| 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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. |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» 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 |
| Answer» B. Protracts scapula | |
| 25. |
Which causes lateral rotation of the shoulder |
| A. | subscapularis |
| B. | teres minor |
| C. | teres major |
| D. | deltoid |
| E. | serratus anterior |
| Answer» B. teres minor | |