UPPER LIMB ANATOMY MCQs

5.0 (1 review)
Term
1 / 70
In the upper limb, all the various types of joints are found. Select the correct name and the type of joint in the following options:
A. Elbow joint - condyloid joint
B. Radio-ulnar joints - pivot type of synovial joint
C. Wrist joint - saddle type of synovial joint
D. First metacarpo-carpal joint - ellipsoidal type of synovial joint
Click the card to flip 👆
Terms in this set (70)
In the upper limb, all the various types of joints are found. Select the correct name and the type of joint in the following options:
A. Elbow joint - condyloid joint
B. Radio-ulnar joints - pivot type of synovial joint
C. Wrist joint - saddle type of synovial joint
D. First metacarpo-carpal joint - ellipsoidal type of synovial joint
B. Radio-ulnar joints - pivot type of synovial joint.
The rotator cuff muscles attached to the greater tuberosity of the humerus include the following except
A. supraspinatus.
B. infraspinatus.
C. teres minor
D. subscapularis.
D.subscapularis.
The following facts is true of the serratus anterior muscle:
A. It arises as digitations from the lower eight ribs.
B. The upper four digitations inserts into the medial border of the costal surface of the scapula.
C. The lower four digitations laterally rotates the scapula during abduction.
D. It is innervated by intercostal nerves.
B. The upper four digitations inserts into the medial border of the costal surface of the scapula.
C. The lower four digitations laterally rotates the scapula during abduction.
Considering the muscles that move the scapula:
A.Trapezius elevate and depress the scapula.
B. Rhomboids protract.
C. Serratus anterior retract.
D. Serratus anterior rotate the scapula medially.
A.Trapezius elevate and depress the scapula.
Considering the nerve supply of pectoralis major; it is innervated by
A. lateral pectoral nerve.
B. medial pectoral nerve
C. both medial and pectoral nerves.
D. nerve to pectoralis major.
C. both medial and pectoral nerves.
Considering the movement of the radio-ulnar joint:
A. In supination, the axis of supination-pronation is oblique to the axis of the forearm.
B. In pronation, the bones of the forearm are parallel
C. Pronation is the stronger movement.
D. Supination with the elbow in extension is done by biceps.
A. In supination, the axis of supination-pronation is oblique to the axis of the forearm.
Considering the attachments and nerve supply of the triceps muscle:
A. The long head originates from the supraglenoid tubercle of the scapula.
B.The medial head originates from the shaft of humerus above the spiral groove.
C. It inserts as a combined tendon into the tip of the coronoid process.
D. It receives its innervation from all the root value of the brachial plexus.
B.The medial head originates from the shaft of humerus above the spiral groove.
D> (remember what I said during interactive session - radial nerve may contain all root values it is only the C 5,6 that supplies the arm, the rest is for forearm)
Considering the vessels of the upper limb:
A. The cephalic vein is the medial continuation of the dorsal venous plexus of the hand.
B. The basilic vein unites with the venae commitantes of the brachial artery to form the basilic vein.
C. The brachial artery divides into radial and ulnar arteries at the apex of the cubital fossa.
D. The ulnar artery is the smaller division of the brachial artery.
B. The basilic vein unites with the venae commitantes of the brachial artery to form the basilic vein.
Considering the wrist joint:
A. It is a saddle type of joint.
B. It includes all the bones of the proximal row of the carpus.
C. Adduction is reinforced by extensor muscles.
D. Abduction-extension is used in anti-gravity movements of the hand.
D. Abduction-extension is used in anti-gravity movements of the hand.
A man doing some carpentry work, accidentally poked his palm with a sharp screw driver. In his case which synovial sheath of his fingers would likely to be infected if the common synovial sheath of the hand becomes infected?
A. digital synovial sheath of index.
B. digital synovial sheath of middle finger.
C. synovial sheath of thumb.
D. synovial sheath of little finger.
D. synovial sheath of little finger.
The following fact is true of palmar aponeurosis : A. The base of the aponeurosis divides into five slips. B. Its apex is attached to the flexor retinaculum as the continuation of palmaris longus C. It is loosely attached to the skin of the palm. D. The deep palmar arterial arch lies immediately under the aponeurosisB. Its apex is attached to the flexor retinaculum as the continuation of palmaris longusRegarding the palmar arterial arches: A. The superficial palmar arch is formed by union of the ulnar artery with the superficial palmar branch of radial artery. B. Five digital arteries arise from the convexity of the superficial palmar arch. C. The deep palmar arch is at a level of distal border of extended thumb. D. The deep palmar arch lies superficial to the long flexor tendons of the fingers.A. The superficial palmar arch is formed by union of the ulnar artery with the superficial palmar branch of radial artery.The coracoid process of the scapula has the attachments of A. long head of biceps. B. coracobrachialis muscle. C. pectoralis major. D. short head of triceps.B. coracobrachialis muscle.Regarding the small muscles of the hand: A. The dorsal interossei is bipennate in structure. B. There are three dorsal and four palmar interossei muscles. C. The lumbricals originate from the tendon of flexor digitorum superficialis. D. All the lumbricals are innervated by the median nerve.A. The dorsal interossei is bipennate in structure.In median nerve injury at the wrist, A. The sensory nerve supply to the lateral half of the palm is lost. (receives the branch from the median nerve in the forearm) B. All the lumbricals are paralyzed. C. The thumb is in an adducted position. D. The hand assumes a true claw position.C. The thumb is in an adducted position.(OBA)A man came with fracture of the surgical neck of the humerus, the first movement of the shoulder joint that you would test to confirm the nerve injury is A. flexion B. extension. C. rotation. D. abduction.D. abduction.(OBA)A woman slashed her wrist in trying to commit suicide. On examination, all the metacarpophalangeal joints of her fingers were extended and the interphalangeal joints were flexed. The most probable injury was to the A. palmar branches of median and ulnar nerves. B. median nerve. C. ulnar nerve D. both median and ulnar nerves.C. ulnar nerve(OBA)After drinking heavily on a Saturday night, a man fell asleep with his arm over the back of a chair. When he woke up in the morning he had flexion at the elbow with inability to extend his hand. The most probable nerve injury is to the A. radial nerve above the elbow. B. innervation of the triceps muscle. C. radial nerve in the axilla. D. posterior cord.C. radial nerve in the axilla.(OBA)The best site for giving an intravenous injection is A. cephalic vein at the origin. B. cephalic vein at the delto-pectoral groove. C. basilic vein D. median cubital vein.D. median cubital vein.(OBA)The most common artery palpated for the pulse in the upper limb is A. radial artery in the snuff box B. radial artery at the wrist. C. brachial artery at the elbow. D. brachial artery at mid-arm.B. radial artery at the wrist.The features at the lower end of humerus include. A.Radial fossa. B. Intertubercular sulcus. C. Lesser tubercle. D. Bicipital groove.A. Radial fossa rest are at upper endThe features at the upper end of ulna include A. olecranon process. B. coracoid process. C. styloid process. D. head. .A. olecranon process. B. coracoid process. others at lower endThe borders of scapula include A. upper B. anterior. C. posterior. D. inferior.A. UpperRegarding the clavicle: A. It is subcutaneous. B. It has an upper and lower end. C. Medial end is flat. D. It has a medullary cavity.A. It is subcutaneous.Regarding the radius bone: A. It has a head at the lower end. B. Its lower end has an inferior surface. C. Its styloid process is present at its upper end. D. It has an anterior tuberosity for the attachment of biceps tendon.B. Its lower end has an inferior surface.The following carpal bones are present in the distal row in wrist: A. Lunate. B. Triquetral C. Capitate. D. Scaphoid.C. Capitate.The posterior wall of axilla is formed by A. pectoralis minor. B. teres major. C. supraspinatus. D. serratus anterior.B. teres major.The following are the contents of axilla EXCEPT A. axillary artery and its branches. B. cords and branches of brachial plexus. C. axillary lymph nodes. D. basilic veinD. basilic veinThe branches of axillary artery include A. acromio-thoracic artery. B. medial thoracic artery. C. infrascapular artery D. lateral circumflex humeral artery.A. acromio-thoracic artery.The branches from posterior cord of brachial plexus include A. median nerve. B. axillary nerve. C. medial cutaneous nerve of arm. D. suprascapular nerve.B. axillary nerve.The branches from the lateral cord of brachial plexus include A. lateral pectoral nerve. B. ulnar nerve. C. Lower subscapular nerve. D. thoracodorsal nerve.A. lateral pectoral nerve. B. ulnar nerve. [medial cord] C. Lower subscapular nerve. [posterior cord] D. thoracodorsal nerve. [posterior cord]Rotator cuff is formed by the following muscles except A. supraspinatus. B. subscapularis. C. teres minor. D. teres major.D. teres major.The following statements are true of the deltoid muscle except A. Its clavicular fibres take origin from posterior border of lateral 1/3 of clavicle. B. It is inserted into the deltoid tuberosity of humerus. C. It is supplied by axillary nerve. D. Its acromial fibres adduct the armA. Its clavicular fibres take origin from posterior border of lateral 1/3 of clavicle. [anterior]Regarding the musculocutaneous nerve: A. It arises from medial cord of brachial plexus. B. It pierces the coracobrachialis muscle. C. It continues as the medial cutaneous nerve of forearm. D. It supplies the biceps brachii muscle.B. It pierces the coracobrachialis muscle. A &C LateralThe superficial muscles of front of forearm include A. pronator quadratus. B. flexor carpi radialis. C. flexor pollicis longus. D. supinator.B. flexor carpi radialis. A. pronator quadratus. [deep] C. flexor pollicis longus. [deep] D. supinator. [posterior]The contents of cubital fossa include A. brachial artery. B. musculocutaneous nerve. C. ulnar nerve. D. tendon of brachialis.A. brachial artery.The muscles supplied by anterior interosseous nerve in forearm include A. flexor pollicis longus. B. pronator teres,. C. palmaris longus. D. medial half of flexor digitorum profundus.A. flexor pollicis longus. D. medial half of flexor digitorum profundus.Regarding the triceps brachii muscle: A. It has a lateral, a medial and a short head. B. Long head takes origin from suprafraglenoid tubercle of scapula. C. It is supplied by ulnar nerve D. It is inserted into the olecranon process of ulna.D. It is inserted into the olecranon process of ulna.The muscles supplied by posterior interosseous nerve in forearm include A. anconeus. B. extensor carpi radialis longus. C. extensor indicis. D. brachialisC. extensor indicis.The deep muscles of back of forearm include A. extensor carpi radialis longus. B. extensor carpi radialis brevis. C. supinator. D. extensor carpi ulnaris.C. supinator.The structures passing deep to flexor retinaculum include A. tendon of flexor digitorum profundus. B. ulnar artery. C. radial artery. D. ulnar nerve.A. tendon of flexor digitorum profundus.The muscles supplied by deep branch of ulnar nerve in hand include A. abductor pollicis brevis. B. flexor pollicis brevis . C. lateral two lumbricals. . D. all interossei.D. all interossei.The muscles of thenar eminence in hand include A. adductor pollicis. B. abductor pollicis longus. C. flexor pollicis brevis. D. lumbricals.A. adductor pollicis. D. lumbricals.Superficial palmar arch is formed by A. superficial palmar branch of radial artery. B. continuation of radial artery. C. anterior interosseous artery. D. deep palmar branch of ulnar arteryA. superficial palmar branch of radial artery.The following statements are true of the superficial veins of upper limb EXCEPT A. Cephalic vein runs in the deltopectoral groove. B. Lateral end of dorsal venous arch continues as the cephalic vein. C. Basilic vein runs upwards through the roof of the anatomical snuff box. D. Medial end of dorsal venous arch continues as the basilic vein.C. Basilic vein runs upwards through the roof of the anatomical snuff box.The clavicle A. most commonly fractures between the junction of middle and outer third. B. has no medullary cavity. C. articulates with the coracoid process laterally, and with the manubrium medially. D. articulates with the manubrium by a fibrous jointB. has no medullary cavity.Regarding the scapula: A. The spine is continuous laterally as the coracoid process. B. The lateral surface forms the glenoid cavity. C. The acromion is inferior to the glenoid cavity. D. It is attached to the thoracic cavity at the scapulothoracic joint.B. The lateral surface forms the glenoid cavity.The coracoid process of the scapula: A. is the origin of the short head of the triceps brachii muscle B. is the insertion of pectoralis minor muscle C. is easily palpated in the living subject D. gives origin to long head of biceps.B. is the insertion of pectoralis minor muscleThe relations and attachments of the humerus: A. The axillary nerve passes around the anatomical neck. B. The radial nerve crosses the anterior aspect of the midshaft at the midpoint. C. All 3 heads of triceps attach to the humeral shaft. D. The intertubercular groove contains the long head of biceps.D. The intertubercular groove contains the long head of biceps.Regarding the carpus: A. The scaphoid articulates proximally with the ulna. B. The lunate is broader anteriorly than posteriorly. C. The pisiform lies on the palmar surface of the trapezium. D. It is composed of 7 bones.B. The lunate is broader anteriorly than posteriorly.The most frequently fractured carpal bone is: A. Capitate B. Scaphoid C. Lunate D. TrapeziumC. LunateThe venous drainage of the upper limb: A. The cephalic vein drains into the brachial vein. B. The basilic vein drains into the cephalic vein via the median cubital vein. C. The basilic vein joins the venae comitantes to form the axillary vein D. The cephalic vein drains from the superficial palmar venous arch.C. The basilic vein joins the venae comitantes to form the axillary veinAn X ray of a gunshot patient shows a bullet in the root of the neck at the junction of ventral rami of C5 & C6 (Erb's point). If the bullet has damaged Erb's how is the patient likely to be affected? A. Loss of adduction and medial rotation of the arm B. Winged scapula C. Loss of wrist and finger flexion D. Loss of abduction and lateral rotation of the armA. Loss of adduction and medial rotation of the armThe structure of the shoulder joint: A. The labrum glenoidale is a fibrous ring around the joint capsule. B. The glenoid fossa is piriform in shape. C. The head of the humerus forms 3/4th of a sphere D. The subacromial bursa lies below the tendon of supraspinatus.B. The glenoid fossa is piriform in shape.Concerning the muscles of the rotator cuff: A. infraspinatus acts as a medial rotator at the shoulder B. the subscapularis is intimately related to the subacromial bursa C. the supraspinatus is supplied by a branch of the posterior cord of the brachial plexus D. they are the main factor in stabilizing the shoulder jointD. they are the main factor in stabilizing the shoulder jointMovements of the shoulder joint: A. Supraspinastus is the main abductor. B. Pectoralis major adducts and medially rotates the humerus. C. Teres major is a lateral rotator and teres minor is a medial rotator. D. Pectoralis minor is a weak flexorB. Pectoralis major adducts and medially rotates the humerus.The elbow joint: A. is the articulation between the radius and ulna B. is a pivot joint which is frequently disarticulated C. lacks a synovial membrane on the inner surface of its joint capsule D. is innervated by median, radial and ulnar nervesD. is innervated by median, radial and ulnar nervesThe axillary artery: A. is the continuation of the subclavian artery. B. is the only route which blood enters the upper limb. C. terminates by dividing into the brachial artery and profunda brachii artery. D. is accompanied by the axillary vein on its lateral side.A. is the continuation of the subclavian artery.The radial nerve: A. damage to the nerve in the spiral groove causes wrist drop. B. damage to the posterior interosseous branch causes wrist drop alone. C. damage to the superficial radial nerve causes sensory loss over the greater part of the dorsum of the hand. D. supplies only extensor musclesA. damage to the nerve in the spiral groove causes wrist drop.Regarding ulnar nerve injury: A. Often occurs where the nerve passes posterior to the medial epicondyle of the humerus. B. The patient experiences numbness and tingling sensation on the lateral part of the palm. C. The patient exhibit "waiter's tip" hand. D. Power of abduction is impaired.A. Often occurs where the nerve passes posterior to the medial epicondyle of the humerus.A patient receives a knife wound to the axilla. What problems do you expect? A. Damage to the axillary nerve. B. Inability to extend the wrist. C. Loss of sensation on the medial side of the arm. D. Paralysis of coracobrachialis, biceps and brachialis.B. Inability to extend the wrist.If the median nerve was lesioned above the elbow, which of the following muscles would retain function? A. Pronators. B. Opponens pollicis C. Palmaris longus D. Flexor carpi ulnarisD. Flexor carpi ulnaris [ulnar nerve]If the median nerve is completely cut 2.5 cm above the flexor retinaculum: A. a claw hand deformity results B. all the interossei will be paralyzed. C. medial 2 lumbricals will be paralyzed. D. there will be loss of sensation in the medial 1/2 palmA. a claw hand deformity resultsThe brachial artery: A. lies superficial to the deep fascia of the arm. B. is accompanied by the brachial vein. C. terminates opposite the neck of the radius. D. is the continuation of the axillary below the teres minor.C. terminates opposite the neck of the radius.A patient presents with a fracture of the medial epicondyle of the humerus which has resulted in nerve injury. Which of the following functional deficits is most likely to occur as a result of this injury? A. Weakness of flexion in the 2nd and 3rd fingers B. Weakness of wrist abduction C. Loss of cutaneous sensation over the lateral 3 ½ fingers D. Loss of thumb abductionB. Weakness of wrist abductionWhen the deep branch of the ulnar nerve has been destroyed by compression from a ganglion, the patient presents with: A. paralysis of abductor pollicis brevis B. an ape-like deformity of the hand C. paralysis of adductor pollicis D. loss of sensation over the palmar surface of the little fingerC. paralysis of adductor pollicisConcerning the anatomical snuff box: A. The ulnar artery lies in the floor of the snuff box. B. The scaphoid forms the floor. C. It is visible when the thumb is fully flexed. D. It contains the ulnar artery.B. The scaphoid forms the floor.Opposition of the thumb is dependent upon the functional integrity of this nerve: A. Axillary nerve B. Median nerve C. Radial nerve D. Ulnar nerveB. Median nerveThe small muscles of the hand: A. There are 8 interossei. B. The dorsal interossei abducts the fingers. C. The lumbricals extend the metacarpophalangeal joints. D. All lumbricals are supplied by the ulnar nerve.B. The dorsal interossei abducts the fingers.The midpalmar space (central compartment) of the palm contains the: A. terminal branches of musculocutaneous nerve B. tendon of flexor carpi ulnaris muscle C. lumbrical muscles D. ulnar synovial bursaC. lumbrical muscles