Anatomy of the Upper Limb

Question 1

Where can the acromion process be palpated?

Answer 1

The lateral extremity of the scapular spine

Question 2

The acromion process lies just inferior/superior to the smooth bulge of the deltoid muscle

Answer 2

Superior

Question 3

The deltoid muscle covers the lesser tuberosity of the humerus - true/false?

Answer 3

false it covers the greater tuberosity

Question 4

Where does the coracoid process lie?

Answer 4

Immediately below the clavicle at the junction between the middle and lateral thirds.

Question 5

It is easy to palpate the coracoid process - true/false?

Answer 5

False it is difficult

Question 6

The medial border of the scapula can be both seen and felt - true or false?

Answer 6

True

Question 7

Abduction of the arm is a complex process involving ___________________________

Answer 7

Abduction of the shoulder joint

Depression of the sternoclavicular joint and rotation of the scapula

Question 8

The head of the humerus can be palpated in/on the ______ with the shoulder abducted/adducted?

Answer 8

In the axilla

Shoulder abducted

Question 9

Name the three boney landmarks at the elbow

Answer 9

The olecranon process
the medial epicondyle
the lateral epicondyle

Question 10

in a dislocation of the elbow the olecranon is in line with the epicondyles - true/false

Answer 10

True

Question 11

In the extended elbow distal to the lateral epicondyle there is a hollow in which the ____ _____ can be palpated

Answer 11

Radial head

Question 12

the radial head/ulna can be felt to rotate in supination & pronation

Answer 12

Radial head - ulna remains fixed.

Question 13

there are many nerves and blood vessels passing across the posterior border of the ulna - true/false

Answer 13

False - no named vessels - can be exposed surgically from end to end with no dangers.

Question 14

The radial and ulnar styloids can be felt in the proximal/distal forearms

Answer 14

Distal

Question 15

The ulnar styloid sits slightly distally to the radial styloid - true/false

Answer 15

False - radial styloid is distal to the ulnar styloid

Question 16

Where is the radial styloid palpated?

Answer 16

the floor of the anatomical snuff box

Question 17

the ulnar styloid can be seen and palpated on the dorsal/volar aspect of the head of the ulnar

Answer 17

dorsal aspect

Question 18

give an acronym for remembering the carpal bones

Answer 18

Start at thumb, move to small finger and then above, reverse direction. 
Some - scaphoid
Lovers - lunate
try - triquetrum
Postions - pisiform
That - trapezium
They - trapezoid
Cannot -capitate
Handle - hamate

Question 19

the pisiform lies at the base of the hypothenar/thenar eminence

Answer 19

Hypothenar

Question 20

The Scaphoid lies at the base of thenar/hypothenar eminence

Answer 20

Thenar

Question 21

The scaphoid is located within the anatomical snuffbox - true/false

Answer 21

True

Question 22

Characteristic tenderness in the anatomical snuffbox is suggestive of which bone fracture?

Answer 22

Scaphoid fracture

Question 23

the anterior fold of the axilla is formed by which muscle(s)?

Answer 23

Pectoralis major

Question 24

The posterior fold of the axilla is formed by which muscle(s)?

Answer 24

latissimus dorsi and teres major

Question 25

Which muscle(s) in the arm form the contour of the shoulder?

Answer 25

The deltoid

Question 26

Which muscle(s) constitute the bulk of the anterior aspect of the arm?

Answer 26

Biceps Brachii

brachialis

Question 27

Which muscle(s) constitute the bulk of the posterior aspect of the arm?

Answer 27

Triceps

Question 28

When the elbow is flexed it is easy to see the biceps tendon - true/false

Answer 28

True

Question 29

Immediately medial to the biceps tendon the _____ ______ can be palpated.

Answer 29

brachial artery

Question 30

Immediately medial to the brachial artery lies the ______ _______

Answer 30

median nerve

Question 31

Pressure placed immediately medial to the brachial artery will cause paraesthesia of the hand as you are compressing the ulnar nerve. true/false

Answer 31

False - it will cause paraesthesia as you are compressing the median nerve

Question 32

the tendons which form the anatomical snuffbox borders are…?

Answer 32

Laterally - abductor pollicis longus and extensor pollicis braves
Medially extensor pollicis longus.

Question 33

The pulsation of the subclavian artery can be palpated against which bony structure?

Answer 33

The first rib

Question 34

The pulsation of the brachial artery can be palpated against which bony structure?

Answer 34

The humerus

Question 35

The radial artery can be palpated in both the wrist and the anatomical snuff box - true/false

Answer 35

true

Question 36

At what level does the brachial artery bifurcate into the ulnar and radial artery?

Answer 36

The level of the neck of the radius

Question 37

The venous system is all superficial in the arm - true/false

Answer 37

False - the important ones are superficial but there are deeper venae commitantes which run with the arteries.

Question 38

Why are the superficial veins in the arm more important?

Answer 38

They are more important because they can be used for venipuncture and cannulation e.g. transfusion.

Question 39

the dorsal venous network drain into the ______ vein (laterally) and the ______ vein (medially)

Answer 39

Cephalic vein

Median vein