Upper Extremity

Question 1

The flexor muscles of the elbow would be at best advantage when at what degree of flexion?
A. 90 degrees
B. 60 degrees
C. 45 degrees
D. 120 degrees

Answer 1

A

Question 2

2. Point at the root of the nose where the frontonasal stuture crosses the median plane?

Answer 2

A. Nasion

Question 3

3. This artery enters the upper arm on the medial side of the humerus and is accompanied throughout its course by the median nerve:
A. Ulnar artery
B. Vertebral artery
C. Radial artery
D. Brachial artery

Answer 3

D.

Question 4

What artery is this:
It runs down the lateral side of the front of the forearm supplying the muscles along its course
It is principally concerned with supplying the blood to the thumb and index finger, and in the formation of the deep palmar arch
It reaches the wrist at the base of the thumb where its pulsation is readily felt

Answer 4

Radial

Question 5

5. Shoulder ROM is 140 in standing; 100 in supine. What muscle is affected?
A. Supraspinatus
B. Deltoid atrophy
C. Pronator teres
D. Latissimus dorsi

Answer 5

A.

Question 6

6. Adhesive capsulitis: progressive increase in shoulder ROM due to capsular remodelling from the use of arm, shoulder, 5-26 months:
A. Painful phase
B. Resolution phase
C. Stiff
D. NOTA

Answer 6

B.

Question 7

7. Tenderness of the anatomical snuffbox may be indicative of:
A. CTS
B. Colle’s fracture
C. Scaphoid fracture
D. DeQuervain’s

Answer 7

C.

Question 8

8. Commonly affected in weight lifters:
A. Rotator cuff
B. Triceps
C. Biceps
D. Deltoids

Answer 8

C.

Question 9

9. This is the best time to fit UE prosthesis:
   A. The child can follow simple instructions
   B. The child can follow two steps commands
   C. The child can incorporate the prosthesis into his body image
   D. There is independent sitting

Answer 9

C.

Question 10

10. Long horn sign:
A. Partial radial nerve injury
B.Partial ulnar nerve injury
C. Avulsion of the extensor tendons
D. Complete posterior nerve injury

Answer 10

A.

Question 11

1. PAinful arc of the shoulder?
A. 0-60
B. 120-180
C. 60-120
D. 90-150

Answer 11

C.

Question 12

12. The tendon of this muscle is primarily involved in lateral epicondylitis:
A. ECRB
B. Supinator
C. EDC
D. ECRL

Answer 12

A.

Question 13

13. The patient has a fracture of the forearm causing a dinner fork deformity. This fracture is caused by:
    A. Fall on the volar aspect of the hand
    B. Fall on the dorsal aspect of the hand
    C. Fall on the lateral aspect of the hand
    D. Fall on the medial aspect of the hand

Answer 13

A.

Question 14

14. Patient underwent breast surgery. Upon physical exam, you noted inability to elevate arm greater than the horizontal. Which muscle is probably weak?
A. Rhomboids
B. Trapezius
C. Supraspinatus
D. Deltoid

Answer 14

D. Deltoid; axillary nerve C5-C6

Question 15

15. In RA, if the GH joint is affected.This motion is limited early:
A. ER
B. Flexion
C. IR
D. Extension

Answer 15

C.

Question 16

16. Which of the following mechanisms can cause rotator cuff tear, except?
    A. Wrong abduction and ER upon arm elevation
    B. Fall on outstretched hand
    C. Fall on lateral aspect of the shoulder
    D. Minor trauma on superimposed degenerated cuff muscles

Answer 16

D.

Question 17

What bone is affected in Madelungs deformity?
A. Radius
B. Ulna
C. Humerus
D. Scaphoid

Answer 17

A.

Question 18

18. This condition is caused by repetitive injury on interconnections of APL and EPB tendons causing pain on the radial styloid process
A. Trigger finger
B. Cheralgia paresthetica
C. De Quervain’s disease
D. Stenosing tenovaginitis

Answer 18

C.

Question 19

19. The avulsion fracture of the insertion of the lateral bands of the EDC on distal phalanx?
A. Swan neck deformity
B. Boutonniere
C. Mallet
D. Trigger finger

Answer 19

C.

Question 20

20. Dupuytren’s contracture is characterized by the following, except:
    A. Fibrous contracture of the palmar fascia
    B. Bilateral involvement
    C. Men are more affected than women
    D. Hereditary
    E. A flexion contracture involving the index and middle finger flexor surfaces

Answer 20

E. Should be the little and index. Ulnar nerve distribution.

Question 21

21. True about biceps, except:
    A. Supinates the forearm at any positions, speed, with or without load
    B. Effectiveness as a supinator is almost 4x as the supinator with the elbow flexed at 90 deg
    C. Decreses effectiveness as a supinator as the elbow is extended
    D. Most effective as a supinator when the elbow is flexed at 145 degrees

Answer 21

D. At 90 degrees

Question 22

22. The entire flexor pronator group can be surgically removed from its common origin and transferred proximally into the humerus to substitute for a weak or absent:
A. Triceps
B. Brachiorads
C. Biceps brachii
D. Coracobrachialis

Answer 22

C.

Question 23

23. The most appropriate position in which to mobilize the ulnar nerve is:
    A. Abduction, elbow extension, wrist extension
    B. flexion, elbow flexion, and wrist sit extension
    C. Abduction, elbow flexion and wrist flexion
    D. Extension, elbow extension, and wrist extension

Answer 23

B. Combined with shoulder abduction too…

Question 24

24. A patient with a 40 degree limitation in the right shoulder flexion and 35 degrees limitation in lateral rotation is unable to perform a number of ADLs. Which activity would be MOST difficult for the patient to perform using the right UE?
A. Tucking in shirt
B. Washing the left shoulder
C. Eating
D. Combing hair

Answer 24

D.