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Chapter:

200+ Upper Limb Solved MCQs

in Anatomy

These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics .

Chapters

Chapter: Upper Limb
101.

In the cubital fossa:

A. the floor is formed mainly by the supinator
B. the medial wall is formed by pronator teres
C. the ulnar nerve lies medially
D. the radial nerve lies medial to the biceps tendon
E. none of the above
Answer» B. the medial wall is formed by pronator teres
102.

Regarding the anatomical snuffbox:

A. the cephalic vein begins in the roof
B. the extensor pollicis brevis tendon forms the ulnar side
C. the trapezoid is palpable in the base
D. the cutaneous branches of the radial nerve run deep to the tendons
E. the flexor pollicis longus tendon forms the radial side
Answer» A. the cephalic vein begins in the roof
103.

Pectoralis major:

A. is supplied by all three cords of brachial plexus
B. is supplied by all five segments of brachial plexus
C. is inserted into the medial lip of the bicipital groove
D. clavicular fibres are strong adductors of shoulder joint
E. the lowermost sternocostal fibres insert into the lowermost part of the humeral insertion site
Answer» B. is supplied by all five segments of brachial plexus
104.

Pectoralis major arises from all EXCEPT the:

A. lateral anterior half of manubrium
B. body of sternum
C. aponeurosis of external oblique
D. upper six ribs
E. medial half of anterior clavicle
Answer» D. upper six ribs
105.

Sternoclavicular joint:

A. the sternoclavicular ligament provides most joint stability
B. joint surfaces are covered by hyaline cartilage
C. the entire clavicle joint surface is in contact with manubrium
D. anterior/posterior movement occurs between manubrium and disc
E. dislocation occurs frequently
Answer» D. anterior/posterior movement occurs between manubrium and disc
106.

Long head of triceps:

A. lies between teres minor and teres major
B. is supplied by branch of radial nerve at the humeral groove
C. arises from the humerus above the radial groove
D. converges with the medial head
E. arises from the supraglenoid rim
Answer» A. lies between teres minor and teres major
107.

Deltoid:

A. anterior fibres arise from lateral two thirds of clavicle
B. posterior fibres arise from superior lip of crest of scapular spine
C. lateral fibres only are multi-pennate
D. fibres strengthen shoulder joint capsule
E. acts in isolation to abduct humerus
Answer» C. lateral fibres only are multi-pennate
108.

The elbow joint:

A. is supplied exclusively by the radial nerve
B. permits flexion/extension and pronation/supination
C. has a capsule which attaches in part to the radius
D. communicates with the superior radioulnar joint
E. none of the above
Answer» D. communicates with the superior radioulnar joint
109.

With respect to the thenar muscles:

A. abductor pollicis brevis inserts into the base of the distal phalanx of the thumb
B. all arise from the flexor retinaculum
C. flexor pollicis brevis is usually supplied by a branch from the ulnar nerve
D. abductor pollicis brevis has no role in opposition of the thumb
E. opponens pollicis is the most superficial muscle of the group
Answer» B. all arise from the flexor retinaculum
110.

With respect to the flexor retinaculum:

A. it attaches to the scaphoid, hamate, pisiform and trapezium
B. the tendon of palmaris longus passes deep to it
C. the median nerve passes superficial to it
D. the ulnar artery passes deep to it
E. it is pierced by the tendon of flexor carpi ulnaris
Answer» A. it attaches to the scaphoid, hamate, pisiform and trapezium
111.

The medial cutaneous nerve of the arm:

A. has fibres from C8 and T1
B. arises from the dorsal cord of the brachial plexus
C. pierces the deep fascia adjacent to the tendon of biceps
D. has communications with the circumflex nerve
E. none of the above
Answer» A. has fibres from C8 and T1
112.

Pectoralis major:

A. is synergistic to serratus anterior
B. is innervated by the median nerve
C. can abduct the arm
D. can act as an accessory muscle of respiration
E. is a lateral rotator of the arm
Answer» D. can act as an accessory muscle of respiration
113.

The brachial plexus:

A. arises from C6 to T1
B. lies in the anterior triangle of the neck
C. carries sympathetic fibres
D. supplies all the skin of the upper limb
E. the posterior divisions supply the flexor compartments
Answer» C. carries sympathetic fibres
114.

The superficial palmar arch:

A. lies level with the distal border of the outstretched thumb
B. is supplied mainly from the radial artery
C. supplies the thumb
D. lies deep to the long flexor tendons
E. arises proximal to the flexor retinaculum
Answer» A. lies level with the distal border of the outstretched thumb
115.

Paralysis of which nerve results in inability to initiate abduction of the arm?

A. the axillary nerve
B. the suprascapular nerve
C. the subscapular nerve
D. the dorsal scapular nerve
E. the thoracodorsal nerve
Answer» B. the suprascapular nerve
116.

The axilla:

A. communicates with the anterior triangle of the neck
B. contains lymph nodes draining the upper limb and lateral chest wall
C. has an anterior wall made up by the serratus anterior muscle
D. has an apex bounded by the humerus, clavicle and scapula
E. has no medial wall
Answer» B. contains lymph nodes draining the upper limb and lateral chest wall
117.

Brachialis muscle:

A. is innervated by the median nerve
B. arises from the upper third of the humerus
C. is both a flexor and extensor of the elbow joint
D. attaches to the bicipital tuberosity of the radius
E. has no relation to the medial intermuscular septum
Answer» C. is both a flexor and extensor of the elbow joint
118.

Simple pronation:

A. requires an intact radial nerve
B. requires an intact C8 nerve root
C. occurs without movement of the ulna
D. occurs about an axis which runs along the shaft of the radius
E. requires the action of anconeus
Answer» C. occurs without movement of the ulna
119.

The musculocutaneous nerve:

A. supplies brachioradialis
B. terminates as the posterior interosseous nerve
C. supplies all of the brachialis muscle
D. contains fibres from C5, C6, C7 and C8
E. arises from the lateral cord of the brachial plexus
Answer» E. arises from the lateral cord of the brachial plexus
120.

Which of the following lies immediately medial to the tubercle of the radius (Lister’s tubercle)?

A. extensor carpi ulnaris
B. extensor carpi radialis
C. extensor pollicis longus
D. extensor pollicis brevis
E. extensor digitorum
Answer» C. extensor pollicis longus
121.

Interossei muscles in the hand:

A. flex the interphalangeal joints
B. assist in extension of metacarpophalangeal joints
C. cannot laterally deviate the middle finger
D. the palmar interossei have two heads of origin
E. are usually supplied by the ulnar nerve
Answer» E. are usually supplied by the ulnar nerve
122.

The brachial artery:

A. commences at the upper border of teres major
B. is in direct contact with the humerus
C. has biceps tendon lying medial to it
D. is readily compressible
E. is accompanied throughout its course by the basilic vein
Answer» D. is readily compressible
123.

The wrist (radiocarpal) joint:

A. has a synovial cavity continuous with the inferior radioulnar joint
B. has a synovial cavity continuous with the midcarpal joint
C. permits flexion, extension, adduction and abduction, but little rotation
D. has the articular surface of the radius facing distally, medially and dorsally
E. has the flexor retinaculum anterior to it
Answer» C. permits flexion, extension, adduction and abduction, but little rotation
124.

The cephalic vein:

A. arises in the region of the anatomical snuffbox
B. at the elbow, is deep to the lateral cutaneous nerve of the forearm
C. terminates by joining the brachial vein
D. is medial to biceps in the arm
E. has no valves
Answer» A. arises in the region of the anatomical snuffbox
125.

The upper end of the humerus:

A. has the subscapularis attached to the greater tuberosity
B. has teres major attached to the floor of the bicipital groove
C. has three epiphyses which fuse separately with the shaft
D. has the capsular ligament of the shoulder joint attached to the whole of the anatomical neck
E. is the growing end of the humerus
Answer» E. is the growing end of the humerus
126.

In the antecubital fossa:

A. the ulnar nerve is on the medial side
B. the median nerve is lateral to the brachial artery
C. the radial nerve is on the lateral side
D. all the superficial veins are deep to the cutaneous nerves
E. the brachial artery is lateral to the tendon of biceps
Answer» C. the radial nerve is on the lateral side
127.

The lunate articulates with all of the following EXCEPT:

A. scaphoid
B. triquetral
C. capitate
D. radius
E. trapezoid
Answer» E. trapezoid
128.

The brachial artery:

A. crosses anterior to the median nerve in the arm
B. gives off the nutrient artery to the humerus
C. lies deep to biceps
D. has the ulnar nerve on its medial side
E. gives muscular branches to triceps
Answer» B. gives off the nutrient artery to the humerus
129.

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?

A. palmaris longus
B. flexor indics
C. flexor digitorum profundus
D. flexor digitorum superficialis
E. none of the above
Answer» D. flexor digitorum superficialis
130.

The palmar interossei:

A. abduct the fingers
B. are usually supplied by a branch of the ulnar nerve
C. have two heads
D. arise from the medial side of the metacarpal bone of the index, ring and little fingers
E. have no role in extension of the terminal phalanges
Answer» B. are usually supplied by a branch of the ulnar nerve
131.

The cubital fossa:

A. is bounded by pronator teres, brachioradialis and the tendon of biceps
B. the brachial artery lies lateral to the radial nerve
C. has a floor made up of brachialis and supinator
D. contains the median basilic vein
E. the radial nerve lies medial to the posterior interosseous nerve
Answer» C. has a floor made up of brachialis and supinator
132.

The capsule of the shoulder joint:

A. is supplied exclusively by the axillary nerve
B. is separated from the tendons of the short scapular muscles by a bursa
C. bridges the gap between the greater and lesser tuberosities as the transverse ligament
D. the long tendon of biceps is extracapsular
E. is the major stabilising factor for the shoulder joint
Answer» C. bridges the gap between the greater and lesser tuberosities as the transverse ligament
133.

With respect to the carpus:

A. the intercarpal joints share one continuous synovial space
B. the intercarpal synovial space is usually continuous with the wrist
C. the proximal row consists of scaphoid, lunate and trapezium
D. the scaphoid is the only carpal bone which articulates with the radius
E. in pronation/supination, the carpus moves with the ulna
Answer» A. the intercarpal joints share one continuous synovial space
134.

Compression of the median nerve in the carpal tunnel produces:

A. anaesthesia over the thenar eminence
B. wasting of the hypothenar eminence
C. loss of power of opposition of the thumb
D. anaesthesia of the little finger
E. loss of power of flexion of the thumb
Answer» C. loss of power of opposition of the thumb
135.

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?

A. inability to flex the distal interphalangeal joint of the index finger
B. inability to flex the interphalangeal joint of the thumb
C. loss of sensation to the palmar aspect of the little finger
D. inability to oppose the thumb and little finger
E. inability to abduct the index finger
Answer» D. inability to oppose the thumb and little finger
136.

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:

A. the suprascapular nerve
B. the long thoracic nerve
C. the radial nerve
D. the infrascapular nerve
E. the axillary nerve
Answer» A. the suprascapular nerve
137.

Direct attachment of the pectoral girdle to the trunk is provided by:

A. pectoralis major
B. trapezium
C. latissimus dorsi
D. subscapularis
E. deltoid
Answer» B. trapezium
138.

The posterior interosseous nerve DOES NOT supply:

A. the periosteum of the radius and ulna
B. the skin over the dorsal aspect of the thumb
C. extensor carpi ulnaris
D. extensor pollicis brevis
E. the interosseous membrane
Answer» B. the skin over the dorsal aspect of the thumb
139.

The nerve supply of pectoralis minor is from the:

A. dorsal scapular nerve
B. long thoracic nerve
C. pectoral nerves
D. lower subscapular nerve
E. axillary nerve
Answer» C. pectoral nerves
140.

The insertion of latissimus dorsi in the arm is into the:

A. lateral lip of the intertubecular groove
B. medial lip of the intertubecular groove
C. posterior border of the proximal humerus
D. floor of the intertubecular groove
E. superior facet of the greater trochanter
Answer» D. floor of the intertubecular groove
141.

Regarding the sternoclavicular joint, the major stabilising factor is the:

A. acromioclavicular ligament
B. costoclavicular ligament
C. interclavicular ligament
D. sternoclavicular ligament
E. coracoclavicular ligament
Answer» B. costoclavicular ligament
142.

The nerve supply of infraspinatus is the:

A. axillary nerve
B. long thoracic nerve
C. infrascapular nerve
D. suprascapular nerve
E. subscapular nerve
Answer» D. suprascapular nerve
143.

The cephalic vein:

A. empties into the brachial vein
B. combines with the basilic vein to form the axillary vein
C. is the continuation of the median basilic and medial cephalic veins
D. empties into the axillary vein
E. none of the above
Answer» D. empties into the axillary vein
144.

Which one of the following structures pass beneath the flexor retinaculum at the wrist?

A. palmaris longus
B. ulnar nerve
C. radial artery
D. ulnar artery
E. median nerve
Answer» E. median nerve
145.

The skin of the top of the index finger is supplied by:

A. radial nerve only
B. median nerve only
C. ulnar nerve only
D. radial and ulnar nerve
E. radial and median nerve
Answer» B. median nerve only
146.

Extensor pollicis longus muscle:

A. arises from the radius
B. extends the metacarpophalangeal joint of the thumb
C. is supplied by the arterial interosseous nerve
D. hooks around the dorsal tubercle of the radius (Lister’s tubercle)
E. arises proximal to the abductor pollicis longus
Answer» D. hooks around the dorsal tubercle of the radius (Lister’s tubercle)
147.

The extensor retinaculum:

A. lies transversely across the extensor surface of the wrist joint
B. is attached to the radius and the ulna
C. is attached to the pisiform
D. is attached to the scaphoid
E. is attached to the trapezium
Answer» C. is attached to the pisiform
148.

The anatomical snuff box:

A. is crossed by cutaneous branches of the median nerve
B. has the anterior interosseous artery on its floor
C. contains the origin of the basilic vein
D. has extensor pollicis longus on the radial side
E. is crossed by cutaneous branches of the radial nerve
Answer» E. is crossed by cutaneous branches of the radial nerve
149.

Compression of structures in the carpal tunnel usually results in:

A. weakness of the forearm flexors
B. weakness of flexion of the terminal phalanx of the thumb
C. weakness of the interossei muscles
D. normal sensation on the palmar surface of the little finger
E. weakness of the lumbrical muscles
Answer» D. normal sensation on the palmar surface of the little finger
150.

Holding a heavy hammer in your hand involves:

A. only the long flexors of the fingers
B. flexion of wrist to strengthen grip
C. immobilisation of the shoulder joint to strengthen grip
D. only the long flexors of fingers and opposition of the thumb
E. requires synergic contraction of wrist extensors
Answer» E. requires synergic contraction of wrist extensors

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