need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

Retired NBME 23 Answers

nbme23/Block 2/Question#47 (reveal difficulty score)
A 65-year-old man is scheduled for physical ...
Medial (internal) rotation 🔍 / 📺 / 🌳 / 📖
tags:

 Login (or register) to see more


 +9  upvote downvote
submitted by guillo12(58)
get full access to all contentpick a username

The subscapularis muscle is very important for the Internal rotation of the humerus. The internal rotation supports the upper arm during abduction and adduction.

There are some band exercises that can help you strength the Subscapularis muscle... 1. Internal Rotation - uses medial internal rotation 2. External Rotation - uses lateral external rotation 3. Front Row - You have you hand up in front of you and with your arm extended pull back the band. 4. Side Row - You're side to the band with your hand facing the hip, pull down toward your body. (ADDUCTION)

THIS IS NOT A FAIR QUESTION NBME!!!

get full access to all contentpick a username
arcanumm  I got this wrong too, but I think the exercise of internal rotation makes sense because it will isolate the muscle (without assistance by teres minor for adduction). +10
tiredofstudying  The subscapularis assists in medial (internal) rotation and adduction, but the teres minor also assists in adduction, so the best choice to isolate the subscapularis would be internal (medial) rotation. Choice E +3
thotcandy  @tiredofstudying teres major also internally rotates so it wouldn't really be isolated either. I guess Tmajor isn't relevant cuz it's not a SITS muscle? Still a stupid question. +1
jaramaiha  I just remember subscapularis muscle function by thinking that Subs go into the sea (or internal/medially rotate). Also the only muscle set that happens to perform internal/medial rotation in the rotator cuff set. +
skonys  Writer 1: How many shoulder/rotator cuff questions should we put on this exam? Writer 2: Yes. +



 +1  upvote downvote
submitted by nicsar(1)
get full access to all contentpick a username

a)abduction: supraspinatus-deltoid-triceps-serratus anterior

b)adduction: subscapularis-pectoralis major-lattisimus dorsi- teres major

c)extension=horizontal abduction; post. deltoid, infraspinatus, teres minor

d)internal rotation: subscapularis

for isolated work out, d is better.

TEN REPS.

get full access to all contentpick a username
thotcandy  teres major also internally rotates? It's attached to the medial lip of the humerus +3
neovanilla  teres minor externally rotates (+ad-duction) +
madamestep  Supraspinatus, deltoid, TRAPEZIUS, serratus anterior for abduction +



 +1  upvote downvote
submitted by syoung07(58)
get full access to all contentpick a username

SITS: supraspinatus- ABduction Infraspinatus- Ext rotation Teres minor- Ext rotation Subscapularis- Int rotation.

get full access to all contentpick a username



 +0  upvote downvote
submitted by fenestrated(32)
get full access to all contentpick a username

What puts internal rotation over adduction? Subscapularis muscle does both

get full access to all contentpick a username
smc213  probably because the subscapularis m. is the only SITS muscle that does internal rotation & adduction along with the teres minor m. action being adduction & external rotation. +1



 +0  upvote downvote
submitted by abhishek021196(119)
get full access to all contentpick a username

Shoulder muscles that form the rotator cuff: Supraspinatus (suprascapular nerve)— abducts arm initially (before the action of the deltoid); most common rotator cuff injury (trauma or degeneration and impingement; tendinopathy or tear [arrow in A ]), assessed by “empty/full can” test

Infraspinatus (suprascapular nerve)—externally rotates arm; pitching injury

teres minor (axillary nerve)—adducts and externally rotates arm

Subscapularis (upper and lower subscapular nerves)—internally rotates and adducts arm

get full access to all contentpick a username





Must-See Comments from nbme23

ferrero on Precapillary resistance
yotsubato on 99%
sne on Triglyceride
sajaqua1 on Area labeled ‘D’ (Spinothalamic tract, right)
stinkysulfaeggs on Hypoglycemia
hayayah on Iris
soph on Peak inspiratory pressure (alveolar): ...
seagull on Area labeled ‘C’ (Cranial nerve 8: ...
water on Dietary change
wired-in on 28.8
beeip on Binding of permeable ligand to nuclear ...
thomasalterman on Hypoglycemia
yotsubato on Inhibition of the cytochrome P450-dependent ...
seagull on Decreased sodium bicarbonate reabsorption in ...

search for anything NEW!