E&M CERVICAL WRITTEN FINAL EXAM
QUESTIONS WITH VERIFIED ANSWERS
[GRADED A+]
A patient with a weakness in arm abduction, elbow flexion, supination, wrist
extension and finger extension would most likely have a lesion in?
A. C5 root
B. C6 root
C. C7 root
D. Upper brachial plexus
E. Lower brachial plexus
F. Median nerve
G. Musculoskeletal nerve
H. Ulnar nerve
I. Radial nerve
J. Anterior Interosseous nerve - ✔✔Upper brachial plexus
©morren2025/2026.Year published 2026.
,A patent presents with weakness in the biceps and brachioradialis on the
left. There is a decrease in sensation over the lateral forearm and dorsal
lateral hand. Muscle strength on the left was 5/5 in the supinator, wrist &
finger extensors, and 4/5 in the romboid and deltoid. Which of the following
is the best location of the lesion?
A. C5 root
B. C6 root
C. C7 root
D. Upperbrachialplexus
E. Lower brachial plexus
F. Musculocuateous nerve
G. MedianNerve
H. Ulnarnerve
I. Radial nerve - ✔✔C5 root
If a patient feels a "tight band around their head" (suboccipital to frontal).
Waxes and wanes, worse as the day progresses...relieved by massage,
OTC*, exercise, alcohol. What kind of HA is this? - ✔✔Tension HA.
Chronic Tension HA will persist overnight.
©morren2025/2026.Year published 2026.
,This HA has a very rapid onset, pt. feels prickling/tingling pain in the orbit
and nose area which causes strong lacrimation, runny nose, and bloodshot
eyes. Males get this more than females 10:1. Will wake pt. from sleep: 1, 4,
7 a.m. Multiple daily attacks for 6-12 weeks and vastly exacerbated by
alcohol. Attacks tend to be at the same time each day, and tend to be the
time of year. HA lasts from 10 minutes to 2 hours. What kind of HA is this?
- ✔✔Cluster HA AKA Horton's HA,' 'Histamine cephalalgia,' 'Horton's
cephalgia,' 'Alarm-clock HA'
Which of the following would be affected in a C8 radiculopathy?
A. Sensation lat forearm
B. Weak finger adductors
C. Weak D1 abduction
D. Weak elbow flexion
E. Weak wrist extension
F. Sensation med forearm
G. Weak D5 abduction
H. Weak flexor carpi ulnaris
I. Weak D4 & 5 DIP flexion
©morren2025/2026.Year published 2026.
, J. Sensation over D3 - ✔✔C. Weak D1 abduction
F. Sensation med forearm
H. Weak flexor carpi ulnaris
I. Weak D4 & 5 DIP flexion
Patient has changes in vision, mood, or feels numbness 10-30 minutes
before HA starts, evolving slowly, and then symptoms fade as HA begins.
What kind of HA is this? - ✔✔Migraine with aura (prodrome)
A 45 YOF presents with complaint of left arm pain and tingling after slipping
on the ice getting out of a SUV. She was the passenger in the SUV and
she was getting out of the vehicle and slipped on the ice and grabbed the
handle inside the SUV with her left hand. She finally got her feet under her
and let go of the handle. The pain along the inside of her arm, forearm, and
hand started immediately after the "fall". Diagnosis? - ✔✔Ulnar n. mm
weak in lower plexopathy = Klumpke's
Does a Common Migraine have a prodrome/aura? - ✔✔No, just HA
without prodrome/aura
©morren2025/2026.Year published 2026.
QUESTIONS WITH VERIFIED ANSWERS
[GRADED A+]
A patient with a weakness in arm abduction, elbow flexion, supination, wrist
extension and finger extension would most likely have a lesion in?
A. C5 root
B. C6 root
C. C7 root
D. Upper brachial plexus
E. Lower brachial plexus
F. Median nerve
G. Musculoskeletal nerve
H. Ulnar nerve
I. Radial nerve
J. Anterior Interosseous nerve - ✔✔Upper brachial plexus
©morren2025/2026.Year published 2026.
,A patent presents with weakness in the biceps and brachioradialis on the
left. There is a decrease in sensation over the lateral forearm and dorsal
lateral hand. Muscle strength on the left was 5/5 in the supinator, wrist &
finger extensors, and 4/5 in the romboid and deltoid. Which of the following
is the best location of the lesion?
A. C5 root
B. C6 root
C. C7 root
D. Upperbrachialplexus
E. Lower brachial plexus
F. Musculocuateous nerve
G. MedianNerve
H. Ulnarnerve
I. Radial nerve - ✔✔C5 root
If a patient feels a "tight band around their head" (suboccipital to frontal).
Waxes and wanes, worse as the day progresses...relieved by massage,
OTC*, exercise, alcohol. What kind of HA is this? - ✔✔Tension HA.
Chronic Tension HA will persist overnight.
©morren2025/2026.Year published 2026.
,This HA has a very rapid onset, pt. feels prickling/tingling pain in the orbit
and nose area which causes strong lacrimation, runny nose, and bloodshot
eyes. Males get this more than females 10:1. Will wake pt. from sleep: 1, 4,
7 a.m. Multiple daily attacks for 6-12 weeks and vastly exacerbated by
alcohol. Attacks tend to be at the same time each day, and tend to be the
time of year. HA lasts from 10 minutes to 2 hours. What kind of HA is this?
- ✔✔Cluster HA AKA Horton's HA,' 'Histamine cephalalgia,' 'Horton's
cephalgia,' 'Alarm-clock HA'
Which of the following would be affected in a C8 radiculopathy?
A. Sensation lat forearm
B. Weak finger adductors
C. Weak D1 abduction
D. Weak elbow flexion
E. Weak wrist extension
F. Sensation med forearm
G. Weak D5 abduction
H. Weak flexor carpi ulnaris
I. Weak D4 & 5 DIP flexion
©morren2025/2026.Year published 2026.
, J. Sensation over D3 - ✔✔C. Weak D1 abduction
F. Sensation med forearm
H. Weak flexor carpi ulnaris
I. Weak D4 & 5 DIP flexion
Patient has changes in vision, mood, or feels numbness 10-30 minutes
before HA starts, evolving slowly, and then symptoms fade as HA begins.
What kind of HA is this? - ✔✔Migraine with aura (prodrome)
A 45 YOF presents with complaint of left arm pain and tingling after slipping
on the ice getting out of a SUV. She was the passenger in the SUV and
she was getting out of the vehicle and slipped on the ice and grabbed the
handle inside the SUV with her left hand. She finally got her feet under her
and let go of the handle. The pain along the inside of her arm, forearm, and
hand started immediately after the "fall". Diagnosis? - ✔✔Ulnar n. mm
weak in lower plexopathy = Klumpke's
Does a Common Migraine have a prodrome/aura? - ✔✔No, just HA
without prodrome/aura
©morren2025/2026.Year published 2026.
