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Retired NBME 24 Answers

nbme24/Block 1/Question#16 (reveal difficulty score)
A 32-year-old man is brought to the emergency ...
Flexion at the distal interphalangeal joint ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +28  upvote downvote
submitted by โˆ—lsmarshall(465)
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Flexor digitorum profundus is responsible for flexion of DIP. Medial aspect of the muscle (which flexes the 4th and 5th digit) is supplied by the ulnar nerve (C8, T1). The lateral aspect (which flexes the 2nd and 3rd digit) is innervated by the median nerve specifically the anterior interosseous branch (C8, T1). So the question is describing a laceration damaging the nerve supply to the DIP flexor of the 2nd digit (index finger). This is saying the medial nerve is being damaged (C8 and T1; lower trunk roots).

Lumbricals (1st/2nd, median; 3rd/4th, ulnar) are a group of muscles that flex at the MCP joint, and extend PIP and DIP joints.

Could remember as 'flexor digitorum profundus is profoundly long' since tendons insert on DIPs. Compared to flexor digitorum superficialis whose tendon wraps around profundus' superficially but inserts on PIPs.

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toupvote  This is dumb but I remember FDP is needed for picking while FDS is need for scratching the superficial layer of the skin +18
whoissaad  @lsmarshall Flexor digitorum superficialis inserts at the middle phalanges to be more specific. +
aneurysmclip  shittt I remember it like this D for distal P for profundus > Double Penetration. and I know the PIP flexion from the other Flexor digitorum, which is superficialis. Extensors are lumbricals. (Lengthen your fingers with Lumbricals) +13
hungrybox  'flexor digitorum profundus is profoundly long' is such a good mnemonic, thanks bro +1
hivwizard  I remember it as the P in profundus is for the tiP of my finger. However, I thought this question was asking how you would TEST for it. In which I remember an image of someone holding down one finger at the metacarpal region and in a normal person the tip was bend and in a lacerated person, the tip would not bend. So i chose you would test the FDP through movement of the metacarpal SMH +



 +2  upvote downvote
submitted by โˆ—avicenna(12)
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https://www.kenhub.com/en/library/anatomy/flexor-digitorum-profundus-muscle

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weirdmed51  Thank you +
drdoom  donโ€™t forget to upvote your favorite comments!โ˜บ๏ธ +



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