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A 53-Year-Old Man Comes to the Office with a Dull

question 45

Multiple Choice

A 53-year-old man comes to the office with a dull ache in his right shoulder. The pain is worse with movement and often interferes with his sleep. The patient cannot recall any traumatic events prior to the start of the pain but did experience increased discomfort after helping his daughter move into her college dorm room a week ago. His past medical history includes dyslipidemia and hypertension, for which he takes the appropriate medications. Physical examination reveals localized tenderness just below the acromion. The physician asks the patient to abduct his arms 90 degrees to the side and flex them 30 degrees forward with his thumbs pointing to the floor. She then applies downward force to his arms. This maneuver elicits pain in the patient's right shoulder and reveals right-sided weakness as compared to the left side. A tendon of which of the following muscles is most likely injured in this patient?

Definitions:

Commercial Use

Refers to the use of a product, service, or property in a business or profit-making activity as opposed to personal, non-commercial purposes.

Open-End Credit Plan

A revolving line of credit that allows a borrower to make purchases or obtain loans up to a certain limit and repay part or all of the balance over time, with interest charges on the unpaid balance.

Credit Card Issuer

The financial institution or entity that provides a credit card to consumers, extending credit for purchases and cash advances.

FCRA

Stands for the Fair Credit Reporting Act, a federal law designed to ensure the accuracy, fairness, and privacy of information in consumer credit bureau files.