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Anatomy · Upper limb and brachial plexus: superficial radial nerve
Sample itemA man wearing tight handcuffs develops tingling over the dorsum of the thumb and the lateral back of the hand, but no weakness. Which nerve is compressed?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Superficial branch of the radial nerve
The superficial branch of the radial nerve is purely sensory. It emerges from under brachioradialis and crosses the wrist superficially, where it is compressed by tight straps or handcuffs, causing numbness over the lateral dorsum of the hand without weakness.
Option by option
A. Posterior interosseous nerve
This is a motor nerve, and its lesion would cause weakness instead of numbness.
B. Dorsal branch of the ulnar nerve
This nerve supplies the medial dorsum of the hand and the ulnar fingers.
C. Palmar cutaneous branch of the median nerve
This branch supplies the skin over the thenar eminence on the palm side.
D. Superficial branch of the radial nerve (correct)
Correct. This sensory nerve lies subcutaneously at the wrist and gives numbness without weakness.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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