Quiznetik
Upper Limb | Set 1
1. Pectoralis Major:
A. is quadrilateral in shape
B. has a head that arises from the posterior surface of the clavicle
C. inserts into the medial lip of the bicipital groove
D. lies between biceps and the humeral shaft
E. is supplied by all 5 segments of the brachial plexus
Correct : E. is supplied by all 5 segments of the brachial plexus
2. Latissimus Dorsi:
A. arises from the spinous processes of T2-L5
B. spirals around the upper border of teres major
C. arises from the iliac crest
D. inserts into the lesser tuberosity
E. externally rotates
Correct : C. arises from the iliac crest
3. The sternoclavicular joint:
A. communicates with the manubriosternal joint
B. is mostly stabilised by the costoclavicular lig
C. is the fulcrum of movements at the sternoclavicular joint
D. contains 2 fibrocartilage discs
E. is supplies by C8 and T1
Correct : B. is mostly stabilised by the costoclavicular lig
4. Teres major:
A. arises from the medial border of the scapula
B. forms the lower border of the quadrangular space
C. forms the lateral border of the triangular space
D. is supplied by the axillary nerve
E. largely acts to extend the arm
Correct : B. forms the lower border of the quadrangular space
5. The axillary artery:
A. arises from the vertebral artery
B. is divided into 3 parts by teres major
C. is clasped in its 3rd part by the cords of the brachial plexus
D. has no branches in its 3rd part
E. supplies the pectoral muscles via the superior thoracic a.
Correct : E. supplies the pectoral muscles via the superior thoracic a.
6. With regard to the brachial plexus:
A. the axillary n is derived from the lateral cord
B. the radial nerve is derived from C7, 8 and T1
C. the nerve to subclavius is the only branch from the trunks
D. there are 7 divisions of the trunks
E. the roots lie between the scalene muscles
Correct : E. the roots lie between the scalene muscles
7. An injury to the middle trunk of the brachial plexus:
A. would mean that C8 sensation is altered
B. will manifest in the medial cord
C. will affect the median nerve
D. will affect the long thoracic nerve
E. all of the above
Correct : C. will affect the median nerve
8. The rotator cuff is formed by all of the below except:
A. subscapularis
B. supraspinatus
C. infraspinatus
D. teres minor
E. teres major
Correct : E. teres major
9. The subacromial bursa:
A. is strengthened anteriorly by the glenohumeral ligaments
B. lies under the coracoacromial lig
C. envelopes the distal end of the coracoid process
D. if inflamed will be more tender when abducted
E. all of the above
Correct : B. lies under the coracoacromial lig
10. With regards to the biceps brachii:
A. the long head arises from the greater tuberosity
B. the short head arises from the acromium
C. supinates forearm
D. supplied by median n
E. its 2 heads merge in the upper arm
Correct : C. supinates forearm
11. The brachial artery:
A. lies lateral to the basilic vein
B. lies anterior to the cephalic vein
C. is crossed posteriorly by the median n
D. runs parallel but deep to the profunda a
E. is the continuation of the subclavian a
Correct : A. lies lateral to the basilic vein
12. The triceps:
A. is a misnomer because it has 2 heads
B. supplied by radial n
C. stabilises shoulder in adduction
D. has its nerve compromised in humerus shaft #
E. supplied by post. IO artery
Correct : B. supplied by radial n
13. In the cubital fossa:
A. the median n lies lateral to the brachial a
B. the ulnar a is superficial to pronator teres
C. the radial a originates from the brachial a
D. the radial n lies medial to the biceps tendon
E. the nerve to pronator teres is derived from the radial n
Correct : C. the radial a originates from the brachial a
14. The deepest structure in the mid forearm is:
A. median n
B. basilic v
C. radial a
D. F P L
E. Ulnar n
Correct : D. F P L
15. Palmaris Longus:
A. is absent in 40 % people
B. originally was an extensor of the MCP joints
C. arises from the medial epicondyle
D. inserts into the pisiform
E. supplied by radial n
Correct : C. arises from the medial epicondyle
16. F D P
A. has its action enhanced by wrist extension
B. is supplied entirely by ulnar n in 10% people
C. partly inserts in to the flexor retinaculum
D. assists pronator quadratus in powerful pronation
E. all of the above
Correct : A. has its action enhanced by wrist extension
17. Radial a:
A. lies on the brachioradialis in the upper forearm
B. in its middle third has the radial n medial to it
C. forms both the anterior and posterior carpal arches
D. passes between the tendons of APL and EPB
E. all of the above
Correct : C. forms both the anterior and posterior carpal arches
18. Anatomical snuff box:
A. has EPL on its ulnar side
B. lies between EPL and APL
C. has the trapezoid palpable at its base
D. is most obvious with the thumb fully abducted
E. contains the post IO artery
Correct : A. has EPL on its ulnar side
19. The flexor retinaculum attaches to all the following except:
A. scaphoid
B. hamate
C. trapezium
D. pisiform
E. captitate
Correct : E. captitate
20. Loss of the greater tuberosity leads to loss of which movement
A. abduction and lateral rotation
B. adduction and medial rotation
C. abduction and medial rotation
D. adduction and lateral rotation
E. lateral rotation
Correct : A. abduction and lateral rotation
21. Myotome of shoulder abduction?
A. C5
B. C5, C6
C. C5, C6, C7
D. C6, C7, C8
E. C6, C7
Correct : A. C5
22. Which is false with respect to the lateral intermuscular septum:
A. origin of medial head of triceps
B. pierced by ant branch of profunda a
C. pierced by radial n
D. pierced by post branch of profunda a
E. brachioradialis is anterior
Correct : D. pierced by post branch of profunda a
23. Which doesn’t pierce the clavipectoral fascia
A. lymphatics
B. cephalic vein
C. lat pectoral n
D. med pectoral n
E. thoracoacromial a
Correct : D. med pectoral n
24. Serratus anterior
A. Medially rotates shoulder
B. Protracts scapula
C. Is unipennate
D. Arises from the upper 6 ribs
E. Is supplied by the thoracodorsal a
Correct : B. Protracts scapula
25. Which causes lateral rotation of the shoulder
A. subscapularis
B. teres minor
C. teres major
D. deltoid
E. serratus anterior
Correct : B. teres minor
26. What stabilises the abducted shoulder?
A. Capsule
B. Long head triceps
C. Glenohumeral joint
D. Coracoacromial arch
E. Glenohumeral ligament
Correct : B. Long head triceps
27. Which nerve does not pass through muscle described
A. Radial n and brachioradialis
B. Post IO n and supinator
C. Musculocutaneous n and coracobrachialis
D. Ulna n and FDS
E. Median n and pronator teres
Correct : D. Ulna n and FDS
28. In the cubital fossa which of the following is lateral to the radial a
A. Brachial a
B. Median n
C. Biceps tendon
D. Post IO n
Correct : D. Post IO n
29. In the upper limb which is correct?
A. Receives supply from T4
B. Supplied by C3 – T1
C. Upper arm dermatomes are C4, 5, 8, T1
D. Elbow flexion is C7, C8
E. Thumb dermatome is C8
Correct : C. Upper arm dermatomes are C4, 5, 8, T1
30. radial n
A. runs with profunda brachii in the radial groove
B. gives off the post IO n in the spiral groove
C. is only C5, 6 7 and 8
D. occupies the entire length of radial groove
E. passes through the quadrilangular space
Correct : A. runs with profunda brachii in the radial groove
31. Forearm muscles:
A. Pronator teres is the most powerful pronator
B. Palmaris longus is absent in 30% cases
C. FPL is unipennate
D. FCR runs over entire length of retinaculum
E. Pronator quadtratus arises from lower radius
Correct : C. FPL is unipennate
32. Interossei
A. Arise from flexor retinaculum
B. Palmar abduct
C. Palmar have 2 heads of origin
D. Innervated by deep branch of ulnar n
E. Combined dorsal and palmar abduct
Correct : D. Innervated by deep branch of ulnar n
33. Palmar interossei
A. Have 2 heads
B. Abduct the fingers
C. Chiefly responsible for MCPJ flexion and DIPJ extension
D. Arise from tendons of FDS
E. Flex IPJ
Correct : C. Chiefly responsible for MCPJ flexion and DIPJ extension
34. Which is not a branch of the axillary artery: (>1 ANSWER)
A. Thoracoacromial
B. Sup thoracic
C. Post CX humeral
D. Dorsal scapular
E. CX scapular
Correct : E. CX scapular
35. The ulnar artery
A. Has the ulna nerve lying laterally
B. Supplies the deep palmar arch
C. Has common interosseus as major branch
Correct : C. Has common interosseus as major branch
36. Which of the following bones attach to both flexor and extensor retinaculum?
A. Scaphoid
B. Hamate
C. Pisiform
D. Trapezium
E. Triquetral
Correct : C. Pisiform
37. AC joint – which is false
A. Is a complex joint with fibrocartilage intracapsular disc
B. Coraco-acromial lig is not a stabilising factor
C. All movements are passive
D. Is innervated by the cervical plexus
E. Synovial joint
Correct : B. Coraco-acromial lig is not a stabilising factor
38. The deltoid
A. Is supplied by the axillary n
B. Has a multipennate arrangement for maximal range of movement
C. Inserts into the bicipital groove
Correct : A. Is supplied by the axillary n
39. Which muscle initiates shoulder abduction
A. Multipennate centre of the deltoid
B. Anterior and posterior fibres of deltoid
C. Supraspinatus
D. Teres minor
Correct : C. Supraspinatus
40. regarding FDS
A. it arises from the coronoid process and sublime tubercle
B. the tendons to the II/V fingers travel superior to those of the III/IV fingers
Correct : A. it arises from the coronoid process and sublime tubercle
41. Regarding the anatomical snuff box which is incorrect
A. Branches of the radial nerve can be palpated over the tendons
B. The cephalic vein begins in the roof
C. The bones palpable are the radial styloid, scaphoid, trapezium and the base of I metacarpal
D. The tendons of APL and EPL form one boundary
Correct : D. The tendons of APL and EPL form one boundary
42. Injury to the wrist with impairment of thumb abduction is often associated with
A. Inability to flex DIPJ of II
B. Inability to flex PIPJ of II
C. Inability to oppose thumb
Correct : C. Inability to oppose thumb
43. Lateral rotation of shoulder
A. Supplied by C5
B. Associated with adduction
Correct : A. Supplied by C5
44. Which movement of the arm does not involve C6
A. Pronation
B. Supination
C. Shoulder adduction
D. Wrist flexion
E. Wrist extension
Correct : A. Pronation
45. Regarding the cutaneous nerve supply to the arm and forearm
A. C3,4 supply pectoral and upper shoulder
B. Branches of the brachial plexus supply arm and forearm
C. C4,5,6 and T1 supply the majority of the arm
Correct : B. Branches of the brachial plexus supply arm and forearm
46. Regarding the brachial plexus
A. Serratus anterior is C6,7,8
B. All branches originate from roots, divisions or cords
C. Suprascapular nerve comes off posterior cord
D. Dorsal scapular n comes off C5
Correct : D. Dorsal scapular n comes off C5
47. Regarding lymphatic drainage of the arm
A. Superficial lymphatics follow volar aspect
B. Superficial travel with the veins
C. Deep travel with the veins
D. Hand drains into apical LN in axilla
Correct : D. Hand drains into apical LN in axilla
48. Regarding digital nerves
A. Common digital n lie superficial to superficial arch
B. Palmar nerves only supply palmar surface
C. Digital nerves are only sensory
D. Digital nerve lies posterior to digital a
Correct : C. Digital nerves are only sensory
49. The direct attachments of pectoral girdle to trunk is by following except:
A. Subclavius
B. Trapezius
C. Rhomboids
D. Levator scapulae
E. Latissimus dorsi
Correct : E. Latissimus dorsi
50. The following nerve passes through the quadrangular space
A. Axillary
B. Radial
C. Thoracodorsal
D. Suprascapular
E. Infrascapular
Correct : A. Axillary
51. The only branch from the trunk of the brachial plexus is
A. Dorsal scapular
B. Nerve to subclavius
C. Long thoracic
D. Suprascapular
E. Infrascapular
Correct : A. Dorsal scapular
52. The largest branch of the brachial plexus is
A. Ulnar
B. Axillary
C. Radial
D. Median
E. Thoracodorsal
Correct : C. Radial
53. With regards to pectoralis major
A. Forms posterior axillary fold
B. Sternocostal head assists in flexion of shoulder
C. The clavicular fibres are chief adductors
D. With the limb fixed in adduction, is accessory muscle of respiration
E. Medial rotator and powerful adductor
Correct : E. Medial rotator and powerful adductor
54. The unar n is located in the grooved surface of which of the following in the elbow joint
A. Ant band of the medial collateral ligament
B. Middle band of the medial collateral ligament
C. Posterior band of the medial collateral ligament
D. Radial collateral ligament
E. Annular ligament
Correct : B. Middle band of the medial collateral ligament
55. Palmaris longus
A. Arises from the lat epicondyle
B. Inserts into the base of 2nd and 3rd metacarpals
C. Is absent in 13%
D. Is supplied by musculocutaneous n
E. Is functionally useless
Correct : C. Is absent in 13%
56. The capsule of the elbow joint is not attached to
A. Capitulum
B. Trochlea
C. Ulna
D. Radius
E. Annular ligament
Correct : D. Radius
57. Bony points palpable in snuff-box are all except
A. I metacarpal
B. Trapezium
C. Scaphoid
D. Radial styloid
E. Lunate
Correct : E. Lunate
58. The wrist joint
A. Biaxial synovial joint
B. Communicates with distal RUJ
C. Supplied by branches of ulnar n
D. Fibrocartilaginous disc transmits thrust from hand
E. All of the above
Correct : A. Biaxial synovial joint
59. The carpal tunnel contains all except:
A. Tendon of FDS
B. Tendon of FDP
C. Median n
D. Palmaris longus tendon
E. FPL tendon
Correct : D. Palmaris longus tendon
60. The earliest bone to ossify
A. Radius
B. Ulna
C. Clavicle
D. Humerus
E. Mandible
Correct : C. Clavicle
61. Muscles associated with the greater tuberosity of humerus
A. Deltoid
B. Latissimus dorsi
C. Teres major
D. Teres minor
E. Subscapularis
Correct : D. Teres minor
62. Number of ossification centres in scapula
A. 4
B. 5
C. 6
D. 7
E. 8
Correct : E. 8
63. The nutrient artery to the humerus shaft mostly arises from
A. Ulnar collateral a
B. Profunda a
C. Brachial a
D. Post CX a
E. None of the above
Correct : C. Brachial a
64. The radial a in the forearm crosses all the following muscles except:
A. FDS
B. Biceps
C. Supinator
D. Pronator teres
E. FDS
Correct : A. FDS
65. FCR
A. Lateral to pronator teres
B. Has a separate synovial sheath beneath flexor retinaculum
C. Supplied by radial n
D. Grooves scaphoid
E. None of the above
Correct : B. Has a separate synovial sheath beneath flexor retinaculum
66. Which pass through the quandrangular space
A. CX scapular a
B. Nerve to the lateral head of triceps
C. Radial n
D. Profunda a
E. Post humeral CX vessels
Correct : E. Post humeral CX vessels
67. The suprascapular n arises from where on brachial plexus
A. Upper trunk
B. Ventral roots C5,6
C. Ventral division of upper trunk
D. Dorsal division of upper trunk
E. Lateral cord
Correct : A. Upper trunk
68. lymphatic drainage of the breast
A. entirely to axillary nodes
B. follows arterial supply
C. follows superior epigastric vessels
D. mainly through internal mammary nodes
E. has significant drainage to opposite breast
Correct : B. follows arterial supply
69. The groove on 1st rib is related to
A. Subclavian v
B. Scalenus pleuralis
C. Subclavian artery
D. Lower trunk of brachial plexus
E. Dorsal cord of brachial plexus
Correct : D. Lower trunk of brachial plexus
70. the dorsal scapular n
A. major supply of levator scapulae
B. dorsal to rhomboids
C. fibres from C6
D. receives fibres from cervical plexus
E. accompanied by descending scapula vessels
Correct : A. major supply of levator scapulae
71. All but one is anterior to the brachial plexus in the neck
A. Thoracic duct
B. R recurrent laryngeal n
C. Suprascapular a
D. Scalenus medius
E. Long thoracic n
Correct : D. Scalenus medius
72. ECU
A. Supplied by ulnar n
B. Has no attachment to the ulna
C. Superficial to extensor retinaculum
D. Does not extend V finger
Correct : D. Does not extend V finger
73. which movements can take place at the IPJ
A. abduction
B. adduction
C. flexion
D. circumduction
E. rotation
Correct : C. flexion
74. Ossification of upper limb
A. Ossification of clavicle is in cartilage
B. Ossification of scapula from 1 centre
C. Ossification of proximal row of carpals occurs before the distal row
D. Distal radial epiphysis closes later than the proximal
E. The radial head epiphysis closes at 15yo
Correct : D. Distal radial epiphysis closes later than the proximal
75. actions of latissimus dorsi
A. flexion
B. lateral rotation
C. abduction
D. all of the above
E. none of the above
Correct : E. none of the above
76. FCR
A. Supplied by radial n
B. Pierces flexor retinaculum
C. Pronator
D. Synergist with finger flexors
E. Inserts to thumb
Correct : B. Pierces flexor retinaculum
77. The number of branches of the median nerve in the upper arm
A. Zero
B. 1
C. 3
D. 4
E. 6
Correct : A. Zero
78. What supinates forearm
A. Anconeus
B. Biceps
C. Brachialis
D. ECU
E. All of the above
Correct : B. Biceps
79. The basilic vein
A. Arises from the dorsum of hand
B. Always superficial to deep fascia
C. Unites with cephalic to form axillary
D. All of the above
E. None of the above
Correct : E. None of the above
80. The roundness of the shoulder is due to
A. Acromium
B. Coracoid process
C. Distal clavicle
D. None of the above
E. All of the above
Correct : D. None of the above
81. C5 is mainly concerned with
A. Pronation
B. Wrist extension
C. Elbow extension
D. Medial rotation of shoulder
E. None of the above
Correct : E. None of the above
82. Branches of radial artery
A. Comes nervi mediani
B. Ant IO
C. Post IO
D. All of the above
E. none of the above
Correct : E. none of the above
83. what is true of the humerus
A. the radial n is never in contact with bone
B. APL origin = humerus
C. Proximal epiphysis unites later than distal epiphysis
D. Shorter than radius
E. Contains transversely directed trabeculae
Correct : C. Proximal epiphysis unites later than distal epiphysis
84. Division of ulnar n at wrist leads to sensory loss over:
A. Thumb
B. II and III fingers
C. IV and V fingers
D. All of the above
E. None of the above
Correct : C. IV and V fingers
85. If the brachial artery is ligated
A. No collaterals can be established
B. Collaterals possible if ligation below level of sup ulnar collateral a
C. Collaterals possible if ligation above the level of sup ulnar collateral a
D. Immediate amputation is necessary
E. Amputation of the fingers only will be necessary
Correct : C. Collaterals possible if ligation above the level of sup ulnar collateral a
86. radial n
A. fibres from C6,7 and C8
B. passes through quadrangular space
C. does not supply ECU
D. supplies supinator
E. has no motor fibres in it
Correct : D. supplies supinator
87. musculocutaneous n
A. supplies brachioradialis
B. terminates as the post IO n
C. arises from the lateral cord of the brachial plexus
D. always supplies all of brachialis
E. fibres from C6, C7 and C8
Correct : C. arises from the lateral cord of the brachial plexus
88. the nerve in closest relation to shoulder joint is
A. radial
B. median
C. axillary
D. musculocutaneous
E. lateral pectoral
Correct : C. axillary
89. What lies medial to Lister’s tubercle
A. ECU
B. ECR
C. EPL
D. EPB
E. ED
Correct : C. EPL
90. Nerve supply to palmaris brevis
A. Palmar branch of median
B. Recurrent branch of median
C. Deep branch ulnar
D. Superficial branch of ulnar
E. None of the above
Correct : D. Superficial branch of ulnar
91. Almost exclusively supplied by median n
A. Adductor pollicus
B. APB
C. Opponens pollicus
D. FPB
E. None of the above
Correct : B. APB
92. Following damage to the radial n on the spiral groove which of the following would show the earliest signs of recovery
A. Long head triceps
B. ED
C. ECRL
D. ECRB
E. Supinator
Correct : C. ECRL
93. In abduction of arm
A. Clavicle remains fixed
B. Scapula moves dorsally on the chest wall
C. Scapula movement at first is more rapid than the humerus
D. Medial end of the clavicle moves downwards on the intraarticular disc
E. Medial rotation of humerus
Correct : D. Medial end of the clavicle moves downwards on the intraarticular disc
94. The brachial a
A. Commences at upper border of teres major
B. Is in direct contact with the humerus
C. Has biceps tendon medial to it
D. Is readily compressible
E. Is accompanied throughout by basilic vein
Correct : D. Is readily compressible
95. The wrist
A. Has a synovial cavity continuous with distal RUJ
B. Has a synovial cavity continuous with mid carpal joint
C. Permits considerable flexion, extension, abduction and adduction but no rotation
D. Has articular surface of radius which faces distally, medially and dorsally
E. Has the flexor retinaculum anterior to it
Correct : C. Permits considerable flexion, extension, abduction and adduction but no rotation
96. Median n
A. Lateral to palmaris longus
B. Does not supply 1st dorsal interossei
C. Passes deep to both heads of pronator teres
D. Has constant and important exchange of fibres with musculocutaneous n
E. Supplies that portion of FDS which will move the II and III fingers
Correct : E. Supplies that portion of FDS which will move the II and III fingers
97. The 1st dorsal interossei
A. Adducts the index finger
B. Adducts the thumb
C. Is sometimes supplied by the median n
D. All of the above
E. None of the above
Correct : C. Is sometimes supplied by the median n
98. The female breast
A. Does not extend over serratus anterior
B. Has a separate duct for each lobe opening on to the nipple
C. Receives the great part of its blood supply from the internal mammary a
D. Drains lymph mainly to the infraclavicular LN
E. Collection of modified sebaceous glands
Correct : B. Has a separate duct for each lobe opening on to the nipple
99. FDS
A. Essential for full finger flexion
B. Has tendons in one plane at the wrist
C. Supplied by both median and ulnar n
D. Communicates with the extensor apparatus by way of the lumbricals
E. Has the median n attached to its dorsal sheath.
Correct : E. Has the median n attached to its dorsal sheath.
100. If the ulnar n is cut at the elbow
A. Part of FDS is paralysed
B. There is loss of sensation on the back of the II finger
C. Flexion at the MCPJ of IV and V is lost if their IPJ are kept extended
D. Distal phalanges of all fingers are extended
E. Opposition of the thumb is usually lost
Correct : C. Flexion at the MCPJ of IV and V is lost if their IPJ are kept extended