Cervical Spine & Shoulder Joint Flashcards

1
Q

Which muscles are supplied by the musculocutaneous nerve?

A

BBC

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2
Q

what is the nerve root level of the musculocutaneous nerve?

A

C5,6,7

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3
Q

What is the nerve root level of the brachial plexus?

A

C4, C5 to T1

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4
Q

The spinal cord enlarges at what level? Why?

A

C4 to T1

Due to the formation of the brachial plexus

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5
Q

Brachial artery is a continuation of which artery?

A

Axillary

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6
Q

Which roots form the Ulnar nerve?

A

C7,8,T1

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7
Q

Radial nerve supplies which muscle?

  1. Biceps brachii
  2. Triceps
  3. Flexor carpi ulnaris
  4. Flexor carpi radialis
A
  1. Triceps
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8
Q

Which cords form the median nerve?

A

Lateral and medial

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9
Q

which bones does the brachial plexus pass between

A

clavicle and first rib

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10
Q

Which muscles can compress the branchial plexus?

A

Anterior/Posterior fibers of the scalene,
Pectoralis minor
Subscapularis

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11
Q

What ligament stabilizes the long head of the biceps in the bicipital groove?

A

Transverse humeral ligament

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12
Q

Which ligament of the shoulder prevents superior subluxation of the humeral head?

A

Coracoacromial ligament

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13
Q

Which ligament prevents anterior displacement of the humeral head?

A

Glenohumeral ligaments

specifically inferior fibres

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14
Q

Which ligament converts the suprascapular notch into a foreman?

A

Superior transverse scapular ligament

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15
Q

Which nerve passes through the supra scapular notch?

A

Suprascapular nerve

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16
Q

Which muscles are innervated by the Suprascapular nerve ? level

A

Supraspinatus, infraspinatus

C5,6

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17
Q

What is a myotome?

A

A group of muscles innervated by a specific nerve root

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18
Q

What is a dermatome?

A

A specific area of skin, innervated by a specific nerve root

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19
Q

What is a radiculopathy?

A

Radiculopathy describes a range of symptoms produced by the pinching of a nerve root in the spinal column.

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20
Q

Which nerve supplies sensation to the face?

A

Trigeminal nerve

Cranial nerve 5

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21
Q

On the palmer surface of the hand, which nerve root level supplies .
A. The thumb
B. Index, middle, lateral half of the ring finger
C. pinky and the medial half of the index finger

A

A. C6
B.C7
C.C8

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22
Q

What is the nerve root level of the axillary nerve?

A

C5,6

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23
Q

Which muscles are innervated by the axillary nerve?

A

Deltoid, teres minor

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24
Q

Which nerve innervates the latissimus dorsi?

A

Thoracodorsal nerve, C6,7,8

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25
Q

Which nerve innervates the 2 medial lumbricles?

A

Ulnar nerve

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26
Q

Which nerve innervates the 2 lateral lumbricles?

A

median nerve

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27
Q

What is the nerve root level of the median nerve?

A

C5 to T1

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28
Q

Which bones can compress the brachial plexus?

A

Inspirated first rib

Cervical rib

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29
Q

How many structures pass through the carpal tunnel?

Name them

A
10
1 median nerve
4 flexor digitorum profundus 
4 flexor digitorum superficialis 
1 flexor pollicus longus
30
Q

The ulnar nerve passes through which tunnel?

Which bones contribute towards its formation?

A

Tunnel of guyon

Pisiform and hamate

31
Q

Which 4 bones form the concave boundary of the carpal tunnel?

A

Hamate, capitate, trapazoid, trapezium

32
Q

The transverse carpal ligament attaches to which 4 bones?

A

Trapezium, scaphoid, pisiform, hamate

33
Q

Which ligament encloses and surround the head of the radius?

A

Annular ligament

34
Q

Which ligament of the elbow joint restricts a valgus stress?

A

Medial ulnar collateral ligament

35
Q

The medial collateral ligament of the elbow joint contains three bands. Describe the attachments of each branch.

A

Anterior branch
Medial epicondyle of the humerus to the coronoid process of the ulnar (sublime tubercle)
Posterior branch
Medial epicondyle of the humerus to the olecrannon process of the ulnar
Inferior bands
Joints the anterior and posterior fibres together

36
Q

Which ligament of the elbow resists varus stress of the elbow joint?

A

lateral collateral ligament

37
Q

The lateral collateral ligament of the elbow attaches from the lateral epicondyle of the humerus to?

A

Annular ligament

38
Q

Which bursa of the elbow is situated underneath the ticeps tendon?

A

Subtendinous bursa

39
Q

Which bursa of the elbow is situated anterior the ticeps tendon?

A

Olecrannon bursa

40
Q

What is a double crush injury?

A

Compression at 2 or more locations

41
Q

Which bursa is situated underneath the scapula?

A

Subscapular bursa

42
Q

In the cervical spine which nerves exit ABOVE the level of the corresponding vertebrae?

A

C1 to C7

43
Q

In the cervical spine which nerves exit BELOW the level of the corresponding vertebrae?

A

C8

44
Q

Which nerve is situated between C7/T1

A

C8, ulnar nerve

45
Q

Which condition can compress the cervical disc space?

A

foramina stenosis

46
Q

If you have a disc condition between C5 and C6 which nerve root would be affected?

A

C6

47
Q

If you have a disc condition between C7 and T1 which nerve root would be affected?

A

C8

48
Q

If you have a disc condition between C2 and C3 which nerve root would be affected?

A

C3

49
Q

Which spinal nerves form the basis of the cervical plexus?

A

C1 to C4

50
Q

At each spinal level, paired spinal nerves leave the spinal cord via what?

A

Intervertebral foramina

51
Q

Which nerve innervates the diaphragm? Level

A

Phrenic nerve

C3,4,5

52
Q

The brachial plexus is composed of an upper, a middle and a lower trunk. Which single nerve root makes up the middle trunk?

A

c7

53
Q

The brachial plexus is composed of an upper, a middle and a lower trunk. Which nerve roots makes up the upper trunk?

A

C5,6

54
Q

The brachial plexus is composed of an upper, a middle and a lower trunk. Which nerve roots makes up the lower trunk?

A

C8,T1

55
Q

How does the brachial plexus divide?

A
5 Roots 
3 Trunks
6 Divisions
3 Cords
5 branches
56
Q

The median nerve is formed of branches from which cords?

A

Lateral & medial cord

57
Q

What does the posterior cord of the brachial plexus branch in to?

A

Axillary

Radial nerve

58
Q

Name the thenar eminence muscles (L.O.A.F)?

A

Lateral two lumbrical
Abductor pollicis brevis
Flexor pollicis brevis
Oppenens pollicis

59
Q

At which point can the ulnar nerve be palpated, and is consequently vulnerable to damage?

A

Cubital fossa

60
Q

Your patient has recently dislocated their shoulder and now describes a numbness in what we refer to as the ‘regimental badge’ area of the arm. Which cutaneous nerve is likely to have sustained damage?

A

Superior Lateral Cutaneous Nerve

61
Q

Winging of the scapula may be due to a neurological deficit of which nerve? Level?

A

Long Thoracic Nerve of Bell

C5,6,7

62
Q

Which nerve supplies sensation to the medial forearm?

A

Medial antibrachial cutaneous nerve

63
Q

Which muscles stabilizes the scapula against the thorax?

A

serratus anterior

64
Q

What structure passes through the transverse foramen of the cervical vertebra?

A

Vertebral artery

65
Q

What is the correct medical term for facet joints?

A

Zygoapohyseal joints

66
Q

Which nerve innervates the Levator scapulae? Level?

A

Dorsal scapular nerve C5

Cervical plexus C3,4

67
Q

Which artery supplies the head of the humerus?

A

Circumflex artery

68
Q

The circumflex artery is a branch of which artery?

A

Axillary artery

69
Q

Which artery suppleis the pec major/minor?

A

Lateral thoracic artery

70
Q

The Lateral thoracic artery is a branch of which artery?

A

Axillary

71
Q

The Lateral thoracic artery supplies which muscles? Nodes?

A

Lymphatic nodes
Pec Major/minor
Serratus anterior
Subscapularis