AANEM Self-Study Curriculum Part 2

Question 1

Neuropraxia

Answer 1

axonal continuity maintained. reversible. no wallerian degen. CB resolves in 12 weeks.

Question 2

Neurotmesis sunderland grade 5

Answer 2

nerve and and nerve sheath injured never completely recover. epineurium injured

Question 3

Axonotmesis (sunderland grade 2-4)

Answer 3

axon injury but connective tissue maintained with division of fascicles +/- endonerium +/- perineruium 1mm/day growth (one inch/month)

Question 4

Radiculopathy Denervation timeline

Answer 4

paraspinal 10 days, 14 days proximal, 21 days Distal, 35 days foot

Question 5

L4 Radiculopathy Muscles

Answer 5

adductor longus, rectus femoris, vastus lateralis/medialis, Tibialis Anterior

Question 6

L5 Muscles

Answer 6

gluteus medius, TFL, semi-tendinosus/membranosus, FDL, TA, PT, EHL peroneus longus

Question 7

S1 Muscles

Answer 7

glu max, BF-SH/LH, medial gastroc, AH

Question 8

C5 Muscles (not specific but supportive)

Answer 8

rhomboids, supra/infraspinatus, deltoid, biceps brachii, brachioradialis

Question 9

C6 Muscles

Answer 9

(PT, FCR, BR, triceps, supra/infrapinatus, Deltoid, ECR)

Question 10

C7 Muscles

Answer 10

triceps ( PT, FCR, ECR, ED, ECU)

Question 11

C8

Answer 11

FDI, EIP, FPL, APB (T1), FCU, FDP, ADM,

Question 12

Upper trunk

Answer 12

C5-6 > C6-C7 motor . Sensory Lateral arm/forearm/hand and thumb. DTR decreased in Biceps/BR

Question 13

Upper trunk NCS

Answer 13

LABC/Med-D1 100%

Question 14

Lower Trunk NCS

Answer 14

Uln D5/ MABC

Question 15

Lateral Cord v Medial Trunk

Answer 15

Med D2/D3 if S-radial present then medial trunk

Question 16

Medial Cord Vs Lower Trunk

Answer 16

EIP/EPB = PROXIMAL to medial Cord otherwise both ulnar d5/MABC and D3.

Question 17

T1 Muscles

Answer 17

APB Interossei

Question 18

C5 Sensory

Answer 18

lateral upper arm

Question 19

C6 sensory

Answer 19

lateral forearm, hand and D1/2

Question 20

C7 sensory

Answer 20

center of anterior forearm and third digit

Question 21

C8 sensory

Answer 21

medial hand and D4/D5

Question 22

T1 Sensory

Answer 22

medial forearm

Question 23

L2 Muscles/Sensory

Answer 23

iliopsoas adductor longus | anterior thigh

Question 24

L3 Muscles/Sensory

Answer 24

ilipsoas, adl, quads | medial thigh and knee

Question 25

L4 Muscles/Sensory

Answer 25

quads, adl, TA | medial lower leg

Question 26

L5 Muscles/Sensory

Answer 26

Glut Med, Medial hamstrings (ST/SM) TA, ED, PL, TP , FDL medial/dorsal foot lateral lower leg

Question 27

S1 Muscles/Sensory

Answer 27

glut max, lateral hamstrings (BF-SH/LH), gastoc, PL ED PT | plantar foot and lateral foot posterior lateral leg

Question 28

Lumbar plexus Muscles/Sensory

Answer 28

iliopsoas, quads, adl | anterior medial and lateral thigh, medial lower leg

Question 29

Radial nerve PIN Muscles/Sensory

Answer 29

EDC/EIP | No sensory

Question 30

Radial nerve at spiral groove

Answer 30

BR, ECR, EDC, EIP | dorsal hand and first three digits

Question 31

Radial at axilla Muscles/Sensory

Answer 31

add triceps/anconeus | dorsal upper arm forearm and lateral hand

Question 32

Median AIN Muscles/Sensory

Answer 32

FPL/FDP1,2 | None

Question 33

Median at the elbow Muscles/Sensory

Answer 33

PT/FCR/FPL/FDP1-2/APB | palmar hand and first three digits

Question 34

Fibular deep branch Muscles/Sensory

Answer 34

TA/ED first dorsal webspace