Anatomy- Functional Anatomy Of The Upper Limb 1 Flashcards

1
Q

A patient presents with pain in their shoulder after further investigation a diagnosis is made of a torn acromioclavicular ligament. What other structure is then exposed ?

A. Conoid ligament
B. Trapezoid
c. Subscapularis
D. Joint capsule

A

D.joint capsule

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2
Q

A patients x ray reveals a broken medial clavicle and coracoid process. Which ligament is most likely to also be damaged ?

A.conoid
B. Trapezoid
C.adromioclavicular

A

A.conoid

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3
Q

A patient presents with a broken coracoid process and lateral clavicle. What ligament is most likely to be damaged ?

A. Trapezoid
B. Conoid
C. Actomioclavicular

A

A.trapezoid, attached to trapezoid line in lateral clavicle

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4
Q

A patient has dislocated their shoulder at the Glenohumeral joint what type of joint is this ?

A.fibrous 
B. Synovial hall and socket 
C. Synovial hinge 
D. Cartilaginous 
E. Synovial saddle
A

B. Synovial hall and socket

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5
Q

A patient is unable to move their shoulder girdle following a sports injury. Which 5 muscles make up the shoulder girdle ?

A. Trapezius, rhomboidal, levator sacapulae , serratus anterior, pectoralis major

B. Trapezius, rhomboid , biceps , levator scapulae , serratus anterior, pectoralis major

C. Trapezius, rhomboid, levator scapulae, serratus anterior , teres minor

A

A. Trapezius, rohomboids, levator scapulae, serratus anterior, pectoralis minor

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6
Q

A patient is no longer able to protract their scapula which muscles are likely to have been damaged ?

A. Rhomboids trapezius , levator scapulae

B. Serratus anterior and pectoralis minor

C. Rohomboids, trapezius, levator scapulae

D.trapezius, pectoralis minor

A

A. Serratus anterior, pectoralis minor

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7
Q

A patient can no longer depress their scapula following injury which muscles are likely to be damaged ?

A. Trapezius pectoralis minor
B.serratus anterior pectoralis minor
C. Rohomboids trapezius levator scapulae
D. Trapezius serratus anterior

A

A. Trapezius and pectoralis minor

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8
Q

A patient faces damage to the rhomboids, trapezius and levator savpulae muscles what actions of the shoulder field girdle will be affected ?

A. Depression , retraction , protraction
B. Depression
C. Retraction and elevation
D. Retraction, elevation and depression

A

D. Retraction, elevation and depression

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9
Q

Patient damaged serratus anterior what movements at the shoulder girdle are most likely to be limited ?

A. Upward rotation, protraction
B. Downward rotation and protraction
C. Upward rotation and depression
D. Protraction

A

A. Upward rotation and protraction

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10
Q

Patient has damage to pectoralis minor what shoulder girdle movements would be limited ?

A. Protraction
B. Retraction
C. Depression and downward rotation
D. Elevation

A

C. Depression and downward rotation

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11
Q

A patient presents with pain in the area of the axioappendicular muscles. What 4 muscles make up the anterior appendicular muscles ?

  1. Lattisimus dorsi, trapezius, rhomboids, levator scapula,
  2. teres minor, teres major, pectoralis major , pectoralis minor,
  3. Pectoralis major, pectoralis minor, serratus anterior, subclavius
A
  1. Pectoralis major, pectoralis minor, subclavius , serratus anterior
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12
Q

The posterior axioappendicular muscles include : trapezius, rhomboids, levator scapulae of the shoulder girdle and which other muscles ?

A. Latissimus dorsi , deltoid, teres major , rotator cuff

B. Pectoralis minor , pectoralis major, serratus anterior, subclavius

C. Serratus anterior, pectoralis minor

A

A. Lattisimus dorsi, deltoid, teres major and rotator cuff (+ rhomboids, trapezius, levator scapulae)

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13
Q

What makes up the superficial group of the posterior axioappendicular muscles ?

A. Levator scapulae, rhomboids
B. Deltoid, rotator cuff, teres major
C. Trapezius, lattisimus dorsi

A

C. Trapezius, lattisimus dorsi

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14
Q

What muscles make up the deep group of the posterior axioappendicular muscles ?

A. Levator scapulae, rhomboids
B. Levator scapulae , trapezius
C. Deltoid , rotator cuff, teres major

A

A. Levator scapulae, rhomboids

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15
Q

Which muscles of the posterior axioappendicular muscles make up the scapula humeral group ?

A. Deltoid, teres major
B. Deltoid, teres minor, rotator cuff
C. Deltoid, teres major, rotator cuff

A

C deltoid, teres major, rotator cuff

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16
Q

A patient arrives at a and e with pain in the shoulder centred around the deltoid muscle after a boxing match . Where does does the deltoid muscle attach and insert?

A. Clavicle, sternum, coracoid process to deltoid tuberosity of humerus

B. Clavicle , spine of scapula, acromion process , deltoid tuberosity

C. Clavicle, spine of the scapula, humerus , deltoid tuberosity

A

B. Clavicle, spine of the scapula, acromion process, deltoid tuberosity of humerus

17
Q

A patient can no longer flex or medially rotate their arm. The location of muscle damage is attributed to the deltoid l. Which fibres are most likely damaged ?

  1. Anterior fibres
  2. Posterior fibres
  3. Middle fibres
A
  1. Anterior fibres
18
Q

A patient can no longer extend or laterally rotate their arm . Which fibres of the deltoid muscle are responsible for this motion ?

A. Anterior
B. Middle
C. Posteriors

A

C. Posterior

19
Q

A patient can no longer abduct their arm past 15 degrees what muscle is likely to be damaged ?

A. Supraspinatous
B. Deltoid
C. Infraspinatous
D. Levator scapula

A

B. Deltoid - middle fibres

20
Q

A patient presents with the inability to abduct the arm up to 15 degrees. What muscle is likely to be damaged ?

A. Infraspinatous
B. Supraspinatous
C. Deltoid
D. Serratus anterior

A

B. Supraspinatous

21
Q

A patient struggles to adduct and medially rotate at the humerus. The muscle that is damaged is the teres major muscle where does this muscle originate and insert ?

A. Inferior posterior aspect of scapula to intertubercular groove

B. Superior posterior aspect of the scapula to the intertubercular groove

A

A. Inferior posterior aspect of scapula to intertubercular groove

22
Q

A patient presents with pain centred around the teres major muscle. This is innervated bt the lower subscapular nerve. What cord does this originate from ?

A. C5 and c6 
B. Posterior 
C. Median 
D.lateral
E. Superior
A

B.posterior cord

23
Q

What 4 muscles make up the rotator cuff group ?

A. Teres major, subscapularis, Supraspinatous, Infraspinatous

B. Teres minor, subscapularis, Infraspinatous, Supraspinatous

C. Leavotor scapulae , rhomboids

D. Lattisimus dorsi trapezius

A

B. Teres minor, subscapularis, Infraspinatous, Supraspinatous

24
Q

Where does the Supraspinatous muscle arise and insert ?

A. Supraspinatous fossa to greater tubercule of humerus

B. Supraspinatous fossa to lesser tubercule of humerus

C. Supraspinous fossa to greater tubercule of humerus

D. Supraspinous fossa to intertubercular groove

A

C. Supraspinous fossa to the greater tubercule of the humerus

25
Q

The Supraspinatous muscle is innervated by a nerve originating at the superior trunk. Which nerve is this ?

A. Suprascapular nerve
B. Subscapular nerve
C. Radial nerve
D. Musculocutaneous nerve

A

A. Suprascapular nerve

26
Q

Where does the Infraspinatous muscle arise and insert ?

A. Glenoid fossa to greater tubercule of humerus

B. Infraspinous fossa to greater tubercule of humerus

C. Infraspinous fossa to the lesser tubercule of the humerus

A

B. Infraspinous fossa to the greater tubercule of the humerus

27
Q

What is the function of Infraspinatous muscle ?

A.medial rotation at shoulder
B. Flexion
C. Extension
D. Lateral rotation at shoulder

A

D. Lateral rotation at shoukfer

28
Q

The Infraspinatous muscle is innervated by a nerve originating form the superior trunk. Which nerve is this ?

A. Subscapular
B. Suprascapular
C. Musculocutaneous
D. Median

A

B. Suprascapular

29
Q

Where does the subscapularis muscle originate and insert ?

A. Subscapular fossa to lesser tubercule of humerus

B. Subscapular fossa to greater tuberucule of humerus

C. Supraspinous fossa to lesser tubercule of humerus

A

A . Subscapular fossa to lesser tubercule of humerus

30
Q

Which muscle of the rotator group acts to medically rotate the arm at the shoulder ?

A. Teres minor 
B. Teres major 
C. Subscapularis 
D. Supraspinatous 
E. Infraspinatous
A

C. Subscapularis

31
Q

Which rotator cuff muscles is innervated by the suprascapular nerve ?

A. Teres minor and subscapularis
B. Subscapularis and Supraspinatous
Csupraspinatous and Infraspinatous

A

C. Supraspinatous and Infraspinatous

32
Q

Which of the rotator cuff muscles is innervated by the subscapular nerve originating from the posterior cord ?

A. Teres minor
B. Teres major
C. Infraspinatous
D. Subscapularis

A

D. Subscapularis

33
Q

Where does teres minor originate and insert ?

A. Anterior scapula, greater tubercule of humerus

B. Posterior claivice, greater tubercules of humerus

C. Posterior scapula. Greater tubercule if humerus

A

C . Posterior scapula to greater tubercule of humerus

34
Q

Patient can no longer lateral alt rotate arm issue centred around rotator cuff muscles. Which muscles most likely to be damaged ?

A. Teres minor, Supraspinatous

B. Teres minor, subscapularis

C. Teres minor, Infraspinatous

D. Subscapularis , Infraspinatous

A

C. Teres minor, Infraspinatous

35
Q

What nerve originating from the superior trunk innervated the teres minor muscle ?

A. Subscapular
B. Suprascapular
C. Axillary

A

C. Axillary

36
Q

A patient presents with shoulder pain. Rotator cuff injury diagnosed. Which muscle of the rotator cuff is most commonly injured ?

. Teres major
. Supraspinatous
.infraspinatous
.teres minor

A

B. Supraspinatous