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MSK 1 > Anatomy - Neurovascular Anatomy Of The Upper Limb > Flashcards

Anatomy - Neurovascular Anatomy Of The Upper Limb Flashcards

1
Q 
Patient presents with damage to the adducted upper limb after falling on it awkwardly. Which area of neurovasculature is most likely to be at risk of damage ?
A.brachial plexus
B.carpal tunnel
C. Axilla 
D. Glenohumeral joint
A

C. Axilla

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2
Q

Patient with broken clavicle after assessments it is found that the Neurovasculature of the axilla is compromised which other structures form the axilla ?

A. Scapula, thoracic wall, humerus and muscles
B.scapula, latissiumus dorsi, humerus
C. Trapezius, scapula, sternum, thoracic wall
D.humerus, ulna, radius, elbow joint

A

A. Scapula, thoracic wall, humerus, associated muscles and Clavicle

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3
Q 
Patient injures 1st rib playing rugby which surface of the axilla is compromised ? 
A. Anterior wall
b. Posterior wall
C.lateral wall 
D.base
E. Apex
A

E.apex

Formed by 1st rib, scapula and clavicle

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4
Q 
Patient with pain in armpit area after falling off horse. After investigation damage found to the scapula, first rib and clavicle. Which area of the axilla do these structures correspond to ? 
A.medial Wall
B. Anterior wall
C.posterior wall
D. Apex 
E.lateral wall
A

D.apex

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5
Q

Patient presents with muscle ache in the region of the pectoralis major and minor
Which wall of the axilla are these muscles found and with what other muscle / muscles ?
A.lateral , subclavias
B. Medical, lattissimus dorsi
C.anterior, subclavias
D.base, lattisimus Dorsi, subclavias
E.anterior, subclavius, lattisumus dorsi

A

C. Anterior wall - subclavius + perctoralis major + pectoralis minor

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6
Q 
After falling from a height a patient has broken ribs 1- 4 (thoracic wall) this corresponds to the medial wall of the axilla which muscle is likely to also be damaged 
A.subclavius
B.trapezius 
C.latissimus dorsi 
D.serratus anterior 
E.subscapularis
A

D.serratus anterior

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7
Q

Patient has pain in axilla area after a boxing match, after investigation the damage is found to be done to the posterior wall of the axilla spine high muscles are most likely to be damaged ?

A.serratus anterior
B.serratus anterior and latissimus dorsi
C.subscapularis, teres major and lattisimus dorsi
D.subscapularis l, teres major and serratus anterior
E.pectoralis major, pectoralis minor and subclavius

A

C.subscapularis, teres major, latissimus dorsi

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8
Q 
Patient falls on arm and breaks humerus at the proximal end this damaged the intertubercular groove . Which wall of the axilla is most likely to be compromised ? 
A.anterior 
B.lateral 
C.medial 
D.apex
A

B.lateral

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9
Q 
Patient in car crash bleeding from the area of the base of the axilla other than the skin what other structure is likely to be damaged ? 
A.fascia 
B.muscle
C.tissue 
D. Bone
A

A.fascia

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10
Q 
Patient undergoes x ray results show a broken clavicle which passageway of neurovasculature is most likely to be damaged ? 
A.carpal tunnel 
B. Axilla 
C.cervicoaxillary canal 
D.brachial plexus
A

C. Cervicoaxillary canal

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11
Q

Patient bleeding from the upper limb from proximal to distal what is the correct order of arterial supply to the upper limb ?

A.axillary artery , subclavian artery, brachial , radial ,ulnar ,palmar arches

B. Subclavian artery, brachial, radial , ulnar, palmar arches

C. Aorta , right/left coronary ,subclavian, brachial ,radial, ulnar ,palmar arches

D.subclavian artery, axillary artery ,brachial,radial,ulnar,palmar arches

A

D.subclavian artery, axillary artery ,brachial,radial,ulnar,palmar arches

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12
Q

Patient bleeding from artery directly attached to the aortic arch. After investigation bleeding located at furthest right vessel (patient pov) . Which vessel is this ?

A.internal thoracic 
B.vertebral
C.brachicephalic trunk 
D.left common carotid artery’s 
E. Right subclavian artery
A

D.brachiocephallic trunk

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13
Q

Patient has internal bleeding close to aortic arch from patients right to left what arteries extend directly from the aortic arch ?

A.internal thoracic, left common carotid, left subclavian

B.brachiocephalic trunk, left common carotid, left subclavian

C.vertebral, internal thoracic, thyrocervical trunk

D.brachiocephalic trunk, right common carotid, left common carotid, left subclavian

A

B. Brachiocephalic trunk, left common carotid, left subclavian

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14
Q

Patient with internal bleeding damage located at the dorsal scapular branch of the right subclavian artery the blood supply is compromised to which other branches of the subclavian artery ?

A.none
B. Vertebral, internal thoracic
C. Vertebral, costicervical trunk
D.internal thoracic

A

A. None - dorsal scapular is the final branch of the subclavian artery

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15
Q

In order of proximal to distal to the aortic arch what is the order of the branches of the subclavian artery ?

A. Internal thoracic, thurocervical trunk, brachiocephalic, left common carotid, costocervical trunk

B.dorsal scapular, vertebral, internal thoracic, thyrocervical trunk, costocervical trunk

C. Vertebral, internal thoracic, thyrocervical, costocervical, dorsal scapular

A

C. Vertebral, internal thoracic, thyrocervical, costocervical, dorsal scapular (VIT CD)

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16
Q

Patient has internal bleeding from right subclavian artery in area between the lateral aspect of rib 1 and the medial aspect of pectoralis minor. What artery continuous with the subclavian is this classified as ?

A.internal thoracic 
B.vertebral 
C. Thyrocervical trunk 
D. Axillary artery part 1 
E.axillary artery part 2
A

D. axillary artery part 1

From lateral aspect of rib 1 - medial aspect of pectoralis minor = 1st part

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17
Q

Axillary artery damaged in 2nd part this is found in the area that runs from the medial aspect of pectoralis minor to what other structure ?

A. Lateral aspect of pectoralis minor 
B.lateral aspect of pectoralis major 
C.lateral aspect of subclavias 
D. medial aspect of subclavius
E. Medial aspect of serratus anterior
A

B.lateral aspect of pectoralis minor

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18
Q

3rd part of the axillary damaged, this is found in the area of the lateral aspect of pectoralis minor and the inferior border of teres major what other artery is most likely to be damaged due to proximity ?

B.subclavian
C.brachial
D. Radial
E.ulnar

A

C. Brachial

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19
Q

Internal bleeding attributed to damage of the brachial artery between the area of the lateral aspect of pectoralis minor and the inferior border of teres major which part of the brachial artery is this ?

A.part 1 
B.part 2 
C.part 3
D.part 4 
E.part 5
A

C.part 3

Lateral aspect of pec minor to inferior border of teres major

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20
Q

A branch of the axillary artery is damaged causing internal bleeding. This branch is found between the lateral aspect of rib 1 and the medial aspect of pectoralis minor which branch is this and what part of the axillary artery does it arise from ?

  1. Superior thoracic artery, 2nd part
    B. Superior thoracic artery, 1st part
    C.superior interthoracic artery, 1st part
    D.circumflex numeral, 1st part
A

B. Superior thoracic artery, 1st part

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21
Q

Damage to blood supply in 2nd part of the axillary artery between medial and lateral border of pec minor what two branches of the axillary artery are found in this area ?

A.superior thoracic and thoracoacromial
B.thoracoacromial and lateral thoracic
C.lateral thoracic and superior thoracic
D.brachial and superuor throaci

A

B.thoracoacromial and lateral thoracic arteries

22
Q

The blood supply to the upper limb is blocked at the lateral thoracic artery branch of the axillary artery which other branches will have their blood supply reduced ?

A. Superior thoracic artery, thoracoacromial , subscapular, anterior circumflex numeral, posterior circumflex humeral

B.superior thoracic artery, subscapular, anterior circumflex humeral,posterior circumflex humeral

C.subscapular, anterior circumflex humeral, posterior circumflex humeral

A

C. Subscapular, anterior circumflex humeral, posterior circumflex humeral

Screw the lawyer, save a patient

23
Q

Internal bleeding in upper limb from distal continuation of the axillary artery. Which artery is this ?

A.subclavian 
B. Brachiocephalic 
C.superior thoracic 
D. Radial 
E.brachial
A

E.brachial

24
Q

Patient falls and breaks humerus in the centre of the bone the radial groove is found to be disrupted on x ray. Which branch of the brachial artery is likely to be damaged ?

A.anterior humeral circumflex
B.profunda brachii
C.axillary artery
D. Subscapular

A

B.profunda brachii -runs in radial groove of the humerus

25
Q

Main blood supply for the arm is compromised in patient following car accident. Which artery gives the main blood supply ?

A.brachial
B.axillary
C.radial
D.ulnar

A

A. Brachial

26
Q

Patient presents with bleeding from area proximal to the first digit (thumb) vein is likely to be damaged and what type of vein is it ?

A.radial vein (superficial )
B.radial vein (deep)
C.cephalic vein (superficial )
D.ceohalic vein (deep)

A

C.cephalic vein superficial

Runs from above distal radius

27
Q

Patient has venous drainage obstruction at the cephalic vein From lateral to medial in the anatomical position what is the order of the superficial veins of the arm ?

A.median cubical , cephalic vein, basilic vein
B.basilic vein , medial cubitial, cephalic
C.basilic, radial, ulnar
D.cephalic, median cubical, basilic

A

D. Cephalic, median cubical (runs horizontal across anterior elbow), basilic

28
Q

Patient has internal bleeding from the deep veins of the upper limb. Which veins make up the deep veins ?

A.cephalic, basilic, median cubical 
B.cephalic,basilic, ulnar 
C.radial, ulnar, basilic 
D.brachial, ulnar, median cubical 
E.ulnar, brachial, radial
A

E. Ulnar , radial, brachial

29
Q

Patient has issues with lymphatic drainage at area between base of the axilla and the area of the axilla made up from the serratus anterior and thoracic wall which nodes are found here ?

A.humeral
B.apical
C.pectoral
D.central

A

C.pectoral

30
Q

Patient has problems with lymphatic drainage at the axilla to the subclavian lymphatic trunk which nodes are does lymph fluid pass through directly before reaching the trunk ?

B.pectoral 
C.apical 
D.supraclabicular 
E.humeral 
F.subscapular 
G.central
A

D.supraclavicular nodes (external to axilla)

31
Q

No lymphatic drainage from the axilla is found to be reaching the apical nodes on further investigation lymph drainage is found to be sufficient at the subscapular, pectoral and humeral nodes which node is likely to have a blockage ?

A.suprascapular
B.apical
C.central
D. Humeral

A

C.central

32
Q 
A patient with presents eith oedema it’s discovered that after leaving the supraclavucular nodes lymphatic drainage is no longer successful, a lack of drainage at which structure would indicate this ? 
A.humeral nodes 
B.aorta 
C.vena cava 
D. Jugular subclavian venous confluence
A

D.jugular subclavian venous confluence

33
Q

A patient has damage to their neck after colliding with another person in. Rugby match. Brachial plexus damage is suspected. The union of the anterior rami of which nerves make up the brachial plexus ?

A.c4-c8 and t1
B.c5-c8 and t1
C.c5-c8

A

B.c5-c8 and t1

34
Q

After injury damage to the brachial plexus is suspected due to the location of the injury. Where is this injury most likely to have taken place ?

B.neck rib 1,2,3, axilla
C.sternum and ancillary
D.neck , rub 2, axilla
E. Neck, rib 1 , axilla

A

E. Neck, rib 1 and axilla

35
Q

A patient with damage to the c5 and c6 nerves undergoes further investigations to discover the effects on the other parts of the brachial plexus . From medial to lateral what are the sections of the brachial plexus ?

A.roots, trunks, divisions ,cords, branches

B. Roots, divisions, trunks, cords,branches

C. Roots, trunks, divisions, branches cords

A

A. Roots, trunks, divisions, cords, branches

Read the digital cadaver book

36
Q

A patient has nerve problems in the upper limb what section of the brachial plexus is most likely to be the origin of most of these major nerves innervating the upper limb ?

A.roots 
B.trunks
C.divisions 
D.cords 
E. Branches
A

D.cords

37
Q

What roots supply the superior trunk of the brachial plexus ?

A.c5 c6
B. C6 c7
C.c8 t1

A

C5 C6

38
Q

What roots supply the middle trunk of the brachial plexus ?

A.c5 c7
B.c7 c8
C.c6
D.c7

A

Dc7

39
Q

What roots supply the inferior trunk of the brachial plexus ?

A.c5 c6
B. C8 t1
C. T1

A

B. C8 t1

40
Q

What root corresponds with the superuor trunk of the brachial plexus ?

A.c5 c6
B. C6 c7
C.c7
D.c8 t1

A

A. C5 c6

41
Q

What trunk corresponds to the posterior cord of the brachial plexus ?
A. Superior
B. Middle
C. Inferior

A

B.middle (c7 root)

42
Q

What trunk of the brachial plexus corresponds with the medial cord ?

A.middle 
B.superior 
C.inferior 
D . C8 t1 
E.c7
A

C. Inferior

43
Q

Patient with arm injury no longer able to flex their arm at the elbow which branch of the brachial plexus is likely to be damaged ?

A. Median
B. Musculotcutaneous
C. Axillary
D. Radial

A

B. Musculocutaneous

44
Q

Patient feels numbness in the lateral aspect of the forearm which branch of the brachial plexus is associated with sensory function in this area ?

A.ulnar
B.radial
C.Axillary
D.muscucutaneous

A

D. Musculocutaneous

45
Q

Patient presents with loss of function in the thenar muscles, forearm flexors and 2 lateral lumbricals what branch of the brachial plexus gives the motor function to the hand muscles?

A.radial
B.median
C. Musculocutaneous

A

B . Median

46
Q

Patient presents with pain in the thumb, index, middle and half of ring finger and associated palm what branch of the brachial plexus inner ages this area ?

A.ulnar nerve
B.radial nerve
C.median nerve

A

C.median nerve

47
Q

Patient presents with loss of function is deltoid and teres minor muscle. Which branch of the brachial plexus supplies these muscles to give motor function ?

A.median
B.ulnar
C. Radial
D.axillary

A

D.axillary

48
Q

Patients complaining of soreness of skin in the regimental patch area, further investigations reveals a neutral etiology. Which branch of the brachial plexus immervates this area ?

A.Musculocutaneous
B. Radial
C.axillary
D.ulnar

A

C.axillary

49
Q

Patient has loss of function in posterior of forearm and cannot engage muscles in this area which branch of the brachial plexus innervates this area ?

  1. Superior
  2. Middle
  3. Musculocutaneous
  4. Medial
  5. posterior
  6. Radial
A

6.radial

50
Q

Patient complains numbness of skin on hands below the pointer and middle on the dorsum and not present on anterior surface which branch of the brachial plexus innervates this area ?

A.Musculocutaneous
B.median
C.ulnar
D.radial

A

D.radial

MSK 1 (23 decks)

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