Shoulder Pathology MCQs

Which of the following comorbidities is most strongly associated with both the development of adhesive capsulitis and a more refractory course to conservative treatment?

A 40-year-old manual laborer complains of right shoulder ache and a prominent medial scapular border, especially when doing a wall push-up. An injury to which nerve is responsible for this physical finding?

A 24-year-old competitive tennis player presents with right shoulder pain and weakness, particularly when serving. On examination, there is prominent medial winging of the scapula that worsens when he pushes against a wall. Which of the following nerves is most likely injured, and what is the corresponding muscle?

A 52-year-old woman with type 1 diabetes presents with severe left shoulder stiffness. She has equal loss of active and passive range of motion. Radiographs are normal. Which of the following is true regarding adhesive capsulitis in diabetic patients compared to idiopathic cases?

A 45-year-old mechanic presents with shoulder pain and difficulty lifting heavy objects above his head. On examination, having the patient perform a wall push-up exacerbates medial prominence of the scapula. This clinical finding is most characteristic of an injury to which of the following nerves?

A 38-year-old male complains of a drooping shoulder and lateral scapular winging 6 months after undergoing a radical neck dissection for squamous cell carcinoma. He has difficulty sustaining abduction above 90 degrees. Which nerve was most likely injured during his prior surgery?

A 45-year-old woman presents with right shoulder aching and fatigue. She underwent a cervical lymph node biopsy 4 months ago. Examination reveals lateral winging of the scapula and inability to actively abduct the arm past 90 degrees. Which nerve is most likely injured?

A 26-year-old female presents with weakness and prominence of her right shoulder blade after a viral illness. Physical examination demonstrates medial winging of the scapula, which is accentuated when she pushes against a wall. Which nerve is most likely affected?

A 28-year-old male presents with shoulder pain and weakness after a posterior triangle neck biopsy. On physical examination, the scapula translates laterally and superiorly with attempted shoulder abduction. Injury to which of the following nerves is the most likely cause?

Following a lymph node biopsy in the posterior triangle of the neck, a patient develops shoulder weakness and lateral scapular winging. Which of the following muscles is primarily affected due to the injured nerve?

A 55-year-old patient undergoes a modified radical neck dissection for malignancy. Postoperatively, she is unable to actively elevate her arm above 90 degrees and demonstrates lateral winging of the scapula. Which nerve was most likely injured?

A 35-year-old female presents with shoulder pain, resting downward rotation, and lateral translation of the scapula. The deformity is accentuated by resisted abduction. She underwent a right posterior triangle cervical lymph node biopsy 3 months ago. Which nerve was most likely injured?

Which of the following is the MOST common nerve injury associated with an anterior shoulder dislocation?

A 24-year-old athlete sustains a traction injury to his shoulder and subsequently presents with medial scapular winging that is accentuated when pushing against a wall. The affected nerve is formed by the confluence of which of the following nerve roots?

A 24-year-old male presents with right shoulder pain and weakness after a blunt trauma to his upper back. Physical examination reveals pronounced medial winging of the scapula that worsens when the patient is asked to perform a wall push-up. Which nerve and corresponding muscle are injured?

A 50-year-old diabetic female presents with an insidious onset of severe shoulder pain and progressive stiffness over the last 4 months. Which of the following physical examination findings is considered pathognomonic for idiopathic adhesive capsulitis?

A 25-year-old female presents with severe, painful crepitus and snapping at the superomedial border of her scapula during active arm elevation. Extensive non-operative management has failed to provide relief. If an arthroscopic excision of the superomedial angle of the scapula is performed, which muscle's insertion must be carefully elevated and subsequently securely repaired?

A 28-year-old manual laborer complains of a painful grating sensation and audible popping at the superomedial border of his right scapula with overhead activities. Nonoperative management, including targeted periscapular strengthening and corticosteroid injections, has failed after 6 months. If surgical excision of the inflamed bursae is performed, which of the following bursae are specifically targeted in this region?

A 28-year-old mechanic complains of right shoulder pain and weakness 4 months after a radical neck dissection. Examination reveals lateral winging of the scapula, with the scapula translated laterally and rotated downward. Which muscle-nerve combination is deficient, and what is the preferred salvage tendon transfer?