UPPER EXTREMITY Flashcards
Common direction of shoulder dislocation:
a. anterosuperior
b. posterosuperior
c. anteroinferior
d. posteroinferior
c. anteroinferior
The foramen of Rouvier is seen:
a. between middle and inferior GH ligament
b. between superior and middle GH ligament
c. between superior and inferior GH ligament
d. between anterior and posterior capsule
e. between the coracoacromial ligament and the subacromial bursa
a. between middle and inferior GH ligament
Nerve root of Axillary nerve:
a. C5, C6, C7
b. C5, C6, C7, C8, T1
c. C5, C6
d. C5, C6, C7, C8
e. NOTA
c. C5, C6
A: MSK n.
B. median n. (or C6-T1) and radial n.
The largest branch of the brachial plexus is:
a. median n.
b. radial n.
c. axillary n.
d. long thoracic n.
e. ulnar n.
b. radial n.
Medial winging of the scapula is typically seen in:
a. weakness of serratus anterior
b. upper trunk nerve injuries
c. blunt trauma to long thoracic nerve
d. A and C
e. all of these
d. A and C
The lateral cord continues as the:
a. median n.
b. radial n.
c. axillary n.
d. long thoracic n.
e. musculocutaneous n.
e. musculocutaneous n.
A patient who underwent radical mastectomy should be assessed for weakness of the:
a. deltoid muscles
b. rhomboids
c. rotator cuff muscles
d. serratus anterior
e. latissimus dorsi
d. serratus anterior
(radical neck dissection: SCM/ trapezius)
The following are requirements to fully elevate the shoulder with the exception of:
a. rotation of the clavicle
b. IR of the humerus
c. upward rotation of the scapula
d. ER of the humerus
b. IR of the humerus
The nearly equal superior and inferior translator forces of these muscles approximate an almost perfect rotation of humeral head important during arm elevation:
a. deltoids and supraspinatus
b. deltoids and pectoralis major muscle
c. deltoids and infraspinatus, teres minor, subscapularis
d. deltoids and supraspinatus and infraspinatus
e. NOTA
c. deltoids and infraspinatus, ters minor, subscapularis
Conoid and trapezoid ligaments connect the:
a. clavicle and sternum
b. acromoin and clavicle
c. coracoids and humerus
d. coracoids and clavicle
e. humerus and scapula
d. coracoids and clavicle
Fourteen weeks after surgical repair of the rotator cuff, a patient presents with significant deltoid weakness. Range of motion is within normal limits and equal bilaterally. Internal and external rotation strength is equal bilaterally; flexion and abduction strength is significantly reduced. What is the most likely cause of this dysfunction?
a. poor compliance with a home exercise program
b. tightness of the inferior shoulder capsule
c. surgical damage to the musculocutaneous nerve
d. surgical damage to the axillary nerve
d. surgical damage to the axillary nerve
Which of the following joints are pertained in the 2:1 ratio of the scapulohumeral rhythm?
a. glenohumeral joint : sternoclavicular joint
b. glenohumeral joint : scapulothoracic joint
c. acromioclavicular joint : sternoclavicular joint
d. scapulothoracic joint : glenohumeral joint
b. glenohumeral joint : scapulothoracic joint
This is the extension of the acromion process medially:
a. superior angle of the scapula
b. spine of the scapula
c. glenoid fossa
d. acromion
e. NOTA
b. spine of the scapula
Ligament that connects the coracoid process and acromion process that prevents superior translation of the humerus:
a. Coracohumeral ligament
b. Coracolavicular ligament
c. Coracoacromial ligament
d. Costoclavicular ligament
c. coracoacromial ligament
The only joint that acts as a strut to connect the upper extremity with the axial skeleton:
a. the SC joint
b. the AC joint
c. the GH joint
d. AOTA
a. the SC joint
Spine of the scapula is used to locate what structures?
a. supraspinous fossa
b. subscapular fossa
c. infraspinous fossa
d. A & C
e. AOTA
d. A & C
Which of the following rotator cuff muscles insert at the greater tuberosity?
a. supraspinatus, teres minor, infraspinatus
b. supraspinatus, teres minor, subscapularis
c. infraspinatus, teres minor, subscapularis
d. subscapularis, supraspinatus, infraspinatus
a. supraspinatus, teres minor, infraspinatus
The sternoclavicular joint is what type of joint?
a. saddle
b. sellar
c. ovoid
d. A and B
d. A and B
This ligament, in company with the supraspinatus muscle prevents the downward dislocation of the humeral head. This is known to greatly limit external rotation when involved in adhesive capsulitis:
a. interclavicular ligament
b. sternoclavicular ligament
c. coracoacromial ligament
d. coracohumeral ligament
d. coracohumeral ligament
Which assessing the standing posture of a patient, the therapist notes that a spinous process in the thoracic region is shifted laterally. The therapist estimates that T2 is the involved vertebra because he or she notes that it is at the approximate level of the
a. inferior angle of the scapula
b. superior angle of the scapula
c. spine of the scapula
d. NOTA
b. superior angle of the scapula
Mechanism of injury of clavicular fracture:
a. FOOSH
b. FOS
c. medially directed blow to the shoulder
d. AOTA
d. AOTA
There is a weakness in the capsule between the superior and middle GH ligaments. This weak capsular region is the ___, a frequent site of anterior dislocation of the joint.
a. foramen of Rouvier
b. foramen of Weitbrecht
c. foramen of Luschka
d. AOTA
b. foramen of Weitbrecht
Painful arc of impingement syndrome:
a. 30 to 60 degrees
b. 60 to 90 degreees
c. 60 to 120 degrees
d. 90 to 180 degrees
c. 60 to 120 degrees
This joint attaches the scapula to the clavicle. It is generally described as a plane synovial joint with three rotational and three translational degrees of freedom.
a. SC joint
b. AC joint
c. GH joint
d. bicipital groove
b. AC joint
Which of the following statements is incorrect regarding the GH joint:
a. The glenoid fossa of the scapula serves as the distal articular surface for this joint.
b. The GH joint is a ball and socket synovial joint.
c. Because the glenoid fossa of the scapula is the proximal segment of the GH joint, any motions of the scapula (and its interdependent SC and AC linkages) may influence GH joint function.
d. The GH joint has sacrificed articular congruency to serve the mobility needs.
a. The glenoid fossa of the scapula serves as the distal articular surface for this joint.
x distal, / proximal
distal is for humeral head
The posterior deltoid muscle fibers produce which of the following shoulder motions?
a. abduction, external rotation, and extension
b. extension and external rotation
c. flexion and extension
d. extension and abduction
b. extension and external rotation
Weakness of full extension commonly implies weakness of the posterior deltoid in one arm and is sometimes called the:
a. sign of Pace and Nagel
b. Freiberg sign
c. Aysoda sign
d. Swallow tail sign
d. Swallow tail sign
A, B, and C are for piriformis syndrome
The following statements describe the sternoclavicular joint EXCEPT:
a. An articular disk is present between the end of the clavicle and the articular notch of the sternum.
b. The only joint that connects the upper extremity directly with the thorax.
c. Motions that occur are elevation and depression, protraction and retraction, and transverse rotation
d. A stellar joint with two degrees of freedom.
d. A stellar joint with two degrees of freedom.
x two degrees, / three degrees
Which of the following structures provide stability of the AC joint?
i. shape of the joint
ii. AC ligament
iii. strong joint capsule
iv. conoid and trapezoid
a. I and II
b. I and III
c. IV only
d. II and IV
b. I and III
GH joint is what type of joint?
a. synovial joint
b. synovial hinge
c. universal joint
d. saddle joint
e. AOTA
c. universal joint
The most important joint in the upper extremity for spatial placement is:
a. atlantoaxial joint
b. hip joint
c. shoulder joint
d. wrist joint
c. shoulder joint
Limits excessive depression:
a. interclavicular ligament
b. costoclavicular ligament
c. sternoclavicular ligament
d. AOTA
a. interclavicular ligament
The lateral third of the clavicle is oriented in this manner:
a. convex antero-posteriorly
b. concave antero-posteriorly
c. convex posteriorly, concave anteriorly
d. concave posteriorly, convex anteriorly
c. convex posteriorly, concave anteriorly
The medial boundary of the bicipital groove is formed by:
a. Latissimus dorsi
b. Pectoralis major
c. Teres major
d. NOTA
c. Teres major
Which of the following is a common direction of the fractured segment of the clavicle:
a. medial segment is pulled inferiorly by the pectoralis major muscle
b. lateral segment is upward by the SCM muscle
c. medial segment is pulled laterally by the subclavius muscle
d. lateral segment is pulled medially by the pectoralis major muscle
d. lateral segment is pulled medially by the pectoralis major muscle
External rotators of the shoulder:
a. infraspinatus, teres minor, posterior deltoid
b. suscapularis, teres major, latissimus dorsi
c. pectoralis major, anterior deltoid, subscapularis
d. trapezius, thomboid, levator scapula
e. rhomboids, teres minor, teres major
a. infraspinatus, teres minor, posterior deltoid
Orientation of the acromion process:
a. medially, superiorly, and posteriorly
b. posteriorly, laterally, and inferiorly
c. posteriorly, laterally, and superiorly
d. medially, superiorly, and anteriorly
c. posteriorly, laterally, and superiorly
Ligament of the sternoclavicular joint that is critical in protecting important structure such as the brachial plexus, subclavian artery which pass under the clavicle and 1st rib:
a. IC ligament
b. anterior SC ligament
c. posterior SC ligament
d. costoclavicular ligament
e. NOTA
a. IC ligament
During ROM assessment, the patient was unable to achieve full shoulder flexion while maintaining posterior pelvic tilt. What could be the problem?
a. triceps tightness
b. latissimus dorsi tightness
c. quadratus lomborum tightness
c. patient is malingering
d. shoulder flexors are weak
b. latissimus dorsi tightness
This forms part of the medial wall of the axilla:
a. brachial plexus and axillary artery
b. 2-6 ribs and serratus anterior
c. Pectoralis major, subclavius, subscapularis
d. latissimus dorsi, scapula, humerus
e. serratus anterior and bicipital groove
b. 2-6 ribs and serratus anterior