UPPER EXTREMITY (MIDTERM EVALS)

Question 1

What muscle is involved in patient with drop shoulder or winged scapula?

A. Serratus anterior
B. Deltoid
C. Teres major
D. Pectoralis major

Answer 1

A. Serratus anterior

Question 2

The nerve supply of serratus anterior is:

A. Long thoracic nerve
B. Thoracodorsal nerve
C. Musculocutaneous nerve
D. Axillary nerve

Answer 2

A. Long thoracic nerve

Question 3

Axillary nerve is a branch of the:

A. Posterior cord
B. Medial cord
C. Lateral cord

Answer 3

A. Posterior cord

Question 4

Which muscle does not connect the scapula to the vertebral column?

A. Supraspinatus
B. Levator scapulae
C. Rhomboid major
D. Trapezius

Answer 4

A. Supraspinatus

Question 5

Which muscle does not connect the scapula to the humerus?

A. Teres major
B. Rhomboid major
C. Supraspinatus
D. Subscapularis

Answer 5

B. Rhomboid major

Question 6

Nerve supply of the deltoid:

A. Axillary nerve
B. Musculocutaneous nerve
C. Radial nerve
D. Median nerve

Answer 6

A. Axillary nerve

Question 7

Muscles attached to the scapula act as natural splint when there is fracture

A. True
B. False

Answer 7

A. True

Question 8

The circumflex humeral arteries come from the ________ division of the axillary artery:

A. First
B. Second
C. Third

Answer 8

C. Third

Question 9

Which muscle is not a part of the rotator cuff group?

A. Teres major
B. Teres minor
C. Supraspinatus
D. Infraspinatus

Answer 9

A. Teres major

Question 10

The brachial artery begins at the:

A. Upper border of the pectoralis minor
B. Lower border of the pectoralis minor
C. Upper border of the teres major
D. Lower border of the teres major

Answer 10

D. Lower border of the teres major

Question 11

The floor of the cubital fossa is formed by what muscle medially?

A. Supinator
B. Brachialis
C. Coracobrachialis
D. Biceps brachii

Answer 11

B. Brachialis

Question 12

Which among the following is not innervated by the musculocutaneous nerve?

A. Brachialis
B. Brachioradialis
C. Coracobrachialis
D. Biceps brachii

Answer 12

B. Brachioradialis

Question 13

Which of the following structure pierces the coracobrachialis?

A. Radial n.
B. Median n.
C. Ulnar n.
D. Musculocutaneous n.
E. Axillary n.

Answer 13

D. Musculocutaneous n.

Question 14

Which among the following is a prime mover in the flexion of the elbow joint?

A. Brachialis
B. Brachioradialis
C. Coracobrachialis
D. Biceps brachii

Answer 14

D. Biceps brachii

Question 15

The line separating the upper end of the humerus from the shaft is called:

A. Anatomical neck
B. Greater tubercle
C. Lesser tubercle
D. Surgical neck

Answer 15

D. Surgical neck

Question 16

What nerve surrounds the lateral and medial head of the triceps brachii?

A. Radial n.
B. Musculocutaneous n.
C. Ulnar n.
D. Median n.

Answer 16

A. Radial n.

Question 17

The lower end of the humerus articulates with the head of the radius at:

A. Capitulum
B. Trochlea
C. Lateral supracondylar ridge
D. Medial supracondylar ridge

Answer 17

A. Capitulum

Question 18

The axillary artery becomes the brachial artery when it crosses the:

A. Lower border of the teres major muscle
B. Outer border of the first tib
C. Upper border of the teres minor muscle
D. NOTA

Answer 18

A. Lower border of the teres major muscle

Question 19

Triceps is an antagonist of the flexion of the elbow joint.

A. True
B. False

Answer 19

A. True

Question 20

What passes through the bicipital groove of the humerus?

A. Short head of the biceps
B. Long head of the biceps
C. Musculocutaneous nerve
D. Brachial artery

Answer 20

B. Long head of the biceps

Question 21

To which carpal bone does the radius articulate?

A. Lunate
B. Pisiform
C. Capitate
D. Trapezium
E. Hamate

Answer 21

A. Lunate

Question 22

Which fracture results in a dinner-fork deformity?

A. Fracture of the olecranon
B. Monteggia's fracture
C. Colle's fracture
D. Smith's fracture
E. Galeazzi's fracture

Answer 22

C. Colle’s fracture

Question 23

Pain in the anatomic snuffbox is experienced by a 20 year old college student after a fall on an outstretched hand. With this symptom, which bone is most likely fracture?

A. Scaphoid
B. Lunate
C. Trapezoid
D. Styloid process of the radius
E. Styloid process of the ulna

Answer 23

A. Scaphoid

Question 24

What forms the compartments of the forearm?

A. Deep fascia, interosseous membrane
B. Deep fascia, fibrous intermuscular septa, interosseous membrane
C. Fibrous intermuscular septa
D. Deep fascia, fibrous intermuscular septa

Answer 24

B. Deep fascia, fibrous intermuscular septa, interosseous membrane

Question 25

Which is innervated by the ulnar nerve? ``` A. Pronator teres B. Flexor carpi ulnaris C. Flexor carpi radialis D. Palmaris longus E. Flexor pollicis longus ```

Answer 25

B. Flexor carpi ulnaris

Question 26

Which muscle is part of the lateral compartment of the forearm? ``` A. Extensor carpi radialis longus B. Extensor carpi radialis brevis C. Extensor digiti minimi D. Pronator teres E. Anconeus ```

Answer 26

A. Extensor carpi radialis longus

Question 27

Which muscle is part of the superficial group of muscles in the posterior fascial compartment of the forearm? ``` A. Supinator B. Abductor pollicis longus C. Extensor pollicis brevis D. Extensor carpi ulnaris E. Extensor indicis ```

Answer 27

D. Extensor carpi ulnaris

Question 28

According to snell, how many compartments are there in the forearm? a. 2 b. 3 c. 4

Answer 28

b. 3

Question 29

What innervated the lateral compartment of the forearm? a. radial nerve b. ulnar nerve c. median nerve d. musculocutaneous nerve

Answer 29

a. radial nerve

Question 30

What can be palpated within the anatomic snuffbox? a. Lunate b. Radial nerve c. Ulnar artery d. Deep branch of radial nerve e. Radial artery

Answer 30

e. Radial artery

Question 31

A farmer accidentally cut himself with a scythe. He sustained on incised wound on the wrist. He now complains of numbness on the skin of the lateral part of the palm. What nerve was injured? a. median nerve b. ulnar nerve c. radial nerve

Answer 31

a. median nerve

Question 32

A 15 year old injured his middle finger during a basketball game. He came into the emergency room with a semiflexed distal phalanx of the middle finger. An x-ray showed a chip fracture of the posterior lip of the base of the distal phalanx. What is this condition? a. Dupuytren's contracture b. Felon c. Volkmann's contracture d. Trigger finger e. Mallet finger

Answer 32

e. Mallet finger

Question 33

What forms the knuckles of one's fist? a. Carpal bones b. Base of metacarpals c. Head of metacarpals d. Proximal phalanx

Answer 33

c. Head of metacarpals

Question 34

Which structure passes superficial to the flexor retinaculum? a. Basilic vein b. Cephalic vein c. Superficial branch of radial n. d. Dorsal cutaneous branch of ulnar e. Ulnar nerve

Answer 34

e. Ulnar nerve

Question 35

A 22 year old feale sustained a dog bite 8 days ago. Her palm reveals a puncture wound on the middle finger. The palm and the fingers are red and moderately swollen. The fingers are semi-flexed and when you attempted to extend the middle finger, the patient complained of severe pain. What is this condition? a. Erb's palsy b. Triggers fingers c. Tenosynovitis d. Carpal tunnel syndrome

Answer 35

c. Tenosynovitis

Question 36

Which structure passes beneath the flexor retinaculum? a. median nerve b. ulnar nerve c. ulnar artery d. flexor carpi ulnaris tendon e. palmar cutaneous branch of ulnar nerve

Answer 36

a. median nerve

Question 37

The deep palmar arch is a direct continuation of? a. Radial artery b. Ulnar artery

Answer 37

a. Radial artery

Question 38

The opponens pollicis muscle is part of what group of muscles? a. Thenar eminence b. Hypothenar eminence

Answer 38

a. Thenar eminence

Question 39

A laundry woman who manually washes clothes of clients comes to you because pain on the thumb, 2nd and 3rd fingers with a flat thenar eminence. What is this condition? a. Compression syndrome b. Radial nerve palsy c. Carpal tunnel syndrome d. Erb's palsy e. Duchenne palsy

Answer 39

c. Carpal tunnel syndrome

Question 40

Which movement of the thumb brings the thumb across the palm is such a manner that the anterior surface of the tip comes into contact with the anterior surface of the tip of any of the other fingers? a. Extension b. Flexion c. Opposition d. Abduction e. Adduction

Answer 40

c. Opposition