#april2020mccqe1
A 37-year-old woman undergoes a gastric bypass procedure for morbid obesity. An epidural catheter is inserted immediately before the procedure to help with postoperative pain control. She is placed supine on the operating table and her right arm abducted to allow the surgeon ease of access to the abdominal cavity. Postoperatively she complains of numbness and tingling in the little and ring fingers of her right hand. Which one of the following is most likely to have caused these symptoms?
(A) Excessive volumes of analgesic in the epidural catheter
(B) Hyperventilation secondary to pain
(C) Hyperextension of the neck during surgery
(D) Nerve injury from the abducted arm
(E) An incorrectly placed epidural catheter
A 37-year-old woman undergoes a gastric bypass procedure for morbid obesity. An epidural catheter is inserted immediately before the procedure to help with postoperative pain control. She is placed supine on the operating table and her right arm abducted to allow the surgeon ease of access to the abdominal cavity. Postoperatively she complains of numbness and tingling in the little and ring fingers of her right hand. Which one of the following is most likely to have caused these symptoms?
(A) Excessive volumes of analgesic in the epidural catheter
(B) Hyperventilation secondary to pain
(C) Hyperextension of the neck during surgery
(D) Nerve injury from the abducted arm
(E) An incorrectly placed epidural catheter
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