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FSMTB MBLEx Exam - Topic 6 Question 36 Discussion

Posted by Toshia on Oct 19, 2024 at 02:44 AM

A 43 year old female client presents with pain in the right hand with episodes of pins and needles and occasional numbness. Upon inspection you notice a slight bluish discoloration of her arm and sensitivities of her right anterior neck. She claims to be under a lot of stress at work and she has been working overtime lately at a desk job typing 8-10 hours a day. What muscle group is directly contributing to this condition?

Suggested Answer: D

The nucleus comprised of the nucleolus, chromatin and chromosomes is the command center of a cell. Lysosomes act as the cells digestive system.


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33 comments · newest first
AV
Avery 10 months ago
A bluish discoloration? That's a bit concerning...
HE
Heike 11 months ago
SCM seems unlikely here, right?
KR
Kristin 11 months ago
Wait, are we sure it's not the forearm flexors?
KI
Kirby 11 months ago
Totally agree, stress and desk work can really mess with those.
AL
Alexis 11 months ago
Sounds like it's the scalene muscles causing the issues.
RE
Ressie 12 months ago
The flexors of the forearm seem too far off, but I’m not confident about the scalene muscles either. This is tricky!
AL
Alida 12 months ago
I practiced a similar question where the scalene muscles were the answer. I feel like they might be the right choice here as well.
TA
Tashia 12 months ago
I'm not entirely sure, but I think the SCM might be related to neck issues too. Could it be contributing?
LE
Leonida 1 year ago
I remember something about the scalene muscles being involved in thoracic outlet syndrome, which could explain the symptoms.
KI
Kizzy 1 year ago
The bluish discoloration and neck sensitivity make me think this could be thoracic outlet syndrome. If that's the case, then the scalene muscles would be the ones contributing to the condition. I'll mark that as my answer.
ST
Stefania 1 year ago
Okay, let's see here. Desk job, typing a lot, pain and numbness in the hand - that sounds like carpal tunnel syndrome to me. I'm going to go with the flexors of the forearm as the culprit.
BR
Brittney 1 year ago
Hmm, I'm a little unsure about this one. The symptoms seem to indicate some kind of nerve compression, but I'm not totally sure which muscle group would be the direct cause. I'll need to think it through carefully.
TI
Tiera 1 year ago
This one seems pretty straightforward. The symptoms of pins and needles, numbness, and discoloration in the arm point to a nerve issue, and the neck sensitivity suggests the scalene muscles could be involved.
BR
Brock 1 year ago
This client needs to take a break from that desk job and maybe do some neck and shoulder stretches. Maybe even invest in a standing desk - it would make a world of difference!
VE
Veronika 1 year ago
↳ replying to Brock
C: A standing desk could really make a difference for her, she needs to take care of herself.
YO
Yoko 1 year ago
↳ replying to Brock
B: Maybe she should try some neck and shoulder stretches to help with the pain.
JE
Jesus 1 year ago
↳ replying to Brock
A: I think the scalene muscles are directly contributing to her condition.
HA
Harris 1 year ago
Brachioradialis? Really? That's a bit of a stretch. I'm between the scalenes and the forearm flexors, but I think the scalenes are the culprit here.
LE
Leila 1 year ago
↳ replying to Harris
A: Yeah, especially with the sensitivities in the anterior neck.
EM
Emelda 1 year ago
↳ replying to Harris
B: I agree, the scalenes can definitely be the culprit in this case.
LA
Lai 1 year ago
↳ replying to Harris
A: I think it's the scalene muscles causing the pain.
CE
Celia 1 year ago
Hmm, this is a tough one. The bluish discoloration makes me think of the SCM, but the other symptoms don't quite fit. I'm going to have to go with the scalenes on this one.
LO
Lorean 1 year ago
↳ replying to Celia
I think you're right, the scalene muscles are likely the main culprit in this case.
LE
Leslee 1 year ago
↳ replying to Celia
I agree, the bluish discoloration is a key clue, but the symptoms do point more towards the scalene muscles.
ME
Melodie 2 years ago
I'm going with the flexors of the forearm. The typing and desk work likely led to overuse and tightness in those muscles, causing the hand and arm symptoms.
JO
Joni 2 years ago
The scalene muscles seem like the obvious choice here. The neck sensitivity and the pins and needles in the hand point to nerve compression, which is often caused by tightness in the scalenes.
LY
Lynda 1 year ago
↳ replying to Joni
User 4: Good point. It's important for her to address the root cause of the issue to prevent it from getting worse.
IZ
Izetta 1 year ago
↳ replying to Joni
User 3: So, the scalene muscles are definitely the main culprit here. She should probably work on stretching and releasing them to relieve the compression.
JA
Janella 1 year ago
↳ replying to Joni
User 2: Yeah, I agree. It makes sense with her symptoms and the fact that she's been working at a desk job typing all day.
YO
Youlanda 1 year ago
↳ replying to Joni
User 1: I think it's the scalene muscles too. They can compress the nerves and cause those symptoms.
RO
Rodney 2 years ago
I'm not sure, but I think it could also be the Flexors of the forearm since she types a lot at work, causing strain on those muscles.
RE
Reuben 2 years ago
I agree with Marla, the Scalene muscles can cause these symptoms due to their location and potential compression of nerves.
MA
Marla 2 years ago
I think the muscle group directly contributing to this condition is the Scalene muscles.
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