Approaches ORTHOPEDIC MCQS ONLINE BANK
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Numbness over the anterolateral thigh
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Ischemia to the leg
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Quadriceps weakness
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Abductor insufficiency
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Foot drop
PREFERRED RESPONSE 3
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Anterior tibial recurrent
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Lateral superior genicular
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Lateral inferior genicular
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Descending genicular
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Medial superior genicular PREFERRED RESPONSE 2
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Aorta
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Common iliac artery
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Common iliac vein
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External iliac artery
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External iliac vein PREFERRED RESPONSE 2
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Lateral superior portal
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Posterior superior portal
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Anterior portal
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Posterior inferior portal
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Nevasier (supraspinatus) portal PREFERRED RESPONSE 4
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Ureter
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Genitofemoral nerve
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Internal femoral artery
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Iliolumbar vein
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Central sacral vein PREFERRED RESPONSE 4
(OBQ13.207) What intermuscular plane is most commonly used in the anterior approach to the ankle?
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Between the tendons of extensor digitorum
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Between extensor hallucis longus and extensor digitorum longus
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Between tibialis anterior and extensor hallucis longus
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Between extensor digitorum longus and extensor digitorum brevis
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Between peroneus tertius and peroneus brevis PREFERRED RESPONSE 2
(SAE08AN.27) The posterior approach to the proximal radius uses what intermuscular interval?
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Extensor carpi radialis brevis and extensor digitorum communis
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Extensor carpi radialis longus and extensor digitorum communis
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Extensor digitorum communis and extensor pollicis brevis
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Brachioradialis and flexor carpi radialis
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Anconeus and extensor carpi ulnaris PREFERRED RESPONSE 1
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Posterior heel
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Plantar-lateral foot
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Plantar-medial foot
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Dorso-lateral foot
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Dorso-medial foot
PREFERRED RESPONSE 4
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Femoral artery
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Femoral nerve
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Lateral femoral cutaneous nerve
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Medial femoral circumflex artery
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Obturator artery
PREFERRED RESPONSE 3
(SBQ12SP.36) What is the most common type of cause and type of peripheral nerve injury detected by electrophysiologic monitoring during anterior cervical spine surgery? Review Topic
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Brachial plexopathy following shoulder taping and application of countertraction
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Brachial plexopathy on neck extension for surgical access
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Spinal cord injury on neck extension for surgical access
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Ulnar neuropathy due to tightly wrapped or malpositioned upper extremities
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Cerebral hypoperfusion due to elevation of the head of the bed PREFERRED RESPONSE 1
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Ascending branch of the lateral femoral circumflex artery
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Medial femoral circumflex artery
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Obturator artery
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Superficial external pudendal artery
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Femoral vein
PREFERRED RESPONSE 1
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Insertion of the peroneus longus tendon
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Insertion of the posterior tibial tendon
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Flexor digitorum longus tendons
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Inferior calcaneonavicular (spring) ligament
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Branches of the posterior tibial artery PREFERRED RESPONSE 4
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Flexor digitorum superficialis-flexor carpis ulnaris
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Flexor carpi radialis-flexor digitorum superficialis
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Brachioradialis-flexor carpi radialis
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Flexor pollicis longus-flexor digitorum profundus
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Flexor pollicis longus-flexor carpi radialis PREFERRED RESPONSE 3
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Anconeus and anterior surface of the humerus
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Brachioradialis and extensor carpi radialis longus
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Brachioradialis and brachialis
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Extensor carpi radialis longus and extensor carpi radialis brevis
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Brachioradialis/extensor carpi radialis longus and anterior surface of the humerus PREFERRED RESPONSE 5
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Esophagus
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Trachea
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Superior laryngeal nerve
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Recurrent laryngeal nerve
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Sympathetic chain
PREFERRED RESPONSE 4
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Vocal cord paralysis is three times as likely with a right-sided approach as compared to a left-sided approach.
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Vocal cord paralysis is twice as likely with a right-sided approach as compared to a left-sided approach.
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Vocal cord paralysis is equally likely with either a right-sided or a left-sided approach.
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Vocal cord paralysis is three times as likely with a left-sided approach as compared to a right-sided approach.
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Vocal cord paralysis is twice as likely with a left-sided approach as compared to a right-sided approach.
PREFERRED RESPONSE 3
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Lateral tarsal
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Lateral calcaneal
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Lateral malleolar
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Common peroneal
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Artery of the tarsal sinus PREFERRED RESPONSE 2
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Peroneal artery
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Lateral sural artery
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Superior lateral genicular artery
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Inferior lateral genicular artery
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Posterior tibial recurrent artery PREFERRED RESPONSE 4
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Median nerve is volar and ulnar
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Median nerve is radial and volar
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Median nerve is dorsal and ulnar
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Median nerve is dorsal and radial
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Median nerve is volar and radial PREFERRED RESPONSE 3
(SAE08AN.93) When harvesting an iliac crest bone graft from the posterior approach, what anatomic structure is at greatest risk for injury if a Cobb elevator is directed too caudal?
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Sciatic nerve
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Cluneal nerves
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Inferior gluteal artery
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Superior gluteal artery
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Sacroiliac joint
PREFERRED RESPONSE 4
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Posterior cruciate ligament, anterolateral bundle
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Posterior cruciate ligament, posterolateral bundle
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Posterior cruciate ligament, anteromedial bundle
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Posterior cruciate ligament, posteromedial bundle
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Posterior meniscofemoral ligament PREFERRED RESPONSE 1
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Ulnar nerve
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Annular ligament
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Anterior band of the medial collateral ligament
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Lateral ulnar collateral ligament
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Arcade of Struthers PREFERRED RESPONSE 4
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Angle of the mandible and the C2-C3 interspace
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Hyoid bone and C6
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Carotid tubercle and C6
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Superior portion of the thyroid cartilage and the C3 vertebral body
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Cricoid cartilage and C7-T1 PREFERRED RESPONSE 3
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Coracoacromial ligament
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Coracohumeral ligament
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Conoid ligament
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Trapezoid ligament
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Acromioclavicular ligament
PREFERRED RESPONSE 1
(SAE09SN.75) What structure is most at risk with anterior penetration of C1 lateral mass screws?
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Vertebral artery
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External carotid artery
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Internal carotid artery
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Pharynx
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Glossopharyngeal nerve
PREFERRED RESPONSE 3
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Flexor carpi radialis and brachioradialis
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Flexor carpi radialis and pronator teres
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Brachioradialis and pronator teres
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Brachioradialis and abductor pollicis longus
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Brachioradialis and palmaris longus PREFERRED RESPONSE 1
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Erectile dysfunction
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Recurrent urinary tract infections
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Retrograde ejaculation
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Testicular atrophy
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Penile numbness
PREFERRED RESPONSE 3
(SAE09SN.47) What nerve is most likely to be injured during the anterior exposure of C2-3?
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Facial
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Superior laryngeal
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Vagus
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Hypoglossal
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Phrenic
PREFERRED RESPONSE 4
(SAE12TR.67) What approach should be chosen for the injury seen in Figure 67? Review Topic
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Stoppa
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Hardinge
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Ilioinguinal
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Watson Jones
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Kocher-Langenbeck
PREFERRED RESPONSE 5
(SBQ12TR.4) Which of the following statements about the lateral femoral cutaneous nerve is true?
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Innervates the medial aspect of the proximal thigh
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Originates from the dorsal roots of L4-L5
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Course runs medial to the femoral artery
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Courses along the medial border of the psoas muscle
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Courses under the inguinal ligament PREFERRED RESPONSE 5
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Upper border of the thyroid cartilage
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Cricoid cartilage
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Hyoid bone
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Lower border of the thyroid cartilage
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Carotid tubercle
PREFERRED RESPONSE 2
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Obturator vein
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Iliolumbar vein
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External iliac vein
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Middle sacral artery
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Hypogastric artery
PREFERRED RESPONSE 2
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Deltoid and Teres minor
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Teres minor and Infraspinatus
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Supraspinatus and Infraspinatus
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Deltoid and Supraspinatus
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Teres minor and Teres major PREFERRED RESPONSE 2
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Adductor longus and adductor brevis
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Adductor longus and pectineus
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Adductor brevis and adductor magnus
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Adductor magnus and semimembranosus
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Pectineus and iliopsoas PREFERRED RESPONSE 3
(SAE09SN.84) A 55-year-old woman undergoes an anterior cervical diskectomy and fusion at C5-C6 through a left-sided approach. One year later, she requires an anterior cervical diskectomy and fusion on another level. Which of the following is considered a contraindication to performing a right-sided approach for the revision procedure? Review Topic
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Revision surgery caudad to C6
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Persistent left cervical radiculopathy
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History of a left-sided Horner’s syndrome
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Transient dysphagia following the initial anterior cervical procedure
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Nonfunctional left vocal cord PREFERRED RESPONSE 5
(SAE09SN.89) What muscle is most often encountered during surgical approaches to C5-6?
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Omohyoid
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Cricohyoid
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Splenius capitus
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Thyrohyoid
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Posterior digastrics
PREFERRED RESPONSE 1
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Patellar clunk syndrome
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Septic arthritis
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Nonspecific pain
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Improper tracking of the patellar component
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Synovitis secondary to polyethylene wear PREFERRED RESPONSE 1
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Component loosening
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Component impingement
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Foraminal stenosis at L3-4
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Detached gluteus medius tendon
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Neuropathy of the superior gluteal nerve PREFERRED RESPONSE 4
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Deep femoral artery (profunda)
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Superficial femoral artery
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Superior gluteal artery
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Descending recurrent femoral artery
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External iliac
PREFERRED RESPONSE 1
(SAE09FA.94) When performing a gastrocnemius recession, what structure should be protected?
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Tibial nerve
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Sural artery
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Plantaris
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Posterior tibial artery
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Sural nerve
PREFERRED RESPONSE 5