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Muscle Attachments and Injuries Quiz

Total questions: 51

Worksheet time: 26mins

Name
Class
Date
1.

A 34-year-old man presents after a fall onto his shoulder. On examination, he has weakness initiating shoulder abduction and pain on palpating the superior angle of the scapula. Which muscle is most likely injured?

a)

Teres minor

b)

Supraspinatus

c)

Infraspinatus

d)

Serratus anterior

2.

A 22-year-old swimmer complains of sharp posterior shoulder pain during overhead movements. MRI shows inflammation at the medial border of the scapula. Which of the following muscles originates from this region?

a)

Rhomboid major

b)

Deltoid

c)

Subscapularis

d)

Teres major

3.

During a lymph node dissection, a surgeon accidentally severs a nerve passing through the suprascapular notch. What movement will most likely be weakened?

a)

Medial rotation of humerus

b)

Arm extension

c)

Lateral rotation and abduction initiation

d)

Flexion of arm

4.

A patient presents with winging of the scapula. Which muscle attached to the anterior medial border of scapula is affected?

a)

Subscapularis

b)

Trapezius

c)

Serratus anterior

d)

Teres major

5.

A baseball player has pain at the inferior angle of the scapula and difficulty extending his arm. What muscle originates here?

a)

Infraspinatus

b)

Rhomboid minor

c)

Teres major

d)

Coracobrachialis

6.

A weightlifter complains of pain in his upper arm when internally rotating his shoulder. Imaging reveals inflammation at the lesser tubercle of humerus. Which muscle inserts here?

a)

Teres minor

b)

Supraspinatus

c)

Subscapularis

d)

Infraspinatus

7.

A patient has weakness in arm abduction after trauma. MRI shows avulsion of the greater tubercle of the humerus. Which of the following muscles is NOT attached here?

a)

Infraspinatus

b)

Teres minor

c)

Supraspinatus

d)

Subscapularis

8.

A surgical fracture of the humerus shaft affects the radial groove. Which muscle originates from this area and extends the forearm?

a)

Triceps brachii

b)

Biceps brachii

c)

Coracobrachialis

d)

Anconeus

9.

After a stab wound to the anterior arm, a man is unable to flex his elbow. The muscle injured originates from the anterior distal half of the humerus. What muscle is likely damaged?

a)

Coracobrachialis

b)

Brachialis

c)

Biceps brachii

d)

Triceps brachii

10.

Which muscle inserts on the deltoid tuberosity of the humerus?

a)

Deltoid

b)

Supraspinatus

c)

Brachialis

d)

Pectoralis major

11.

A patient has difficulty pronating his forearm. Which muscle originates from the medial epicondyle and inserts onto the lateral surface of the radius?

a)

Pronator teres

b)

Brachioradialis

c)

Supinator

d)

Flexor carpi radialis

12.

A fracture at the radial tuberosity will impair which movement most directly?

a)

Elbow extension

b)

Forearm pronation

c)

Elbow flexion and supination

d)

Wrist extension

13.

Which of the following muscles inserts on the olecranon of the ulna?

a)

Biceps brachii

b)

Anconeus

c)

Triceps brachii

d)

Supinator

14.

A medical intern accidentally injects local anesthetic into the interosseous membrane near the radius and ulna. Which muscle originates here and may be affected?

a)

Flexor carpi radialis

b)

Flexor pollicis longus

c)

Pronator teres

d)

Palmaris longus

15.

A man has weakness extending the thumb. Which of the following muscles that originate from the ulna is responsible for this motion?

a)

Extensor pollicis longus

b)

Flexor digitorum profundus

c)

Brachialis

d)

Abductor pollicis brevis

16.

A 25-year-old man is stabbed in the axilla. He presents with a pulsatile hemorrhage and a rapidly expanding hematoma. Which artery is most likely injured?

a)

Subclavian artery

b)

Axillary artery

c)

Brachial artery

d)

Radial artery

17.

A woman undergoes axillary lymph node dissection for breast cancer. She later presents with weakness in shoulder abduction above 90°. Which nerve was likely damaged?

a)

Axillary nerve

b)

Long thoracic nerve

c)

Thoracodorsal nerve

d)

Radial nerve

18.

During surgery, a structure is seen running anterior to the axillary artery and joining with veins from the lateral thoracic region. What is this structure?

a)

Cephalic vein

b)

Axillary vein

c)

Basilic vein

d)

Subclavian vein

19.

A teenager presents with a large, painful swelling in his axilla. It is incised and drained, revealing pus near the lateral thoracic wall. Which group of axillary lymph nodes is most likely involved?

a)

Apical

b)

Central

c)

Anterior (pectoral)

d)

Lateral

20.

A rock climber dislocates his humeral head inferiorly. Which structure in the axilla is most vulnerable to damage?

a)

Ulnar nerve

b)

Axillary nerve

c)

Radial nerve

d)

Median nerve

21.

A newborn presents with a medially rotated, adducted arm, extended elbow, and pronated forearm following a difficult delivery. Which part of the brachial plexus is most likely injured?

a)

Lower trunk

b)

Upper trunk

c)

Posterior cord

d)

Medial cord

22.

A motorcyclist presents with claw hand and loss of sensation over the medial forearm and hand. Where is the brachial plexus lesion?

a)

Upper trunk

b)

Posterior cord

c)

Lower trunk

d)

Lateral cord

23.

A patient with trauma to the axilla loses the ability to extend the wrist and fingers. He also has sensory loss over the posterior arm and hand. Which nerve is affected?

a)

Radial nerve

b)

Median nerve

c)

Ulnar nerve

d)

Musculocutaneous nerve

24.

After a stab wound, a patient is unable to flex his elbow and has sensory loss over the lateral forearm. Which branch of the brachial plexus is injured?

a)

Radial nerve

b)

Median nerve

c)

Ulnar nerve

d)

Musculocutaneous nerve

25.

A 35-year-old woman is found to have a mass compressing the posterior cord of the brachial plexus. Which of the following deficits would be expected?

a)

Loss of shoulder abduction and wrist drop

b)

Loss of thumb opposition

c)

Claw hand

26.

ressing the posterior cord of the brachial plexus. Which of the following deficits would be expected?

a)

Loss of shoulder abduction and wrist drop

b)

Loss of thumb opposition

c)

Claw hand deformity

d)

Elbow flexion weakness

27.

A phlebotomist accidentally punctures a deep structure while taking blood from the median cubital vein. The patient develops a rapidly expanding hematoma and weak radial pulse. Which artery is likely injured?

a)

Ulnar artery

b)

Radial artery

c)

Brachial artery

d)

Axillary artery

28.

A 20-year-old presents with pain and weakness in forearm flexion. Examination reveals tenderness in the cubital fossa and weakness in forearm supination and elbow flexion. Which muscle is most likely involved?

a)

Pronator teres

b)

Biceps brachii

c)

Brachialis

d)

Brachioradialis

29.

During a surgical procedure, a structure deep to the bicipital aponeurosis is injured. The patient presents with forearm flexor weakness and loss of pronation. Which nerve was injured?

a)

Radial

b)

Ulnar

c)

Median

d)

Musculocutaneous

30.

Which of the following structures is located outside the cubital fossa?

a)

Biceps brachii tendon

b)

Median nerve

c)

Radial nerve

d)

Ulnar nerve

31.

A fracture of the distal humerus damages a structure in the floor of the cubital fossa. Which of the following muscles makes up this floor?

a)

Pronator teres

b)

Supinator

c)

Biceps brachii

d)

Anconeus

32.

A man lifts heavy weights and feels a sudden pop in his upper arm. He can no longer supinate forcefully and shows a 'Popeye sign.' Which muscle is injured?

a)

Brachialis

b)

Coracobrachialis

c)

Biceps brachii

d)

Triceps brachii

33.

Injury to the musculocutaneous nerve affects all muscles in the anterior arm except:

a)

Biceps brachii

b)

Coracobrachialis

c)

Brachialis

d)

Triceps brachii

34.

A patient presents with weakness in shoulder flexion but intact elbow flexion. Which anterior arm muscle is most likely injured?

a)

Coracobrachialis

b)

Brachialis

c)

Biceps brachii

d)

Deltoid

35.

A deep muscle in the anterior arm inserts on the coronoid process and tuberosity of the ulna. It is a strong elbow flexor regardless of forearm position. Which muscle is this?

a)

Biceps brachii

b)

Coracobrachialis

c)

Brachialis

d)

Supinator

36.

Which artery accompanies the musculocutaneous nerve in the anterior arm?

a)

Deep brachial artery

b)

Superior ulnar collateral artery

c)

Brachial artery

d)

Radial artery

37.

A man falls onto his back and fractures the midshaft of the humerus. He cannot extend his wrist. Which nerve is likely injured?

a)

Median

b)

Ulnar

c)

Axillary

d)

Radial

38.

The primary extensor of the elbow is:

a)

Biceps brachii

b)

Brachialis

c)

Triceps brachii

d)

Anconeus

39.

A 60-year-old presents with elbow extension weakness but intact wrist extension. Which muscle is most likely selectively affected?

a)

Biceps brachii

b)

Triceps brachii

c)

Anconeus

d)

Supinator

40.

Which of the following muscles assists in elbow extension and stabilizes the elbow joint?

a)

Triceps brachii

b)

Anconeus

c)

Biceps brachii

d)

Supinator

41.

Which artery travels with the radial nerve in the spiral groove of the humerus?

a)

Deep brachial artery

b)

Brachial artery

c)

Ulnar artery

d)

Posterior circumflex humeral artery

42.

A 30-year-old tennis player reports pain over the medial epicondyle and difficulty flexing the wrist. Which muscle originating here inserts onto the 2nd metacarpal?

a)

Flexor carpi ulnaris

b)

Flexor digitorum superficialis

c)

Flexor carpi radialis

d)

Palmaris longus

43.

A medical student accidentally cuts her wrist. She loses the ability to oppose her thumb and flex the distal phalanx of her index finger. Which deep muscle is affected?

a)

Flexor digitorum profundus

b)

Flexor pollicis longus

c)

Pronator quadratus

d)

Flexor carpi radialis

44.

A patient has impaired flexion of the middle and ring fingers and weak wrist flexion. Which muscle, innervated by the median nerve, is most likely involved?

a)

Flexor carpi ulnaris

b)

Flexor digitorum profundus

c)

Flexor digitorum superficialis

d)

Flexor pollicis brevis

45.

A laceration injures the ulnar nerve in the forearm. Which muscle in the anterior compartment is innervated by this nerve?

a)

Pronator teres

b)

Palmaris longus

c)

Flexor carpi ulnaris

d)

Flexor carpi radialis

46.

Which of the following muscles pronates the forearm and lies deepest in the distal forearm?

a)

Pronator teres

b)

Supinator

c)

Flexor digitorum profundus

d)

Pronator quadratus

47.

A 55-year-old patient has an arterial line inserted at the wrist lateral to the tendon of flexor carpi radialis. Which artery is being cannulated?

a)

Ulnar artery

b)

Brachial artery

c)

Radial artery

d)

Deep palmar arch

48.

During a radial artery catheterization, a patient experiences numbness in the dorsum of the hand. Which nerve runs with the radial artery in the forearm and is likely compressed?

a)

Ulnar nerve

b)

Radial nerve (superficial branch)

c)

Median nerve

d)

Musculocutaneous nerve

49.

In the anatomical snuffbox, the radial artery lies directly on which bone?

a)

Lunate

b)

Pisiform

c)

Scaphoid

d)

Capitate

50.

A surgeon is harvesting the radial artery for a coronary bypass. Which branch must be ligated before the artery dives into the palm?

a)

Superficial palmar branch

b)

Deep brachial artery

c)

Palmar carpal arch

d)

Anterior interosseous artery

51.

The radial artery contributes mainly to which palmar structure?

a)

Superficial palmar arch

b)

Deep palmar arch

c)

Palmar digital arteries

d)

Dorsal venous arch