ANATOMY UPPER LIMB MCQ Flashcards

1
Q

TO WHAT BONY STRUCTURE DOES THE LATERAL END OF THE CLAVICLE ARTICULATE?

Acromion process

Coracoid process

Glenoid fossa

Manubrium

Suprascapular notch

A

Acromion process

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2
Q

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

A

Multiaxial synovial ball and socket joint

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3
Q

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

A

Greater tubercle of the humerus

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4
Q

WHAT NERVE PIERCES THE CLAVICPECTORAL FASCIA?

Axillary nerve

Long thoracic nerve

Lateral pectoral nerve

Musculocutaneous nerve

Ulnar nerve

A

Lateral pectoral nerve

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5
Q

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

A

Adduction and internal rotation of the humerus

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6
Q

WHAT MUSCLE ATTACHES MOST SUPERIORLY TO THE DORSO-MEDIAL BORDER OF THE SCAPULA

Levator scapulae

Rhomboid major

Rhomboid minor

Serratus anterior

Trapezius

A

Levator scapulae

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7
Q

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

A

Biceps (short head) and corachobrachialis

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8
Q

WHAT IS THE CLASSIFICATION OF THE JOINT BETWEEN THE FIRST RIB AND THE STERNUM?

Symphysis

Synarthrosis

Syndesmosis

Synostosis

Synchondrosis

A

Synchondrosis

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9
Q

WHAT IS THE ORIGIN OF THE LONG HEAD OF BICEPS BRACHII?

Bicipital groove

Bicipital aponeurosis

Deltoid tuberosity

Radial tuberosity

Supraglenoid tubercle

A

Supraglenoid tubercle

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10
Q

WHAT MUSCLE IS SUPPLIED BY THE THROACODORSAL NERVE?

Latissiumus dorsi

Levator scapulae

Rhomboid major

Serratus anterior

Trapezius

A

Latissiumus dorsi

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11
Q

WHAT VASCULAR STRUCTURE IS FOUND IN THE DELTOPECTORAL GROOVE?

Axillary artery

Basilic vein

Cephalic vein

Subclavian artery

Thoracoacromial artery

A

Cephalic vein

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12
Q

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

A

It forms initially by membranous ossification

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13
Q

WHICH SCAPULA REGION MUSCLE IS SUPPLIED BY A CRANIAL NERVE?

Deltoid

Infraspinatus

Serratus anterior

Teres minor

Trapezius

A

Trapezius

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14
Q

WHICH ROTATOR CUFF MUSCLE ADDUCTS AND MEDIALLY ROTATES THE HUMERUS?

Deltoid

Infraspinatus

Subscapularis

Supraspinatus

Teres minor

A

Subscapularis

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15
Q

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

A

Latissimus dorsi and pectoralis major

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16
Q

PECTORALIS MAJOR PARTLY ARISES FROM WHICH BODY WALL MUSCLE?

External oblique

Internal oblique

Rectus abdominis

Serratus anterior

Transversus abdominis

A

External oblique

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17
Q

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

A

Infraspinatus, Supraspinatus, Subscapularis, Teres minor

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18
Q

WHICH ARTERY PIERCES THE CLAVIPECTORAL FASCIA?

Axillary

Brachial

Internal thoracic

Suprascapular

Thoracoacromial

A

Thoracoacromial

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19
Q

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

A

Spine of T7 vertebrae

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20
Q

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

A

3rd part of axillary and 1st part of subclavian artery

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21
Q

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

A

Biceps (long head), Biceps (short head) and Corachobrachialis

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22
Q

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

A

Subscapularis

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23
Q

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

A

Around the the 2nd part of the axillary artery

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24
Q

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

A

Axillary nerve

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25
Q

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

A

Ventral rami of spinal nerves C5 to T1

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26
Q

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

A

C5 C6 C7

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27
Q

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

A

Adduction and lateral rotation

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28
Q

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

A

Adduction and medial rotation

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29
Q

WHAT MUSCLE IS THE KEY AXILLARY LANDMARK FOR THE SECOND PART OF THE AXILLARY ARTERY?

Deltoid

Pectoralis major

Pectoralis minor

Teres major

Teres minor

A

Pectoralis minor

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30
Q

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

A

Lower trunk

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31
Q

HOW MANY INTRINSIC GLENOHUMERAL LIGAMENTS ARE THERE?

1

2

3

4

5

A

3

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32
Q

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

A

Long head of biceps

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33
Q

FROM WHAT PART OF THE BRACHIAL PLEXUS DOES THE THORACODORSAL NERVE ARISE?

Lateral cord

Lower trunk

Medial cord

Posterior cord

Upper Roots

A

Posterior cord

34
Q

WHERE IS THE WEAKEST PART OF THE SHOULDER JOINT CAPSULE LOCATED?

Anterior

Inferior

Lateral

Medial

Superior

A

Inferior

35
Q

IN WHICH UPPER LIMB BONE ARE BOTH SYNOVIAL JOINT SURFACES LINED WITH FIBROCARTILAGE?

Clavicle

Humerus

Radius

1st Metacarpal

Ulna

A

Clavicle

36
Q

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

A

Tendon of biceps and fibrocartilagenous labrum

37
Q

WHAT MUSCLE IS THOUGHT TO INITIATE GLENOHUMERAL ABDUCTION?

Deltoid

Serratus anterior

Subscapularis

Supraspinatus

Upper trapezius

A

Supraspinatus

38
Q

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

A

Subacromial bursa

39
Q

WHAT NERVE IS MOST AT RISK IN SHOULDER DISLOCATION INJURIES?

Axillary

Median

Musculocutaneous

Radial

Ulnar

A

Axillary

40
Q

WHAT IS THE ESTIMATED CONTRIBUTION (%) OF STATIC RESTRAINTS TO SHOULDER STABILITY?

10

20

30

40

50

A

20

41
Q

WHICH ARM MUSCLE HAS AN ATTACHMENT TO ANTEBRACHIAL DEEP FASCIA?

Biceps brachii

Corachobrachialis

Deltoid

Long head of triceps

Brachialis

A

Biceps brachii

42
Q

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

A

Multiaxial saddle

43
Q

WHAT IS THE NERVE SUPPLY TO THE MEDIAL HEAD OF TRICEPS?

Axillary nerve

Median nerve

Musculocutaneous nerve

Radial nerve

Ulnar nerve

A

Radial nerve

44
Q

WHAT MUSCLE FORMS THE MEDIAL BOUNDARY OF THE CUBITAL FOSSA?

Brachialis tendon

Biceps tendon

Brachioradialis

Corachobrachialis

Pronator Teres

A

Pronator Teres

45
Q

WHAT MUSCLE FORMS THE MEDIAL SIDE OF THE FLOOR OF THE CUBITAL FOSSA?

Bicipital Aponeurosis

Biceps tendon

Brachial Artery

Brachialis

Brachioradialis

A

Brachialis

46
Q

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

A

Flexion elbow / Supination forearm

47
Q

WHAT ARE THE MOST IMPORTANT STATIC STABILISERS CONTRIBUTING TO ELBOW JOINT STABILITY?

Anterior articular capsule

Brachialis musce

Collateral ligaments

Olecranon bursae

Triceps tendon

A

Collateral ligaments

48
Q

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

A

Supracondylar humerus

49
Q

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

A

Skin of lateral forearm

50
Q

WHAT INTRA-ARTICULAR STRUCTURES ARE TYPICALLY FOUND IN THE ELBOW JOINT?

Biceps tendon

Deep bursae

Fibrocartilagenous disc

Intra-capsular fat pads

Meniscal cartilage

A

Intra-capsular fat pads

51
Q

IN THE UPPER LIMB ON WHICH BONE WOULD YOU FIND THE CORONOID PROCESS?

Clavicle

Radius

Scaphoid

Scapula

Ulna

A

Ulna

52
Q

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

A

Uniaxial pivot joint

53
Q

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

A

Scaphoid, Lunate, Triquetral, Pisiform

54
Q

WHAT IS THE MUSCLE FIBRE MORPHOLOGY IN THE FLEXOR POLICIS LONGUS?

Bipennate

Fusiform

Multiform

Multipennate

Unipennate

A

Unipennate

55
Q

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

A

Medial epicondyle humerus

56
Q

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

A

Flexor digitorum profundus

57
Q

IN THE FOREARM THE COMMON INTEROSSEOUS ARTERY ARISES FROM WHICH BLOOD VESSEL?

Anterior interosseous artery

Brachial artery

Posterior interosseous artery

Radial artery

Ulnar artery

A

Ulnar artery

58
Q

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

A

Scaphoid, Trapezium, Hamate, Pisiform

59
Q

WHAT VEIN IS MAINLY USED IN ROUTINE VENEPUNCTURE FOR VENOUS BLOOD SAMPLING?

Basilic

Cephalic

Lateral cutaneous

Median cubital

Medial antecubital

A

Median cubital

60
Q

WHAT PURELY SENSORY NERVE HAS A DEEP COURSE THROUGH THE ANTEROLATERAL FOREARM?

Anterior interosseous

Lateral cutaneous

Medial cutaneous

Posterior interosseous

Superficial radial

A

Superficial radial

61
Q

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

A

Musculocutaneous nerve

62
Q

THE COMMON EXTENSOR ORIGIN IS LOCATED ON WHICH PART OF THE HUMERUS?

Capitulum

Coronoid fossa

Lateral epicondyle

Medial supracondylar ridge

Medial epicondyle

A

Lateral epicondyle

63
Q

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

A

Extensor indicis

64
Q

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

A

Radial nerve

65
Q

WHAT IS THE MOST IMPORTANT STATIC STABILISER OF THE DISTAL RADIOULNAR JOINT?

Annular ligament

Anterior articular capsule

Collateral ligaments

Interosseous membrane

Triangular fibrocartilage

A

Triangular fibrocartilage

66
Q

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

A

Abductor Policis Longus & Extensor Policis Brevis

67
Q

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

A

Brachioradialis & Extensor Carpi Radialis Longus

68
Q

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

A

Abduction of the fingers

69
Q

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

A

Supinator

70
Q

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

A

Flexor Carpi Ulnaris

71
Q

WHICH CARPAL BONES ARTICULATE WITH THE DISTAL RADIUS?

Lunate and Pisiform

Lunate and Scaphoid

Lunate and Trapezium

Scaphoid and Capitate

Scaphoid and Pisiform

A

Lunate and Scaphoid

72
Q

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

A

Extensor Carpi Radialis Brevis

73
Q

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

A

Abductor Pollicis Longus and Extensor Pollicis Brevis

74
Q

WHAT IS THE CLASSIFICATION OF THE RADIOCARPAL SYNOVIAL JOINT?

Ball and socket

Condyloid

Elipsoid

Hinge

Plane

A

Elipsoid

75
Q

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

A

C8 / T1

76
Q

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

A

Scaphoid and Lunate

77
Q

AN AVULSION OF THE MOST DISTAL EXTENSOR EXPANSION PRODUCES WHAT DEFORMITY?

Claw hand

Jersey finger

Mallet finger

Trigger finger

Skier’s thumb

A

Mallet finger

78
Q

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

A

Extensor Policis Longus & Extensor Policis Brevis

79
Q

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

A

Superficial branch of radial nerve

80
Q

WHAT IS THE USUAL UPPER LIMIT OF RADIAL DEVIATION (DEGREES) AT THE WRIST JOINT?

5

10

15

20

25

A

15