A 38-Year-Old Man Comes to the Physician Because of Difficulty

question 381

Multiple Choice

A 38-year-old man comes to the physician because of difficulty walking for the past 1 week.  His medical problems include hypertension, type 2 diabetes mellitus, hyperlipidemia, and osteoarthritis of the left hip.  He underwent gastric bypass surgery 5 weeks ago for morbid obesity.
Neurological examination shows a left foot drop with strength in the left leg as follows: dorsiflexion 1/5, foot eversion 2/5, foot inversion 5/5, and plantar flexion 5/5.  Sensory examination shows decreased pin prick sensation over the dorsum of the left foot.  The remainder of the neurological examination is unremarkable.
Which of the following sites has this patient most likely injured?

• A)Fibular head
• B)Mid-thigh
• C)Sciatic notch
• D)Tarsal tunnel
• E)Vertebral foramina

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Definitions:

Preventive Maintenance

Scheduled maintenance activities aimed at preventing unexpected equipment failures and prolonging the life of the equipment.

Economic Value

The measure of the benefit provided by a good or service to an economic agent, often represented in terms of willingness to pay for it.

Service Hours

A measure of the amount of time spent providing services to customers, often used to allocate service department costs to producing departments.

Net Operating Income

An evaluation of a business's core operating income, omitting the effects of interest and tax expenses.