Anatomy- Functional Anatomy Of The Upper Limb 1

Question 1

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

Answer 1

D.joint capsule

Question 2

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

Answer 2

A.conoid

Question 3

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

Answer 3

A.trapezoid, attached to trapezoid line in lateral clavicle

Question 4

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

Answer 4

B. Synovial hall and socket

Question 5

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

Answer 5

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

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Question 6

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

Answer 6

A. Serratus anterior, pectoralis minor

Question 7

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

Answer 7

A. Trapezius and pectoralis minor

Question 8

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

Answer 8

D. Retraction, elevation and depression

Question 9

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

Answer 9

A. Upward rotation and protraction

Question 10

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

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

Answer 10

C. Depression and downward rotation

Question 11

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

Answer 11

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

Question 12

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

Answer 12

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

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Question 13

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

Answer 13

C. Trapezius, lattisimus dorsi

Question 14

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

Answer 14

A. Levator scapulae, rhomboids

Question 15

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

Answer 15

C deltoid, teres major, rotator cuff

Question 16

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

Answer 16

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

Question 17

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

Answer 17

1. Anterior fibres

Question 18

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

Answer 18

C. Posterior

Question 19

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

Answer 19

B. Deltoid - middle fibres

Question 20

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

Answer 20

B. Supraspinatous

Question 21

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

Answer 21

A. Inferior posterior aspect of scapula to intertubercular groove

Question 22

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

Answer 22

B.posterior cord

Question 23

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

Answer 23

B. Teres minor, subscapularis, Infraspinatous, Supraspinatous

Question 24

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

Answer 24

C. Supraspinous fossa to the greater tubercule of the humerus

Question 25

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

Answer 25

A. Suprascapular nerve

Question 26

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

Answer 26

B. Infraspinous fossa to the greater tubercule of the humerus

Question 27

What is the function of Infraspinatous muscle ? A.medial rotation at shoulder B. Flexion C. Extension D. Lateral rotation at shoulder

Answer 27

D. Lateral rotation at shoukfer

Question 28

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

Answer 28

B. Suprascapular

Question 29

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

Answer 29

A . Subscapular fossa to lesser tubercule of humerus

Question 30

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 ```

Answer 30

C. Subscapularis

Question 31

Which rotator cuff muscles is innervated by the suprascapular nerve ? A. Teres minor and subscapularis B. Subscapularis and Supraspinatous Csupraspinatous and Infraspinatous

Answer 31

C. Supraspinatous and Infraspinatous

Question 32

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

Answer 32

D. Subscapularis

Question 33

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

Answer 33

C . Posterior scapula to greater tubercule of humerus

Question 34

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

Answer 34

C. Teres minor, Infraspinatous

Question 35

What nerve originating from the superior trunk innervated the teres minor muscle ? A. Subscapular B. Suprascapular C. Axillary

Answer 35

C. Axillary

Question 36

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

Answer 36

B. Supraspinatous