-text\">\n A 45-year-old man presents with inability to extend his wrist and fingers after falling asleep with his arm draped over a chair (“Saturday night palsy”). Sensation is impaired over the first dorsal web space. Which nerve is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve at the wrist<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Radial nerve in the spiral groove<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ulnar nerve at the elbow<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Posterior interosseous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Anterior interosseous nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 2<\/div>\n <div class=\"question-text\">\n A patient cannot make an “OK” sign with thumb and index finger. Which nerve is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Median nerve – anterior interosseous branch<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve – posterior interosseous branch<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Musculocutaneous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve at the wrist<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 3<\/div>\n <div class=\"question-text\">\n A 32-year-old carpenter presents with weakness of thumb abduction and thenar muscle wasting. Tinel’s sign is positive at the wrist. Sensation is reduced over the lateral 3\u00bd digits on the palmar surface. What is the most likely diagnosis?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve entrapment at Guyon’s canal<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Carpal tunnel syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> C8-T1 radiculopathy<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Pronator teres syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Cubital tunnel syndrome<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 4<\/div>\n <div class=\"question-text\">\n A patient with a supracondylar fracture of the humerus develops inability to flex the interphalangeal joint of the thumb. Which structure is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Flexor pollicis longus tendon<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Anterior interosseous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Radial nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Recurrent branch of median nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 5<\/div>\n <div class=\"question-text\">\n A 28-year-old woman presents with clawing of the 4th and 5th fingers, weakness of finger abduction\/adduction, and sensory loss over the medial 1\u00bd fingers. Froment’s sign is positive. Which nerve is injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve at wrist<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve at elbow<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve at mid-arm<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Lower trunk of brachial plexus<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve at elbow<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 6<\/div>\n <div class=\"question-text\">\n A motorcyclist sustains a mid-shaft humeral fracture. On examination, he cannot extend his thumb and has wrist drop. Which anatomical structure is at greatest risk in this type of fracture?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Axillary nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Radial nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Musculocutaneous nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 7<\/div>\n <div class=\"question-text\">\n During carpal tunnel release surgery, which structure is at greatest risk of iatrogenic injury?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Radial artery<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Recurrent motor branch of median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Palmar cutaneous branch of median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Superficial palmar arch<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 8<\/div>\n <div class=\"question-text\">\n A patient presents with a laceration at the wrist and develops inability to adduct the thumb (positive Froment’s sign) but can oppose the thumb. Sensation over the thenar eminence is intact. Which nerve is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Anterior interosseous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Posterior interosseous nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 9<\/div>\n <div class=\"question-text\">\n A 55-year-old diabetic patient presents with inability to flex the DIP joints of the index and middle fingers, but the ring and little fingers flex normally. FDP function to which fingers is affected, and what is the nerve involved?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Index and middle fingers; ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Index and middle fingers; median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ring and little fingers; ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Ring and little fingers; median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> All fingers; combined nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 10<\/div>\n <div class=\"question-text\">\n A patient with a distal radius fracture develops severe pain, swelling, and progressive finger stiffness. On examination, there is pain on passive finger extension and weakness of thumb opposition with sensory loss over the lateral 3\u00bd digits. What is the most concerning complication?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Complex regional pain syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Acute carpal tunnel syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ulnar nerve injury<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Reflex sympathetic dystrophy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Radial nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"page-break\"><\/div>\n \n <div class=\"section-header\">SECTION B: ADVANCED LEVEL (Questions 11-20)<\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 11<\/div>\n <div class=\"question-text\">\n A 42-year-old presents post-humeral fracture with wrist drop but preserved triceps function and normal sensation over the posterior forearm. Finger extension at MCP joints is absent, but IP joint extension is preserved when the wrist is passively flexed. What is the most precise localization?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Radial nerve injury in spiral groove<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Posterior interosseous nerve injury at arcade of Frohse<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve injury at axilla<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C7 radiculopathy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Combined median and radial nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 12<\/div>\n <div class=\"question-text\">\n A 58-year-old with chronic kidney disease on hemodialysis develops progressive weakness of finger flexion and thumb opposition. Sensation is normal throughout. Electromyography shows denervation in flexor pollicis longus, pronator quadratus, and abductor pollicis brevis, but flexor carpi radialis is spared. What is the anatomical explanation?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Martin-Gruber anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Median nerve lesion distal to pronator teres but proximal to carpal tunnel<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Double crush syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Riche-Cannieu anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Isolated anterior interosseous nerve palsy<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 13<\/div>\n <div class=\"question-text\">\n During a forearm laceration repair, a patient develops isolated weakness of FDP to the index finger and loss of thumb IP flexion, with no sensory deficit. However, the surgeon notes the patient can still pronate the forearm against resistance. What is the most likely anatomical variant present?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Gantzer’s muscle is intact<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Martin-Gruber anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Accessory head of FPL from medial epicondyle<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> The laceration spared pronator quadratus<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve proper was not injured<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 14<\/div>\n <div class=\"question-text\">\n A 35-year-old cyclist with handlebar palsy presents with weakness of finger abduction\/adduction and hypothenar atrophy. Clawing is absent in the 4th and 5th digits. Sensation is lost over the palmar surface of the medial 1\u00bd digits but preserved on the dorsal surface. Where is the lesion?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve at cubital tunnel<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve at Guyon’s canal (Zone 1)<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ulnar nerve at Guyon’s canal (Zone 2)<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C8-T1 nerve root lesion<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Ulnar nerve in distal forearm<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 15<\/div>\n <div class=\"question-text\">\n A 29-year-old man sustains a stab wound to the upper medial arm. He develops Froment’s sign and weak finger abduction, but surprisingly has normal FDP function to ring and little fingers and normal sensation throughout the hand. What anatomical anomaly best explains these findings?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Martin-Gruber anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Riche-Cannieu anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Marinacci communication<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Berrettini anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Incomplete ulnar nerve laceration<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 16<\/div>\n <div class=\"question-text\">\n A patient presents with inability to flex the DIP of the middle finger only, while index, ring, and little finger DIP flexion is intact. Thumb IP flexion is normal. Which anatomical variation is most likely present?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve supplies entire FDP<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve supplies FDP to index, middle, and ring fingers<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Independent muscle belly of FDP to middle finger with anomalous innervation<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Split median-ulnar innervation with middle finger receiving ulnar innervation<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Martin-Gruber anastomosis with selective transfer<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 17<\/div>\n <div class=\"question-text\">\n A 47-year-old diabetic presents with “pseudo-ulnar claw hand” – clawing of index and middle fingers with sparing of ring and little fingers. There is weakness of thumb IP flexion and index\/middle DIP flexion. Intrinsic hand muscle function is normal. What is the diagnosis?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Combined median and ulnar nerve palsy<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Anterior interosseous nerve syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Kiloh-Nevin syndrome (AIN palsy with intrinsic involvement)<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Posterior interosseous nerve syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve palsy at wrist<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 18<\/div>\n <div class=\"question-text\">\n A motorcyclist with a humeral shaft fracture undergoes ORIF. Post-operatively, he has complete wrist drop and cannot extend fingers, but surprisingly has preserved triceps AND preserved brachioradialis function. Sensation over the first dorsal webspace is diminished. What is the most likely explanation?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> The radial nerve was injured distal to the triceps branches but proximal to the brachioradialis branch<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Incomplete radial nerve injury with preferential involvement of motor fibers<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> The injury occurred at the spiral groove, sparing the triceps which receives innervation proximally<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C7 nerve root injury mimicking radial nerve palsy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Posterior interosseous nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 19<\/div>\n <div class=\"question-text\">\n A 52-year-old presents with thenar atrophy and weak thumb opposition. However, Phalen’s test is negative, Tinel’s sign at the wrist is negative, and two-point discrimination over the index and middle fingers is normal. Abductor pollicis brevis is weak but flexor pollicis longus is strong. EMG shows denervation only in thenar muscles. What is the most likely diagnosis?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Carpal tunnel syndrome with sparing of sensory fibers<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Pronator syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Isolated injury to recurrent motor branch of median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C8-T1 radiculopathy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Anterior interosseous nerve syndrome<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 20<\/div>\n <div class=\"question-text\">\n A competitive arm wrestler develops progressive weakness of wrist flexion and finger flexion with fasciculations in the forearm. Sensation is intact. MRI shows an accessory muscle belly in the proximal forearm compressing the median nerve between the two heads of pronator teres. Which additional clinical finding would most strongly support the diagnosis of pronator syndrome over carpal tunnel syndrome?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Positive Tinel’s sign at the wrist<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Pain with resisted forearm pronation<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Weak thumb opposition<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Nocturnal paresthesias<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Thenar atrophy<\/div>\n <\/div>\n <\/div>\n \n <div class=\"end-marker\">\n \u2014 END OF QUESTION PAPER \u2014\n <\/div>\n \n <div class=\"watermark\">\n Answer key provided in separate sheet\n <div class=\"website\">www.atsixty.com<\/div>\n <\/div>\n<\/body>\n<\/html>\n\n\n\n<p class=\"has-text-align-right\"><a href=\"https:\/\/atsixty.com\/index.php\/2025\/12\/22\/answers-to-peripheral-nerves-mcq\/\">Click for Answers<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Peripheral Nerve Anatomy MCQs – Question Paper PERIPHERAL NERVE ANATOMY Clinical MCQs: Radial, Ulnar & Median Nerves For NEET-PG | INI-CET | FMGE | USMLE Preparation Instructions Total Questions: 20 (Section A: 10 | Section B: 10) Time Suggested: 40 minutes Each question carries equal marks Choose the BEST answer from the options provided Answer… <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-26065","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n<title>Peripheral Nerves - 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{"id":26065,"date":"2025-12-22T17:01:30","date_gmt":"2025-12-22T17:01:30","guid":{"rendered":"https:\/\/atsixty.com\/?p=26065"},"modified":"2025-12-22T18:05:03","modified_gmt":"2025-12-22T18:05:03","slug":"peripheral-nerves","status":"publish","type":"post","link":"https:\/\/atsixty.com\/index.php\/2025\/12\/22\/peripheral-nerves\/","title":{"rendered":"Peripheral Nerves"},"content":{"rendered":"\n\n\n\n \n \n Peripheral Nerve Anatomy MCQs – Question Paper<\/title>\n <style>\n @media print {\n @page {\n size: A4;\n margin: 2cm 1.5cm;\n }\n }\n \n * {\n margin: 0;\n padding: 0;\n box-sizing: border-box;\n }\n \n body {\n font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Arial, sans-serif;\n font-size: 15px;\n line-height: 1.6;\n color: #000;\n background: #fff;\n padding: 15px;\n max-width: 100%;\n overflow-x: hidden;\n }\n \n @media (min-width: 768px) {\n body {\n padding: 2.5cm 2cm;\n font-size: 11pt;\n }\n }\n \n .header {\n text-align: center;\n margin-bottom: 20px;\n padding-bottom: 15px;\n border-bottom: 3px solid #2c3e50;\n }\n \n .header h1 {\n font-size: 20px;\n font-weight: 700;\n margin-bottom: 8px;\n color: #1a1a1a;\n letter-spacing: 0.5px;\n }\n \n @media (min-width: 768px) {\n .header h1 {\n font-size: 18pt;\n }\n }\n \n .header h2 {\n font-size: 16px;\n font-weight: 500;\n margin-bottom: 8px;\n color: #333;\n }\n \n @media (min-width: 768px) {\n .header h2 {\n font-size: 14pt;\n }\n }\n \n .header .exam-info {\n font-size: 13px;\n color: #555;\n font-style: italic;\n margin-top: 5px;\n }\n \n .instructions {\n background: #f8f9fa;\n border-left: 4px solid #007bff;\n padding: 15px;\n margin: 20px 0;\n border-radius: 4px;\n }\n \n .instructions h3 {\n font-size: 15px;\n font-weight: 700;\n margin-bottom: 10px;\n text-transform: uppercase;\n color: #2c3e50;\n }\n \n .instructions ul {\n margin-left: 20px;\n font-size: 14px;\n }\n \n .instructions li {\n margin-bottom: 6px;\n line-height: 1.5;\n }\n \n .section-header {\n background: linear-gradient(135deg, #2c3e50 0%, #34495e 100%);\n color: #fff;\n padding: 12px 15px;\n margin: 30px 0 20px 0;\n font-size: 16px;\n font-weight: 700;\n border-radius: 4px;\n box-shadow: 0 2px 4px rgba(0,0,0,0.1);\n }\n \n @media (min-width: 768px) {\n .section-header {\n font-size: 12pt;\n }\n }\n \n .question-block {\n margin-bottom: 25px;\n padding: 15px;\n background: #fff;\n border-left: 3px solid #e0e0e0;\n page-break-inside: avoid;\n }\n \n @media (min-width: 768px) {\n .question-block {\n padding: 0;\n background: transparent;\n }\n }\n \n .question-number {\n font-weight: 700;\n font-size: 15px;\n margin-bottom: 10px;\n color: #2c3e50;\n }\n \n .question-text {\n margin-bottom: 15px;\n text-align: justify;\n line-height: 1.7;\n font-size: 15px;\n }\n \n .options {\n margin-left: 0;\n }\n \n @media (min-width: 768px) {\n .options {\n margin-left: 15px;\n }\n }\n \n .option {\n margin-bottom: 10px;\n line-height: 1.6;\n padding: 8px 10px;\n background: #f8f9fa;\n border-radius: 4px;\n font-size: 14px;\n }\n \n @media (min-width: 768px) {\n .option {\n background: transparent;\n padding: 0;\n }\n }\n \n .option-label {\n display: inline-block;\n min-width: 30px;\n font-weight: 700;\n color: #007bff;\n }\n \n .page-break {\n page-break-after: always;\n margin: 40px 0;\n border-top: 2px dashed #ddd;\n padding-top: 40px;\n }\n \n @media print {\n .page-break {\n border: none;\n padding: 0;\n }\n }\n \n .end-marker {\n text-align: center;\n font-size: 16px;\n font-weight: 700;\n margin: 40px 0 30px 0;\n padding: 20px;\n border: 3px double #2c3e50;\n border-radius: 8px;\n background: #f8f9fa;\n }\n \n .watermark {\n text-align: center;\n font-size: 13px;\n color: #6c757d;\n margin-top: 30px;\n padding-top: 20px;\n border-top: 2px solid #dee2e6;\n }\n \n .watermark .website {\n font-weight: 700;\n color: #007bff;\n font-size: 16px;\n margin-top: 8px;\n }\n <\/style>\n<\/head>\n<body>\n <div class=\"header\">\n <h1>PERIPHERAL NERVE ANATOMY<\/h1>\n <h2>Clinical MCQs: Radial, Ulnar & Median Nerves<\/h2>\n <div class=\"exam-info\">For NEET-PG | INI-CET | FMGE | USMLE Preparation<\/div>\n <\/div>\n \n <div class=\"instructions\">\n <h3>Instructions<\/h3>\n <ul>\n <li>Total Questions: 20 (Section A: 10 | Section B: 10)<\/li>\n <li>Time Suggested: 40 minutes<\/li>\n <li>Each question carries equal marks<\/li>\n <li>Choose the BEST answer from the options provided<\/li>\n <li>Answer key provided in separate sheet<\/li>\n <\/ul>\n <\/div>\n \n <div class=\"section-header\">SECTION A: STANDARD LEVEL (Questions 1-10)<\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 1<\/div>\n <div class=\"question-text\">\n A 45-year-old man presents with inability to extend his wrist and fingers after falling asleep with his arm draped over a chair (“Saturday night palsy”). Sensation is impaired over the first dorsal web space. Which nerve is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve at the wrist<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Radial nerve in the spiral groove<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ulnar nerve at the elbow<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Posterior interosseous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Anterior interosseous nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 2<\/div>\n <div class=\"question-text\">\n A patient cannot make an “OK” sign with thumb and index finger. Which nerve is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Median nerve – anterior interosseous branch<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve – posterior interosseous branch<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Musculocutaneous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve at the wrist<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 3<\/div>\n <div class=\"question-text\">\n A 32-year-old carpenter presents with weakness of thumb abduction and thenar muscle wasting. Tinel’s sign is positive at the wrist. Sensation is reduced over the lateral 3\u00bd digits on the palmar surface. What is the most likely diagnosis?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve entrapment at Guyon’s canal<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Carpal tunnel syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> C8-T1 radiculopathy<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Pronator teres syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Cubital tunnel syndrome<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 4<\/div>\n <div class=\"question-text\">\n A patient with a supracondylar fracture of the humerus develops inability to flex the interphalangeal joint of the thumb. Which structure is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Flexor pollicis longus tendon<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Anterior interosseous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Radial nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Recurrent branch of median nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 5<\/div>\n <div class=\"question-text\">\n A 28-year-old woman presents with clawing of the 4th and 5th fingers, weakness of finger abduction\/adduction, and sensory loss over the medial 1\u00bd fingers. Froment’s sign is positive. Which nerve is injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve at wrist<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve at elbow<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve at mid-arm<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Lower trunk of brachial plexus<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve at elbow<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 6<\/div>\n <div class=\"question-text\">\n A motorcyclist sustains a mid-shaft humeral fracture. On examination, he cannot extend his thumb and has wrist drop. Which anatomical structure is at greatest risk in this type of fracture?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Axillary nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Radial nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Musculocutaneous nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 7<\/div>\n <div class=\"question-text\">\n During carpal tunnel release surgery, which structure is at greatest risk of iatrogenic injury?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Radial artery<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Recurrent motor branch of median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Palmar cutaneous branch of median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Superficial palmar arch<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 8<\/div>\n <div class=\"question-text\">\n A patient presents with a laceration at the wrist and develops inability to adduct the thumb (positive Froment’s sign) but can oppose the thumb. Sensation over the thenar eminence is intact. Which nerve is most likely injured?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Anterior interosseous nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Posterior interosseous nerve<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 9<\/div>\n <div class=\"question-text\">\n A 55-year-old diabetic patient presents with inability to flex the DIP joints of the index and middle fingers, but the ring and little fingers flex normally. FDP function to which fingers is affected, and what is the nerve involved?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Index and middle fingers; ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Index and middle fingers; median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ring and little fingers; ulnar nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Ring and little fingers; median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> All fingers; combined nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 10<\/div>\n <div class=\"question-text\">\n A patient with a distal radius fracture develops severe pain, swelling, and progressive finger stiffness. On examination, there is pain on passive finger extension and weakness of thumb opposition with sensory loss over the lateral 3\u00bd digits. What is the most concerning complication?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Complex regional pain syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Acute carpal tunnel syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ulnar nerve injury<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Reflex sympathetic dystrophy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Radial nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"page-break\"><\/div>\n \n <div class=\"section-header\">SECTION B: ADVANCED LEVEL (Questions 11-20)<\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 11<\/div>\n <div class=\"question-text\">\n A 42-year-old presents post-humeral fracture with wrist drop but preserved triceps function and normal sensation over the posterior forearm. Finger extension at MCP joints is absent, but IP joint extension is preserved when the wrist is passively flexed. What is the most precise localization?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Radial nerve injury in spiral groove<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Posterior interosseous nerve injury at arcade of Frohse<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Radial nerve injury at axilla<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C7 radiculopathy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Combined median and radial nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 12<\/div>\n <div class=\"question-text\">\n A 58-year-old with chronic kidney disease on hemodialysis develops progressive weakness of finger flexion and thumb opposition. Sensation is normal throughout. Electromyography shows denervation in flexor pollicis longus, pronator quadratus, and abductor pollicis brevis, but flexor carpi radialis is spared. What is the anatomical explanation?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Martin-Gruber anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Median nerve lesion distal to pronator teres but proximal to carpal tunnel<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Double crush syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Riche-Cannieu anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Isolated anterior interosseous nerve palsy<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 13<\/div>\n <div class=\"question-text\">\n During a forearm laceration repair, a patient develops isolated weakness of FDP to the index finger and loss of thumb IP flexion, with no sensory deficit. However, the surgeon notes the patient can still pronate the forearm against resistance. What is the most likely anatomical variant present?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Gantzer’s muscle is intact<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Martin-Gruber anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Accessory head of FPL from medial epicondyle<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> The laceration spared pronator quadratus<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve proper was not injured<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 14<\/div>\n <div class=\"question-text\">\n A 35-year-old cyclist with handlebar palsy presents with weakness of finger abduction\/adduction and hypothenar atrophy. Clawing is absent in the 4th and 5th digits. Sensation is lost over the palmar surface of the medial 1\u00bd digits but preserved on the dorsal surface. Where is the lesion?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Ulnar nerve at cubital tunnel<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve at Guyon’s canal (Zone 1)<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Ulnar nerve at Guyon’s canal (Zone 2)<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C8-T1 nerve root lesion<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Ulnar nerve in distal forearm<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 15<\/div>\n <div class=\"question-text\">\n A 29-year-old man sustains a stab wound to the upper medial arm. He develops Froment’s sign and weak finger abduction, but surprisingly has normal FDP function to ring and little fingers and normal sensation throughout the hand. What anatomical anomaly best explains these findings?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Martin-Gruber anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Riche-Cannieu anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Marinacci communication<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Berrettini anastomosis<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Incomplete ulnar nerve laceration<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 16<\/div>\n <div class=\"question-text\">\n A patient presents with inability to flex the DIP of the middle finger only, while index, ring, and little finger DIP flexion is intact. Thumb IP flexion is normal. Which anatomical variation is most likely present?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Median nerve supplies entire FDP<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Ulnar nerve supplies FDP to index, middle, and ring fingers<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Independent muscle belly of FDP to middle finger with anomalous innervation<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Split median-ulnar innervation with middle finger receiving ulnar innervation<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Martin-Gruber anastomosis with selective transfer<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 17<\/div>\n <div class=\"question-text\">\n A 47-year-old diabetic presents with “pseudo-ulnar claw hand” – clawing of index and middle fingers with sparing of ring and little fingers. There is weakness of thumb IP flexion and index\/middle DIP flexion. Intrinsic hand muscle function is normal. What is the diagnosis?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Combined median and ulnar nerve palsy<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Anterior interosseous nerve syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Kiloh-Nevin syndrome (AIN palsy with intrinsic involvement)<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Posterior interosseous nerve syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Median nerve palsy at wrist<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 18<\/div>\n <div class=\"question-text\">\n A motorcyclist with a humeral shaft fracture undergoes ORIF. Post-operatively, he has complete wrist drop and cannot extend fingers, but surprisingly has preserved triceps AND preserved brachioradialis function. Sensation over the first dorsal webspace is diminished. What is the most likely explanation?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> The radial nerve was injured distal to the triceps branches but proximal to the brachioradialis branch<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Incomplete radial nerve injury with preferential involvement of motor fibers<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> The injury occurred at the spiral groove, sparing the triceps which receives innervation proximally<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C7 nerve root injury mimicking radial nerve palsy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Posterior interosseous nerve injury<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 19<\/div>\n <div class=\"question-text\">\n A 52-year-old presents with thenar atrophy and weak thumb opposition. However, Phalen’s test is negative, Tinel’s sign at the wrist is negative, and two-point discrimination over the index and middle fingers is normal. Abductor pollicis brevis is weak but flexor pollicis longus is strong. EMG shows denervation only in thenar muscles. What is the most likely diagnosis?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Carpal tunnel syndrome with sparing of sensory fibers<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Pronator syndrome<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Isolated injury to recurrent motor branch of median nerve<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> C8-T1 radiculopathy<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Anterior interosseous nerve syndrome<\/div>\n <\/div>\n <\/div>\n \n <div class=\"question-block\">\n <div class=\"question-number\">Question 20<\/div>\n <div class=\"question-text\">\n A competitive arm wrestler develops progressive weakness of wrist flexion and finger flexion with fasciculations in the forearm. Sensation is intact. MRI shows an accessory muscle belly in the proximal forearm compressing the median nerve between the two heads of pronator teres. Which additional clinical finding would most strongly support the diagnosis of pronator syndrome over carpal tunnel syndrome?\n <\/div>\n <div class=\"options\">\n <div class=\"option\"><span class=\"option-label\">A)<\/span> Positive Tinel’s sign at the wrist<\/div>\n <div class=\"option\"><span class=\"option-label\">B)<\/span> Pain with resisted forearm pronation<\/div>\n <div class=\"option\"><span class=\"option-label\">C)<\/span> Weak thumb opposition<\/div>\n <div class=\"option\"><span class=\"option-label\">D)<\/span> Nocturnal paresthesias<\/div>\n <div class=\"option\"><span class=\"option-label\">E)<\/span> Thenar atrophy<\/div>\n <\/div>\n <\/div>\n \n <div class=\"end-marker\">\n \u2014 END OF QUESTION PAPER \u2014\n <\/div>\n \n <div class=\"watermark\">\n Answer key provided in separate sheet\n <div class=\"website\">www.atsixty.com<\/div>\n <\/div>\n<\/body>\n<\/html>\n\n\n\n<p class=\"has-text-align-right\"><a href=\"https:\/\/atsixty.com\/index.php\/2025\/12\/22\/answers-to-peripheral-nerves-mcq\/\">Click for Answers<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Peripheral Nerve Anatomy MCQs – Question Paper PERIPHERAL NERVE ANATOMY Clinical MCQs: Radial, Ulnar & Median Nerves For NEET-PG | INI-CET | FMGE | USMLE Preparation Instructions Total Questions: 20 (Section A: 10 | Section B: 10) Time Suggested: 40 minutes Each question carries equal marks Choose the BEST answer from the options provided Answer… <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-26065","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n<title>Peripheral Nerves - 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