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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:

Corporate Customers

Individuals or businesses that purchase goods or services for professional use or resale, rather than personal use.

Retail Establishments

Businesses that sell goods or services directly to consumers, offering a variety of products in physical locations or online.

Channel Of Distribution

Refers to the path or route through which goods and services travel from the producer or supplier to the end consumer.

Markup

The amount added to the cost price of goods to cover overhead and profit; expressed as a percentage of the cost.

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