Very broad lecture 14 (UE) review

Question 1

[Nerves of the UE]
What does each innervate?:
1) Dorsal scapular n
2) Thoracodorsal n.
3) Long thoracic n.
4) Spinal accessory n.
Important*

Answer 1

1) Rhomboids, levator scapulae
2) Latissimus dorsi
3) Serratus anterior
4) Trapezius

Question 2

Which is medial in AP, radius or ulna? Which finger is most lateral?

Answer 2

Ulna; thumb

Question 3

What is the mnemonic to remember the carpal bones?

Answer 3

Some: Scaphoid.
Lovers: Lunate.
Tri: Triquetrum.
Positions: Pisiform.
That: Trapezium.
They: Trapezoid.
Can’t: Capitate.
Handle: Hamate.

Question 4

[Nerves of the UE]
What innervates each of the following?:
1) Rhomboids & levator scapulae
2) Latissimus dorsi
3) Serratus anterior
4) Trapezius
Important

Answer 4

1) Dorsal scapular n
2) Thoracodorsal n.
3) Long thoracic n.
4) Spinal accessory n.

Question 5

Describe the distribution of the hand’s cutaneous innervation by the median nerve
Important

Answer 5

Lateral palm (first 3 fingers and half of 4th) and dorsal tips of those fingers.

Question 6

Describe the distribution of the hand’s cutaneous innervation by the ulnar nerve
Important

Answer 6

-Medial palm (pinky and half of ring finger).
-Dorsal hand, pinky, almost all of ring finger, small pt of middle finger

Question 7

Describe the distribution of the hand’s cutaneous innervation by the radial nerve
Important

Answer 7

Medial aspect of dorsal wrist.
Dorsal aspect of thumb, adjacent two fingers (except tips), and back of hand.

Question 9

List 3 superficial veins in the shoulder and arm. Where do they originate?

Answer 9

Cephalic, basilic, and antebrachial veins; in the dorsum of hand

Question 10

Biceps tendon DTR (deep tendon reflex) tests what nerve? What spinal levels is this?

Answer 10

Musculocutaneous nerve; C 5-6

Question 11

1) What type of joint is the shoulder/ glenohumeral joint?
2) What kind of ROM does it have? Is it stable or unstable?

Answer 11

1) Ball and socket
2) Wide ROM; inherently unstable

Question 12

[Nerves of the UE]
What does each innervate?:
1) Dorsal scapular n
2) Thoracodorsal n.
3) Long thoracic n.
4) Spinal accessory n.
Important*

Answer 12

1) Rhomboids, levator scapulae
2) Latissimus dorsi
3) Serratus anterior
4) Trapezius

Question 13

Which is medial in AP, radius or ulna? Which finger is most lateral?

Answer 13

Ulna; thumb

Question 14

What is the mnemonic to remember the carpal bones?

Answer 14

Some: Scaphoid.
Lovers: Lunate.
Tri: Triquetrum.
Positions: Pisiform.
That: Trapezium.
They: Trapezoid.
Can’t: Capitate.
Handle: Hamate.

Question 15

[Nerves of the UE]
What innervates each of the following?:
1) Rhomboids & levator scapulae
2) Latissimus dorsi
3) Serratus anterior
4) Trapezius
Important

Answer 15

1) Dorsal scapular n
2) Thoracodorsal n.
3) Long thoracic n.
4) Spinal accessory n.

Question 16

Describe the distribution of the hand’s cutaneous innervation by the median nerve
Important

Answer 16

Lateral palm (first 3 fingers and half of 4th) and dorsal tips of those fingers.

Question 17

Describe the distribution of the hand’s cutaneous innervation by the ulnar nerve
Important

Answer 17

-Medial palm (pinky and half of ring finger).
-Dorsal hand, pinky, almost all of ring finger, small pt of middle finger

Question 18

Describe the distribution of the hand’s cutaneous innervation by the radial nerve
Important

Answer 18

Medial aspect of dorsal wrist.
Dorsal aspect of thumb, adjacent two fingers (except tips), and back of hand.

Question 19

List 3 superficial veins in the shoulder and arm. Where do they originate?

Answer 19

Cephalic, basilic, and antebrachial veins; in the dorsum of hand

Question 20

Biceps tendon DTR (deep tendon reflex) tests what nerve? What spinal levels is this?

Answer 20

Musculocutaneous nerve; C 5-6

Question 21

1) What nerve controls the FDS of the intermediate layer of anterior forearm?
2) What is their proximal attachment?
3) What is their [distal] insertion? (will be on test)

Answer 21

1) Median nerve
2) Medial epicondyle (short story)*
3) Middle phalanx of digits 2-5

Question 22

1) What type of joint is the shoulder/ glenohumeral joint?
2) What kind of ROM does it have? Is it stable or unstable?

Answer 22

1) Ball and socket
2) Wide ROM; inherently unstable

Question 23

[Nerves of the UE]
What innervates each of the following?:
1) Rhomboids & levator scapulae
2) Latissimus dorsi
3) Serratus anterior
4) Trapezius
Important

Answer 23

1) Dorsal scapular n
2) Thoracodorsal n.
3) Long thoracic n.
4) Spinal accessory n.

Question 24

Describe the distribution of the hand’s cutaneous innervation by the median nerve
Important

Answer 24

Lateral palm (first 3 fingers and half of 4th) and dorsal tips of those fingers.

Question 25

Describe the distribution of the hand’s cutaneous innervation by the ulnar nerve
Important

Answer 25

-Medial palm (pinky and half of ring finger).
-Dorsal hand, pinky, almost all of ring finger, small pt of middle finger

Question 26

Describe the distribution of the hand’s cutaneous innervation by the radial nerve
Important

Answer 26

Medial aspect of dorsal wrist.
Dorsal aspect of thumb, adjacent two fingers (except tips), and back of hand.

Question 27

List 3 superficial veins in the shoulder and arm. Where do they originate?

Answer 27

Cephalic, basilic, and antebrachial veins; in the dorsum of hand

Question 28

1) Name a nerve and artery in ulnar canal of Guyon.
2) What nerve is in the carpal tunnel?

Answer 28

1) Ulnar n. and artery
2) Median n. in carpal tunnel

Question 29

1) What type of joint is the shoulder/ glenohumeral joint?
2) What kind of ROM does it have? Is it stable or unstable?

Answer 29

1) Ball and socket
2) Wide ROM; inherently unstable

Question 30

Which UE digit is 1st?

Answer 30

Thumb

Question 31

1) What is the primary blood supply to the UE?
2) Where does the primary artery come from?
3) What does the primary blood supply artery turn into distally?
4) What does that artery then turn into?

Answer 31

1) Axillary a
2) Subclavian a. (1st rib or clavicle)
3) Brachial a
4) Radial and ulnar aa.

Question 32

1) What artery descends medial thru anterior compartment of antebrachium (arm)?
2) What artery descends lateral thru anterior compartment of antebrachium?
3) What do these two arteries become distally?

Answer 32

1) Ulna a
2) Radial a
3) Superficial and deep palmer arches

Question 33

1) Ulnar nerve supplies what compartment?
2) What muscles are here?

Answer 33

1) Motor medial forearm anterior compartment
2) Flexors (FCU, FDP med part)
-& most of the intrinsic m. of hand

Question 34

1) What does the radial nerve supply motor to?
2) What types of muscles are here?

Answer 34

1) Posterior compartment
2) Extensors of arm and forearm

Question 35

Is moving your arm forward flexion or extension?

Answer 35

Flexion (think “forward flexion”)

Question 36

Is moving the thumb on top of palm abduction or adduction?

Answer 36

Abduction