A 43-Year-Old Man Comes to the Office Due to Difficulty

question 35

Multiple Choice

A 43-year-old man comes to the office due to difficulty walking.  The patient was seen at an outpatient clinic 2 days ago and received a right-sided deep intramuscular injection.  He had no trouble walking at the time of the appointment but started having problems later that day.  The patient has no history of trauma or pain at the injection site.  Physical examination is negative for local erythema and swelling, and the patient has full strength against resistance on knee flexion and ankle plantar flexion bilaterally.  When the patient is asked to walk across the room, his left hip drops every time he raises his left foot.  Which of the following locations is the most likely site of this patient's intramuscular injection?

• A)Inferolateral quadrant of the buttock
• B)Inferomedial quadrant of the buttock
• C)Superior portion of the posterior thigh
• D)Superolateral quadrant of the buttock
• E)Superomedial quadrant of the buttock

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Definitions:

Exclusive Clubs

Social or recreational organizations that restrict membership based on certain criteria, creating an environment of exclusivity.

Social Circles

Groups of people with whom one interacts and shares common interests or backgrounds; often influential in shaping individual behavior and opinions.

Social Class

Any group of people who share the same situations in a common social structure.

Unsteady Employment

Employment characterized by insecurity, irregular hours, and uncertain income, often without long-term contracts or benefits.