Worksheetsanatomy of upper limb
Total questions: 30
Worksheet time: 15mins
Regarding muscles, which is true?
a) the cardiac muscle is more powerful than the other two muscle types
b) the skeletal muscle fibre is spindle shaped
c) the smooth muscles do not have actin and myosin
d) the skeletal muscle contraction causes peristalsis in the GI tract and ureter
e) the cardiac muscle is short, branched, mononuclear and a striated muscle
5) Regarding periosteum, which is TRUE?
a) it is an avascular fibrous tissue
b) it is osteogenic
c) it covers the articular surfaces of long bones
d) it covers the inner surface of the medullary cavity
11) The subacromial bursa:
a) communicates with the shoulder joint
b) does not extend beyond the lateral aspect of the acromion
c) innervated in part by the dorsal scapular nerve
d) attached superiorly to the conoid trapezoid and conoid ligaments
e) attached inferiorly to the tendon of supraspinatus
24) Extensor indicis:
a) origin = radius
b) shares a common synovial sheath with E.D. (?extensor digitorum)
c) tendon lies on radial side of E.D. tendon index finger
d) separate insertion from dorsal expansion E.D.
e) nerve supply = median nerve
All the following statements concerning the scaphoid bone are true EXCEPT:
a) it articulates with radius proximally in abduction
b) it is the most susceptible of the carpal bones to fracture
c) it participates in the midcarpal joint
d) it receives an attachment for the transverse carpal ligament
e) fracture of the scaphoid is a common cause for median nerve compression in carpal tunnel syndrome
27) All of the following structures pass deep to the transverse carpal ligament EXCEPT the:
a) flexor digitorum superficialis tendon
b) flexor digitorum profundus tendon
c) flexor pollicis longus tendon
d) median nerve
e) ulnar artery
32) Hand:
a) palmar brevis lies across the base of the thenar eminence
b) abductor pollicis brevis and opponens pollicis both arise from the flexor retinaculum and adjacent trapezium
c) flexor pollicis brevis lies to radial side of abductor pollicis brevis
d) the muscles of the thenar eminence are usually supplied by the recurrent branch of the median nerve
e) opponens pollicis inserts into the whole of the ulnar border of the first metacarpal
34) Myotome of elbow flexion:
a) C5, 6
b) C6, 7
c) C7, 8
d) C5
e) C6
15) Regarding the synovial flexor sheaths, which of the following is NOT true?
a) three synovial sheaths are found on the front of the wrist
b) a common synovial sheath envelops all the superficialis and profundus tendons
c) the sheath around flexor pollicis longus tendon extends almost to its insertion
d) the flexor carpi ulnaris tendon has a short sheath
2) An example of a unipennate muscle is:
sartorius
b) flexor pollicis longus
c) rectus femoris
d) deltoid
37) Which is true of brachial plexus?
a) the trunks lie behind scalene muscle
b) accessory phrenic nerve fibres run to superior mediastinum with long thoracic nerve
c) median nerve divides at the carpal tunnel, lateral branch supplies thenar muscles and medial branch supplies lumbricals (2)
d) ulnar nerve in 95% of cases picks up C7 fibres from lateral cord
3) Which of the following is INCORRECT? Pectoralis major:
a) consists of clavicular and sternocostal heads
b) is innervated by C6 to T1
c) medially rotates and abducts the arm
d) assists flexion at the shoulder
7) The nerve supply of pectoralis minor is from the:
a) pectoral nerves
b) thoracodorsal nerve
c) axillary nerve
d) long thoracic nerve
9) Which of the following is INCORRECT? The biceps:
a) is a powerful flexor of the elbow
b) supinates the forearm
c) is paralysed by an injury to the posterior cord of the brachial plexus
d) is a weak flexor of the shoulder
10) Which of the following is not a direct attachment of the pectoral girdle to the trunk?
a) pectoralis minor
b) pectoralis major
c) trapezius
d) serratus anterior
11) Which of the following does not connect the arm to the pelvic girdle?
a) deltoid
b) biceps
c) subclavius
d) subscapularis
14) Which of the following is INCORRECT, regarding branches of the posterior cord?
a) C5, 6 – upper subscapular nerve
b) C6, 7, 8 – thoracodorsal nerve
c) C5, 6 – lower subscapular nerve
d) C7, 8 – axillary
17) Which muscle does not arise from the common extensor origin?
a) extensor carpi radialis brevis
b) extensor digitorum
c) extensor digiti minimi
d) extensor carpi radialis longus
20) Which carpal bone is most commonly dislocated?
a) lunate
scaphoid
trapezium
capitate
22) Which structure is NOT attached to the pisiform?
a) abductor digiti minimi
b) ulnar collateral ligament
c) flexor carpi ulnaris
d) extensor retinaculum
27) The radial artery:
a) gives rise to the posterior interosseous artery
b) passes distally, lateral to the biceps tendon
c) passes across the tendon of abductor pollicis brevis to enter the anatomical snuffbox
d) passes over the tendon of insertion of pronator teres
30) 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
33) 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
34) 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
35) 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
24) Regarding the interosseous muscle:
a) the palmar interossei have two heads
b) there are usually four palmar interossei
c) the tendons pass on the posterior side of the deep transverse ligament
d) they insert into the extensor expansion, not the proximal phalanges
21) Which muscle arises from both ulnar and radius?
a) pronator teres
b) flexor carpi radialis
c) flexor digitorum superficialis
d) flexor digitorum profundus
94) Which muscle arises in part from the scaphoid tubercle?
a) flexor pollicis brevis
b) abductor pollicis brevis
c) opponens pollicis
d) adductor pollicis
88) 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
90) 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
