1. Choose the odd muscle out as regards insertion/origin:
Correct : E. deltoid
2. Which muscle does not insert in or next to the intertubecular groove of the upper humerus?
Correct : B. pectoralis minor
3. Identify the incorrect pairing for testing muscles:
Correct : A. latissimus dorsi – abduct to 60° and adduct against resistance
4. Identify the incorrect innervation:
Correct : D. latissimus dorsi – dorsal scapular nerve
5. Which muscle does not extend from the posterior surface of the scapula to the greater tubercle of the
humerus?
Correct : A. teres major
6. With regard to action, which muscle is the odd one out?
Correct : A. teres minor
7. Which statement is INCORRECT?
Correct : C. the subacromial bursa lies between the tendon of supraspinatus and the coraco-acromial ligament and communicates with the shoulder joint
8. Stabilising factors of the shoulder joint include all but:
Correct : A. a tight capsule
9. Regarding the brachial plexus, which is INCORRECT?
Correct : B. the roots give off three branches including the long thoracic nerve to latissimus dorsi
10. Regarding lymph nodes, the lateral side of the arm and forearm is drained initially to the:
Correct : C. infraclavicular nodes
11. Which of the following has some nerve supply from the radial nerve?
Correct : D. brachialis
12. As it emerges from the axilla, the median nerve lies where with regards to the brachial artery?
Correct : A. lateral
13. With regards to the posterior compartment of the arm, which is FALSE?
Correct : C. midshaft fracture of the humerus can damage the radial nerve resulting in paralysis of triceps
14. Regarding the brachial plexus:
Correct : A. the lateral cord contains fibres from C5, 6, 7 & 8
15. Which of the following pairs do not match with regard to mode of ossification?
Correct : B. clavicle and humerus
16. Which joint is the odd one out with regard to degrees of freedom?
Correct : A. 1st carpometacarpal joint
17. Which of the statements regarding ligaments is FALSE?
Correct : B. final healing following sprains usually restores full strength
18. Regarding cartilage, which is FALSE?
Correct : C. rib cartilage is elastic type
19. Regarding types of joints, which pairing is CORRECT?
Correct : E. syndesmoses – tibiofibular joint
20. Types of muscles, which pairing is INCORRECT?
Correct : E. multi-pennate – anterior deltoid
21. Regarding muscle strength, which is NOT a factor?
Correct : A. resting length of muscle
22. Regarding the autonomic nervous system, visceral pain is not referred to L3-5 and S1 because:
Correct : B. there are no white rami communicans to these spinal nerves
23. At the elbow joint:
Correct : B. the capsule is not attached to the radius
24. Regarding palmar spaces:
Correct : B. the midpalmar space is deep to the common synovial sheath and flexor tendons
25. Which is NOT an origin of supinator
Correct : A. radial tuberosity
26. Regarding the nerves and vessels of the arm:
Correct : D. supratrochlear lymph nodes lie in the subcutaneous ????? just above the medial epicondyle
27. Brachial plexus:
Correct : C. the suprascapular nerve is the only branch from the trunks
28. The musculocutaneous nerve passes through which muscle?
Correct : A. coracobrachialis
29. What structure does NOT lie in the anatomical snuff box?
Correct : E. extensor pollicis longus
30. Latissimus dorsi:
Correct : A. is an accessory muscle of inspiration and expiration
31. Regarding the shoulder joint, which is INCORRECT?
Correct : A. full abduction requires medial rotation
32. In the forearm:
Correct : A. the median nerve passes between the two heads of pronator teres
33. What structure does NOT pierce the clavipectoral fascia?
Correct : C. lateral thoracic artery
34. Regarding the thumb:
Correct : A. abductor pollicis longus originates from both radius and ulna
35. Which artery is the main supply of triceps?
Correct : C. profunda brachii artery
36. Teres major:
Correct : D. is separated from teres minor by the long head of triceps
37. Regarding the brachial plexus:
Correct : E. the thoracodorsal nerve supplies lateral dorsi
38. Flexor pollicis longus:
Correct : E. has fleshy fibres to a point, just above the wrist
39. Which nerve supplies serratus anterior?
Correct : B. long thoracic nerve (C5, C6, C7)
40. At the elbow joint:
Correct : D. the ulnar nerve passes between the anterior and posterior bands of the ulnar collateral ligament
41. Which structure does NOT insert into the flexor retinaculum?
Correct : C. palmaris longus
42. Which nerve does NOT make contact with periosteum?
Correct : C. median nerve
43. Regarding the clavicle, which is false?
Correct : D. it has four named ligaments attached to it
44. Which is true of muscles of the pectoral girdle?
Correct : C. the sternocostal fibres of pectoralis major from the 6th costal cartilage are inserted higher on the lateral lip of the intertubecular soleus than the fibres from the first cartilage
45. The clavipectoral fascia is pierced by all but one of the following structures:
Correct : E. pectoralis minor
46. With respect to the axilla:
Correct : D. the lateral thoracic vein is connected by the thoracoepigastric vein to the superficial epigastric vein, therefore bypassing the IVC in its obstruction
47. With respect to the brachial plexus:
Correct : D. there are a total of 13 branches from the cords
48. With respect to the brachial plexus:
Correct : A. the lateral cord lies in the axilla
49. The blood supply to the breast involves all but one of the following:
Correct : B. long thoracic artery
50. Which muscle takes origin (in part) from both the medial and lateral intermuscular septa?
Correct : E. triceps
51. The carpus:
Correct : D. there are no muscular attachments to the extensor surface of the carpus
52. Which is true?
Correct : B. the medial cutaneous nerve is the smallest nerve branch of the brachial plexus
53. Regarding sweat glands, which is true?
Correct : A. the main nerve supply is via cholinergic sympathetic fibres
54. Regarding cartilage, which is true?
Correct : D. the elastic cartilage never calcifies
55. Regarding muscles, which is true?
Correct : E. the cardiac muscle is short, branched, mononuclear and a striated muscle
56. Regarding periosteum, which is TRUE?
Correct : B. it is osteogenic
57. An example of secondary cartilaginous joint include:
Correct : B. manubrio-sternal joint
58. An example of a fibrous joint include:
Correct : A. structures of the vault of the skull
59. Which of the following peripheral fibres have pain and temperature fibres?
Correct : D. δ neurone
60. Pectoralis major:
Correct : D. can act as an accessory muscle of inspiration
61. Regarding the brachial plexus:
Correct : B. ulnar nerve often carries fibres from C7
62. The subacromial bursa:
Correct : E. attached inferiorly to the tendon of supraspinatus
63. Regarding the brachial plexus:
Correct : E. none of the above
64. At the carpal tunnel:
Correct : D. the median nerve lies lateral to flexor digitorum superficialis
65. What structure pierces the flexor retinaculum?
Correct : B. flexor carpi radialis tendon
66. The lumbrical muscles:
Correct : D. flex the metacarpophalangeal joint
67. The following are true about flexor carpi radialis EXCEPT:
Correct : D. flexor pollicis longus lies medially
68. Which is the smallest branch of the medial cord of the brachial plexus?
Correct : C. medial cutaneous nerve of the arm
69. The nerve supply of serratus anterior is:
Correct : E. long thoracic nerve
70. Which muscle arises from both the radius and ulna:
Correct : C. abductor pollicis longus
71. Which lymphatics do not drain the breast?
Correct : C. lateral axillary nodes
72. At the cubital fossa:
Correct : A. the median nerve is medial to the brachial artery
73. The radial nerve gives rise to all the following except the:
Correct : E. medial cutaneous nerve of the arm
74. Which of the following is INCORRECT? Pectoralis minor:
Correct : E. is a medial rotator and adductor of the arm
75. Which of the following is INCORRECT? Pectoralis major:
Correct : B. is innervated by C6 to T1
76. The nerve supply of latissimus dorsi is from the:
Correct : B. thoracodorsal nerve
77. The nerve supply of rhomboid major and rhomboid minor is from the:
Correct : E. dorsal scapular nerve
78. The nerve supply of serratus anterior is from the:
Correct : D. long thoracic nerve
79. The nerve supply of pectoralis minor is from the:
Correct : A. pectoral nerves
80. The nerve supply to deltoid is from the:
Correct : C. axillary nerve
81. Which of the following is INCORRECT? The biceps:
Correct : C. is paralysed by an injury to the posterior cord of the brachial plexus
82. Which of the following is not a direct attachment of the pectoral girdle to the trunk?
Correct : B. pectoralis major
83. Which of the following does not connect the arm to the pelvic girdle?
Correct : C. subclavius
84. The nerve supply to supraspinatus is from the:
Correct : C. suprascapular nerve
85. The nerve supply to teres major is from the:
Correct : A. lower subscapular nerve
86. Which of the following is INCORRECT, regarding branches of the posterior cord?
Correct : D. C7, 8 – axillary
87. What is the first bone of the skeleton?
Correct : E. clavicle
88. Regarding the humerus:
Correct : E. the capsule of the shoulder joint extends down the medial side of the humeral shaft
89. Which muscle does not arise from the common extensor origin?
Correct : D. extensor carpi radialis longus
90. Regarding the extensor retinaculum:
Correct : D. it is a thickening of the deep fascia of the forearm
91. Brachialis is supplied by:
Correct : E. musculocutaneous and radial nn (?nerves)
92. Which carpal bone is most commonly dislocated?
Correct : A. lunate
93. Which muscle arises from both ulnar and radius?
Correct : C. flexor digitorum superficialis
94. Which structure is NOT attached to the pisiform?
Correct : B. ulnar collateral ligament
95. The median nerve goes through the heads of which muscle?
Correct : C. pronator teres
96. Regarding the interosseous muscle:
Correct : C. the tendons pass on the posterior side of the deep transverse ligament
97. Which nerve arises from both radius and ulna?
Correct : C. abductor pollicis longus
98. In the forearm:
Correct : E. the posterior interosseous nerve passes between the two layers of the supinator
99. The radial artery:
Correct : D. passes over the tendon of insertion of pronator teres