Example Questions From Lecture Flashcards

1
Q

Paresthesia over the shoulder and proximal arm and weakness of arm abduction may be indicative of injury to which of the following nerves?

A. Musculocutaneous

B. Radial

C. Axillary

D. Ulnar

E. Median

A

C. Axillary

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2
Q

Nerve supply to the latissimus dorsi is through which of the following nerves?

A. Lateral pectoral nerve

B. Medial pectoral nerve

C. Long thoracic nerve

D. Spinal accessory nerve

E. Throacodorsal nerve

A

E. Throacodorsal nerve

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3
Q

Which of the following muscles is not part of the rotator cuff?

A. Teres major

B. Subscapularis

C. Teres minor

D. Supraspinatus

E. Infraspinatus

A

A. Teres major

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4
Q

Which of the following serves as the insertion of the supraspinatus muscle?

A. Lesser tubercle

B. Inferior facet of the greater tubercle

C. Middle facet of greater tubercle

D. Superior facet of the greater tubercle

E. Crest of the lesser tubercle

A

D. Superior facet of the greater tubercle

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5
Q

Which of the following muscles is most important in rotating the greater tubercle from under the acromion during full arm elevation?

A. Teres minor

B. Infraspinatus

C. Supraspinatus

D. Subscapularis

E. Pectoralis minor

A

B. Infraspinatus

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6
Q

Which of the following muscles is necessary for the first few degrees of arm elevation?

A. Infraspinatus

B. Subscapularis

C. Teres major

D. Teres minor

E. Supraspinatus

A

E. supraspinatus

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7
Q

Which of the following nerves enters the forearm by passing between the two heads of the flexor carpi ulnaris?

A. Ulnar

B. Median

C. Radial

D. Musculocutaneous

E. Axillary

A

A. Ulnar

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8
Q

Which of the following nerves penetrates the coracobrachialis muscle?

A. Ulnar

B. Median

C. Radial

D. Musculocutaneous

E. Axillary

A

D. Musculocutaneous

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9
Q

Insertion of the extensor carpi radialis brevis is on the:

A. Base of the second metacarpal

B. Tubercle of the scaphoid

C. Base of the third metacarpal

D. Hamulus of the hamate

A

C. Base of the third metacarpal

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10
Q

Which of the following muscles of the anterior antebrachial compartment does not take its origin from the humerus?

A. Palmaris longus

B. Flexor digitorum profundus

C. Pronator teres

D. Flexor carpi radialis

E. Flexor carpi ulnaris

A

B. Flexor digitorum profundus

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11
Q

Identify the nerve indicated in the drawing of the region of the elbow.

A. Radial

B. Ulnar

C. Musculocutaneous

D. Median

A

B. Ulnar

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12
Q

Identify the muscle whose tendon passes through groove 13 as shown in the photograph of the distal end of the radius.

A. Abductor pollicis longus

B. Abductor pollicis brevis

C. Extensor carpi radialis longus

D. Extensor carpi radialis brevis

A

C. Extensor carpi radialis longus

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13
Q

Identify muscle in the drawing indicated by the number “1”.

A. Flexor digitorum profundus

B. Flexor digitorum superficialis

C. Extensor pollicis longus

D. Flexor carpi radialis longus

A

A. Flexor digitorum profundus

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14
Q

Which of the following statement(s) is true?

A. The radial nerve travels medial to the radial artery in the forearm.

B. The ulnar nerve accompanies the ulnar artery in the forearm.

C. The anterior ulnar recurrent artery anastomoses with the superior ulnar collateral.

D. The recurrent radial artery anastomoses with the ascending brachial artery.

A

B. The ulnar nerve accompanies the ulnar artery in the forearm.

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15
Q

Identify the tendon of the muslce indicated by the arrow.

A. Extensor pollicis brevis

B. Extensor pollicis longus

C. Abductor pollicis longus

D. Abductor pollicis brevis

A

B. Extensor pollicis longus

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16
Q

The boundaries of the anatomical snuff box include all of the following except:

A. Abductor pollicis brevis

B. Extensor pollicis longus

C. Extensor pollicis brevis

D. Abductor pollicis longus

A

A. Abductor pollicis brevis

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17
Q

The skin over the hypothenar eminence is supplied by which of the following nerves?

A. Superficial radial

B. Deep radial

C. Ulnar

D. Median

E. Posterior interosseous

A

C. Ulnar

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18
Q

Improper use of axillary crutches (crutch palsy) may damage which of the following nerves?

A. Radial

B. Axillary

C. Median

D. Ulnar

E. Musculocutaneous

A

B. Axillary

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19
Q

Which of the following muscles is primarily responsible for the prevention of “winging” of the scapula?

A. Pectoralis major

B. Pectoralis minor

C. Rhomboideus major

D. Serratus anterior

E. Serratus posterior superior

A

Serratus anterior

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20
Q

“Winging of the scapula” may be the result of injury to which of the following nerves?

A. Thoracodorsal

B. Axillary

C. Long thoracic

D. Thoracoacromial

E. Suprascapular

A

Long Thoracic

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21
Q

Which of the following arterial branches does NOT come off the third part (distal part) of the axillary artery?

A. Subscapular artery

B. Posterior circumflex humeral

C. Anterior circumflex humeral

D. Superior (supreme) thoracic artery

A

Superior (supreme) thoracic artery

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22
Q

The circumflex scapular artery is a branch of which of the following?

A. Thyrocervical trunk

B. Costocervical trunk

C. Thoracoacromial trunk

D. Subscapular artery

E. None of the above

A

Subscapular artery

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23
Q

Which of the following nerves supplies the anterior brachium?

A. Ulnar nerve

B. Median nerve

C. Radial nerve

D. Musculocutaneous nerve

E. Axillary nerve

A

Musculocutaneous

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24
Q

Which of the following muscles is a single-joint muscle and would not be involved in active/passive insufficiency?

A. Long head of the biceps

B. Short head of the biceps

C. Long head of the triceps

D. Flexor digitorum superficialis

E. Brachialis

A

Brachialis

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25
Q

Which of the following muscles attaches to the coracoid process?

A. Short head of the biceps brachii

B. Triceps lateralis

C. Pectoralis major

D. Long head of the biceps brachii

E. Subclavius

A

Short head of the biceps brachii

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26
Q

Structures that are both medial to the biceps tendon and deep to the bicipital aponeurosis include which of the following?

A. Brachial artery only

B. Median nerve only

C. Median cubital vein only

D. Both the brachial artery and the median nerve

A

Both the brachial artery and the median nerve

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27
Q

In the arm, the posterior ulnar recurrent artery forms an anatomostis with which of the following?

A. Superior radial collateral

B. Inferior radial collateral

C. Deep brachial

D. Superior ulnar collateral

E. Inferior ulnar collateral

A

D. Superior ulnar collateral

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28
Q

Which of the following muscles does not receive innervation from the median nerve?

A. Flexor carpi ulnaris

B. Palmaris longus

C. Pronator teres

D. Flexor carpi radialis

E. Flexor digitorum profundus

A

D. Flexor carpi ulnaris

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29
Q

Insertion of the extensor carpi radialis brevis is on the:

A. Base of the second metacarpal

B. Tubercle of the scaphoid

C. Base of the third metacarpal

D. Hamulus of the hamate

A

Base of the third metacarpal

30
Q

Which of the following muscles of the anterior antebrachial compartment does not take its origin from the humerus

A. Palmaris longus

B. Flexor digitorum profundus

C. Pronator teres

D. Flexor carpi radialis

E. Flexor carpi ulnaris

A

Flexor digitorum profundus

31
Q

Which of the following nerves innervate(s) the flexor digitorum profundus muscle?

A. Ulnar nerve

B. Median nerve

C. Both the ulnar and the median nerve

D. Neither the ulnar nerve of the median nerve

A

Both the ulnar nerve and median nerve

32
Q

The anterior interosseous nerve is a branch of which of the following?

A. Ulnar nerve

B. Radial nerve

C. Median nerve

D. Posterior cord

A

C. Median Nerve

33
Q

The common interosseous artery is a branch off which of the following arteries?

A. Brachial

B. Ulnar

C. Radial

D. Radial recurrent

E. Anterior interosseous

A

B. Ulnar

34
Q

A cubitus varas deformity results in a(n) ____ in the normal carrying angle (5 degrees) and may be caused by a stretching of the _____ collateral ligament.

A. Decrease, medial

B. Decrease, lateral

C. Increase, medial

D. Increase, lateral

A

B. Decrease, lateral

35
Q

Which of the following nerves passes around the medial epicondyle of the humerus?

A. Ulnar

B. Median

C. Radial

D. Musculocutaneous

E. Axillary

A

A. Ulnar

36
Q

Which of the following nerves wraps around the neck of the radius?

A. Ulnar

B. Median

C. Radial

D. Musculocutaenous

E. Axillary

A

Radial

37
Q

Which of the following statement(s) is true?

A. The radial nerve travels medial to the radial artery in the forearm

B. The ulnar nerve accompanies the ulnar artery in the forearm.

C. The anterior ulnar recurrent artery anastomoses with the superior ulnar collateral.

D. the recurrent radial artery anastomoses with the ascending deep brachial artery.

A

The ulnar nerve accompanies the ulnar artery in the forearm.

38
Q

The radial artery in the “anatomical snuff box” may be injured when which of the following bones in fractured?

A. Lunate

B. Scaphoid

C. Capitate

D. Hamate

E. Triquetral

A

Scaphoid

39
Q

The boundaries of the anatomical snuff box include all of the following except:

A. Abductor pollicis brevis

B. Extensor pollicis longus

C. Extensor pollicis brevis

D. Abductor pollicis longus

A

A. Abductor pollicis brevis

40
Q

The skin over the hypothenar eminence is supplied by which of the following nerves?

A. Superficial radial

B. Deep radial

C. Ulnar

D. Median

E. Posterior interosseous

A

C. Ulnar

41
Q

The skin on the lateral dorsal half of the hand, proximal to the digits is supplied by which of the following nerves?

A. Superficial radial

B. Deep radial

C. Ulnar

D. Median

E. Posterior interosseous

A

Superficial radial

42
Q

Which of the following structures passes through Guyon’s canal?

A. Median nerve only

B. Radial artery only

C. Ulnar nerve only

D. Ulnar artery only

E. Both the ulnar nerve and artery

A

E. Both the ulnar nerve and artery

43
Q

Which of the following nerves innervate(s) the adductor pollicis muscle?

A. Ulnar nerve only

B. Median nerve only

C. Both the ulnar nerve and te median nerve

D. Neither the ulnar nerve or the median nerve.

A

Ulnar nerve only

44
Q

Which of the following nerves innervate(s) the dorsal interosseous muscles?

A. Ulnar nerve only

B. Median nerve only

C. Both the ulnar nerve and the median nerve

D. Neither the ulnar nerve or the median nerve

A

Ulnar nerve only

45
Q

Laceration of the recurrent branch of the median nerve will paralyze which of the following muscles of the thumb?

A. Flexor pollicis brevis

B. Abductor pollicis longus

C. Abductor pollicis brevis

D. Extensor pollicis brevis

E. Extensor pollicis longus

A

Flexor pollicis brevis

46
Q

Following injury to a nerve at the wrist, the thumb is laterally rotated and adducted. The hand has a flattened appearance and is “ape-like.” Which of the following nerves is damaged?

A. Ulnar

B. Axillary

C. Radial

D. Median

A

D. Median

47
Q

Which of the following statements is/are correct concerning the dorsal interossei?

A. They are innervated by the ulnar nerve

B. They are adductors of digits 2, 3, and 4

C. They are unipennate

D. The middle finger (Digit 3) is not supplied by these muscles.

A

A. They are innervated by the ulnar nerve

48
Q

An inability to oppose the thumb to the little finger can result from damage to which of the following nerves?

A. Ulnar nerve

B. Anterior interosseous nerve

C. Deep radial nerve

D. Musculocutaneous nerve

E. Median nerve

A

Median nerve

49
Q

Which of the following nerves innervate(s) the lumbrical muscles?

A. Ulnar nerve

B. Median nerve

C. Both the ulnar nerve and the median nerve

D. Neither the ulnar nerve or the median nerve

A

Both the ulnar nerve of the median nerve

50
Q

A 57 year old female patient presents with tenderness and swelling in the infralateral quadrant of her right breast. Upon examination, her clinician notices enlarged lymph nodes in the patient’s right axilla. What is the main pathway of lymphatic drainage for the breast?

A. Most lymph from the breast drains to pectoral and the axillary lymph nodes.

B. Most lymph from the breast drains to pectoral and then parasternal lymph nodes.

C. Most lymph from the breast drain to parasternal and then abdominal lymph nodes.

A

Most lymph from the breast drains to pectoral and then axillary lymph nodes.

51
Q

A patient arrives at the emergency department of a large hospital with a kitchen knife protruding from his left anterior shoulder, just above his armpit. What artery is likely lacerated?

A. Subclavian artery

B. Axillary artery

C. Brachial artery

D. Cephalic artery

A

B. Axillary artery

52
Q

A patient arrives at the emergency department of a large hospital with a kitchen knife protruding from her left anterior shoulder, just above her armpit. The responding clinicians determine the laceration is in the third part of the patient’s axillary artery, just proximal to its large tributary, the subscapular artery. Although this injury potentially threatens the patient’s blood supply to her upper extremity, the clinicians are not overly concerned because collateral blood supply to the rest of the upper limb is possible via what anatomosis?

A. Cubital

B. Brachial

C. Axillary

D. Scapular

A

D. Scapular

53
Q

Which of the following statement(s) concerning the anatomy of a typical rib is correct?

A. The sternal end of each rib lies at a higher level than the vertebral ends.

B. The tubercle of a typical rib articulates with the transverse process of the vertebra with the same number.

C. Ribs 1-7 are referred to as vertebrocondral ribs.

D. The costal groove contains from superior to inferior: nerve, artery, vein.

E. The head of a typical rib articulates with the demifacets of its own number vertebra and the vertebra below.

A

The tubercle f a typical rib articulates with the transverse process of the vertebra with the same number.

54
Q

The proximal attachment of the serratus anterior muscle is the external surfaces of the lateral parts of ribs 1-9. The distal attachment is the anterior surface of the medial border of the scapula. Damage to the nerve that supplies this muscle results in “winging” of the scapula. Which of the following innervates the serratus anterior muscle?

A. Long thoracic nerve

B. lateral pectoral nerve

C. Median pectoral nerve

D. Intercostal nerves 1-9

A

Long thoracic nerve

55
Q

Which of the following structures would be penetrated first by a needle passing through the anterior chest wall just to the left of the sternum?

A. External intercostal muscle

B. Internal intercostal muscle

C. Transverse thoracic muscle

D. Long thoracic nerve

A

B. Internal intercostal muscle

56
Q

Mammary glands would NOT receive blood from which of the following arteries?

A. Internal thoracic

B. Nearby intercostal arteries

C. Thoracoacromial artery

D. Lateral thoracic artery

A

Thoracoacromial artery

57
Q

Which of the following inserts onto the tubercle of the first rib between the shallow groove for the subclavian artery and vein?

A. Middle scalene

B. Anterior scalene

C. Posterior scalene

D. Sternocleidomastoid

A

Anterior scalene

58
Q

The true intrinsic muscles of the back are innervate by dorsal (posterior) rami and are divided into three groups. Which of the following groups of true intrinsic back muscles includes the splenius capitis and splenius cervicus?

A. Spinotransversalis

B. Sacrospinalis

C. Erector spinae

D. Transversospinalis

A

Spinotransversalis

59
Q

The thoracolumbar fascia is a triangular-shaped sheet of tough connective tissue covering the lower back. It is the partial site of origin of the latissimus dorsi and abdominal oblique muscles. This fascia can be divided into three layer or laminae. Which of the laminae attaches to the lumbar spinous processes?

A. Posterior

B. Middle

C. Anterior

D. All three layers attach to the lumbar spinous process

A

Posterior

60
Q

Which of the following muscle groups is part of the intrinsic musculature of the back?

A. Trapezius

B. Erector spinae group

C. Latissimus

D. Serratus posterior group

A

Erector spinae group

61
Q

Which of the following muscle groups is lateral to the others listed below?

A. Longissimus group

B. Interspinales

C. Spinalis groups

D. Transversospinalis group

E. Iliocostalis group

A

Iliocostalis group

62
Q

Identify the muscle indicated by the arrow.

A. Latissimus dorsi

B. Trapezius

C. Rhomboid major

D. rhomboid minor

A

Trapezius

63
Q

Identify muscle shown in red.

A. Supraspinatus

B. Subscapularis

C. Teres minor

D. Teres major

A

Teres minor

64
Q

Identify nerve indicated in the drawing of the region of the elbow.

A. Radial

B. Ulnar

C. Musculocutaneous

D. Median

A

ulnar

65
Q

Identify tendon of muscle indicated by arrow.

A. Extensor pollicis brevis

B. extensor pollicis longus

C. Abductor pollicis longus

D. Abductor pollicis brevis

A

Extensor pollicis longus

66
Q

Identify muscle whose tendon passes through groove 13 as shown in the photograph of the distal end of the radius.

a. abductor pollicis longus
b. Extensor pollicis brevis
c. Extensor carpi radialis longus
d. Extensor carpi radialis brevis

A

Extensor carpi radialis longus

67
Q

Identify the nerve that provides cutaneous innervation on to the skin on the posterior surface of the upper extremity as shown in the diagram.

A. Median nerve

B. Radial nerve

C. Ulnar nerve

D. Musculocutaneous nerve

A

Radial nerve

68
Q

Identify muscles indicated by the number 1-3.

A. Dorsal interossei

B. Palmar interossei

C. Lumbricals

D. Flexor digitorum breves

A

Palmar interossei

69
Q

You are working away in the anatomy lab one afternoon, completing a dissection assignment for the upper limb. You reflect the pectoralis major muscle and notice two distinct nerve branches. One of the nerve branches is positioned superior and medial, emerging just above the superior edge of the muscle just deep to the pectoralis major, which you think is pectoralis minor. The other branch is positioned inferior and lateral, and pierces what you think may be the pectoralis minor muscle. What is the name of the nerve that is apparently piercing pectoralis minor?

a. Long thoracic nerve
b. Medial pectoral nerve
c. Lateral pectoral nerve
d. Parasternal nerve
e. Supreme thoracic nerve

A

Medial pectoral nerve

70
Q

Which of the following statements is correct concerning the lumbricals?

A. They are all innervate dad by the median nerve.

B. They are extensor of the MP joints and IP joints of digits 2-5.

C. They insert on the ulnar side of the extensor expansion of their respective digit.

D. Each arises from the radial side of a deep flexor tendon.

A

D. Each arises from the radial side of a deep flexor tendon.