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200+ Upper Limb Solved MCQs

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

101.

The upper end of the humerus

A. Has subscapularis attaches to the greater tuberosity
B. Has teres major attached to the floor of the bicipital groove
C. Has 3 epiphyses which fuse separately with the chart
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
102.

In the cubital fossa

A. The ulnar n is on the medial side
B. The radial n is on the lateral side
C. The median n is lateral to the brachial a
D. All the superficial veins are deep to the cutaneous nn
E. The brachial artery is lateral to the tendon of the biceps
Answer» B. The radial n is on the lateral side
103.

The sternoclavicular joint

A. Is a fibrocartilaginous joint
B. Is strengthened by strong intra-capsular ligaments
C. Is the fulcrum of clavicular movement in abduction of the shoulder
D. Has a fibrocartilaginous disc
E. Allows very limited rotation
Answer» D. Has a fibrocartilaginous disc
104.

Subscapularis

A. Unipennate
B. Supplied by one branch of brachial plexus
C. Shares its nerve supply with teres minor
D. Covered by dense fascia
E. Arises from the whole of the subcostal surface of the scapula
Answer» D. Covered by dense fascia
105.

The ulnar collateral n

A. Branch of the ulnar n
B. Is a direct branch of the brachial plexus
C. Branch of radial n
D. Is cutaneous
E. Travels in spiral groove
Answer» C. Branch of radial n
106.

Elbow joint

A. Does not communicate with prox RUJ
B. The trochlea articulates with the trochlear notch of the humerus
C. Capsule is attached to trochlear notch, annular ligament and the radius
D. Nerve supply from all cords of the brachial plexus
E. The radial collateral lig does not join fibres from the annular lig
Answer» D. Nerve supply from all cords of the brachial plexus
107.

The axilla

A. Has its floor composed of serratus anterior down to 4th rib
B. Communicates with the anterior triangle via its apex
C. Has the clavipectoral fascia as part of the anterior wall
D. Receives lymphatics from the arm only
E. Has teres minor as part of the posterior wall
Answer» C. Has the clavipectoral fascia as part of the anterior wall
108.

Regarding finger flexion

A. FDS inserts into base of distal phalanx
B. FDP enters the fibrous sheath superficial to the FDS tendon
C. When palmar & dorsal interossei contract together flexion of the MCPJ results
D. The lumbricals are attached to the extensor expansions and to the prox phalanges
E. In the flexor sheath, the tendons of FDP and FDS are invested by separate synovial sheaths
Answer» C. When palmar & dorsal interossei contract together flexion of the MCPJ results
109.

Median n

A. Supplies pronator teres
B. Supplies EPL
C. Supplies all of FDP
D. Supplies biceps brachii
E. Passes under pronater teres
Answer» A. Supplies pronator teres
110.

Regarding carpal bones

A. The capitate is the 2nd largest carpal
B. The lunate is least likely to be dislocated
C. The scaphoid is unlikely to develop avascular necrosis
D. The trapezium has its own synovial joint
E. The head of the hamate makes contact with superficial branch of the ulnar
Answer» D. The trapezium has its own synovial joint
111.

Concerning blood supply of the hand

A. The radial artery crosses the anatomical snuff box over the trapezoid
B. The superficial palmar arch is a direct continuation of the radial artery
C. The superficial palmar arch is usually a complete arch
D. The superficial palmar arch supplies the thumb
E. The radial artery gives off the radialis indicis artery and the princeps
Answer» E. The radial artery gives off the radialis indicis artery and the princeps
112.

The medial cord of the brachial plexus

A. Has no contribution from C7
B. Has the median nerve as its largest branch
C. Lies posterior to the first part of axillary artery
D. Gives the upper subscapular n (C5,6)
E. Is formed by the anterior division of the middle and lower trunk
Answer» C. Lies posterior to the first part of axillary artery
113.

Regarding tendons across the wrist

A. FCU passes deep to the flexor retinaculum
B. ECRB inserts into the base of the 3rd metacarpal
C. FDP tendons insert into the base of the prox phalanx
D. ECRL passes through carpal tunnel
E. FCR lies superficial to flexor retinaculum
Answer» B. ECRB inserts into the base of the 3rd metacarpal
114.

Regarding the cubital fossa

A. It is diamond shaped
B. Contains the ulnar n
C. Radial nerve exits between the 2 heads of supinator
D. Brachial artery is lateral to biceps tendon
E. Brachialis is not a part of the floor
Answer» C. Radial nerve exits between the 2 heads of supinator
115.

Regarding the stability of the shoulder

A. The weakest aspect is anteriorly
B. The coracoid is not an important contributor
C. Scapular rotation does not contribute significantly to upper limb mobility
D. Posterior dislocation is more common than anterior
E. There is a 4:1 disparity between the glenoid and the humeral head
Answer» E. There is a 4:1 disparity between the glenoid and the humeral head
116.

Movements of the thumb include

A. Radial abduction by APB and EPB
B. Opposition of opponens pollicis
C. Palmar abduction by APL
D. Adduction by FPL
E. Opposition is not important in the power grip
Answer» B. Opposition of opponens pollicis
117.

Carpal tunnel syndrome is associated with

A. Impaired sensation over the little and ring fingers
B. Sensory loss over the thenar eminence
C. Weakness of FPL
D. Ulnar n compression in the canal of Guyon
E. Normal flexion of the terminal phalanx of the thumb
Answer» E. Normal flexion of the terminal phalanx of the thumb
118.

With regard to the deep spaces of the hand the following are correct except

A. The thenar space always contains the 1st lumbrical
B. The thenar space is overlaid by the flexor tendons to the II finger
C. Infection in the midpalmar space can involve the ulnar 3 lumbricals
D. The hypothenar space encloses only the hypothenar muscles
E. The thenar space contains the common flexor sheaths
Answer» E. The thenar space contains the common flexor sheaths
119.

The following muscles are supplied by the median n except

A. FDS
B. FCR
C. FCU
D. FPL
E. Palmaris longus
Answer» C. FCU
120.

Regarding the shoulder joint

A. The humeral head is twice the area of the glenoid cavity
B. The short head of biceps is intracapsular
C. It often communicates anteriorly with subscapularis bursa
D. It is reinforced by important glenohumeral ligaments
E. It is only supplied by the axillary n
Answer» C. It often communicates anteriorly with subscapularis bursa
121.

The upper brachial plexus supplies

A. The medial rotators of the shoulder
B. The adductors of the shoulder
C. The extensors of the elbow
D. The small muscles of the hand
E. Sensation of the lateral side of arm and forearm
Answer» E. Sensation of the lateral side of arm and forearm
122.

Regarding the elbow joint

A. The posterior band of the ulnar collateral lig is the strongest
B. The radial collateral ligament consists of 3 bands
C. Capsule is attached to the radius and ulna
D. The annular ligament has no attachment to the radius
E. It is supplied by the radial and ulnar n only
Answer» D. The annular ligament has no attachment to the radius
123.

In regard to the vascular supply of the forearm

A. The post IO a ends in the dorsal carpal anastomosis
B. The radial a crosses the radial n distally
C. The ulnar a supplies the nutrient aa to both radius and ulna
D. The common IO a is a branch of the radial a
E. Both ant and post carpal arches lie at the level of the wrist joint
Answer» C. The ulnar a supplies the nutrient aa to both radius and ulna
124.

Regarding the carpal tunnel

A. FPL has its own synovial sheath
B. The flexor retinaculum is attached to the scaphoid, trapezium, hamate and triquetrum
C. the median n lies medial to FDS
D. median n compression causes paraesthesia of the thenar eminence
E. palmaris longus runs lateral to the median n
Answer» A. FPL has its own synovial sheath
125.

The radial a

A. Is lateral to the biceps tendon in the cubital fossa
B. Can be palpated in the floor of the anatomical snuff box
C. Disappears beneath the tendons of APL and EPB
D. Is rarely thrombosed during cannulation
E. In the middle one third of its course has the radial n medial to it
Answer» C. Disappears beneath the tendons of APL and EPB
126.

In the brachial plexus

A. The roots forming the plexus originate from the posterior rami of C5-T1
B. The roots lie between the scalenus medius and scalenus posterior muscles
C. The trunks lie in the upper part of the posterior triangle
D. The division are formed behind the clavicle
E. The cords are formed after the outer border of the 1st rib
Answer» D. The division are formed behind the clavicle
127.

with regard to the median nerve

A. it crosses posterior to the brachial artery to lie medial in the cubital fossa
B. its palmar cutaneous branch arises proximal to the carpal tunnel
C. it divides into lateral and medial branches distal to the carpal tunnel
D. it is the sole nerve supply to the flexors of the forearm
Answer» B. its palmar cutaneous branch arises proximal to the carpal tunnel
128.

Concerning the wrist joint

A. The distal radius is not part of the joint
B. The joint capsule is thicker posteriorly
C. The triquetral bone forms part of the wrist joint
D. It usually communicates with the distal RUJ
E. It usually communicates with the midcarpal joint
Answer» C. The triquetral bone forms part of the wrist joint
129.

In regard to median n distribution in the hand

A. The muscular branch to the thumb is given off prior to passing below the flexor retinaculum
B. Lateral branch supplies the nail bed of the thumb
C. Medial branch supplies the skin over the thenar eminence
D. The 1st lumbrical is supplied by the ulnar n
E. Digital nerves lie deep to the digital arteries
Answer» B. Lateral branch supplies the nail bed of the thumb
130.

The axillary artery

A. Becomes the brachial artery at the upper border of teres major
B. Gives rise to the thoracoacromial artery as its largest branch
C. Lies medial to the axillary vein
D. Gives rise to the superior thoracic artery which supplies lattisimus dorsi
E. Is the continuation of the 3rd part of the subclavian artery
Answer» E. Is the continuation of the 3rd part of the subclavian artery
131.

In relation to the movements of the thumb

A. APB is inserted into the ulnar side of the base of the prox phalanx
B. Thenar eminence supplied by muscular (remnant) branch of the median n
C. Adduction is by adductor pollicis brevis and longus
D. Opponens pollicis rotates the 1st metatarsal on the triquetral
E. Opponens pollicis inserts to the base of the prox phalanx
Answer» B. Thenar eminence supplied by muscular (remnant) branch of the median n
132.

Elbow joint capsule attachments include

A. Medial and lateral epicondyles
B. Radial head
C. Common flexor origin
D. Annular ligament
E. All of the above
Answer» D. Annular ligament
133.

In the cubital fossa

A. The brachial a is medial to median n
B. The radial nerve gives off a branch to the biceps
C. Brachialis provides the medial boundary
D. The radial nerve splits into its 2 terminal branches
E. Pronator teres provides the floor
Answer» D. The radial nerve splits into its 2 terminal branches
134.

Thumb adduction is effected by adductor pollicis and

A. FCR
B. FPB
C. EPL
D. FPL
E. EPB
Answer» B. FPB
135.

Regarding the shoulder joint

A. full abduction of the humerus is possible only with medial rotation
B. glenohumeral ligaments provide significant stability to the joint
C. the capsule is attached circumferentially to the surgical neck of the humerus
D. nerve supply comes from the axillary, musculocutaneous and suprascapular nn
E. the subacromial bursa extends laterally when the arm is abducted
Answer» D. nerve supply comes from the axillary, musculocutaneous and suprascapular nn
136.

Regarding the brachial plexus

A. The divisions lie in the axilla
B. The solitary branch from the trunk is the dorsal scapular n
C. The axillary n supplies the skin of the axilla
D. The radial nerve is the largest branch of the plexus
E. The cords embrace the first part of the axillary a
Answer» D. The radial nerve is the largest branch of the plexus
137.

Regarding the muscles in the hand

A. Palmar abduction of the thumb is produced by APL
B. All lumbricals are supplied by the ulnar n
C. All 4 dorsal interossei arise by 2 heads
D. Lumbrical muscles arise from the superficialis tendons
E. 1st and 2nd interossei are supplied by the median n
Answer» C. All 4 dorsal interossei arise by 2 heads
138.

Nerve supply to the wrist is from the following except

A. Ant IO n
B. Post IO n
C. Dorsal branch of ulnar
D. Deep branches of the ulnar
E. Median n
Answer» E. Median n
139.

The deep muscles of the anterior compartment of the forearm

A. Receive supply from the ant IO branch of median n
B. Are supplied by a branch of the radial a
C. Receive fibres from C7,C8 only
D. All have tendons which run through the flexor tunnel
E. Are involved with supination of the forearm
Answer» A. Receive supply from the ant IO branch of median n
140.

In the upper limb

A. The cephalic vein pierces the clavipectoral fascia to enter the axillary vein
B. The axillary vein starts at the lower border of teres minor
C. Venous drainage of the hand is predominantly the deep veins of the forearm
D. The basilic vein begins in the roof of the anatomical snuff box
E. The median cubital vein lies deep to the bicipital aponeurosis
Answer» A. The cephalic vein pierces the clavipectoral fascia to enter the axillary vein
141.

Biceps

A. Is supplied by the radial n
B. Is a weak abductor of the shoulder
C. Has a short head attaching to the coracoid process
D. The 2 heads merge above the deltoid tuberosity
E. Inserts into the tuberosity of the ulna
Answer» C. Has a short head attaching to the coracoid process
142.

Which of the following nerves is in direct contact with the medial epicondyle of the humerus

A. Ulnar
B. Median
C. Radial
D. Musculocutaneous
E. Medial cutaneous nerve of the forearm
Answer» A. Ulnar
143.

A lesion of the medial cord of the brachial plexus would cause

A. Weakness of adduction of the thumb
B. Weakness of wrist extension
C. Weakness of elbow extension
D. Numbness of the lateral aspect of the forearm
E. Numbness in most of the axilla
Answer» A. Weakness of adduction of the thumb
144.

Which of the following is least important in the stability of the shoulder

A. Long head of biceps
B. Short head of biceps
C. Deltoid
D. Supraspinatus tendon
E. Subscapularis tendon
Answer» C. Deltoid
145.

With respect to the cubital fossa

A. The brachial artery is lateral to the biceps tendon
B. The radial nerve is the most medial nerve
C. The median basilic vein lies under the bicipital aponeurosis
D. The medial cutaneous nerve of the forearm is lateral to the median cephalic vein
E. Median nerve lies medial to the brachial artery
Answer» E. Median nerve lies medial to the brachial artery
146.

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 joint
C. The proximal row = scaphoid, lunate and trapezium
D. The scaphoid is the only carpal which articulates with radius
E. In pronation-supination the carpus move with the ulna
Answer» A. The intercarpal joints share one continuous synovial space
147.

The scaphoid

A. Articulates with the base of the 2nd metacarpal
B. Articulates with the hamate
C. Has a poor supply to its distal half
D. Has a palpable tubercle
E. Has a groove for FPL
Answer» D. Has a palpable tubercle
148.

At the flexor aspect of the wrist

A. The median nerve lies between palmaris longus and FDP
B. The median nerve lies between FDP and FCR
C. The ulnar nerve lies between palmaris longus and FCR
D. Radial nerve passes under the tendon of brachioradialis
E. Radial artery crosses the insertion of pronator teres
Answer» D. Radial nerve passes under the tendon of brachioradialis
149.

The extensor retinaculum of the wrist

A. Is not attached to the radius
B. Is attached to the pisiform and the triquetral
C. Divides the extensor tunnel into 5 compartments
D. The most medial compartment transmits EDM
E. The most lateral compartment transmits EPL
Answer» B. Is attached to the pisiform and the triquetral
150.

The ulnar n

A. Runs anteriorly to the brachial artery
B. Passes between the heads of pronator teres
C. Lies on FDS
D. Is a direct continuation of the lateral cord
E. Lies in contact with the sublime tubercle
Answer» E. Lies in contact with the sublime tubercle

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