nerves + Ca

Question 1

wasting og hypothenar eminence, weakness of finger abduction + thumb adduction

Answer 1

ulnar nerve

Question 2

pins and needles, sensory loss to palmar aspect of lateral (radial) 3 fingers

Answer 2

median nerve

Question 3

loss of extension of fingers

Answer 3

radial nerve

- supplies extensor muscle group

Question 4

loss of ability to adduct fingers

Answer 4

ulnar nerve

- interossei are supplied by ulnar nerve

Question 5

sensory deficiet over point of deltoid insertion to humerus

Answer 5

axillary nerve

Question 6

unable to dorsiflex ankle, evert foot or extend toes, loss of sensation on dorsum of foot

Answer 6

common peroneal nerve

• > suuplies muscles of peroneal + anterior compartment of leg + sensation to dorsum of foot
• travels through popliteal fossa, wrapping round head of fibula

Question 7

weak hip flexion, weak knee extension, impair quadriceps tendon reflex, sensory deficit in anteromedial aspect of thigh

Answer 7

femoral nerve

Question 8

ALP, Ca, phosphate in Pagets

Answer 8

raised ALP

normal Ca + phosphate

Question 9

ALP, Ca, phosphate in osteomalacia

Answer 9

raised ALP

low Ca + phosphate

Question 10

ALP, Ca, phosphate in hyperparathyroidism

Answer 10

raised ALP
raised Ca

low phosphate

(parathyroidism may be high or normal, normal cos should be supressed in the presence of hypercalcaemia)

Question 11

ALP, Ca, phosphate in hypoparathyroidism

Answer 11

low PTH
low Ca
high phosphate

Question 12

ALP, Ca, phosphate in renal failure

Answer 12

raised ALP
low Ca
raised phosphate

Question 13

tx of hypoparathyroidism

Answer 13

alfacalcidol

also in CKD?