UL Practical

Question 1

nerves from by lateral cord

Answer 1

ML2
Musculocutaneous nerve
lateral pectoral nerve
lateral root at median

Question 2

nerves from medial cord

Answer 2

4MU
medial pectoral nerve
medial cutaneous nerve of arm and forearm
medial root of median
ulnar

Question 3

nerves from posterior cord

Answer 3

STARS
Subscapular nerve(2)
nerve TO latissimus dorsi
Axillary nerve
Radial nerve

Question 4

muscles connecting the upper limb to vertebral column

Answer 4

Trapezius
Latissimus Dorsi
Levator Scapulae
Rhomboid Major
Rhomboid Minor

Question 5

muscles connecting limb to the thoracic wall

Answer 5

Pectoralis Major
Pectoralis Minor
Subclavius
Serratus Anterior

Question 6

muscles of the shoulder

Answer 6

Deltoid
Subscapularis
Supraspinatus
Infrapinatus
Teres Minor
Teres Major

Question 7

shoulder girdle joints

Answer 7

glenohumeral
acromioclavicular
sternoclavicular

Question 8

palpation of suprasternal notch

Answer 8

on either side, the medial ends of the clavicle project above the line of the manubrium

Question 9

palpation of coracoid process

Answer 9

move laterally medial third of clavicle is convex palpable 2.5cm (1inch) below the junction of the outer and middle 1/3 of the clavicle

lateral end of clavicle vertical indentation above the glenohumeral joint

Question 10

palpation of acromion process

Answer 10

• spine of scapula → acromial angle → lateral border of acromion

Question 11

vertebral level of inferior angle of scapula

Answer 11

T7

Question 12

Palpation of sterno-clavicular joint

Answer 12

palpable lateral corner manubrium / curved line concave laterally / approx 1cm length / extending 0.5 cm inferolaterally (in standing lies at the level of spinous process of T3)

Question 13

palpation of acromio-clavicular joint

Answer 13

palpable, immediately lateral to the anterior concavity at the lateral one-third of the clavicle, approximately 1.5 cm medial to the lateral border of the acromion process

Question 14

palpation of glenohumeral joint

Answer 14

represented by a line drawn from a point just lateral to the tip of the coracoid process 3.75cm (1.5 inches) long, concave laterally and directed towards the axilla. The lower 2/3 denotes the rim of the glenoid cavity.

Question 15

myotome for shoulder girdle elevation

Answer 15

C4

Question 16

myotome for shoulder abduction

Answer 16

C5

Question 17

myotome for elbow flexion

Answer 17

C6

Question 18

myotome for elbow extension

Answer 18

C7

Question 19

myotome for thumb extension/finger flexion

Answer 19

C8

Question 20

myotome for finger abduction, adduction

Answer 20

T1

Question 21

Myotomes responsible for bicep reflexes

Answer 21

C5,C6

Question 22

Myotomes responsible for brachioradialis reflexes

Answer 22

C5, C6

Question 23

Myotomes responsible for tricep reflexes

Answer 23

C7

Question 24

palpation of trapezius

Answer 24

patient in prone

shoulder abducted 90 degrees

Question 25

palpation of serratus anterior

Answer 25

supine
patient shoulder flexion of 90 degrees with clenched fist
resist against your hand
palpate at lateral side of chest

Question 26

palpate rhomboids

Answer 26

behind trapezius
dorsal of hand against
lumbar spine in seated position

Question 27

palpate pectoralis major

Answer 27

90 degree shoulder abduction

either shoulder extension or shoulder flexion

Question 28

palpate latissimus dorsi

Answer 28

patient in prone

arms extended

Question 29

palpate anterior and posterior deltoid

Answer 29

shoulder abduction of 90 degrees
while maintaining abduction;
shoulder flexion for anterior head of deltoid
shoulder extension for posterior head of deltoid

Question 30

palpate suprspinatus

Answer 30

shoulder abduction and applying hand above spine of scapula

Question 31

palpate infraspinatus and teres minor

Answer 31

shoulder abducted 20 degrees
elbow flexed 60 degrees
whilst maintaing that elbow flexion and shoulder abduction shoulder should be extended
place hand below spine of scapula