CCEP Peripheral Nerve Entrapments & Neurological Conditions 2

Question 1

Tinel's sign, when positive at a site of nerve compression, indicates:

Accepted Answer

Nerve irritability or regeneration at a point of compression

Answer

Joint instability at the tested site

Answer

Inflammation of the tendon sheath

Answer

Muscle weakness due to upper motor neuron lesion

Question 2

Suprascapular nerve entrapment most commonly occurs at which site?

Accepted Answer

The suprascapular notch

Answer

The quadrilateral space

Answer

The spinoglenoid notch

Answer

The axillary border of the scapula

Question 3

Ulnar nerve entrapment at Guyon's canal most commonly affects which structures?

Accepted Answer

Hypothenar muscles and ulnar-innervated intrinsics

Answer

Flexor carpi ulnaris and pronator teres muscles

Answer

Thenar muscles and median nerve territory

Answer

Dorsal interossei and extensor carpi ulnaris

Question 4

The concept of 'double crush syndrome' refers to:

Accepted Answer

A nerve being entrapped at two separate anatomical sites simultaneously

Answer

Two separate nerves compressed by one structure

Answer

Bilateral nerve entrapment at homologous sites

Answer

A nerve compressed by both a ganglion cyst and a tendon

Question 5

Radial tunnel syndrome is best differentiated from lateral epicondylitis by the location of maximal tenderness, which in radial tunnel syndrome is found:

Accepted Answer

Approximately 4–5 cm distal to the lateral epicondyle

Answer

At the lateral epicondyle itself

Answer

At the radial styloid process

Answer

Over the posterior interosseous nerve at the wrist

Question 6

Anterior tarsal tunnel syndrome involves entrapment of which nerve under the inferior extensor retinaculum on the dorsum of the foot?

Accepted Answer

Deep peroneal nerve

Answer

Posterior tibial nerve

Answer

Sural nerve

Answer

Superficial peroneal nerve

Question 7

Morton's neuroma most commonly occurs in which intermetatarsal space?

Accepted Answer

3rd–4th intermetatarsal space

Answer

1st–2nd intermetatarsal space

Answer

2nd–3rd intermetatarsal space

Answer

4th–5th intermetatarsal space