ANATOMY UPPER LIMB MCQ Flashcards
TO WHAT BONY STRUCTURE DOES THE LATERAL END OF THE CLAVICLE ARTICULATE?
Acromion process
Coracoid process
Glenoid fossa
Manubrium
Suprascapular notch
Acromion process
WHAT IS THE CLASSIFICATION OF THE GLENOHUMERAL JOINT?
Bi-axial synovail condylar joint
Bi-axial synovial hinge joint
Multiaxial synovial ball and socket joint
Multiaxial synovial saddle joint
Uniaxial synovial pivot joint
Multiaxial synovial ball and socket joint
WHERE IS SUPRASPINATUS ATTACHED DISTALLY?
Anatomical neck of the humerus
Greater tubercle of the humerus
Lesser tubercle of the humerus
Surgical neck of the humerus
Supraglenoid tubercle of the scapula
Greater tubercle of the humerus
WHAT NERVE PIERCES THE CLAVICPECTORAL FASCIA?
Axillary nerve
Long thoracic nerve
Lateral pectoral nerve
Musculocutaneous nerve
Ulnar nerve
Lateral pectoral nerve
WHAT ARE THE TWO MAIN ACTIONS OF THE STERNOCOSTAL HEAD OF PECTORALIS MAJOR MUSCLE?
Abduction and external rotation of the humerus
Abduction and internal rotation of the humerus
Adduction and external rotation of the humerus
Adduction and horizontal flexion of the humerus
Adduction and internal rotation of the humerus
Adduction and internal rotation of the humerus
WHAT MUSCLE ATTACHES MOST SUPERIORLY TO THE DORSO-MEDIAL BORDER OF THE SCAPULA
Levator scapulae
Rhomboid major
Rhomboid minor
Serratus anterior
Trapezius
Levator scapulae
WHAT MUSCLES ARISE FROM THE CORACOID PROCESS OF THE SCAPULA?
Biceps (long head) and brachialis
Biceps (long head) and deltoid
Biceps (short head) and brachioradialis
Biceps (short head) and corachobrachialis
Corachobrachialis and pectoralis minor
Biceps (short head) and corachobrachialis
WHAT IS THE CLASSIFICATION OF THE JOINT BETWEEN THE FIRST RIB AND THE STERNUM?
Symphysis
Synarthrosis
Syndesmosis
Synostosis
Synchondrosis
Synchondrosis
WHAT IS THE ORIGIN OF THE LONG HEAD OF BICEPS BRACHII?
Bicipital groove
Bicipital aponeurosis
Deltoid tuberosity
Radial tuberosity
Supraglenoid tubercle
Supraglenoid tubercle
WHAT MUSCLE IS SUPPLIED BY THE THROACODORSAL NERVE?
Latissiumus dorsi
Levator scapulae
Rhomboid major
Serratus anterior
Trapezius
Latissiumus dorsi
WHAT VASCULAR STRUCTURE IS FOUND IN THE DELTOPECTORAL GROOVE?
Axillary artery
Basilic vein
Cephalic vein
Subclavian artery
Thoracoacromial artery
Cephalic vein
IN DEVELOPMENT OF THE APPENDICULAR SKELETON WHY IS THE CLAVICLE UNUSUAL?
It is the last bone of the skeleton to ossify
It forms initially by endochondral ossification
It forms initially by membranous ossification
It has no periosteal blood supply
It has typical plane synovial joints at both ends
It forms initially by membranous ossification
WHICH SCAPULA REGION MUSCLE IS SUPPLIED BY A CRANIAL NERVE?
Deltoid
Infraspinatus
Serratus anterior
Teres minor
Trapezius
Trapezius
WHICH ROTATOR CUFF MUSCLE ADDUCTS AND MEDIALLY ROTATES THE HUMERUS?
Deltoid
Infraspinatus
Subscapularis
Supraspinatus
Teres minor
Subscapularis
WHICH MUSCLE PAIR IS MOST RESPONSIBLE FOR POWER ADDUCTION OF THE HUMERUS?
Latissimus dorsi and pectoralis major
Latissimus dorsi and serratus anterior
Pectoralis major and pectoralis minor
Teres minor and teres major
Teres major and pectoralis major
Latissimus dorsi and pectoralis major
PECTORALIS MAJOR PARTLY ARISES FROM WHICH BODY WALL MUSCLE?
External oblique
Internal oblique
Rectus abdominis
Serratus anterior
Transversus abdominis
External oblique
WHAT MUSCLES CONSTITUTE THE ‘ROTATOR CUFF’ GROUP OF THE SHOULDER?
Deltoid, Infraspinatus, Supraspinatus, Subscapularis
Infraspinatus, Supraspinatus, Subscapularis, Teres minor
Infraspinatus, Serratus anterior, Supraspinatus, Subscapularis
Teres minor, Trapezius, Teres major, Teres minor
Rhomboids, Supraspinatus, Subscapularis, Teres minor
Infraspinatus, Supraspinatus, Subscapularis, Teres minor
WHICH ARTERY PIERCES THE CLAVIPECTORAL FASCIA?
Axillary
Brachial
Internal thoracic
Suprascapular
Thoracoacromial
Thoracoacromial
IN THE NORMAL RESTING POSITION AT WHAT SPINAL LEVEL IS THE INFERIOR ANGLE OF THE SCAPULA?
C7 vertebrae prominens
Intervertebral disc T4/5
Spine of T3 vertebrae
Spine of T7 vertebrae
Transverse process of T7 vertebrae
Spine of T7 vertebrae
WHICH ARTERIES ARE LINKED BY THE SCAPULAR ANASTOMOSIS?
1st part of axillary with deep brachial artery
1st part of axillary artery with superior ulnar collateral artery
2nd part of subclavian and 2nd part of axillary artery
3rd part of axillary artery with deep brachial artery
3rd part of axillary and 1st part of subclavian artery
3rd part of axillary and 1st part of subclavian artery
WHAT STRUCTURES CONSITUTE THE MYOTENDINOUS CONTENTS OF THE AXILLA?
Biceps (long head), Biceps (short head) and Corachobrachialis
Corachobrachialis, pectoralis minor and teres major
Bcieps (long head), Deltoid & Triceps (long head)
Pectoralis major, Pectoralis minor and clavipectoral fascia
Serratus anterior, intercostal muscles and ribs 1 -4
Biceps (long head), Biceps (short head) and Corachobrachialis
WHICH IS THE MOST SUPERIORLY SITUATED MUSCLE IN THE POSTIOR AXILLARY FOLD
Latissimus dorsi
Lateral head of triceps
Long head of triceps
Subscapularis
Teres major
Subscapularis
WHERE ARE THE CORDS OF THE BRACHIAL PLEXUS LOCATED?
Around the the 2nd part of the axillary artery
Between the scalene muscles
Behind the clavicle
Intervertebral foramina
Posterior triangle of the neck
Around the the 2nd part of the axillary artery
WHICH MAIN NERVE OF THE UPPER LIMB GIVES OF THE UPPER LATERAL CUTANEOUS NERVE OF THE ARM?
Axillary nerve
Long thoracic nerve
Lateral pectoral nerve
Musculocutaneous nerve
Ulnar nerve
Axillary nerve
NORMALLY, WHAT NEURAL STRUCTURES FORM THE ROOTS OF THE BRACHIAL PLEXUS?
Dorsal rami of spinal nerves C5 to T1
Dorsal rami of spinal nerves C4 to C8
Ventral rami of spinal nerves C4-C8
Ventral rami of spinal nerves C5 to T1
Ventral rami of spinal nerves C6 to T2
Ventral rami of spinal nerves C5 to T1
WHAT IS THE ROOT VALUE OF THE LONG THORACIC NERVE?
C3 C4 C5
C4 C5 C6
C5 C6 C7
C6 C7 C8
C7 C8 T1
C5 C6 C7
WHAT IS THE ISOLATED MUSCLE ACTION OF TERES MINOR ON THE HUMERUS?
Abduction and medial rotation
Abduction and lateral rotation
Adduction only
Adduction and lateral rotation
Adduction and medial rotation
Adduction and lateral rotation
WHEN TESTING THE SUBSCAPULARIS MUSCLE THE EXAMINER SHOULD ASSESS WHICH RESISTED HUMERAL MOVEMENT?
Abduction and medial rotation
Abduction and lateral rotation
Adduction only
Adduction and lateral rotation
Adduction and medial rotation
Adduction and medial rotation
WHAT MUSCLE IS THE KEY AXILLARY LANDMARK FOR THE SECOND PART OF THE AXILLARY ARTERY?
Deltoid
Pectoralis major
Pectoralis minor
Teres major
Teres minor
Pectoralis minor
DAMAGE TO WHAT PART OF THE BRACHIAL PLEXUS TYPICALLY PRODUCES WASTING OF INTRINSIC HAND MUSCLES?
Lateral cord
Lower trunk
Middle trunk
Posterior cord
Upper 2 roots
Lower trunk
HOW MANY INTRINSIC GLENOHUMERAL LIGAMENTS ARE THERE?
1
2
3
4
5
3
WHAT MUSCLE/TENDON IS IMPORTANT FOR STABILITY WHEN THE SHOULDER IS ABDUCTED 90 DEGREES AND EXTERNALLY ROTATED ?
Brachialis
Corachobrachialis
Long head of biceps
Long head of triceps
Short head of biceps
Long head of biceps
FROM WHAT PART OF THE BRACHIAL PLEXUS DOES THE THORACODORSAL NERVE ARISE?
Lateral cord
Lower trunk
Medial cord
Posterior cord
Upper Roots
Posterior cord
WHERE IS THE WEAKEST PART OF THE SHOULDER JOINT CAPSULE LOCATED?
Anterior
Inferior
Lateral
Medial
Superior
Inferior
IN WHICH UPPER LIMB BONE ARE BOTH SYNOVIAL JOINT SURFACES LINED WITH FIBROCARTILAGE?
Clavicle
Humerus
Radius
1st Metacarpal
Ulna
Clavicle
IN ADDITION TO HYALINE CARTILAGE AND SYNOVIUM WHAT ARE THE OTHER MAIN INTRA-ARTICULAR FEATURES OF THE SHOULDER JOINT?
Collateral and intrinsic capsular ligaments
Bursae and Fat pads
Fat pads and a fibrocartilagenous labrum
Tendon of biceps and fibrocartilagenous labrum
Tendons of biceps and supraspinatus
Tendon of biceps and fibrocartilagenous labrum
WHAT MUSCLE IS THOUGHT TO INITIATE GLENOHUMERAL ABDUCTION?
Deltoid
Serratus anterior
Subscapularis
Supraspinatus
Upper trapezius
Supraspinatus
WHAT STRUCTURE REDUCES FRICTION AND PREVENTS EXCESSIVE WEAR TO THE UPPER ROTATOR CUFF TENDON DURING SHOULDER MOVEMENT?
Biceps tendon
Corachoacromial arch
Hyaline cartilage
Subacromial bursa
Synovial membrane
Subacromial bursa
WHAT NERVE IS MOST AT RISK IN SHOULDER DISLOCATION INJURIES?
Axillary
Median
Musculocutaneous
Radial
Ulnar
Axillary
WHAT IS THE ESTIMATED CONTRIBUTION (%) OF STATIC RESTRAINTS TO SHOULDER STABILITY?
10
20
30
40
50
20
WHICH ARM MUSCLE HAS AN ATTACHMENT TO ANTEBRACHIAL DEEP FASCIA?
Biceps brachii
Corachobrachialis
Deltoid
Long head of triceps
Brachialis
Biceps brachii
WHAT IS THE CLASSIFICATION OF THE 1ST CARPO-METACARPAL SYNOVIAL JOINT?
Biaxial condylar
Multiaxial ball and socket
Multiaxial saddle
Uniaxial hinge joint
Uniaxial plane joint
Multiaxial saddle
WHAT IS THE NERVE SUPPLY TO THE MEDIAL HEAD OF TRICEPS?
Axillary nerve
Median nerve
Musculocutaneous nerve
Radial nerve
Ulnar nerve
Radial nerve
WHAT MUSCLE FORMS THE MEDIAL BOUNDARY OF THE CUBITAL FOSSA?
Brachialis tendon
Biceps tendon
Brachioradialis
Corachobrachialis
Pronator Teres
Pronator Teres
WHAT MUSCLE FORMS THE MEDIAL SIDE OF THE FLOOR OF THE CUBITAL FOSSA?
Bicipital Aponeurosis
Biceps tendon
Brachial Artery
Brachialis
Brachioradialis
Brachialis
WHAT ARE THE TWO MAIN ACTIONS OF BICEPS BRACHII?
Abduction shoulder / Flexion elbow
Adduction shoulder / Flexion elbow
Extension elbow / pronation forearm
Flexion elbow / Pronation forearm
Flexion elbow / Supination forearm
Flexion elbow / Supination forearm
WHAT ARE THE MOST IMPORTANT STATIC STABILISERS CONTRIBUTING TO ELBOW JOINT STABILITY?
Anterior articular capsule
Brachialis musce
Collateral ligaments
Olecranon bursae
Triceps tendon
Collateral ligaments
REDUCED BLOOD SUPPLY TO THE ANTERIOR FOREARM IS AN IMPORTANT CONSIDERATION IN WHAT TYPE OF FRACTURE?
Coronoid process ulna
Head of radius
Midshaft humerus
Surgical neck humerus
Supracondylar humerus
Supracondylar humerus
WHAT DOES THE TERMINAL BRANCH OF THE MUSCULOCTANEOUS NERVE SUPPLY?
Brachioradialis
Pronator teres
Skin of lower lateral arm
Skin of medial forearm
Skin of lateral forearm
Skin of lateral forearm
WHAT INTRA-ARTICULAR STRUCTURES ARE TYPICALLY FOUND IN THE ELBOW JOINT?
Biceps tendon
Deep bursae
Fibrocartilagenous disc
Intra-capsular fat pads
Meniscal cartilage
Intra-capsular fat pads
IN THE UPPER LIMB ON WHICH BONE WOULD YOU FIND THE CORONOID PROCESS?
Clavicle
Radius
Scaphoid
Scapula
Ulna
Ulna
WHAT IS THE CLASSIFICATION OF THE PROXIMAL RADIOULNAR JOINT?
Bi-axial condylar joint
Bi-axial hinge joint
Multiaxial ball and socket joint
Multiaxial saddle joint
Uniaxial pivot joint
Uniaxial pivot joint
AT THE WRIST WHAT CARPAL BONES ARE LOCATED IN THE PROXIMAL ROW?
Hamate, Pisiform, Capitate,
Lunate
Scaphoid, Lunate, Triquetral, Pisiform
Trapezium, Trapezoid, Lunate, Hamate
Trapezoid, Triquetral, Lunate, Capitate
Trapezium, Trapezoid, Capitate, Hamate
Scaphoid, Lunate, Triquetral, Pisiform
WHAT IS THE MUSCLE FIBRE MORPHOLOGY IN THE FLEXOR POLICIS LONGUS?
Bipennate
Fusiform
Multiform
Multipennate
Unipennate
Unipennate
WHERE IN THE UPPER LIMB IS THE MOST COMMON SITE OF ULNAR NERVE INJURY / ENTRAPMENT?
Carpal tunnel
Cubital fossa
Medial epicondyle humerus
Palmar wrist (Guyon’s tunnel)
Quadrangular space
Medial epicondyle humerus
WHICH MUSCLE OF THE ANTERIOR FOREARM HAS A DUAL NERVE SUPPLY?
Flexor carpi ulnaris
Flexor digitorum profundus
Flexor digitorum superficialis
Flexor policis longus
Pronator teres
Flexor digitorum profundus
IN THE FOREARM THE COMMON INTEROSSEOUS ARTERY ARISES FROM WHICH BLOOD VESSEL?
Anterior interosseous artery
Brachial artery
Posterior interosseous artery
Radial artery
Ulnar artery
Ulnar artery
WHICH CARPAL BONES GIVE ATTACHMENT TO THE FLEXOR RETINACULUM?
Capitate, Pisiform, Trapezoid, Radius
Hamate, Pisiform, Trapezoid, Radius
Lunate, Triquetral, Trapezoid, Ulna
Scaphoid, Trapezium, Hamate, Pisiform
Trapezium, Hamate, Pisiform, Trapezoid
Scaphoid, Trapezium, Hamate, Pisiform
WHAT VEIN IS MAINLY USED IN ROUTINE VENEPUNCTURE FOR VENOUS BLOOD SAMPLING?
Basilic
Cephalic
Lateral cutaneous
Median cubital
Medial antecubital
Median cubital
WHAT PURELY SENSORY NERVE HAS A DEEP COURSE THROUGH THE ANTEROLATERAL FOREARM?
Anterior interosseous
Lateral cutaneous
Medial cutaneous
Posterior interosseous
Superficial radial
Superficial radial
THE CUTANEOUS NERVE SUPPLY THE LATERAL SIDE OF THE FOREARM ARISES FROM WHAT UPPER LIMB MAIN NERVE?
Axillary nerve
Median nerve
Musculocutaneous nerve
Radial nerve
Ulnar nerve
Musculocutaneous nerve
THE COMMON EXTENSOR ORIGIN IS LOCATED ON WHICH PART OF THE HUMERUS?
Capitulum
Coronoid fossa
Lateral epicondyle
Medial supracondylar ridge
Medial epicondyle
Lateral epicondyle
THE EXTENSOR DIGITORUM TENDONS SHARE AN EXTENSOR TUNNEL AT THE WRIST WITH THE TENDON OF WHAT MUSCLE?
Abductor policis brevis
Brachioradialis
Extensor carpi radialis brevis
Extensor digiti minimi
Extensor indicis
Extensor indicis
WHAT IS THE NERVE SUPPLY TO BRACHIORADIALIS?
Anterior interosseous nerve
Deep branch of radial nerve
Posterior interosseous nerve
Radial nerve
Superficial branch of radial nerve
Radial nerve
WHAT IS THE MOST IMPORTANT STATIC STABILISER OF THE DISTAL RADIOULNAR JOINT?
Annular ligament
Anterior articular capsule
Collateral ligaments
Interosseous membrane
Triangular fibrocartilage
Triangular fibrocartilage
WHICH POSTERIOR FOREARM TENDONS OCCUPY THE FIRST EXTENSOR TUNNEL?
Brachioradialis & Extensor Carpi Radialis Longus
Abductor Policis Longus & Extensor Policis Brevis
Abductor Policis Longus & Extensor Policis Longus
Pronator Teres and Pronator Quadratus
Supinator
Abductor Policis Longus & Extensor Policis Brevis
WHICH TWO POSTERIOR FOREARM MUSCLES ARISE ABOVE THE COMMON EXTENSOR ORIGIN?
Brachioradialis & Extensor Carpi Radialis Longus
Brachioradilais amd Extensor Carpi Radialis Brevis
Extensor Carpi Radialis Longus and Brevis
Extensor Indicis and Extensor Policis Longus
Extensor Policis Longus and Extensor Policis Brevis
Brachioradialis & Extensor Carpi Radialis Longus
IN ADDITION TO EXTENSION OF THE DIGITS WHAT IS THE ACTION OF THE DORSAL INTEROSSEI MUSCLES OF THE HAND:
Abduction of the fingers
Abduction of the thumb
Adduction of the fingers
Adduction of the thumb
Abduction of the wrist
Abduction of the fingers
AT THE ELBOW THE DEEP BRANCH OF THE RADIAL NERVE PASSES BETWEEN THE HEADS OF WHICH MUSCLE?
Brachioradialis
Extensor Policis Longus
Pronator Teres
Pronator Quadratus
Supinator
Supinator
AT THE ELBOW ON PASSING INTO THE ANTERIOR FOREARM THE ULNAR NERVE PASSES BETWEEN THE HEADS OF WHICH MUSCLE?
Extensor Carpi Ulnaris
Flexor Carpi Ulnaris
Flexor Didgitorum Profundus
Pronator Teres
Supinator
Flexor Carpi Ulnaris
WHICH CARPAL BONES ARTICULATE WITH THE DISTAL RADIUS?
Lunate and Pisiform
Lunate and Scaphoid
Lunate and Trapezium
Scaphoid and Capitate
Scaphoid and Pisiform
Lunate and Scaphoid
WHICH FOREARM MUSCLE INSERTS ONTO THE DORSAL SURFACE OF THE 3RD METACARPAL?
Brachioradialis
Extensor Carpi Radialis Brevis
Extensor Carpi Radialis Longus
Flexor Carpi Radialis
Extensor Indicis
Extensor Carpi Radialis Brevis
WHICH TENDONS FORM THE ANTERIOR BOUNDARY OF THE ANATOMICAL SNUFFBOX?
Abductor Pollicis Longus and Extensor Pollicis Brevis
Abductor Pollicis Longus and Brachioradialis
Biceps and Brachioradialis
Brachioradialis and Flexor Carpi Radialis
Extensor Indicis and Extensor Pollicis Longus
Abductor Pollicis Longus and Extensor Pollicis Brevis
WHAT IS THE CLASSIFICATION OF THE RADIOCARPAL SYNOVIAL JOINT?
Ball and socket
Condyloid
Elipsoid
Hinge
Plane
Elipsoid
WHICH ROOTS BEST REPRESENT THE DERMATOMAL SUPPLY FOR THE MEDIAL SIDE OF THE FOREARM AND ELBOW?
C5 / 6
C6 / 7
C7 / 8
C8 / T1
T1 / T2
C8 / T1
IN WRIST TRAUMA, WHAT IS THE MOST COMMON CARPAL BONE DISSOCIATION?
Capitate and Hamate
Lunate and Triquetral
Pisiform and Hamate
Scaphoid and Lunate
Trapezium and Trapezoid
Scaphoid and Lunate
AN AVULSION OF THE MOST DISTAL EXTENSOR EXPANSION PRODUCES WHAT DEFORMITY?
Claw hand
Jersey finger
Mallet finger
Trigger finger
Skier’s thumb
Mallet finger
WHICH TENDONS CROSS THE FLOOR OF THE ANATOMICAL SNUFF BOX?
Brachioradialis & Extensor Carpi Radialis Longus
Brachioradilais & Extensor Carpi Radialis Brevis
Extensor Carpi Radialis Longus & Brevis
Extensor Indicis & Extensor Policis Longus
Extensor Policis Longus & Extensor Policis Brevis
Extensor Policis Longus & Extensor Policis Brevis
WHAT NERVE SUPPLIES THE SKIN OF THE ROOF OF THE ANATOMICAL SNUFFBOX?
Anterior interosseous nerve
Deep branch of radial nerve
Posterior interosseous nerve
Radial nerve
Superficial branch of radial nerve
Superficial branch of radial nerve
WHAT IS THE USUAL UPPER LIMIT OF RADIAL DEVIATION (DEGREES) AT THE WRIST JOINT?
5
10
15
20
25
15
