Exam 1 Flashcards

1
Q

Which muscle(s) control: Abduction of the Thumb

A

Abductor pollicis longus

Abductor pollicis brevis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which muscle(s) control: Adduction of the Thumb

A

Adductor pollicis

1st Dorsal interosseous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which muscle(s) control: Extension of the Thumb

A

Extensor pollicis longus
Extensor pollicis brevis
Abductor pollicis longus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which muscle(s) control: Flexion of the Thumb

A

Flexor pollicis longus

Flexor pollicis brevis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which muscle(s) control: Opposition of the Thumb

A

Opponens pollicis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which muscle(s) control: Abduction of the Shoulder

A

Supraspinatus

Deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which muscle(s) control: Lateral Rotation of the Shoulder

A

Infraspinatus
Teres Minor
Deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which muscle(s) control: Flexion of the Shoulder

A

Deltoid
Pectoralis Major (Clavicular head)
Coracobrachialis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which muscle(s) control: Medial Rotation of the Shoulder

A
Deltoid
Pectoralis Major (Clavicular head)
Subscapularis
Teres Major
Latissimus dorsi
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which muscle(s) control: Extension of the Shoulder

A

Deltoid
Teres Major
Latissimus dorsi
Triceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which muscle(s) control: Adduction of the Shoulder

A

Pectoralis Major
Teres Major
Latissimus dorsi
Triceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which muscle(s) control: Flexion of the Elbow

A
Biceps
Brachialis
Brachioradialis
Extensor carpi radialis longus
Extensor carpi radialis brevis
Pronator Teres
Flexor Carpi Radialis
Palmaris longus
Flexor Carpi Ulnaris
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which muscle(s) control: Extension of the Elbow

A

Triceps

Anconeus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which muscle(s) control: Supination of the Forearm

A

Biceps
Brachioradialis
Supinator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which muscle(s) control: Pronation of the Forearm

A

Brachioradialis
Pronator Teres
Flexor Carpi Radialis
Pronator Quadratus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which muscle(s) control: Extension of the Wrist

A
Extensor Carpi Ulnaris
Extensor Digitorum
Extensor Carpi Radialis Brevis
Extensor Carpi Radialis Longus
Extensor Pollicis Longus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which muscle(s) control: Flexion of the Wrist

A
Flexor Carpi Radialis
Palmaris Longus
Flexor Digitorum Superficialis
Flexor Carpi Ulnaris
Flexor Digitorum Profundus
Flexor Pollicis Longus
Abductor Pollicis Longus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which muscle(s) control: Radial Deviation of the Wrist

A
Extensor Carpi Radialis Longus
Extensor Carpi Radialis Brevis
Flexor Carpi Radialis
Extensor Digitorum
Abductor Pollicis Longus
Extensor Pollicis Brevis
Extensor Pollicis Longus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which muscle(s) control: Ulnar Deviation of the Wrist

A

Extensor Carpi Ulnaris

Flexor Carpi Ulnaris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What nerve(s) control: Abduction of the Shoulder

A

Suprascapular nerve

Axillary nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What nerve(s) control: Lateral rotation of the Shoulder

A

Suprascapular nerve

Axillary nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What nerve(s) control: Flexion of the Shoulder

A

Axillary nerve

Musculocutaneous nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What nerve(s) control: Medial rotation of the Shoulder

A
Axillary nerve
Lateral Pectoral nerve
Upper Subscapular nerve
Lower Subscapular nerve
Thoracodorsal nerve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What nerve(s) control: Extension of the Shoulder

A

Axillary nerve
Lower Subscapular nerve
Thoracodorsal nerve
Radial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What nerve(s) control: Adduction of the Shoulder

A
Lateral Pectoral nerve
Lower Subscapular nerve
Thoracodorsal nerve
Medial Pectoral nerve
Radial nerve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What nerve(s) control: Flexion of the Elbow

A

Musculocutaneous nerve
Radial nerve
Median nerve
Ulnar nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What nerve(s) control: Extension of the Elbow

A

Radial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What nerve(s) control: Supination of the Elbow

A

Musculocutaneous nerve

Deep Radial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What nerve(s) control: Pronation of the Elbow

A

Radial nerve

Median nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What nerve(s) control: Extension of the Wrist

A

Radial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What nerve(s) control: Flexion of the Wrist

A

Median nerve

Radial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What nerve(s) control: Radial Deviation of the Wrist

A

Radial nerve

Median nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What nerve(s) control: Ulnar Deviation of the Wrist

A

Radial nerve

Ulnar nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What is Dupuytren’s Contracture?

A

When the Palmar Aponeurosis becomes fibrotic and shortens causing flexion at the Metacarpophalangeal (MP) and Proximal Interphalangeal (PIP) joints

Must be surgically repaired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What results from a Medial Epicondyle fracture?

A

Weakness of wrist adduction (ulnar deviation) and

Paresthesia of the median part of the dorsum of the hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What would be the deficit if the nerve passing through the quadrangular space of the scapula was damaged?

A

Damage to Axillary nerve

-Inability to abduct the arm to 90 degrees

37
Q

What would be the deficit if the nerve passing through the suprascapular notch was damaged?

A

Damage to Suprascapular nerve

-Inability to initiate abduction of the arm to 15 degrees

38
Q

What would be the deficit if the Cranial Nerve XI was injured?

A

Inability to abduct the arm above 90 degrees

39
Q

A patient injured their rotator cuff. The patient is struggling to rotate the arm medially and pull the arm against their body . Which of the following muscles has been injured?

A

Subscapularis muscle

-Adducts and medially rotates the humerus

40
Q

A woman landed on her right shoulder, causing a forceful lateral extension of her head and neck. At this point, she is unable to abduct, laterally rotate, and flex the shoulder. Which injury is the most likely cause of these deficits?

A

An excessive increase in the angle between the neck and shoulder can cause an avulsion of the upper brachial plexus roots C5 and C6 (Erb’s Palsy)

  • Can occur while delivering a baby
  • Presents with a “waiter’s tip” hand
41
Q

A soldier received shrapnel wounds to his lateral right chest wall. His right scapula moves away from his chest wall when he leans on his arm. Which of the following nerves was most likely injured?

A

The long thoracic nerve innervates the serratus anterior which holds the scapula against the thoracic cage

42
Q

A loose arrow pierces a patient in their left quadrangular space. Which of the following structures is most likely damaged by the arrow?

A

The posterior circumflex humeral artery and the axillary artery run in the quadrangular space

43
Q

Following a knife wound to the neck, you notice that the medial border of a patient’s left scapula is located further from the midline than that of his right scapula. The nerve most likely injured by the wound is the:

A

Dorsal scapular nerve

44
Q

A patient falls and hyperabducts their arm when grabbing a tree limb to stop their fall. Which area is most likely to have lost sensation because of the violent abduction of the arm?

A

Median and Ulnar nerves

-C8 and T1 are injured during hyperabductions which comprise these nerve

45
Q

A patient has difficulty lifting his arm up to his shoulder and extending his elbow and wrist. What nervous structure is most likely injured?

A

The posterior cord as it includes both the radial nerve and axillary nerve.

46
Q

A patient is having difficulty combing his hair 3 months after fracturing his humerus at the surgical neck. He has difficulties abducting and laterally rotating his right arm. Which of the following nerves was most likely damaged in the initial injury?

A

Axillary nerve because it runs along the surgical neck of the Humerus

47
Q

Upon clinical examination, a patient demonstrated an inability to flex the distal interphalangeal joint of the index finger. In addition, the patient was unable to flex the distal phalanx of the thumb and had no loss of sensation. What is the most likely injury?

A

Anterior Interosseous nerve

48
Q

Radiographic examination reveals a fracture of the radius while an MRI study reveals a hematoma between the fractured radius and supinator muscle. The patient has weakened abduction of the thumb and extension of the metacarpophalangeal joints of the fingers. Which of the following nerves is most likely affected?

A

The posterior interosseous nerve is responsible for innervation of the extensor compartment of the posterior forearm, including extension of the metacarpophalangeal joints

49
Q

Millions of times a day in the healthcare system people have their pulse taken by a medical professional. The vessel most used is the radial artery. When landmarking the vessel it can be palpated because of its superficial location just lateral to which tendon?

A

The flexor carpi radialis tendon

-Just medial to the radial artery prior to crossing posteriorly in the anatomical snuff box

50
Q

A patient sustained a penetrating wound in his axilla. He is able to extend his elbow and pronate his forearm normally, but his elbow flexion and forearm supination are greatly weakened. Which nerve was most likely damaged?

A

Musculocutaneous nerve
-The weakness of the supination is from the loss of the biceps and the inability of elbow flexion is a result of brachialis and biceps loss

51
Q

A young man suffered a deep cut to the anteromedial aspect of the forearm just proximal to the wrist. He can grip a sheet of paper between index finger and thumb but not between any other adjacent fingers. Which nerve has been damaged?

A

The ulnar nerve innervates the interosseous muscles of the hand which help adduct and abduct the fingers

52
Q

A patient has developed increased pressure in the anterior compartment of the forearm. He is unable to flex the interphalangeal joint of the thumb and the distal interphalangeal joints of digits 2 and 3. He also has weakness in pronating his forearm/hand. What nerve has been compromised?

A

When the anterior interosseous nerve is injured, paresis of the flexor digitorum profundus and flexor pollicis longus occurs

53
Q

A patient with carpal tunnel syndrome underwent an endoscopic nerve release to relieve the numbness and tingling in the left hand. Two weeks postoperatively the patient complained of a profound weakness in the thumb, with loss of thumb opposition. The sensation to the hand, however, was unaffected. Which of the following nerves was injured during the operation?

A

The recurrent branch of the median nerve innervates the thenar muscles (opponens pollicis, abductor pollicis brevis, and flexor pollicis brevis) and is not responsible for any cutaneous innervation.

54
Q

Which type of nerve fibers are being activated to cause increase in salivation?

A

General visceral efferent

55
Q

The right lymphatic duct would drain lymph from all of the following EXCEPT:

A

Right lower limb

  • The right lymphatic duct only drains the right half of the head, neck, chest and upper limb
  • The thoracic duct drains the respective left sides as well as the entire abdomen, pelvis and both lower limbs.
56
Q

What nerve innervates sensation in the lateral arm, posterior arm, posterior forearm, and dorsum of the hand (excluding fingertips)?

A

Radial nerve

57
Q

What nerve innervates sensation in the lateral forearm?

A

Musculocutaneous nerve

58
Q

What nerve innervates sensation in the palm of the hand (up until digit 4)?

A

Median nerve

59
Q

What nerve innervates sensation in half of digit 4 and all of digit 5 (palmar and dorsal side)?

A

Ulnar nerve

60
Q

What nerve innervates sensation in the medial arm?

A

Medial brachial cutaneous nerve

61
Q

What nerve innervates sensation in the medial forearm?

A

Medial Cutaneous Antebrachial nerve

62
Q

What nerve(s) arises from the Roots of the brachial plexus?

A

Dorsal scapular nerve

Long Thoracic nerve

63
Q

What nerve(s) arises from the Superior Trunk of the brachial plexus?

A

Suprascapular nerve

Subclavian nerve

64
Q

What nerve(s) arises from the Lateral Cord of the brachial plexus?

A

Lateral Pectoral nerve

Musculocutaneous nerve

65
Q

What nerve(s) arises from the Medial Cord of the brachial plexus?

A

Medial Pectoral nerve
Medial Cutaneous Brachial nerve
Medial Cutaneous Antebrachial nerve
Ulnar nerve

66
Q

What nerve(s) arises from the Medial and Lateral Cords of the brachial plexus?

A

Median nerve

67
Q

What nerve(s) arises from the Posterior Cord of the brachial plexus?

A
Upper Subscapular nerve
Lower Subscapular nerve
Thoracodorsal nerve
Axillary nerve
Radial nerve
68
Q

A patient suffered a midshaft humeral fracture after falling from a scaffold. Which of the following muscle tests would you perform to test the integrity of the radial nerve?

A

A midshift humeral fracture likely affects the radial groove containing the profunda brachii and the radial nerve
-The radial nerve is responsible for forearm extension, wrist extention and digit extension.

69
Q

A woman sustains a traumatic injury to the axilla that severely damages the thoracodorsal nerve. Which of the following arm movements is most likely affected in this patient?

A

The Latissimus Dorsi

-The actions of this muscle include extension, adduction, and medial rotation of the humerus at the shoulder

70
Q

Which muscle(s) are innervated by the Dorsal Scapular nerve?

A

Levator Scapulae
Rhomboid Minor
Rhomboid Major

71
Q

Which muscle(s) are innervated by the Long Thoracic nerve?

A

Serratus Anterior

72
Q

Which muscle(s) are innervated by the Suprascapular nerve?

A

Supraspinatus

Infraspinatus

73
Q

Which muscle(s) are innervated by the Subclavian nerve?

A

Subclavius

74
Q

Which muscle(s) are innervated by the Lateral Pectoral nerve?

A

Pectoralis Major

75
Q

Which muscle(s) are innervated by the Musculocutaneous nerve?

A

Biceps
Brachialis
Coracobrachialis

76
Q

Which muscle(s) are innervated by the Medial Pectoral nerve?

A

Pectoralis Major

Pectoralis Minor

77
Q

Which muscle(s) are innervated by the Ulnar nerve?

A

Flexor Carpi Ulnaris

Flexor Digitorum Profundus (medial aspect)

78
Q

Which muscle(s) are innervated by the Deep Ulnar nerve?

A
Adductor Pollicis
Abductor Digiti Minimi
Flexor Digiti Minimi Brevis
Opponens Digiti Minimi
Lumbricals 3 and 4
Dorsal Interossei
Palmar Interossei
79
Q

Which muscle(s) are innervated by the Median nerve?

A

Pronator Teres
Flexor Carpi Radialis
Palmaris Longus
Flexor Digitorum Superficialis

80
Q

Which muscle(s) are innervated by the Anterior Interosseous nerve?

A

Flexor Digitorum Profundus (lateral aspect)
Flexor Pollicis Longus
Pronator Quadratus

81
Q

Which muscle(s) are innervated by the Recurrent Branch of the Median nerve?

A

Abductor Pollicis Brevis
Flexor Pollicis Brevis
Opponens Pollicis

82
Q

Which muscle(s) are innervated by the Upper Subscapular nerve?

A

Subscapularis

83
Q

Which muscle(s) are innervated by the Thoracodorsal nerve?

A

Latissimus Dorsi

84
Q

Which muscle(s) are innervated by the Lower Subscapular nerve?

A

Subscapularis

Teres Major

85
Q

Which muscle(s) are innervated by the Axillary nerve?

A

Deltoid

Teres Minor

86
Q

Which muscle(s) are innervated by the Radial nerve?

A

Triceps
Anconeus
Brachioradialis
Extensor Carpi Radialis Longus

87
Q

Which muscle(s) are innervated by the Deep Radial nerve?

A

Extensor Carpi Radialis Brevis

Supinator

88
Q

Which muscle(s) are innervated by the Posterior Interosseous nerve?

A
Extensor Carpi Ulnaris
Extensor Digiti Minimi
Extensor Digitorum
Abductor Pollicis Longus
Extensor Pollicis Brevis
Extensor Pollicis Longus
Extensor Indicis