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UE 2 Flashcards

1
Q

Where can you palpate the brachial artery in the
cubital fossa?

a. Immediately medial to the Brachialis
b. Immediately lateral o the medial
epicondyle
c. Medial to the Biceps tendon
d. The brachial artery cannot be palpated

A

c. Medial to the Biceps tendon

Code (Lat - Med): Be Right There Always My PT

Brachioradialis
Radial nerve
Biceps Tendon
Brachial artery
Median nerve
Pronator Teres

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2
Q

To best observe and palpate the brachioradialis muscle, resistance should be given to:

a. 90 degrees of elbow flexion, forearm
supinated
b. 90 degrees of elbow flexion, forearm in
midposition
c. 90 degrees of elbow flexion, forearm
pronated
d. Any of these

A

b. 90 degrees of elbow flexion, forearm in
midposition

A: Biceps brachii
C: Brachialis

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3
Q

Trigger finger is said to be a mechanical locking of what pulley?

A. A1
b. A3
c. A2
d. A4

A

A. A1

Code: tr1gger

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4
Q

True regarding the pisiform bone:

a. Forms the guyon’s canal in which radial
nerve passes
b. Last to ossify among the carpal bones
c. Connected to the distal carpal row via the
pisocapitate ligament
d. A and E
e. NOTA

A

b. Last to ossify among the carpal bones

C:Pisohamate dapat

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5
Q

A therapist reviews the surface anatomy of the hand in preparation for a patient status post wrist arthrodesis. Which bony structure does not articulate with the lunate?

a Trapezium
b. Radius
c. Capitate
d. Scaphoid

A

a Trapezium

Code: Ziumama sa thumb

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6
Q

A therapist instructs a patient to make a fist. The patient can make a fist but is unable to flex the distal phalanx of the ring finger. This clinical finding can BEST be explained by:

a. A ruptured flexor carpi radialis tendon
b. A ruptured flexor digitorum superficialis
tendon
c. A ruptured flexor digitorum profundus
tendon
d. A ruptured extensor digitorum communis

A

c. A ruptured flexor digitorum profundus

It flexes DIP

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7
Q

The tendon of this muscle is primarily involved in lateral epicondylitis:

a. ECRL
b. EDC
c. Supinator
d. ECRB

A

d. ECRB

A: Originates at the lateral supracondylar ridge

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8
Q

A positive Murphy’s sign is indicative of

a. Lunate dislocation
b. Panner’s disease
c. Kienbocks’ disease
d. Preisser’s disease

A

a. Lunate dislocation

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9
Q

Contents of the antecubital fossa, EXCEPT:

a. Biceps tendon
b. Median nerve
c. Brachioradialis
d. Brachial artery

A

c. Brachioradialis

Code: Be Right There Always My PT

(Kapag content, dapat hindi kasama yung dalawang nasa labas)

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10
Q

Which among the primary elbow flexors insert at the ulna?

a. Biceps Brachii
b. Brachioradialis
c. Brachialis
d. NOTA

A

c. Brachialis

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11
Q

Which of the following is correct regarding the carrying angle?

a. Carrying angle disappears at flexion beyond 30 degrees
b. Carrying angle can still be seen when the forearm is supinated and elbow is flexed to 40 degrees
c. Can still be seen when arm is extended and forearm is pronated
d. A and B
e. NOTA

A

a. Carrying angle disappears at flexion beyond 30 degrees

C: Supinated dapat

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12
Q

The chief pronator muscle:

a. Pronator Teres
b. Brachioradialils
c. Pronator Quadratus
d. ECRL
e. Both A and B

A

c. Pronator Quadratus

No attachment kasi siya sa elbow kaya chief siya

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13
Q

This ligament forms 4/5th of a ring around the radius:

a. Oblique ligament
b. MCL
c. Annular ligament
d . Interosseous membrane
e . Quadrate ligament

A

c. Annular ligament

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14
Q

The lateral boundary of the anatomical snuffbox is

a Abductor pollicis longus
b. Extensor pollicis brevis
c. Extensor pollicis longus
d. A and C
e. A and B

A

e. A and B

Code: LaTWOral + EPoL siya kaya mag isa siya

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15
Q

To isolate the supinator muscle, the therapist should position the elbow in:

a. 90 degrees elbow flexion
b. Terminal elbow flexion
c. Midway between pronation and supination
d. 60 degrees elbow flexion
e. 90 degrees elbow flexion, shoulder slightly extended

A

b. Terminal elbow flexion

Biceps brachii is near its active insufficiency

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16
Q

A person’s grip is weaker it his wrist is in a flexed position because of:

a. Passive insufficiency of finger extensors and active insufficiency of finger flexors
b. Passive insufficiency of finger flexors and
extensor
c. Active insufficiency of finger flexors and
extensors
d. Passive insufficiency of finger flexors and
active insufficiency of finger extensors
e. No insufficiency is present

A

a. Passive insufficiency of finger extensors and active insufficiency of finger flexors

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17
Q

Anatomically part of the proximal carpal row but does not participate in radiocarpal articulation

a. Lunate
b. Scaphoid
c. Triquetrum
d. Pisiform
e. NOTA

A

d. Pisiform

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18
Q

The extensor tunnel separates the extensor tendons into six different compartments. The third compartments includes:

a. EPOL
b. ECRL ECRB
c. ECRL EPB
d. ECU,EDM
e. APL, ECRL

A

a. EPOL

Tunnel 1: APL, EPoB
2: ECRL, ECRB
4: EI, EDC
5: EDM
6: ECU

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19
Q

The following are true about elbow flexors:

a. The brachial is considered as the primary elbow flexor due to its insertion at the radius.
b. Patient with musculocutaneous nerve injury will still be able to flex the elbow joint because of the spared biceps brachii which ls innovated by the radial nerve
c. Brachioradialis is an examрle shunt muscle
d. Pronator quadratus muscle, although the
strongest pronator, is considered a weak elbow flexor

A

c. Brachioradialis is an examрle shunt muscle

A: Brachioradialis dapat
B: Siya lang shunt among primary elbow flexors
D: Pronator Teres

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20
Q

The muscle responsible for light hand closure is:

a Flexor digitorum profundus
b. Flexor digitorum superficialis
c. Flexor pollicis longus
d Both a and b
e. All of these

A

a Flexor digitorum profundus

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21
Q

This muscle assists elbow extension and acts as a stabilizer during pronation and supination

a. Brachioradialis
b. Anconeus
c. Biceps brachii
d. Coracobrachialis

A

b. Anconeus

22
Q

Which of the following fibers medial collateral ligament is the primary restraint for valgus stress from 20-120 degrees elbow flexion?

a Anterior
b Posterior
c. Transverse
d NOTA

A

a Anterior

23
Q

Which of the following is are true regarding the brachialis muscle:

A. As a primary elbow flexor, brachialis is affected by forearm and shoulder position
B. As a primary elbow flexor, brachialis is
affected by forearm but unaffected
C. As a primary elbow flexor, brachialis is
unaffected by forearm and shoulder position
D. Brachialis is the strongest elbow flexor due to its large cross section

A

C. As a primary elbow flexor, brachialis is
unaffected by forearm and shoulder position

D: Biceps brachii

24
Q

Which among the proximal carpal row shows the greatest motion?

a. Lunate
b. Scaphoid
c. Triquetrum
d. Pisiform
e NOTA

A

b. Scaphoid

25
Q

Which of the following are true regarding the biceps brachii:

I. affected by forearm position
II. unaffected by forearm position
III. affected by shoulder position
IV. unaffected by shoulder position

a. I and II
b. II and IV
c. I and III
d. I and IV

A

c. I and III

Malakas pero mabilis maapektuhan (AWWWW)

26
Q

Which of the following statements describe the Flexor Digitorum Superfiacilis?

I. It flexes the distal interphalangeal joint
II. The chief joint that if flexes is the proximal interphalangeal joint
III. Both the superficialis and profundus act to clench the fist
IV. Either the superficialis and profundus
can act to clench the fist
V. It is supplied by the median nerve

a. I, III, and IV
b. I, IV, and V
c. II, III, and V
d. I, II, and III

A

c. II, III, and V

27
Q

The following applies to radio-ulnar articulation EXCEPT the

a. proximal joint lies within the capsule of the elbow joint
b. axis of motion is represented proximally by a Iine through the center of head of the ulna
and distally through the center of the head of the radius
c. radius rotate in relation to the ulna due to the
connection between them
d. one degree of freedom allows pronation and
supination only

A

b. axis of motion is represented proximally by a Iine through the center of head of the ulna and distally through the center of the head of the radius

Dapat from Radial Head proximally to the UH distally

28
Q

Which muscle does NOT flex the hand at the wrist joint?

a Flexor carpi ulnaris
b. Pronator teres
c. Palmaris longus
d. Flexor carpi radialis

A

b. Pronator teres

29
Q

During wrist flexion at what joints does the motion
occur?

a.Midcarpal joint only
b . Majority at the radiocarpal joint with some
motion at the midcarpal joint
c. Majority at the midcarpal joint with some
motion at the radiocarpal joint
d. Radiocarpal joint only

A

b . Majority at the radiocarpal joint with some motion at the midcarpal joint

Code: FREM
Flexion - Radiocarpal + some ext
Extension - Midcarpal + some flex

30
Q

This muscle is a pure flexor of the elbow when the forearm is in midpositon.

a. Biceps brachii
b. Brachialis
c. Brachioradialis
d. Anconeus

A

c. Brachioradialis

31
Q

Which of the following describes the humeroulnar joint?

A. modified hinge joint
b. Reinforced by the LCL
c. Articulating surfaces are trochlear notch of humerus and trochlea of ulna
d. NOTA

A

A. modified hinge joint

B: MCL if ulnar head joint
C: Trochlea of humerus and trochlear notch of ulna

32
Q

True about extensor mechanism

a. Lateral slip inserts at the middle phalanx
b. Central slip inserts at the proximal
phalanx
c. Extensor digitorum communis is actively
assisted by lumbricals and interossei
muscles to achieve flexion of IP joints
d.NOTA

A

d.NOTA

A: Distal phalanx
B: Midphalanx
C: Extension

33
Q

The carpal bone that forms the floor of the
anatomic snuffbox which is usually tender when
there is fracture:

a. Navicular
b. Lunate
c. Trapezoid
d. Pisiform
e. hamate

A

a. Navicular

This is the other name of scaphoid

34
Q

You are attempting to palpate for the lunate. Which of the following is the correct way?

a. distal to the lister’s tubercle, with wrist extended.
b. proximal to the lister’s tubercle, wrist extended
c . distal to the lister’s tubercle, wrist flexed
d . proximal to the lister’s tubercle, wrist flexed
e. The lunate is not palpable

A

c . distal to the lister’s tubercle, wrist flexed

35
Q

You are testing for the muscle strength of your patient’s digital muscles. You are pulling the
fingers from adduction to abduction while the patient resists. What muscle are you testing?

a. Dorsal interossei
b. Palmar interossei
c Lumbricals
d. Abductor pollicis brevis
e. Adductor pollicis brevis

A

b. Palmar interossei

Code: PAD DAB
Palmar interossei - Adduction
Distal interossei - abduction

36
Q

The carpal tunnel consists of the following structures except:

a. Flexor digitorum profundus
b. Flexor digitorum superficialis
c. Flexor pollicis longus
d. Flexor carpi radialis
e. Median nerve

A

d. Flexor carpi radialis

4 FDP, 4DS, 1 FPL, 1 median nerve

37
Q

These carpal bones participate in forming the radiocarpal joint

I. Scaphoid
II. Lunate
III. Pisiform
IV. Hamate
V. Trapezium

a. I and III
b. I and II
c. II and IV
d. I, II, and IV

A

b. I and II

38
Q

Just proximal to the capitate, this ls the most often dislocated as well as the second most often
fractured bone in the wrist?

a. Capitate
b. Navicular
c. Lunate
d. Base of third metacarpal
e. Hamate

A

c. Lunate

Code: DisLUNATEd

39
Q

The following statements are true of the anatomic snuffbox EXCEPT:

a. The radial border ls compose of the
abductor pollicis longus and the extensor
pollicis brevis tendons
b. Tenderness elicited on the floor of the anatomic
snuffbox may suggest scaphoid fracture
c. It lies just dorsal and distal to the radial styloid process
d. The ulnar border is the extensor pollicis brevis tendon

A

d. The ulnar border is the extensor pollicis brevis tendon

EPOL dapat

40
Q

The proximal IP joint of the hand is stabilized in order to test this muscle:

a. Flexor Digitorum Superficialis
b Flexor Digitorum profundus
c. Flexor Carpi radials
d. Extensor Carpi Ulnaris
e. NOTA

A

b Flexor Digitorum profundus

41
Q

The most commonly dislocated carpal bone is the:

a. Lunate
b. Scaphoid
c. Trapezium
d. Hamate
e. Trapezoid

A

a. Lunate

Code: DisLUNATEd

42
Q

The muscle that is largely responsible for MCP and IP extension is:

a. Extensor digitorum
b Extensor carpi radialis brevis
c. Extensor carpi ulnaris
d. Extensor carpi radialis longus
e. Extensor digiti minimi

A

a. Extensor digitorum

NOTE: this is also EDC

43
Q

Importance of the ulna lies at the:

a. Elbow joint
b. Wrist joint
c. Shoulder Joint
d NOTA

A

a. Elbow joint

B: If importance of radius

44
Q

A forearm muscle that belongs to the extensor group but flexes the elbow is the:

a. Anconeus
b. Extensor carpi ulnaris
c. Brachioradialis
d. Supinator

A

c. Brachioradialis

45
Q

How can you BEST distinguish the lateral epicondyle from the medial epicondyle during palpation?

a. The lateral epicondyle is larger and more
palpable
b. It is palpated close to the body when the
arm is externally rotated
c. The extensor carpi radialis can be felt to overlie this point
d. Tenderness in this area occurs during
golfer’s elbow

A

c. The extensor carpi radialis can be felt to overlie this point

Particularly ECRB

A: Medial epicondyle
B: Away from the body
D: Tennis elbow

46
Q

The carrying angle in males is:
a. 10-15 degrees
b. 0-10 degrees
c. 15-20 degrees
d. 0-5 degrees
e. 5-10 degrees

A

e. 5-10 degrees

C: Female

47
Q

In which of the following conditions is the
“carrying angle” of the elbow BEST observed?

a. With the elbow extended and the arm
externally rotated
b. During forearm supination and elbow
flexion
c. At the side of the body with the forearm
pronated
d. A and B

A

a. With the elbow extended and the arm externally rotated

48
Q

The strongest supinator of the elbow is:

a. Supinator
b. Anconeus
c . Biceps brachii
d. Brachioradialis
e. Brachialis

A

c . Biceps brachii

49
Q

Which of the following BEST explains why the brachialis muscle is considered as the “chief” elbow flexor?

a. This is the only shunt muscle with a strong
stabilizing component
b. The Brachialis is the only two-jointed
muscle among the elbow flexors
c. This muscle’s distal point lies close to the
elbow joint axis
d. It is the strongest elbow flexor due to its
dual innervation
e. Its insertion to the ulna permits it to be
active in all forearm positions

A

e. Its insertion to the ulna permits it to be active in all forearm positions

REMEMBER: Chief means consistent, not strong

50
Q

The first carpal bone to ossify:

a. Navicular
b. Lesser Multangular
c. Greater multangular
d. Os magnum
e. Pisiform

A

d. Os magnum

NOTE: Other name of Capitate
First to ossify –> largest

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