A 53-Year-Old Man Is Evaluated for Right Hand Discomfort

question 186

Multiple Choice

A 53-year-old man is evaluated for right hand discomfort.  A month ago, he started to intermittently experience a "pins and needles" sensation in his right hand that is worse at night.  He has no neck pain or history of trauma to the right upper extremity.  The patient has smoked a pack of cigarettes daily for 20 years and has worked as an accountant for the past 30 years.  On physical examination, there is loss of sensation over the right fifth digit.  There is no swelling, redness, or warmth of the hand.  The patient is most likely to have weakness of which of the following movements?

• A)Elbow extension
• B)Shoulder abduction
• C)Wrist abduction
• D)Wrist adduction
• E)Wrist extension

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Definitions:

Social Blunders

Mistakes or awkward situations created in social contexts due to misunderstanding or inappropriate behavior.

Diffusion of Responsibility

A socio-psychological phenomenon where individuals are less likely to take action or feel a sense of personal responsibility in the presence of a large group.

Unconscious

Pertaining to the part of the mind that is not currently in focal awareness and holds thoughts, memories, and desires beyond immediate consciousness.

Prosocial Behaviour

Prosocial behavior includes actions intended to benefit others, characterized by helping, sharing, or cooperating.