Median Nerve Palsy
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 6 April 2022
⏱️ 15 minutes
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Summary
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Audra presents with wasting of the thenar eminence of the hand as a result of median nerve palsy. The patient’s thumb appears to have fallen in line with the fingers due to the pull of the extensor muscles. Upon examination, the patient is unable to oppose or flex the thumb. The observed clinical findings are MOST likely associated with which of the following deformities?
A. Ape hand deformity
B. Boutonniere deformity
C. Carpal tunnel syndrome
D. Benedict hand
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Transcript
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| 0:00.0 | Hey, what's up? It's Coach K. Do you feel like you have a solid plan in place to guarantee that |
| 0:05.1 | pass symbol? There are so many students that I talk to that say that they hate reading and they feel |
| 0:10.4 | lost with their study plan. If this sounds like you, click the link in the show notes to apply for |
| 0:15.4 | our coaching program. We'll walk you through absolutely everything and help you walk into the NPTE knowing that you're going to pass. |
| 0:23.5 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:31.9 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:39.2 | Fast forward through the challenges, the 13 standardized test failures, and many lessons |
| 0:43.9 | learn. And you'll see the life I have today, a life filled with love, financial freedom, |
| 0:49.2 | and a dream job that allows me to change lives every single day. I created the NPTE Clinical Files podcast |
| 0:56.2 | to give you simple, actionable strategies along with a step-by-step walkthrough of NPTE-based |
| 1:02.8 | questions. All of this so that you can dominate your exam like I did and achieve your dream. |
| 1:08.8 | So if you're a driven PT student who's looking to pass the |
| 1:11.7 | MPTE and start creating a life you love, you're in the right place. Enjoy the show. |
| 1:17.9 | For this week's clinical file, we have Audra, and Audra presents with wasting of the |
| 1:22.7 | thinar eminence of the hand as a result of median nerve palsy. The patient's thumb appears to have fallen in line |
| 1:30.0 | with the fingers due to a pull of the extensor muscles. Upon examination, the patient is unable |
| 1:36.1 | to oppose or flex the thumb. The observed clinical findings are most likely associated with which |
| 1:42.8 | are the following deformities. So we have A, |
| 1:45.8 | A pan deformity, B, B, B, Bouteneer deformity, C, carpal tunnel syndrome, and D is Benedict |
| 1:52.8 | hand. All right. Let's go up to the top of this one. I'm telling you right now, this question |
| 1:57.7 | has a lot of information in it. So if you're on the treadmill, you're in the car on the way to the clinic, what's up? But also, you might need to rewind me, |
| 2:05.7 | all right? There's a lot of information here. But let's break it down, nice and slow, |
... |
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