Test 1 Review Questions for shoulder

Question 1

What is the pseudoarticulation of the shoulder?

Answer 1

Scapulothoracic

Question 2

What condition causes the arm to be internally rotated and adducted?

Answer 2

Erb’s Palsy AKA Waiter’s Tip hand

Question 3

What bone keeps the scapula on the posterior aspect of the thorax and prevents Glenoid from turning anterior?

Answer 3

Clavicle

Question 4

What muscle crosses the clavicle?

Answer 4

Platysma (only one)

Question 5

In shoulder dislocation, how is it usually displaced?

Answer 5

Greater Tub, of the humerus is displaced forward, arm usually held away from trunk

Question 6

Dislocated clavicle usually manifests itself as…

Answer 6

Medial and Superior Displacement

Question 7

Muscles attach to the clavicle solely from which aspect?

Answer 7

Inferior and posterior

Question 8

Where is the location of coracoid process?

Answer 8

One inch from anterior edge of clavicle and press laterally posterior

Question 9

Where is the location of the bicipital groove?

Answer 9

Superior and anterior aspect of humerus, medial to greater tuberosity and laterally from lesser tuberosity

Question 10

Lesser tuberosity is located at the same level as what structure?

Answer 10

Coracoid Process

Question 11

Acromion and spine of scapula form what kind of structure?

Answer 11

Continuous Arch

Question 12

Scapulas’ medial border to superior angle are clinically significant because they refer pain to what site?

Answer 12

Cervical Spine

Question 13

Location of scapula is associated to what other structures?

Answer 13

Covers ribs 2-7, medial border 2 inches from SPs

Question 14

Spine of scapula is opposite from what spinal landmark?

Answer 14

T3

Question 15

The purpose of soft tissue palp. of the shoulder is important because of what? (3)

Answer 15

• Establish normal soft tissue relationships
• Detect variations from normal anatomy
• Discover pathologies that may be present

Question 16

What should examiner assess for during shoulder soft tissue palp?

Answer 16

Tone, consistency, size, and shape of individual muscles and their conditions.

Question 17

What is springel’s deformity?

Answer 17

Failure of scapula to descend from neck to the thorax, causing webbing and shortening of neck.

Question 18

Degeneration of RC results in restriction of motion, especially in what direction?

Answer 18

Abduction

Question 19

Muscles pull in what manner?

Answer 19

Insertion to origin

Question 20

What type of structure is the axilla?

Answer 20

Quadrilateral Pyramid

Question 21

Components of medial axilla

Answer 21

Ribs 2-6 and Serratus Ant.

Question 22

Component of lateral axilla

Answer 22

Bicipital groove

Question 23

Component of Apex of axilla

Answer 23

GH joint

Question 24

Component of Base of axilla

Answer 24

Webbed skin and fascia

Question 25

Nerve found in axilla

Answer 25

Brachial Plexus

Question 26

Artery of Axilla

Answer 26

Axillary A

Question 27

Importance of checking SCM muscle

Answer 27

Site of hematomas, head turns to one side (wryneck), Ant/Post cervical lymph nodes subject to infection and enlargement, Trauma (hyperextension) whiplash

Question 28

What muscle is frequently absent congenitally

Answer 28

Pec Major.

Question 29

What can be palpated through the pec major?

Answer 29

Costochondral Junction

Question 30

AKA for Costochondritis

Answer 30

Tietze's Syndrome

Question 31

Shoulder dislocation can result in damage to what nerve?

Answer 31

Axillary

Question 32

What muscle is frequently involved in neck injuries and results in hematomas?

Answer 32

Trapezius

Question 33

Nerve supply of trapezius

Answer 33

Spinal Accessory N, C3 and C4

Question 34

What muscle is frequently involved in neck injuries during auto accidents or from strains in the neck region?

Answer 34

Trapezius

Question 35

What muscles retract the scapula and hold the shoulders in a position of "attention"?

Answer 35

Rhomboids

Question 36

Nerve supply of Rhomboids

Answer 36

Dorsal Scap. N C4 and C5

Question 37

Nerve Supply of Lat. Dorsi

Answer 37

Throacodorsal N. (C6-C8)

Question 38

Injury to Rhomboid results in what condition?

Answer 38

Flaring of Scapula

Question 39

Quickest way to evaluate active ROM of the shoulder

Answer 39

Apleys

Question 40

If a pt can perform complete active ROM in the shoulder there is no need for what?

Answer 40

Passive ROM

Question 41

6 pure ROMs of the shoulder and degrees

Answer 41

``` Flexion- 180 Extension- 60 Abduction- 180 Adduction- 50 Int. Rot.- 70 Ext. Rot.- 90 ```

Question 42

What are the 3 combined ROMs?

Answer 42

Elevation, Rotation, Protraction

Question 43

A blockage with a rubbery feel indicates?

Answer 43

Extra Articulation (soft tissue) blockage

Question 44

What would an intra-articular (bony) blockage feel like?

Answer 44

Inflexible, ends abruptly

Question 45

Abduction of the shoulder continues until the surgical neck of the humerus strikes what?

Answer 45

Acromion

Question 46

How must the shoulder be positioned to achieve full abduction?

Answer 46

Externally Rotated

Question 47

What dermatome is at the lateral arm with the pure sensation as a round patch on the lateral aspect of the deltoid muscle?

Answer 47

C5

Question 48

WHat dermatome is located at medial arm?

Answer 48

T1

Question 49

What dermatome is located at the axilla?

Answer 49

T2

Question 50

What dermatome is located from the axilla to the nipple?

Answer 50

T3

Question 51

What dermatome is located over the nipple?

Answer 51

T4

Question 52

What is the correct method to test the integrity of sensation around the shoulder?

Answer 52

Prick each dermatome lightly with a pin asking the pt. if they feel the prick, then prick the opposite side. Each dermatome should then be tested similarly using a brush.

Question 53

Abnormal sensation is called

Answer 53

Paresthesia

Question 54

Increased sensation is called

Answer 54

Hyperesthesia

Question 55

Decreased sensation is called

Answer 55

Hypoesthesia

Question 56

Absence of sensation is called

Answer 56

Anesthesia

Question 57

Yergason's is used to determine stability of which biceps head?

Answer 57

Long

Question 58

What condition may refer pain to the shoulder?

Answer 58

Coronary (Myocardial Infarction), Left diaphragm irritation, herniated disc, general trauma, spinal fx, pathology of the elbow or distal end of humerus, irritated muscle.