McqMate
These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics .
| 151. |
Which one of these tendons shares a synovial sheath with another tendon |
| A. | Extensor indicis |
| B. | APL |
| C. | FCR |
| D. | FPL |
| E. | ECRL |
| Answer» A. Extensor indicis | |
| 152. |
The midpalmar space |
| A. | Always contains the 1st lumbrical |
| B. | Is floored by the 2nd and 3rd metacarpal spaces |
| C. | Usually contains the flexor tendons to the II finger |
| D. | Communicates with the ulnar 3 lumbrical canals |
| E. | Is not limited proximally |
| Answer» D. Communicates with the ulnar 3 lumbrical canals | |
| 153. |
All the following concerning FDS are true except |
| A. | Arises from the common flexor origin |
| B. | Forms the upper limit of the space of Parona |
| C. | The middle and ring finger tendon are more superficial than the index and middle finger |
| D. | Tendons inserts into the base of the distal phalanx |
| E. | The median nerve is on its deep surface |
| Answer» D. Tendons inserts into the base of the distal phalanx | |
| 154. |
The long head of the biceps |
| A. | Separates the radial nerve from the humerus |
| B. | Arises from the infraglenoid tubercle |
| C. | Is supplied by the median n |
| D. | A bursa separates its tendon from the radial tuberosity |
| E. | Is intracapsular in the shoulder joint |
| Answer» E. Is intracapsular in the shoulder joint | |
| 155. |
the extensor expansions of the fingers |
| A. | form the posterior part of the capsule of the MCPJ |
| B. | central slip passes to the terminal phalanx |
| C. | retinacular ligaments are attached near the base of the proximal phalanx |
| D. | the lumbricals attach more proximal than the interossei |
| E. | the extensor expansion is broadest over the middle phalanx |
| Answer» A. form the posterior part of the capsule of the MCPJ | |
| 156. |
Compression of structures in the carpal tunnel usually results in |
| A. | Weakness of forearm flexors |
| B. | Weakness of flexion of the terminal phalanx of the thumb |
| C. | Weakness of the interossei mm |
| D. | Unaffected sensation on the palmar surface of the little finger |
| E. | Weakness of all the lumbrical muscles |
| Answer» D. Unaffected sensation on the palmar surface of the little finger | |
| 157. |
Regarding the innervation of the hand |
| A. | Palmar branch of the medial nerve passes under the flexor retinaculum |
| B. | The ulnar 1 ½ fingers are supplied by the deep branch of the ulna nerve |
| C. | The deep branch of the ulna nerve supplies the interossei mm |
| D. | The common palmar digital nerve lies superficial to the palmar arch |
| E. | Carpal tunnel syndrome results in the loss of flexion of the IPJ of thumb |
| Answer» C. The deep branch of the ulna nerve supplies the interossei mm | |
| 158. |
With regard to the anatomical snuff box |
| A. | The basilic vein originates in it |
| B. | The EPL tendon forms its ulnar border |
| C. | The radial artery makes up part of its roof |
| D. | The APB tendon forms its radial border |
| E. | Scaphoid and triquetrum are palpable in its floor |
| Answer» B. The EPL tendon forms its ulnar border | |
| 159. |
The annular ligament of the radius |
| A. | Is covered by synovium |
| B. | Is attached to the head of the radius |
| C. | Is attached to the margins of the radial notch |
| D. | Clasps the head, neck and shaft of the radius |
| E. | Is extracapsular to the elbow joint |
| Answer» C. Is attached to the margins of the radial notch | |
| 160. |
Rotator cuff muscles include |
| A. | Subclavius |
| B. | Teres minor |
| C. | Pectoralis major |
| D. | Teres major |
| E. | Deltoid |
| Answer» B. Teres minor | |
| 161. |
Regarding the synovial flexor sheaths in the hand and wrist, which is false |
| 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 FPL sheath in some people |
| D. | For the II, III and IV fingers a separate synovial sheath lies 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 | |
| 162. |
The axillary nerve |
| A. | Supplies the rotator cuff |
| B. | Is a branch of the medial cord of the brachial plexus |
| C. | Exits the axilla through the quadrangular space |
| D. | Is accompanied by the profunda brachii artery |
| E. | Is derived from C7,C8 |
| Answer» C. Exits the axilla through the quadrangular space | |
| 163. |
The ulna nerve |
| A. | Has C8, T1 fibres only |
| B. | Is sensory to the medial aspect of the forearm and hand |
| C. | Supplies the ulnar part of FDP |
| D. | Traverses the carpal tunnel lateral to the tendon of FCU |
| E. | Accompanies the brachial artery in the cubital fossa |
| Answer» C. Supplies the ulnar part of FDP | |
| 164. |
The axillary artery |
| A. | Arrives at the lateral border of scalenus anterior |
| B. | Is divided into 3 parts by its relationship to pectoralis major |
| C. | Becomes the brachial artery at the inferior border of teres minor |
| D. | Has 3 branches from its 3rd part |
| E. | Is clasped by the trunks of the brachial plexus at its 2nd part |
| Answer» D. Has 3 branches from its 3rd part | |
| 165. |
The following structures are relevant to the cubital fossa except |
| A. | Brachialis |
| B. | Pronator quadratus |
| C. | Radial artery |
| D. | Median nerve |
| E. | Supinator |
| Answer» B. Pronator quadratus | |
| 166. |
FCR tendon |
| A. | Gives a slip of insertion into the scaphoid |
| B. | Contains a sesamoid bone |
| C. | Lies medial to the median nerve at the wrist |
| D. | Lives in the groove of the hamate at the wrist |
| E. | Has fleshy fibres on its radial side until immediately proximal to the carpal tunnel |
| Answer» A. Gives a slip of insertion into the scaphoid | |
| 167. |
The radius |
| A. | Articulates with the trochlea of the humerus in a synovial ball and socket joint |
| B. | Has Lister’s tubercle on its posterior aspect |
| C. | Provides insertion of the brachioradialis at the tip of the styloid process |
| D. | Articulates predominantly with the triquetral and the lunate |
| E. | Provides insertion for brachialis muscle a the radial tubercle |
| Answer» B. Has Lister’s tubercle on its posterior aspect | |
| 168. |
In the upper limb |
| A. | The upper trunk of the brachial plexus is prone to injury by forceful depression of the shoulder and results in Erb’s palsy |
| B. | Median nerve compression in the axilla may result in ‘Saturday night palsy’ |
| C. | The unla nerve is commonly injured in fractures of the surgical neck of humerus |
| D. | Musculocutaneous nerve is prone to injury in fractures of the lower 1/3 of the humerus |
| E. | The radial nerve is most commonly injured in supracondylar fractures |
| Answer» A. The upper trunk of the brachial plexus is prone to injury by forceful depression of the shoulder and results in Erb’s palsy | |
| 169. |
Rotation of the scapula is primarily produced by |
| A. | Rhomboids |
| B. | Teres major |
| C. | trapezius |
| D. | Latissimus dorsi |
| E. | Levator scapulae |
| Answer» C. trapezius | |
| 170. |
In the hand |
| A. | The tendon of extensor indicis is usually split into 2 |
| B. | The skin over the thenar eminence is supplied by the muscular recurrent branch of the median nerve after it supplies the thenar muscles |
| C. | The ulnar nerve supplies palmaris brevis |
| D. | Adductor pollicis lies deep to the other 2 muscles of the thenar eminence |
| E. | The digital arteries lie on the palmar side of the nerve |
| Answer» C. The ulnar nerve supplies palmaris brevis | |
| 171. |
At the wrist |
| A. | The scaphoid and the trapezoid form the floor of the anatomical snuff box |
| B. | FPL is surrounded by the common synovial sheath |
| C. | The ulna articulates with the triquetral except in extreme radial adduction |
| D. | All carpal bones form part of the wrist joint |
| E. | No active rotation takes place |
| Answer» E. No active rotation takes place | |
| 172. |
regarding the elbow joint |
| A. | the radial collateral ligament is triangular and consists of 3 bands |
| B. | the capsule is not attached to the radius |
| C. | the annular ligament is attached to the margins of the radial notch of the ulna and the neck of the radius |
| D. | the carrying angle is 1800 |
| E. | the trochlea forms a portion of a sphere |
| Answer» B. the capsule is not attached to the radius | |
| 173. |
Muscles of the flexor compartment of the forearm include |
| A. | Pronator teres |
| B. | Anconeus |
| C. | Brachioradialis |
| D. | Supinator |
| E. | Adductor Pollicis Longus |
| Answer» A. Pronator teres | |
| 174. |
Injury to the ulnar nerve will cause paralysis of all of the following except |
| A. | Medial half FDP |
| B. | FDMB |
| C. | APB |
| D. | FCU |
| E. | Adductor pollicis |
| Answer» C. APB | |
| 175. |
Which of the following structures passes posterior to the flexor retinaculum at wrist |
| A. | Palmar cutaneous branch of the ulnar n |
| B. | Palmaris longus tendon |
| C. | FPL tendon |
| D. | Ulnar artery |
| E. | Palmar cutaneous branch of median n |
| Answer» C. FPL tendon | |
| 176. |
All of the following are true of EPL except |
| A. | It inserts at the base of the proximal phalanx of the thumb |
| B. | It forms the ulnar side of the anatomical snuff box |
| C. | Its nerve supply is from the radial nerve |
| D. | Its origin is from the posterior surface of the ulna and adjacent IO membrane |
| E. | Its tendon passes beneath the extensor retinaculum of the wrist |
| Answer» A. It inserts at the base of the proximal phalanx of the thumb | |
| 177. |
In abduction of the arm |
| A. | The clavicle remains fixed |
| B. | The scapula moves dorsally on the chest wall |
| C. | Scapular movement is at first more rapid than movement of the humerus |
| D. | The medial end of the clavicle moves downward on the intra-articular disc |
| E. | Medial rotation of the humerus occurs |
| Answer» D. The medial end of the clavicle moves downward on the intra-articular disc | |
| 178. |
Part of the rotator cuff of the shoulder is supplied by |
| A. | A nerve formed from the root of C5,6,7 |
| B. | A branch of the upper trunk of the brachial plexus |
| C. | A branch of the lateral cord of the brachial plexus |
| D. | A nerve which passes through the triangular space |
| E. | A branch of the medial cord of the brachial plexus |
| Answer» B. A branch of the upper trunk of the brachial plexus | |
| 179. |
The stability of the shoulder is related to all of the following except |
| A. | Glenoid labrum |
| B. | Acromium process |
| C. | Rotator cuff |
| D. | Long head of the biceps |
| E. | Deltoid |
| Answer» E. Deltoid | |
| 180. |
The lunate articulates with all of the following except |
| A. | Scaphoid |
| B. | Triquetral |
| C. | Capitate |
| D. | Radius |
| E. | Hamate |
| Answer» E. Hamate | |
| 181. |
Loss of sensation in the thumb and lateral forearm is consistent with an isolated injury to |
| A. | Lateral cutaneous nerve of the forearm |
| B. | Median nerve |
| C. | Lateral cutaneous nerve of the arm |
| D. | C6 root |
| E. | C7 root |
| Answer» D. C6 root | |
| 182. |
The skin of the tip of the index finger is supplied by |
| A. | The radial nerve only |
| B. | The median nerve only |
| C. | The ulnar nerve only |
| D. | The radial and median nerves |
| E. | The radial and ulnar nerves |
| Answer» B. The median nerve only | |
| 183. |
Following a laceration to the anterior surface of the wrist, a patient is unable to flex the PIPJ of his III finger when the other fingers are held in extension. Which tendon is divided |
| A. | Palmaris longus |
| B. | Flexor indicis |
| C. | FDP |
| D. | FDS |
| E. | None of the above |
| Answer» D. FDS | |
| 184. |
Paralysis of which nerve results in the 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 | |
| 185. |
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 | |
| 186. |
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 the biceps |
| D. | Has the ulnar nerve on its medial side |
| E. | Gives muscular branch to the triceps |
| Answer» B. Gives off the nutrient artery to the humerus | |
| 187. |
The elbow joint |
| A. | Is supplied exclusively by the radial n |
| B. | Permits flexion – extension and pronation – supination |
| C. | Has a capsule which attaches in part to the radius |
| D. | Communicates with the superior RUJ |
| E. | None of the above |
| Answer» D. Communicates with the superior RUJ | |
| 188. |
The main stabilising factor of the sternoclavicular joint |
| A. | The AC ligament |
| B. | The costoclavicular ligament |
| C. | The interclavicular ligament |
| D. | The sternoclavicular ligament |
| E. | The coracoclavicular ligament |
| Answer» B. The costoclavicular ligament | |
| 189. |
With respect to the thenar muscles |
| A. | APB inserts into the base of the distal phalanx of the thumb |
| B. | All arise from the flexor retinaculum |
| C. | FPB is usually supplied by a branch of the ulnar nerve |
| D. | APB has no role in the opposition of the thumb |
| E. | Opponens pollicis is the most superficial muscle of the group |
| Answer» B. All arise from the flexor retinaculum | |
| 190. |
The musculocutaneous nerve |
| A. | Supplies brachioradialis |
| B. | Terminates as the posterior IO n |
| C. | Supplies all of brachialis |
| D. | Fibres from C5,6,7 and 8 |
| E. | Arises from the lateral cord of the brachial plexus |
| Answer» E. Arises from the lateral cord of the brachial plexus | |
| 191. |
In the antecubital fossa |
| A. | The ulnar nerve is on medial side |
| B. | The median nerve is lateral to the brachial artery |
| C. | The radial nerve is on the lateral side |
| D. | All superficial veins are deep to the cutaneous nerve |
| E. | The brachial artery is lateral to the biceps tendon |
| Answer» C. The radial nerve is on the lateral side | |
| 192. |
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 FCU |
| Answer» A. It attaches to the scaphoid, hamate, pisiform and trapezium | |
| 193. |
The clavicle |
| A. | Is convex anteriorly throughout its entire length |
| B. | Articulates laterally with the coracoid via the coracoclavicular ligament |
| C. | Is crossed in its middle 1/3 by the subclavian vein |
| D. | Forms part of the apex of the axilla |
| E. | Has as its only inferior musculature attachment the muscle pectoralis major |
| Answer» D. Forms part of the apex of the axilla | |
| 194. |
On the palmar aspect of the wrist |
| A. | The median nerve lies between FCR and palmaris longus |
| B. | The ulnar nerve passes deep to the medial aspect of the flexor retinaculum |
| C. | The flexor tendons lie together in a complete synovial sheath |
| D. | The radial artery may be palpated over the flexor retinaculum |
| E. | FCR may be distinguished by the presence of musculature fibres |
| Answer» A. The median nerve lies between FCR and palmaris longus | |
| 195. |
In carpal tunnel syndrome which is unaffected by compression of the median n |
| A. | The medial branch of the median nerve |
| B. | Opponens pollicis |
| C. | The lateral branch of the median nerve |
| D. | Palmar branch of the median nerve |
| E. | APB |
| Answer» D. Palmar branch of the median nerve | |
| 196. |
Regarding the median nerve , all are true except |
| A. | It is formed by the union of 2 roots from the medial and lateral cords |
| B. | In the arm it passes anterior to the brachial artery |
| C. | It passes deep to the flexor retinaculum |
| D. | It does not supply the part of FDP to III finger |
| E. | Typically chronic compression results in wasting of the thenar eminence |
| Answer» D. It does not supply the part of FDP to III finger | |
| 197. |
Regarding the extensor retinaculum of the wrist |
| A. | It includes attachment to the ulna |
| B. | It overlies 6 fibrous compartments |
| C. | Tension of he retinaculum is reduced with pronation |
| D. | It has the palmaris longus fused with it |
| E. | Is pierced by ECRL |
| Answer» B. It overlies 6 fibrous compartments | |
| 198. |
Which of the following is a branch of the posterior cord of the brachial plexus |
| A. | Dorsal scapular n |
| B. | Long thoracic n |
| C. | Musculocutaneous n |
| D. | Ulnar n |
| E. | Thoracodorsal n |
| Answer» E. Thoracodorsal n | |
| 199. |
In the hand the deep palmar arch |
| A. | Is normally incomplete |
| B. | Is formed by the superficial branch of the ulnar artery |
| C. | Crosses the palm 1cm distal to the superficial arch |
| D. | Gives off 3 metacarpal arteries |
| E. | Does not anastomose with the anterior carpal arch |
| Answer» D. Gives off 3 metacarpal arteries | |
| 200. |
Regarding the interossei of the hand |
| A. | They insert into the middle phalanges |
| B. | The palmar interossei have 2 heads of origin |
| C. | They are solely innervated by T1 |
| D. | There are 3 dorsal muscles |
| E. | The palmar abduct |
| Answer» C. They are solely innervated by T1 | |
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