A 55-Year-Old Man Is Being Evaluated for a 4-Week History

question 117

Multiple Choice

A 55-year-old man is being evaluated for a 4-week history of right shoulder pain.  The pain worsens when actively abducting the shoulder or when lying on the shoulder at night.  The patient also has weakness with abduction and external rotation of the right shoulder.  He has attempted treatment with over-the-counter analgesics with limited relief.  MRI of the shoulder shows a partial rotator cuff tear, and the patient is scheduled for surgical repair.  Immediately before the surgery, he receives anesthesia with an injection between the right anterior and middle scalene muscles in order to block the C3 through C7 nerve roots of the cervical and brachial plexuses.  Which of the following muscles is most likely to be paralyzed due to the anesthesia?

• A)Cricothyroid
• B)Diaphragm
• C)Intercostal
• D)Platysma
• E)Sternocleidomastoid

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Definitions:

Change Column

Change column in a database or spreadsheet refers to modifying the attributes, type, or values of a column.

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The act of modifying the content or properties of a field in a database or form.

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A means of viewing data in a database where information is displayed in rows and columns, resembling a spreadsheet.

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The action of inserting a new data field into a database, form, or application to capture more information.