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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
151.

The anatomical snuff box:

A. has the tendon of extensor pollicis brevis on its ulnar side
B. has the radial artery lying in its floor
C. has the radial styloid process as the only palpable bony point
D. has the tendon of abductor pollicis brevis on its radial side
E. contains the origin of the basilic vein
Answer» B. has the radial artery lying in its floor
152.

Rotator cuff muscles include:

A. subclavius
B. teres minor
C. pectoralis major
D. teres major
E. deltoid
Answer» B. teres minor
153.

Regarding synovial flexor sheaths in the hand and wrist, which one of the following is INCORRECT?

A. they surround flexor tendons in the carpal tunnel
B. the superficial and deep flexors are invested with a common synovial sheath
C. the common flexor sheaths can communicate with flexor pollicis longus sheath in some people
D. for the index, ring and middle finger, a separate synovial sheath lines the fibrous sheath over the phalanges
E. the sheath is the origin of the lumbricals
Answer» E. the sheath is the origin of the lumbricals
154.

Which of the following structures is NOT one of the contents of the cubital fossa?

A. brachial artery
B. tendon of biceps brachii
C. radial nerve
D. anterior interosseous nerve
E. median nerve
Answer» D. anterior interosseous nerve
155.

The superficial branch of the ulnar nerve supplies:

A. palmaris brevis
B. flexor digitorum ulnaris
C. palmar aspect index finger
D. opponens pollicis
E. thenar eminence
Answer» A. palmaris brevis
156.

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

A. ECRB; ECRL; EPL; ED; FCU; ECU; EI
B. ECRB; ECRL; EPL; ED; ECU; FCU; EI
C. ECRL; ECRB; EPL; ED; ECU; EI; FCU
D. ECRL; ECRB; EPL; ED & EI; ECU; FCU
E. ECRB; ECRL; EPL; ECU; FCU; ED & EI
Answer» D. ECRL; ECRB; EPL; ED & EI; ECU; FCU
157.

Which of the following is true about flexor digitorum superficialis?

A. origin forms upper limit of the space of parona
B. all four tendons lie on the same plane under flexor retinaculum
C. is innervated by median and ulnar nerves
D. tendon to index finger separates before other three tendons high in forearm
E. median nerve passes between its two heads
Answer» A. origin forms upper limit of the space of parona
158.

Which of the following statements about the brachial plexus is INCORRECT?

A. long thoracic nerve arises from roots
B. Erb’s palsy occurs following traction to upper roots and trunk
C. posterior cord has five branches
D. suprascapular nerve arises from trunks
E. trunks lie behind clavicle on first rib
Answer» E. trunks lie behind clavicle on first rib
159.

Branches of the axillary artery DO NOT include:

A. superior thoracic
B. subscapular
C. medial thoracic
D. thoracoacromial
E. posterior circumflex humeral
Answer» C. medial thoracic
160.

Which of the following is NOT TRUE regarding the breast?

A. it arises from the midline to mid axillary line from the second to the sixth ribs
B. it is subcutaneous
C. blood supply is mainly from the lateral thoracic and internal thoracic artery
D. most lymph drains to the axillae
E. it is invested in a thick fibrous capsule
Answer» E. it is invested in a thick fibrous capsule
161.

Biceps:

A. long head arises from infraglenoid tubercle
B. is supplied by a branch of the medial cord of the brachial plexus
C. the two bellies do not merge
D. is a pronator of the forearm
E. short head arises from coracoid process, lateral to coracobrachialis
Answer» E. short head arises from coracoid process, lateral to coracobrachialis
162.

The radial nerve:

A. supplies extensors to the elbow
B. pierces the medial intermuscular septum of the mid arm
C. supplies extensor carpi ulnaris
D. runs on the lateral side of the radial artery in the forearm
E. runs in the cubital fossa
Answer» D. runs on the lateral side of the radial artery in the forearm
163.

Which of the following DOES NOT form one of the boundaries of the cubital fossa?

A. brachialis
B. supinator
C. line connections the two humeral epicondyles
D. bicipital aponeurosis
E. medial margin of pronator teres
Answer» E. medial margin of pronator teres
164.

Which of the following muscles DOES NOT arise from the common extensor origin?

A. extensor carpi radialis brevis
B. extensor digitorum comminus
C. extensor carpi radialis longus
D. extensor digiti minimi
E. extensor carpi ulnaris
Answer» C. extensor carpi radialis longus
165.

Regarding the shoulder joint:

A. glenoid labrum is a ring of hyaline cartilage
B. subacromial bursa communicates with joint
C. capsule attaches only around the articular margin
D. subscapular bursa communicates with joint
E. supraspinatus is a medial rotator of humerus
Answer» D. subscapular bursa communicates with joint
166.

Which of the following is CORRECT?

A. the suprascapular nerve arises from the posterior aspect of C5
B. the five roots emerge between scalenus anterior and scalenus medius to form the trunks
C. the thoracodorsal nerve arises from the posterior aspect of C5
D. the axillary nerve passes through the triangular space to lie in contact with the surgical neck of humerus
E. the median nerve is the largest branch of the whole plexus
Answer» B. the five roots emerge between scalenus anterior and scalenus medius to form the trunks
167.

The quadrangular space between teres major and subscapularis transmits:

A. lower subscapular nerve
B. axillary artery
C. profunda brachii vessels
D. radial nerve
E. post circumflex humeral artery
Answer» E. post circumflex humeral artery
168.

With regard to the elbow joint, which is NOT TRUE?

A. it communicates with the radioulnar joint
B. the carrying angle is mostly determined by the obliquity of the ridge between coronoid and olecranon prominences
C. the radial collateral, ulnar collateral and annular ligaments keep the bones together
D. the carrying angle is partly determined by the bow in the ulnar and radial shafts
E. it is supplied by the brachial nerve
Answer» E. it is supplied by the brachial nerve
169.

Which of the following DOES NOT arise from the roots of the brachial plexus?

A. dorsal scapular
B. nerve to serratus anterior
C. medial pectoral nerve
D. nerve to subclavius
E. it is supplied by the brachial nerve
Answer» C. medial pectoral nerve
170.

Regarding the hand:

A. deep palmar arch is level with the distal border of the outstretched thumb web
B. the superficial branch of the ulnar nerve supplies the hypothenar muscles
C. deep branch of the ulnar nerve lies within the concavity of the deep palmar arch
D. flexor digitorum superficialis tendon inserts into the base of the distal pharynx
E. lumbricals insert into the extensor expansion and proximal phalanges
Answer» C. deep branch of the ulnar nerve lies within the concavity of the deep palmar arch
171.

The venous systems that contribute least to venous drainage of the forearm is:

A. the basilic vein
B. the cephalic vein
C. the deep veins which are often duplicate
D. the carpal rete
E. the median cubital
Answer» C. the deep veins which are often duplicate
172.

Which of the following IS NOT true about the flexor carpi ulnaris?

A. acts as a synergist during wrist extension
B. ulnar artery passes deep to its deep head
C. inserts into base of fifth metacarpal
D. most medial muscles arising from the common flexor origin
E. ulnar nerve passes between its two heads
Answer» B. ulnar artery passes deep to its deep head
173.

Which of the following structures DOES NOT pierce the clavipectoral fascia in the delto-pectoral triangle?

A. lymphatics
B. medial pectoral nerve
C. acromiothoracic axis
D. lateral pectoral nerve
E. cephalic vein
Answer» B. medial pectoral nerve
174.

Radial nerve:

A. is the largest branch of the brachial plexus
B. occupies the length of the spiral groove
C. damage causes inability to extend the wrist and the interphalangeal joints
D. damage causes sensory loss to the palm
E. arises from the lateral cord of the brachial plexus
Answer» A. is the largest branch of the brachial plexus
175.

Regarding the shoulder joint:

A. the glenoid labrum is the most important stabilising factor
B. the strong capsule is reinforced by tight glenohumeral ligaments
C. the coracoacromial arch prevents the humeral head from displacing
D. the long head of triceps gives stability to the abducted humerus
E. the pull of teres minor stabilises the abducted humerus
Answer» D. the long head of triceps gives stability to the abducted humerus
176.

The articulating surfaces of which of the following synovial joints are covered by fibrocartilage?

A. scapholunate joint
B. glenohumeral joint
C. acromioclavicular joint
D. manubriosternal joint
E. sternocostal joint
Answer» C. acromioclavicular joint
177.

A structure that does not lie in the cubital fossa is:

A. brachial artery
B. median nerve
C. median cubital vein
D. superficial radial artery
E. radial nerve if brachioradialis is lateralised
Answer» C. median cubital vein
178.

Which of the following is CORRECT concerning flexor digitorum profundus?

A. it arises from both radius and ulna
B. is innervated by both median and ulnar nerves
C. the origins of the lumbricals arise from its tendons
D. it flexes the terminal phalangeal joints
E. radial nerve if brachioradialis is lateralised
Answer» A. it arises from both radius and ulna
179.

Which of the following groups of lymph nodes directly drain the breast?

A. lateral axillary nodes
B. subscapular nodes
C. pectoral nodes
D. parasternal nodes
E. infraclavicular nodes
Answer» A. lateral axillary nodes
180.

Which of the following IS NOT true about pectoralis major?

A. only upper limb muscle supplied by all five segments of brachial plexus
B. arises by two heads
C. inserts via a bilaminar tendon
D. innervated by lateral pectoral nerve
E. contributes to boundaries of axilla
Answer» C. inserts via a bilaminar tendon
181.

Axillary artery:

A. becomes brachial artery at lower border teres minor
B. axillary vein lies laterally to the artery
C. is divided into three parts by pectoralis minor
D. second part is clasped by the two heads of median nerve
E. gives off the superior thoracic artery from its second part
Answer» C. is divided into three parts by pectoralis minor
182.

Regarding flexor digitorum profundus, which is NOT TRUE?

A. is the most powerful and bulky muscle of the forearm
B. arises from the common flexor origin
C. the tendon for the index separates in the forearm from the three other tendons
D. it gives rise to origin of four lumbricals
E. it is supplied by the anterior interosseous nerve and the ulnar nerve in a variable distribution
Answer» B. arises from the common flexor origin
183.

Damage to the median nerve may be suggested clinically by:

A. a wasting of the interossei
B. pointing index finger
C. ‘claw hand’
D. sensory loss over ulnar side of hand
E. inability to abduct the index finger
Answer» B. pointing index finger
184.

Which of the following DOES NOT form the boundaries of the cubital fossa:

A. anconeus
B. brachioradialis
C. pronator teres
D. deep fascia of the forearm
E. bicipital aponeurosis
Answer» A. anconeus
185.

Which of the following is NOT TRUE concerning the elbow joint?

A. it is a synovial joint
B. the capsule of the synovial joint is attached to the radius distal to the annular ligament
C. the humeroulnar joint space communicates with the radioulnar joint space
D. the joint is supplied by musculocutaneous, median, radial and ulnar nerves
E. bicipital aponeurosis
Answer» B. the capsule of the synovial joint is attached to the radius distal to the annular ligament
186.

Which of the following statements about the glenohumeral (shoulder joint) is INCORRECT?

A. long tendon of biceps is extrasynovial
B. subscapularis bursa communicates with joint cavity
C. innervated by medial pectoral nerve
D. branches of third part of axillary artery provide majority of blood supply
E. surface area of humeral head is about four times greater than that of glenoid fossa
Answer» C. innervated by medial pectoral nerve
187.

Which of the following structures IS NOT one of the contents of the carpal tunnel?

A. flexor digitorum superficialis
B. ulnar artery
C. flexor digitorum profundus
D. median nerve
E. flexor pollicis longus
Answer» B. ulnar artery
188.

Which of the following IS NOT true about pronator teres?

A. ulnar artery passes between two heads
B. forms medial boundary of cubital fossa
C. arises from common flexor origin
D. adducts radius
E. less powerful pronator than pronator quadratus
Answer» A. ulnar artery passes between two heads
189.

Which of the following statements about the cubital (elbow) joint is INCORRECT?

A. innervated by branch of musculocutaneous nerve to brachialis
B. “closed-packed” position is in extension
C. it is a compound synovial joint
D. radial collateral ligament consists of three separate bands
E. carrying-angle is about 160-170°
Answer» D. radial collateral ligament consists of three separate bands
190.

Which of the following is CORRECT about the latissimus dorsi?

A. arises from all spinous processes from T8 and S5
B. known as the “boxers muscle”
C. innervated by the long thoracic nerve
D. derivative of upper limb myotomes
E. forms the superior border of the triangle of auscultation
Answer» D. derivative of upper limb myotomes
191.

Which of the following is CORRECT about flexor carpi radialis?

A. tendon receives muscle fibres down to just above the wrist
B. tendon lies in a groove on the trapezoid
C. arises lateral to flexor digitorum superficialis
D. has median nerve ‘plastered’ to deep surface
E. tendon pierces flexor retinaculum
Answer» E. tendon pierces flexor retinaculum
192.

Which of the following pierce the medial intermuscular septum of the arm?

A. medial cutaneous nerve of the arm
B. ulnar nerve
C. median nerve
D. basilic nerve
E. profunda brachii artery
Answer» B. ulnar nerve
193.

Which of the following DOES NOT arise, in part, from the lateral intermuscular septum of the arm?

A. brachioradialis
B. extensor carpi radialis longus
C. brachials
D. medial head of triceps brachii
E. none of the above arise from the lateral intermuscular septum of the arm
Answer» C. brachials
194.

Which of the following DOES NOT contribute to the innervation of the elbow joint?

A. radial nerve
B. ulnar nerve
C. median nerve
D. musculocutaneous nerve
E. medial cutaneous nerve of the arm
Answer» E. medial cutaneous nerve of the arm
195.

Regarding the axilla:

A. the posterior wall consists of subscapularis and teres minor
B. the medial wall is formed by serratus anterior down to the 6th intercostal space
C. the apex communicates directly with the posterior triangle of the neck
D. coracobrachialis forms part of the anterior wall
E. the axillary artery is generally described as having eight branches
Answer» C. the apex communicates directly with the posterior triangle of the neck
196.

The largest branch of the axillary artery is:

A. superior thoracic artery
B. thoracoacromial artery
C. lateral thoracic artery
D. subscapular artery
E. posterior circumflex humeral artery
Answer» D. subscapular artery
197.

The cubital fossa has:

A. a floor formed by the deep fascia of the forearm
B. the median cephalic vein lying medially on its roof
C. the brachial artery medial to the tendon of the biceps
D. supinator forming part of its lateral wall
E. flexor carpi radialis longus forming its lateral wall
Answer» C. the brachial artery medial to the tendon of the biceps
198.

The only carpal bone to give attached to both flexor and extensor retinacula is:

A. scaphoid
B. trapezoid
C. hamate
D. triquetral
E. pisiform
Answer» E. pisiform
199.

In the carpal tunnel:

A. the individual tendons arising from flexor digitorum profundus are all fused, and do not separate until they reach the palm
B. the synovial sheath of flexor digitorum superficialis arises from the ulna bursa, but the sheath of profundus does not
C. the tendon for the index finger from flexor digitorum superficialis lies medial to the median nerve
D. flexor carpi radialis and flexor pollicis longus tendons share a synovial sheath
E. the tendon of flexor digitorum superficialis to the middle finger lies deep to the tendons to the little finger
Answer» C. the tendon for the index finger from flexor digitorum superficialis lies medial to the median nerve
200.

Structures in the anatomical snuff box include all the following EXCEPT:

A. the radial tubercle
B. the scaphoid
C. the base of the thumb metacarpal
D. the trapezium
E. the radial artery
Answer» A. the radial tubercle

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