5th Evals 2018 - Upper Limb Flashcards

1
Q
  1. The clavipectoral fascia is pierced by which of the following structures?
    A. Axillary vein C. highest thoracic artery
    B. Cephalic vein D. lateral thoracic artery
A

B

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2
Q
  1. Pus accumulating posterior to the clavipectoral fascia may be evacuated by making an incision in the:
    A. Apex of the axilla C. retromammary space
    B. Base of the axilla D. deltopectoral triangle
A

B

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3
Q
  1. Scarring of which of the following structures of the breast by cancer cells will cause dimpling of the skin of the breast?
    A. Lymphatics C. Cooper’s ligament
    B. Lactiferous ducts D. Retromammary space
A

C

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4
Q
  1. Scarring of which of the following structures of the breast by cancer cells will cause the peau d’orange appearance of the skin of the breast?
    A. Lymphatics C. Cooper’s ligament
    B. Lactiferous ducts D. Retromammary space
A

A

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5
Q
  1. What area of the axilla will you find the long thoracic nerve? A. Apex C. medial wall
    B. Base D. lateral wall
A

C

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6
Q
  1. Which of the following structures divides the axillary artery into parts?
    A. Clavicle C. teres major
    B. Brachial plexus D. pectoralis minor
A

D

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7
Q
  1. The subscapular artery is found in what part of the axillary artery?
    A. 1st C. 3rd
    B. 2nd D. 4th
A

C

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8
Q
8. The cords of the brachial plexus are named after its relationship with the:
A. Clavicle
B. Clavipectoral fascia
C. Pectoralis minor
D. Axillary artery
A

D

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9
Q
9. The nerve supply of the deltoid muscle is derived from which of the following cords of the brachial plexus?
A. medial cord
B. lateral cord
C. anterior cord
D. posterior cord
A

D

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10
Q
10.The nerve supply of the anterior compartment of the brachium is derived from which of the following cords of the brachial plexus?
A. medial cord
B. lateral cord
C. anterior cord
D. posterior cord
A

B

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11
Q
11.In the anatomical position, the inferior angle of the scapula is at level of the:
A. 2nd intercostal space
B. 5th intercostal space
C. 7th intercostal space
D. 9th intercostal space
A

C

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12
Q
12.Which of the following structure stabilizes the acromioclavicular joint?
A. Sternoclavicular joint
B. Coracoclavicular ligament
C. Trapezius muscle
D. Subclavius muscle
A

B

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13
Q
13.Which of the following structures provide static restraint to the glenohumeral joint? 
A. rotator cuff muscles
B. glenoid labrum
C. long head of the biceps
D. joint compression
A

B

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14
Q
14.The rotator cuff muscles are found in which of the following supporting layers of the shoulder complex?
A. Layer I 
B. Layer II 
C. Layer III 
D. Layer IV
A

C

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15
Q

15.The radial nerve has components coming from the following:
A. Anterior divisions of C5 & C6
B. Anterior divisions of C8 & T1
C. Posterior divisions of the upper trunk only
D. Posterior divisions of the 3 trunks

A

D

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16
Q
16.In upper plexus palsies which of the following structures are affected?
A. supinators of the foreram
B. extensors of the forearm
C. internal rotators of the arm
D. adductors of the arm
A

A

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17
Q
17.The brachial artery begins at the lower border of the:
A. pectoralis major
B. pectoralis minor
C. teres major
D. teres minor
A

C

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18
Q
18.The deep brachial artery of the arm is accompanied by which of the following nerves?
A. Axillary
B. Radial
C. Musculocutaneous
D. Ulnar
A

B

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19
Q

19.The posterior circumflex humeral artery is accompanied by which of the following nerves as it exits the quadrangular space?
A. Axillary C. Radial
B. Musculocutaneous D. Ulnar

A

A

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20
Q
20.To test the integrity of the axillary nerve, one can test sensation over which of the following areas? 
A. Axilla
B. Lateral portion of the shoulder 
C. Medial portion of the brachium 
D. Lateral portion of the brachium
A

B

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21
Q
  1. Ape Hand - which nerve?
A

Median Nerve

22
Q
  1. Wrist Drop - which nerve?
A

Radial Nerve

23
Q
  1. Guttering - which nerve?
A

Ulnar Nerve

24
Q
  1. Claw Hand - which nerve?
A

Ulnar Nerve

25
Q
  1. Medial Epicondyle Fracture - which area of the upper limb will manifest with loss of sensation?
    A. Web between the thumb and the index finger
    B. Dorsum of the hand
    C. Lateral half of the palmar surface of the ring finger
    D. Hypothenar area
A

D

26
Q
  1. Smith’s Fracture
A

Reverse Colles’ Fracture - fx distal radius. fragments displaced anteriorly

27
Q
  1. Bennet’s Fracture
A

fx 1st metacarpal bone

28
Q
  1. Colles’ Fracture
A

Silver Fork Deformity. - fx distal radius. fragments displaced posteriorly

29
Q
  1. Moteggia’s Fracture
A

fx proxial third of ulna. displacement of radius head.

30
Q
  1. wrist laceration - which tendon?
A

Palmaris Longus - median nerve behind it.

31
Q
  1. Galleazi’s Fx
A

fx of distal third of radius. dislocation of DRUJ

32
Q
  1. The median nerve of the patient was severely damaged. Which of the following muscle will NOT be functional?
A

All muscles of the anterior fascial compartment of the forearm, EXCEPT:

a) FCU (flexor carpi ulnaris) - ulnar nerve
b) Medial 1/2 FDP - ulnar nerve

All muscles of the thenar eminence (sa thumb) and the 2 lateral lumbricals

33
Q
  1. Cephalic Vein - dorsal hand location
A

lateral

34
Q
  1. Basilic Vein - dorsal hand location
A

medial

35
Q
  1. most accessed blood vessel during venipuncture?
A

Median Cubital Vein

36
Q
  1. JJ, a 25 year old female, non-diabetic, non-hypertensive complaining of chronic intermittent pain in the lateral surface of the wrist joint. The pain was aggravated every time she types on her computer desktop. The physician ordered for an x-ray of the hand and showed unremarkable results. In the physical examination of the wrist and hand, the pain intensified when the patient was asked to perform ulnar deviation with the thumb grasped by the four fingers. What is your initial impression?
A

De Quervain Tenosynovitis

37
Q
  1. Avascular Necrosis - lunate
A

Kienbock’s Disease

38
Q
  1. Avascular Necrosis - scaphoid
A

Preiser’s Disease

39
Q
  1. most common fractured carpal
A

Scaphoid

40
Q
  1. most commonly dislocated carpal
A

Lunate

41
Q
  1. great multangular carpal
A

Trapezium

42
Q

32.True of the carpometacarpal joints
A. The 1st CMC joint is a plane-synovial type of joint
B. The medial four CMC joints share a common capsule with the intercarpal joints
C. The medial four CMC joints permit flexion-extension, abduction-adduction
D. The 1st CMC joint permits little or no movement

A

B

43
Q

33.Which muscle of the thumb is exclusively innervated by the Ulnar Nerve?
A. Abductor Pollicis Brevis C. Adductor Pollicis
B. Extensor Pollicis Longus D. Abductor Pollicis Longus

A

C

44
Q

34.In the pediatric ward, the nurse on duty asks for your assistance to insert an intravenous line to an infant who is suffering from a severe form of diarrhea. The anxious mother carries the infant while you do the procedure and she was expecting that you will perform the IV insertion in just a single shot. As the attending, you need to engorge the veins of the distal upper limb and choose for the most ideal site. With your knowledge in Gross Anatomy, where will you apply your tourniquet to get the best result?
A. At the wrist joint C. Distal Arm
B. Mid forearm D. Proximal Forearm

A

C

45
Q
  1. Boxer’s Fracture
A

2nd and 3rd - professional

2nd-5th - amateur

46
Q
  1. True of the ulnar artery:
    A. It is a branch of the radial artery
    B. Its pulsation can be felt on the entire forearm
    C. It is the main blood supply of the posterior facial compartment
    D. It courses between the Flexor Digitorum Superficialis and Flexor Digitorum Profundus
A

D

47
Q
37.Abscess involving the carpal joints will spare which of the following joints?

A. Radiocarpal Joint
B. 2nd Carpometacarpal Joint
C. 3rd Carpometacarpal Joint
D. 4th Carpometacarpal Joint
A

A

48
Q
38.What is the content of the 5th Extensor Compartment?
A. Extensor Carpi Ulnaris
B. Extensor Digiti Minimi
C. Extensor Indicis
D. Extensor Pollicis Longus
A

B

49
Q

39.True of the wrist joint:
A. It is a saddle-synovial type of joint
B. It is equipped with an articular disc
C. The joint allows for a greater abduction
D. Its capsule is exclusive for the wrist joint

A

D

50
Q
40.Which nerve is usually compressed in the tunnel of Guyon?
A. Median Nerve
B. Ulnar Nerve
C. Radial Nerve
D. Musculocutaneous Nerve
A

B