Correct : B. the medial wall is formed by pronator teres
2. Regarding the anatomical snuffbox:
Correct : A. the cephalic vein begins in the roof
3. Pectoralis major:
Correct : B. is supplied by all five segments of brachial plexus
4. Pectoralis major arises from all EXCEPT the:
Correct : D. upper six ribs
5. Sternoclavicular joint:
Correct : D. anterior/posterior movement occurs between manubrium and disc
6. Long head of triceps:
Correct : A. lies between teres minor and teres major
7. Deltoid:
Correct : C. lateral fibres only are multi-pennate
8. The elbow joint:
Correct : D. communicates with the superior radioulnar joint
9. With respect to the thenar muscles:
Correct : B. all arise from the flexor retinaculum
10. With respect to the flexor retinaculum:
Correct : A. it attaches to the scaphoid, hamate, pisiform and trapezium
11. The medial cutaneous nerve of the arm:
Correct : A. has fibres from C8 and T1
12. Pectoralis major:
Correct : D. can act as an accessory muscle of respiration
13. The brachial plexus:
Correct : C. carries sympathetic fibres
14. The superficial palmar arch:
Correct : A. lies level with the distal border of the outstretched thumb
15. Paralysis of which nerve results in inability to initiate abduction of the arm?
Correct : B. the suprascapular nerve
16. The axilla:
Correct : B. contains lymph nodes draining the upper limb and lateral chest wall
17. Brachialis muscle:
Correct : C. is both a flexor and extensor of the elbow joint
18. Simple pronation:
Correct : C. occurs without movement of the ulna
19. The musculocutaneous nerve:
Correct : E. arises from the lateral cord of the brachial plexus
20. Which of the following lies immediately medial to the tubercle of the radius (Lister’s tubercle)?
Correct : C. extensor pollicis longus
21. Interossei muscles in the hand:
Correct : E. are usually supplied by the ulnar nerve
22. The brachial artery:
Correct : D. is readily compressible
23. The wrist (radiocarpal) joint:
Correct : C. permits flexion, extension, adduction and abduction, but little rotation
24. The cephalic vein:
Correct : A. arises in the region of the anatomical snuffbox
25. The upper end of the humerus:
Correct : E. is the growing end of the humerus
26. In the antecubital fossa:
Correct : C. the radial nerve is on the lateral side
27. The lunate articulates with all of the following EXCEPT:
Correct : E. trapezoid
28. The brachial artery:
Correct : B. gives off the nutrient artery to the humerus
29. Following a laceration to the anterior surface of the wrist, a patient is unable to flex the proximal interphalangeal joint of his middle finger when his other fingers are held in extension. The tendon of which muscle has been divided?
Correct : D. flexor digitorum superficialis
30. The palmar interossei:
Correct : B. are usually supplied by a branch of the ulnar nerve
31. The cubital fossa:
Correct : C. has a floor made up of brachialis and supinator
32. The capsule of the shoulder joint:
Correct : C. bridges the gap between the greater and lesser tuberosities as the transverse ligament
33. With respect to the carpus:
Correct : A. the intercarpal joints share one continuous synovial space
34. Compression of the median nerve in the carpal tunnel produces:
Correct : C. loss of power of opposition of the thumb
35. A child has gashed the palmar aspect of her wrist on some glass. Which of the following would be
evidence of damage to her median nerve?
Correct : D. inability to oppose the thumb and little finger
36. A 45-year-old man is unable to initiate abduction of the arm following reduction of a dislocated shoulder. Damage to which nerve is most likely to be responsible for this condition:
Correct : A. the suprascapular nerve
37. Direct attachment of the pectoral girdle to the trunk is provided by:
Correct : B. trapezium
38. The posterior interosseous nerve DOES NOT supply:
Correct : B. the skin over the dorsal aspect of the thumb
39. The nerve supply of pectoralis minor is from the:
Correct : C. pectoral nerves
40. The insertion of latissimus dorsi in the arm is into the:
Correct : D. floor of the intertubecular groove
41. Regarding the sternoclavicular joint, the major stabilising factor is the:
Correct : B. costoclavicular ligament
42. The nerve supply of infraspinatus is the:
Correct : D. suprascapular nerve
43. The cephalic vein:
Correct : D. empties into the axillary vein
44. Which one of the following structures pass beneath the flexor retinaculum at the wrist?
Correct : E. median nerve
45. The skin of the top of the index finger is supplied by:
Correct : B. median nerve only
46. Extensor pollicis longus muscle:
Correct : D. hooks around the dorsal tubercle of the radius (Lister’s tubercle)
47. The extensor retinaculum:
Correct : C. is attached to the pisiform
48. The anatomical snuff box:
Correct : E. is crossed by cutaneous branches of the radial nerve
49. Compression of structures in the carpal tunnel usually results in:
Correct : D. normal sensation on the palmar surface of the little finger
50. Holding a heavy hammer in your hand involves:
Correct : E. requires synergic contraction of wrist extensors
51. The anatomical snuff box:
Correct : B. has the radial artery lying in its floor
52. Rotator cuff muscles include:
Correct : B. teres minor
53. Regarding synovial flexor sheaths in the hand and wrist, which one of the following is INCORRECT?
Correct : E. the sheath is the origin of the lumbricals
54. Which of the following structures is NOT one of the contents of the cubital fossa?
Correct : D. anterior interosseous nerve
55. The superficial branch of the ulnar nerve supplies:
Correct : A. palmaris brevis
56. The order of tendons in the extensor compartment of the distal forearm from radial to ulnar sides is:
ED = extensor digitorum
ECRB = extensor carpi radialis brevis
FCU = flexor carpi ulnaris
EI = extensor indicis
ECRL = extensor carpi radialis longus
ECU = extensor carpi ulnaris
EPL = extensor pollicis longus
Correct : D. ECRL; ECRB; EPL; ED & EI; ECU; FCU
57. Which of the following is true about flexor digitorum superficialis?
Correct : A. origin forms upper limit of the space of parona
58. Which of the following statements about the brachial plexus is INCORRECT?
Correct : E. trunks lie behind clavicle on first rib
59. Branches of the axillary artery DO NOT include:
Correct : C. medial thoracic
60. Which of the following is NOT TRUE regarding the breast?
Correct : E. it is invested in a thick fibrous capsule
61. Biceps:
Correct : E. short head arises from coracoid process, lateral to coracobrachialis
62. The radial nerve:
Correct : D. runs on the lateral side of the radial artery in the forearm
63. Which of the following DOES NOT form one of the boundaries of the cubital fossa?
Correct : E. medial margin of pronator teres
64. Which of the following muscles DOES NOT arise from the common extensor origin?
Correct : C. extensor carpi radialis longus
65. Regarding the shoulder joint:
Correct : D. subscapular bursa communicates with joint
66. Which of the following is CORRECT?
Correct : B. the five roots emerge between scalenus anterior and scalenus medius to form the trunks
67. The quadrangular space between teres major and subscapularis transmits:
Correct : E. post circumflex humeral artery
68. With regard to the elbow joint, which is NOT TRUE?
Correct : E. it is supplied by the brachial nerve
69. Which of the following DOES NOT arise from the roots of the brachial plexus?
Correct : C. medial pectoral nerve
70. Regarding the hand:
Correct : C. deep branch of the ulnar nerve lies within the concavity of the deep palmar arch
71. The venous systems that contribute least to venous drainage of the forearm is:
Correct : C. the deep veins which are often duplicate
72. Which of the following IS NOT true about the flexor carpi ulnaris?
Correct : B. ulnar artery passes deep to its deep head
73. Which of the following structures DOES NOT pierce the clavipectoral fascia in the delto-pectoral triangle?
Correct : B. medial pectoral nerve
74. Radial nerve:
Correct : A. is the largest branch of the brachial plexus
75. Regarding the shoulder joint:
Correct : D. the long head of triceps gives stability to the abducted humerus
76. The articulating surfaces of which of the following synovial joints are covered by fibrocartilage?
Correct : C. acromioclavicular joint
77. A structure that does not lie in the cubital fossa is:
Correct : C. median cubital vein
78. Which of the following is CORRECT concerning flexor digitorum profundus?
Correct : A. it arises from both radius and ulna
79. Which of the following groups of lymph nodes directly drain the breast?
Correct : A. lateral axillary nodes
80. Which of the following IS NOT true about pectoralis major?
Correct : C. inserts via a bilaminar tendon
81. Axillary artery:
Correct : C. is divided into three parts by pectoralis minor
82. Regarding flexor digitorum profundus, which is NOT TRUE?
Correct : B. arises from the common flexor origin
83. Damage to the median nerve may be suggested clinically by:
Correct : B. pointing index finger
84. Which of the following DOES NOT form the boundaries of the cubital fossa:
Correct : A. anconeus
85. Which of the following is NOT TRUE concerning the elbow joint?
Correct : B. the capsule of the synovial joint is attached to the radius distal to the annular ligament
86. Which of the following statements about the glenohumeral (shoulder joint) is INCORRECT?
Correct : C. innervated by medial pectoral nerve
87. Which of the following structures IS NOT one of the contents of the carpal tunnel?
Correct : B. ulnar artery
88. Which of the following IS NOT true about pronator teres?
Correct : A. ulnar artery passes between two heads
89. Which of the following statements about the cubital (elbow) joint is INCORRECT?
Correct : D. radial collateral ligament consists of three separate bands
90. Which of the following is CORRECT about the latissimus dorsi?
Correct : D. derivative of upper limb myotomes
91. Which of the following is CORRECT about flexor carpi radialis?
Correct : E. tendon pierces flexor retinaculum
92. Which of the following pierce the medial intermuscular septum of the arm?
Correct : B. ulnar nerve
93. Which of the following DOES NOT arise, in part, from the lateral intermuscular septum of the arm?
Correct : C. brachials
94. Which of the following DOES NOT contribute to the innervation of the elbow joint?
Correct : E. medial cutaneous nerve of the arm
95. Regarding the axilla:
Correct : C. the apex communicates directly with the posterior triangle of the neck
96. The largest branch of the axillary artery is:
Correct : D. subscapular artery
97. The cubital fossa has:
Correct : C. the brachial artery medial to the tendon of the biceps
98. The only carpal bone to give attached to both flexor and extensor retinacula is:
Correct : E. pisiform
99. In the carpal tunnel:
Correct : C. the tendon for the index finger from flexor digitorum superficialis lies medial to the median nerve
100. Structures in the anatomical snuff box include all the following EXCEPT: