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Anatomy · Lower limb: posterior femoral cutaneous nerve
Sample itemA man develops numbness over the posterior thigh and the lower buttock after prolonged sitting on a hard bench, without weakness of the hamstrings. Which nerve is most likely involved?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Posterior femoral cutaneous nerve
The posterior femoral cutaneous nerve (S1 to S3) leaves the pelvis below piriformis. It supplies the skin of the posterior thigh and lower buttock and, being purely sensory, causes no weakness.
Option by option
A. Posterior femoral cutaneous nerve (correct)
Correct. This sensory nerve supplies the back of the thigh and lower buttock.
B. Lateral femoral cutaneous nerve
This nerve supplies the lateral thigh, so numbness would be on the side.
C. Sciatic nerve
A sciatic lesion would weaken the hamstrings and muscles below the knee.
D. Obturator nerve
This nerve supplies the medial thigh skin and the adductor muscles.
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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