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Retired NBME 22 Answers

nbme22/Block 3/Question#15 (reveal difficulty score)
An 18-year-old man comes to the physician 10 ...
C8 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +22  upvote downvote
submitted by โˆ—drmohandes(193)
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Finger flexion done by:

  • FDP = flexor digitorum profundus (flexes DIP)
  • FDS = flexor digitorum superficialis (flexes PIP)

_

Innervation:

  • FDS 2/3/4/5 by median (C5-T1)
  • FDP 2/3 by median (C5-T1)
  • FDP 4/5 by ulnar (C8-T1)

_

Our patient can't flex DIP of ring finger โ†’ FDP4 โ†’ ulnar โ†’ C8-T1.

Only possible answer we can pick is C8.

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 +8  upvote downvote
submitted by โˆ—mcl(671)
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To expand on this, contraction of flexor digitorum profundus muscle results in flexion at the DIPs and PIPs. The tendon attaches at the tip of the finger, in contrast to flexor digitorum superficialis (attaches at the PIPs). Recall innervation of the forearm muscles is mostly from the median nerve, except for 1.5 muscles (ulnar half of flexor digitorum profundus and the flexor carpi ulnaris, both supplied by ulnar which makes it ez to remember yay).

But also if you got this wrong like me go read that link because it's a really nice review.

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samsam3711  Also a side note, this is called Jersey finger and is relatively common injury among athletes https://www.orthobullets.com/hand/6015/jersey-finger +4
brbwhat  FDP only causes problem with dip flexion. Fds causes injury with pip flexion. +
brbwhat  Causes problem* with There is an nbme question in 24 related to this concept as to what causes what, +



 +3  upvote downvote
submitted by โˆ—haliburton(224)
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https://geekymedics.com/nerve-supply-to-the-upper-limb/

a nice review of myotome and dermatome / reflexes

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 +1  upvote downvote
submitted by โˆ—zup(18)
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Flexor Digitorum Profundus Action: Flexes distal phalanges at distal interphalangeal joints of medial four digits; assists with flexion of hand Innervation: Medial part: ulnar nerve (C8 and T1); Lateral part: anterior interosseous branch of median nerve (C8 and T1) https://rad.washington.edu/muscle-atlas/flexor-digitorum-profundus/

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 -1  upvote downvote
submitted by โˆ—beto(28)
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lex ring and little fingers at DIPJs-ulnar nerve flex index and middle fingers at DIPJs-median nerve

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1)flex ring and little fingers at DIPJs-ulnar nerve

2)flex index and middle fingers at DIPJs-median nerve

+/- beto(28)


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