INDICATE WHETHER EACH STATEMENT IS TRUE (T) OR FALSE (F):
1. Erbe's paralysis is due to lesion of the lower trunk of brachial plexus..( )
2. Extensor carpi ulnaris is supplied by ulnar nerve……………………..( )
3. Pectoralis major muscle is inserted into medial lip of bicipital groove of the humerus..…………………………………………………………..( )
4. The dorsal interossei are abductors of the digits a way from the line of the middle finger……………………………………………….…………..( )
5. The third compartment of extensor retinaculum contains the tendons of abductor pollicis longus and extensor pollicis brevis………………….( )
6. Lateral thoracic artery is a branch from third part of axillary artery.….( )
7. The anconeus muscle is supplied by the ulnar nerve….……………….( )
8. In the hand: the deep palmer arch is formed mainly by the radial artery( )
9. Brachial plexus is formed mainly of C5, 6, 7, 8, & T1………….…… .( )
10. Coraco brachialis Pierced by musculo-cutaneous nerve…………….....( )
11. Biceps brachii is inserted into anterior aspect of radial tuberosity……..( )
12. The pronators muscles are supplied directly or indirectly by median nerve……………………………………………………………………( )
13. The circumflex scapular artery arises directly from axillary artery.…...( )
14. The ulnar nerve pierces the lateral inter muscular septum in arm...…...( )
15. The ulnar nerve does not pass through the carpal tunnel .……….…….( )
16. The musculo-cutaneous nerve is the only nerve supply of brachialis muscle.…………………………………………………………………( )
17. The third part of axillary artery is crossed by the lateral pectoral nerve( )
18. Injury of the median nerve gives "ape's hand deformity....……………( )
19. The fibers in the interosseous membrane is directed downwards and medially from radius and ulnar……………..………………………….( )
20. The long head of triceps prevents over abduction of the shoulder joint.( )
21. The anterior aperture in the capsule of the shoulder joint transmits the subscapular synovial bursa…………………. ………………………...( )
22. The wrist joint is synovial of ellipsoid variety………..……………….( )
23. Both radius & ulnar share in the wrist joint…………...……………….( )
24. A triangular articular disc prevents the head of ulnar from articulation in the wrist joint………………………………..…………………………( )
25. In supination the radius lies parallel to the ulnar………………………( )
26. Pronation and supination occur at the radio-ulnar joints.……………...( )
27. The ulnar nerve enters the forearm between the 2 heads of flexor carpi ulnaris…………………………………………………..………………( )
28. Complete claw hand occurs in combined lesions of ulnar & median nerves………………………………………………….……………….( )
29. Inter-phalangeal joints permit flexion & extension, abduction & abduction………………………………………………..……………..( )
30. The palmar digital branches of the median nerve supply the nail beds of all fingers………………………………………………..……………..(
Answers:
1. F 2. F 3. F 4. T 5. F 6. F 7. F 8. T
9. T 10. T 11. F 12. T 13. F 14. F 15. T 16. F
17. F 18. T 19. T 20. T 21. T 22. T 23. F 24. T
25. T 26. T 27. T 28. T 29. F 30. F
COMPLETE THE FOLLOWING STATEMENTS:
1. Ulnar nerve is a branch of………….……...…….cord of brachial plexus.
2. Cephalic vein drains into…………………...…………………………vein.
3. Superior radioulnar joint is...…………...………...variety of synovial joint.
4. Anterior interosseous nerve is branch of.……………………………nerve.
5. Abductor pollicis brevis is supplied by...……………………………nerve.
6. The clavi-pectoral fascia is pierced by………, ………….& ……………
7. The extensor carpi radialis brevis muscle is supplied by..….………..nerve
and the first lumbrical muscle by……………………………………nerve.
8. The coraco-clavicular ligament is formed of……….and ……………parts.
9. Structures pass through quadrangular space are……………, ……………
10. 2 branches of the radial artery in the palm of the hand are….…..&………
11. Injury of the ulnar nerve produces a deformity called……………………, however injury of axillary nerve causes…………….……………shoulder.
12. The extensor indicis tendon passes in the…………………..compartment deep to the extensor retinaculum, while the tendon of the extensor digiti minimi passes in the…………………………………………compartment.
13. The triangle of auscultation is bounded by…………….medially, ………………….laterally and…………….…………inferiorly.
14. Supraspinatus abducts the arm to……………degree, followed by deltoid which abducts the arm to………… degree. Raising the arm above the head is accompanied by……………of scapula ,which is caused by the action of……………….. ………..and……….……………….
15. The boundaries of the quadrangular space are …………….superior, …………………..inferior………………medial, and……...……… lateral.
16. The posterior fold of the axilla is formed of…………….and..……………
17. Erb's paralysis is due to injury of……………………………….while partial claw hand results from injury of…………………………………..
18. The flexor retinaculum is attached medially to…….and laterally to………
19. The ulnar nerve enters the forearm between the 2 heads of …………muscle. The nerve lies …….………to ulnar artery above wrist.
20. Nerve to serratus anterior arises from …………..roots of brachial plexus.
21. The extensor carpi ulnaris is supplied by………………..………….and the teres major is supplied by…………………………………………………..
22. Wrist drop can result from damage of ………………………………nerve.
23. An inability to oppose the thumb to the little finger can result from damage to the……………………………..………..nerve.
24. The axillary nerve arises from ……………cord of brachial plexus, it passes through……………….space.
25. The ulnar artery leaves the cubital fossa by passing deep to ……………….
26. The …………………………passes above the supra scapular ligament & the ………………………..passes below the ligament.
27. The supraglenoid tubercle gives origin to…………………& the infraglenoid tubercle gives origin to………………………………………...
28. The spiral groove of the humerus lodges…………nerve & ………..artery.
29. The surgical neck of the humerus is related posteriorly to…………..nerve, ……………………artery and anteriorly to …………………………artery.
30. 3 nerves related to the humerus which are:
- ………….. nerve, in the spiral groove,
-……………nerve, posterior to the surgical neck of the humerus, and
- …………...nerve posterior to the medial epicondyle.
Answers:
1. medial.
2. axillary
3. pivot
4. median
5. median
6. cephalic vein, thoracoacromial artery & lateral pectoral nerve, lymph vs.
7. posterior interosseous, median
8. trapezoid & conoid parts
9. circumflex (axillary) nerve & posterior circumflex humeral artery
10. princeps pollicis & radial indicis
11. partial claw hand, flat shoulder
12. 4th, 5th
13. lateral border of trapezius, medial border of scapula & free border of latissimus dorsi.
14. 18, 90, rotation, serratus anterior & trapezius.
15. subscapularis & teres minor, teres major, neck of the humerus, long head of triceps
16. teres major & latissimus dorsi
17. Upper trunk of brachial plexus, ulnar nerve.
18. pisiform and hook of hamate, trapezium & scaphoid.
19. flexor carpi ulnaris, medial
20. C5, 6, 7
21. posterior interosseous nerve, lower subscapular nerve
22. radial
23. median
24. posterior cord, quadrangular space
25. deep head of pronator teres muscle
26. suprascapular vessels, suprascapular nerve.
27. long head of biceps, long head of triceps.
28. radial, profunda brachii
29. circumflex & posterior circumflex humeral, anterior circumflex humeral
30. radial, circumflex – ulnar
CROSS MATHCING QUESTIOINS
1. Match muscle with its nerve supply:
( ) Biceps .................................................. .................................................. ............................A. Anterior interosseous
( ) Supinator......................................... .................................................. .............................. B. Posterior interosseous
( ) Palmaris brevis............................................ .................................................. ................... C. Deep branch of ulnar
( ) Flexor po1licis longus............................................ .................................................. ........... D. Musculo cutaneous
( ) Adductor pollicis.......................................... .................................................. ......... E. Superficial branch of ulnar
.
2. Match nerve with its branch:
( ) Axillary nerve............................................. .................................................. ....... A. Anterior interosseous nerve
( ) Upper trunk of brachial .................................................. .........................B. Upper lateral cutaneous nerve of arm
plexus............................................ .................................................. .............. C. Lateral cutaneous nerve of forearm
( ) Radial nerve............................................. .................................................. ........ D. Posterior interosseous nerve
( ) Musculo-cutaneous nerve .................................................. ............................................E. Supra scapular nerve
( ) .................................................. .................................................. .................................................. ......Median nerve
3. Match artery with its branch:
( ) Axillary artery............................................ .................................................. ................... A. Profunda brachii artery
( ) Brachial artery............................................ .................................................. ................. B. Radial recurrent artery
( ) Radial artery............................................ .................................................. ................... C. Radial collateral artery
( ) Ulnar artery .................................................. .................................................. ..D. Post. circumflex humeral artery
( ) Profunda brachii artery............................................ ............................................. E. Common interosseous artery
4. Match muscle with its insertion:
( ) Ext. corpi radialis L .................................................. .................................................. ..................................... A. Palmar aponeurosis
( ) Ext. carpi radialis B .................................................. .................................................. .............................................. B. Pisiform bone
( ) Ext. carpi ulnaris C................................................. .................................................. ........................................ Base of 5th metacarpal
( ) F1. carpi ulnaris........................................... .................................................. .............................................. D. Base of 3rd metacarpal
( ) Palmaris longus............................................ .................................................. .............................................. E. Base of 2nd metacarpal
5. Match muscle with its nerve supply:
( ) Coraco-brachialis .................................................. .................................................. .................................................A . Ulnar nerve
( ) Brachioradialis .................................................. .................................................. .................................................. B. Median nerve
( ) F1exor carpi ulnaris .................................................. .................................................. ...........................................C. Axillary nerve
( ) Pronator teres............................................. .................................................. .................................................. ........ D. Radial nerve
( ) Teres minor .................................................. .................................................. ......................................E. Musculo-cutaneous nerve
Answers:
1. D B E A C 2. B E D C A 3. D A B E C 4. E D C B A
5. E D A B C
SELECT AND ENCIRCLE THE MOST APPROPRIATE TO EACH OF THE FOLLOWING QUESTIONS:
1. The Weakest part of the clavicle is:
A. Sternal end B. Acromial end
C. Middle part D. Junction of its lateral with intermediate third
E. Junction of its medial with intermediate third
2. The spine of the scapula is continued laterally as the:
A. Coracoid process B. Angle of the scapula
C. Infraglenoid tubercle D. supraglenoid tubercle
E. Acromion process
3. One of the of the following muscles is inserted into the scapula:
A. Latissimus dorsi B. Biceps brachii
C. Pectoralis major D. Pectoralis minor
E. Subscapularis
4. One of the following muscles inserts into the greater tuberosity of the humerus:
A. Pectoralis major B. Subscapularis
C. Latissimus dorsi D. Teres major
E. Teres minor
5. The lesser tubercle of the humerus receives the tendon(s) of the:
A. Subscapularis B. Coracobrachialis muscle
C. Supraspinatus muscle D. Teres minor muscle
E. All of the above
6. The following are in the bicipital groove, except:
A. Insertion of teres major B. Insertion of pectoralis minor
C. Insertion of latissimus dorsi D. Long head of biceps
E. Ascending branch of anterior circumflex humeral artery
7. If the surgical neck of the humerus is fractured, the nerve most likely to be damaged would be the:
A. Median nerve B. Ulnar nerve
C. Musculo-cutaneous D. Axillary nerve
E. Radial nerve
8. Which of the following structures is most likely to be damaged in association with a fracture of the medial epicondyle of the humerus?
A. The radial artery B. The ulnar nerve
C. The brachial artery D. The ulnar artery
E. The median nerve
9. Fracture middle shaft of humerus usually produces injury into:
A. Ulnar nerve B. Median nerve
C. Radial nerve D. Musculo cutaneous nerve
E. Axillary nerve
10. Bones articulating at the wrist joint are, except:
A. Scaphoid B. Lunate
C. Triquetral D. Lower end of radius
E. Head of ulna
11. Structures attached to coracoid process are, except:
A. Pectoralis minor B. Long head of biceps
C. Coraco-brachialis D. Short head of biceps
E. Coraco-acromial ligament
12. Breast lies over:
A. Pectoralis major B. Serratus anterior
C. External oblique D. All the above
13. The pectoralis major muscle:
A. Is inserted into the floor of the bicipital groove
B. Is supplied by branches of roots of the brachial plexus
C. Is a lateral rotator of the arm
D. Can adduct the arm
E. Supports the upper aspect of capsule of shoulder joint.
14. Apex of axilla is formed of:
A. Clavicle B. 1st rib
C. Scapula D. All the above
15. Anterior wall of axilla is formed of:
A. Pectoralis major B. Pectoralis minor
C. Subec1avius D. Clavi-pectoral fascia
E. All the above
16. Pectoralis major arises from:
A. Sternum B. Upper 6 costal cartilage
C. External oblique aponeurosis D. Medial 1/2 of clavicle
E. All the above
17. Which of the following muscles does not have an attachment to the scapula:
A. Coracobrachialis B. Serratus anterior
C. Pectoralis major D. Biceps brachii
E. Triceps brachii
18. Deltopectoral groove contains the following, except:
A. Cephalic vein B. Musculo-cutaneous nerve
C. Deltopectoral lymph nodes D. Lymph vessels
E. Deltoid branch of thoracoacromial artery
19. All of the following structures perforate the clavi-pectoral fascia, except:
A. Lymphatic vessels B. Lateral pectoral nerve C Thoraco-acromial artery D. Cephalic vein
E. Medial pectoral nerve
20. Pectoralis minor muscle:
A. Arises from 3,4,5, costal cartilages
B. Inserts into acromion
C. Covers third part of axillary artery
D. Is invested by calvipectoral fascia
E. Is supplied by long thoracic nerve
21. Regarding the serratus anterior muscle all statements are true, except:
A. It arises from upper eight ribs
B. It is supplied by the thoracodorsal nerve
C. it protracts the scapula
D. It rotates the scapula during overhead raising of the arm
E. Its paralysis produces winging of the scapula
22. Trapezius arises from:
A. Superior nuchal line B. External occipital protuberance
C. Ligament nuchae and 7th cervical spine D. All thoracic spines
E. All the above
23. Latissimus dorsi arises from:
A. Lower 6 thoracic spines B. Thoraco lumbar fascia
C. Iliac crest D. Lower 3 ribs
E. All the Above
24. Female patient was operated for mastectomy (removal of the breast). After the operation she developed “winging of the scapula”. This could be due to injury to:
A. Thoracodorsal nerve B. Long thoracic nerve
C. Upper subscapular nerve D. Axillary nerve
E. Medial pectoral nerve
25. The biceps brachii muscle:
A. Arises from the infraglenoid tubercle
B. Can pronates the forearm
C. Is supplied by the axillary nerve
D. Is inserted into the radial tuberosity
E. Tendon lies medial to brachial artery
26. The biceps brachii is active in:
A. Extension of the elbow B. Flexion of the wrist
C. Pronation D. Supination
E. Abduction of the shoulder
27. Bicipital aponeurosis is crossed by:
A. Cephalic vein
B. Median cubital vein
C. Posterior cutaneous.
D. Superficial branch of radial nerve
E. lateral cutaneous nerve of forearm
28. The long head of biceps brachii is: One of the following statements is correct:
A. Intra synovial B. Extracapsular
C. Intracapsular D. Capsular
E. None of the above
29. Muscle inserted into medial lip of intertubercular sulcus:
A. Teres major B. Teres minor
C. Pectoralis major D. Latissimus dorsi
E. Pectoralis minor
30. The latissimus dorsi muscle is supplied by:
A. Posterior primary rami of the thoracic nerves
B. The spinal accessory nerve
C. Branches of local intercostal nerves
D. Suprascapular nerve
E. Thoracodorsal nerve
31. These muscles form a musculo-tendinous cuff for shoulder joint, except:
A. Subscapularis B. Supraspinatus
C. 1nfraspinatus D. Teres major
E. Teres minor
32. Medial rotation of the arm is produced by the following muscles, except:
A. Subscapularis B. Pectoralis major
C. Teres major D. Latissimus dorsi
E. Teres minor
33. Of the following muscles, the only one that would laterally rotate the humerus is the:
A. Pectoralis major B. Latissimus dorsi
C. Subscapularis D. Teres major
E. Teres minor
34. The muscle pair which assists in elevating the arm above the head:
A. Trapezius and pectoralis minor
B. Levator scapulae and serratus anterior
C. Rhomboid major and serratus anterior
D. Rhomboid major and levator scapulae
E. Trapezius and serratus anterior
35. Which of the following is not a boundary of the quadrangular space?
A. The teres minor
B. The teres major
C. The surgical neck of the humerus
D. The long head of the triceps
E. The medial head of the triceps
36. Contents of cubital fossa are, except:
A. Brachial artery B. Ulnar artery
C. Radial artery D. Ulnar nerve
E. Tendon of biceps
37. Which of the following paired structures pass through the quadrangular space in the axilla:
A. Circumflex scapular artery and radial nerve
B. Axillary nerve and posterior circumflex humeral artery
C. Radial nerve and profunda brachii artery
D. Axillary nerve and circumflex scapular artery
E. Axillary nerve and profunda brachii artery
38. Following an automobile accident, a patient exhibits atrophy (wasting) of trapezius muscle. which of the following nerves has been injured?
A. The radial nerve B. The thoracodorsal nerve
C. The ulnar nerve D. The spinal accessory nerve
E. The long thoracic nerve
39. At insertion of coracobrachialts are the following except:
A. Median nerve crosses in front of brachial artery
B. Ulnar nerve pierces the medial intermuscular septum
C. Radial nerve pierces the lateral intermuscular Septum
D. Medial cutaneous nerve of forearm pierces deep fascia
E. Basilic vein pierces deep fascia
40. The cubital fossa is bounded by the:
A. Biceps medially, pronator teres laterally
B. Pronator teres medially, brachioradialis laterally
C. Pronator teres laterally, brachioradialis medially
D. Pronator teres medially, brachialis laterally
E. Pronator teres laterally, brachialis medially
41. Which of the following muscles takes origin from the ulna:
A. Supinator D. Brachialis
B. Anconeus E. Triceps brachii
C. Extensor pollicis brevis
42. Each tendon of flexor digitorum superficialis is inserted into:
A. Proximal phalanx B. Middle phalanx
C. Terminal phalanx D. Base of metacarpal bone
E. All the above
43. Select the muscle that will compensate for paralysis of the supinator muscle?
A.Brachialis B. Biceps
D. Triceps C. Extensor carpi radialis
E. Anconeus
44. The supinator muscle and the biceps brachii are both:
A. Innervated by the musculo-cutaneous nerve
B. Supinators of the forearm
C. Innervated by the radial nerve
D. Pronators of the forearm
E. Innervated by the median nerve
45. The following muscles act on the radio-ulnar joints, except:
A. Biceps brachii B. Pronator teres
C. Brachioradialis D. Supinator
E. Brachialis
46. Which structure passes between the two heads of origin of the pronator teres muscle?
A. Deep branch of radial nerve B. Brachial artery
C. Superficial branch of radial nerve D. Median nerve
E. Ulnar nerve
47. A surgeon who wishes to find the ulnar nerve in the forearm may find it as it passes between the two heads of the:
A. Pronator teres B. Flexor digitorum superficialis
C. Flexor digitorum profundus D. Flexor carpi ulnaris
E. Extensor carpi ulnaris
48. All superficial flexors of the forearm:
A. Cross wrist joint
B. Are supplied by median nerve
C. Can flex both elbow and wrist
D. Arise from the lower end of humerus
E. None of the above
49. Median nerve in the palm of hand supplies the following, except:
A. Abductor pollicis brevis B. Lateral 2 lumbricals
C. Opponens pollicis D. Skin of lateral 3, 1/2 fingers
E. Adductor pollicis
50. Flexors of arm are:
A. Pectoralis major B. Deltoid
C. Coraco brachialis D. Biceps
E. All the above
E. Scaphoid
Answers:
1. D 2. E 3. D 4. E 5. A 6. B 7. D 8. B
9. C 10. E 11. B 12. D 13. D 14. D 15. E 16. E
17. C 18. A 19. E 20. D 21. B 22. E 23. E 24. B
25. D 26. D 27. B 28. C 29. A 30. E 31. D 32. E
33. E 34. E 35. E 36. D 37. B 38. D 39. C 40. B
41. A 42. B 43. B 44. B 45. E 46. D 47. D 48. D
49. E 50. E
يالا كلوا يذاكر
INDICATE WHETHER EACH STATEMENT IS TRUE (T) OR FALSE (F):
1. Erbe's paralysis is due to lesion of the lower trunk of brachial plexus..( )
2. Extensor carpi ulnaris is supplied by ulnar nerve……………………..( )
3. Pectoralis major muscle is inserted into medial lip of bicipital groove of the humerus..…………………………………………………………..( )
4. The dorsal interossei are abductors of the digits a way from the line of the middle finger……………………………………………….…………..( )
5. The third compartment of extensor retinaculum contains the tendons of abductor pollicis longus and extensor pollicis brevis………………….( )
6. Lateral thoracic artery is a branch from third part of axillary artery.….( )
7. The anconeus muscle is supplied by the ulnar nerve….……………….( )
8. In the hand: the deep palmer arch is formed mainly by the radial artery( )
9. Brachial plexus is formed mainly of C5, 6, 7, 8, & T1………….…… .( )
10. Coraco brachialis Pierced by musculo-cutaneous nerve…………….....( )
11. Biceps brachii is inserted into anterior aspect of radial tuberosity……..( )
12. The pronators muscles are supplied directly or indirectly by median nerve……………………………………………………………………( )
13. The circumflex scapular artery arises directly from axillary artery.…...( )
14. The ulnar nerve pierces the lateral inter muscular septum in arm...…...( )
15. The ulnar nerve does not pass through the carpal tunnel .……….…….( )
16. The musculo-cutaneous nerve is the only nerve supply of brachialis muscle.…………………………………………………………………( )
17. The third part of axillary artery is crossed by the lateral pectoral nerve( )
18. Injury of the median nerve gives "ape's hand deformity....……………( )
19. The fibers in the interosseous membrane is directed downwards and medially from radius and ulnar……………..………………………….( )
20. The long head of triceps prevents over abduction of the shoulder joint.( )
21. The anterior aperture in the capsule of the shoulder joint transmits the subscapular synovial bursa…………………. ………………………...( )
22. The wrist joint is synovial of ellipsoid variety………..……………….( )
23. Both radius & ulnar share in the wrist joint…………...……………….( )
24. A triangular articular disc prevents the head of ulnar from articulation in the wrist joint………………………………..…………………………( )
25. In supination the radius lies parallel to the ulnar………………………( )
26. Pronation and supination occur at the radio-ulnar joints.……………...( )
27. The ulnar nerve enters the forearm between the 2 heads of flexor carpi ulnaris…………………………………………………..………………( )
28. Complete claw hand occurs in combined lesions of ulnar & median nerves………………………………………………….……………….( )
29. Inter-phalangeal joints permit flexion & extension, abduction & abduction………………………………………………..……………..( )
30. The palmar digital branches of the median nerve supply the nail beds of all fingers………………………………………………..……………..(
Answers:
1. F 2. F 3. F 4. T 5. F 6. F 7. F 8. T
9. T 10. T 11. F 12. T 13. F 14. F 15. T 16. F
17. F 18. T 19. T 20. T 21. T 22. T 23. F 24. T
25. T 26. T 27. T 28. T 29. F 30. F
COMPLETE THE FOLLOWING STATEMENTS:
1. Ulnar nerve is a branch of………….……...…….cord of brachial plexus.
2. Cephalic vein drains into…………………...…………………………vein.
3. Superior radioulnar joint is...…………...………...variety of synovial joint.
4. Anterior interosseous nerve is branch of.……………………………nerve.
5. Abductor pollicis brevis is supplied by...……………………………nerve.
6. The clavi-pectoral fascia is pierced by………, ………….& ……………
7. The extensor carpi radialis brevis muscle is supplied by..….………..nerve
and the first lumbrical muscle by……………………………………nerve.
8. The coraco-clavicular ligament is formed of……….and ……………parts.
9. Structures pass through quadrangular space are……………, ……………
10. 2 branches of the radial artery in the palm of the hand are….…..&………
11. Injury of the ulnar nerve produces a deformity called……………………, however injury of axillary nerve causes…………….……………shoulder.
12. The extensor indicis tendon passes in the…………………..compartment deep to the extensor retinaculum, while the tendon of the extensor digiti minimi passes in the…………………………………………compartment.
13. The triangle of auscultation is bounded by…………….medially, ………………….laterally and…………….…………inferiorly.
14. Supraspinatus abducts the arm to……………degree, followed by deltoid which abducts the arm to………… degree. Raising the arm above the head is accompanied by……………of scapula ,which is caused by the action of……………….. ………..and……….……………….
15. The boundaries of the quadrangular space are …………….superior, …………………..inferior………………medial, and……...……… lateral.
16. The posterior fold of the axilla is formed of…………….and..……………
17. Erb's paralysis is due to injury of……………………………….while partial claw hand results from injury of…………………………………..
18. The flexor retinaculum is attached medially to…….and laterally to………
19. The ulnar nerve enters the forearm between the 2 heads of …………muscle. The nerve lies …….………to ulnar artery above wrist.
20. Nerve to serratus anterior arises from …………..roots of brachial plexus.
21. The extensor carpi ulnaris is supplied by………………..………….and the teres major is supplied by…………………………………………………..
22. Wrist drop can result from damage of ………………………………nerve.
23. An inability to oppose the thumb to the little finger can result from damage to the……………………………..………..nerve.
24. The axillary nerve arises from ……………cord of brachial plexus, it passes through……………….space.
25. The ulnar artery leaves the cubital fossa by passing deep to ……………….
26. The …………………………passes above the supra scapular ligament & the ………………………..passes below the ligament.
27. The supraglenoid tubercle gives origin to…………………& the infraglenoid tubercle gives origin to………………………………………...
28. The spiral groove of the humerus lodges…………nerve & ………..artery.
29. The surgical neck of the humerus is related posteriorly to…………..nerve, ……………………artery and anteriorly to …………………………artery.
30. 3 nerves related to the humerus which are:
- ………….. nerve, in the spiral groove,
-……………nerve, posterior to the surgical neck of the humerus, and
- …………...nerve posterior to the medial epicondyle.
Answers:
1. medial.
2. axillary
3. pivot
4. median
5. median
6. cephalic vein, thoracoacromial artery & lateral pectoral nerve, lymph vs.
7. posterior interosseous, median
8. trapezoid & conoid parts
9. circumflex (axillary) nerve & posterior circumflex humeral artery
10. princeps pollicis & radial indicis
11. partial claw hand, flat shoulder
12. 4th, 5th
13. lateral border of trapezius, medial border of scapula & free border of latissimus dorsi.
14. 18, 90, rotation, serratus anterior & trapezius.
15. subscapularis & teres minor, teres major, neck of the humerus, long head of triceps
16. teres major & latissimus dorsi
17. Upper trunk of brachial plexus, ulnar nerve.
18. pisiform and hook of hamate, trapezium & scaphoid.
19. flexor carpi ulnaris, medial
20. C5, 6, 7
21. posterior interosseous nerve, lower subscapular nerve
22. radial
23. median
24. posterior cord, quadrangular space
25. deep head of pronator teres muscle
26. suprascapular vessels, suprascapular nerve.
27. long head of biceps, long head of triceps.
28. radial, profunda brachii
29. circumflex & posterior circumflex humeral, anterior circumflex humeral
30. radial, circumflex – ulnar
CROSS MATHCING QUESTIOINS
1. Match muscle with its nerve supply:
( ) Biceps .................................................. .................................................. ............................A. Anterior interosseous
( ) Supinator......................................... .................................................. .............................. B. Posterior interosseous
( ) Palmaris brevis............................................ .................................................. ................... C. Deep branch of ulnar
( ) Flexor po1licis longus............................................ .................................................. ........... D. Musculo cutaneous
( ) Adductor pollicis.......................................... .................................................. ......... E. Superficial branch of ulnar
.
2. Match nerve with its branch:
( ) Axillary nerve............................................. .................................................. ....... A. Anterior interosseous nerve
( ) Upper trunk of brachial .................................................. .........................B. Upper lateral cutaneous nerve of arm
plexus............................................ .................................................. .............. C. Lateral cutaneous nerve of forearm
( ) Radial nerve............................................. .................................................. ........ D. Posterior interosseous nerve
( ) Musculo-cutaneous nerve .................................................. ............................................E. Supra scapular nerve
( ) .................................................. .................................................. .................................................. ......Median nerve
3. Match artery with its branch:
( ) Axillary artery............................................ .................................................. ................... A. Profunda brachii artery
( ) Brachial artery............................................ .................................................. ................. B. Radial recurrent artery
( ) Radial artery............................................ .................................................. ................... C. Radial collateral artery
( ) Ulnar artery .................................................. .................................................. ..D. Post. circumflex humeral artery
( ) Profunda brachii artery............................................ ............................................. E. Common interosseous artery
4. Match muscle with its insertion:
( ) Ext. corpi radialis L .................................................. .................................................. ..................................... A. Palmar aponeurosis
( ) Ext. carpi radialis B .................................................. .................................................. .............................................. B. Pisiform bone
( ) Ext. carpi ulnaris C................................................. .................................................. ........................................ Base of 5th metacarpal
( ) F1. carpi ulnaris........................................... .................................................. .............................................. D. Base of 3rd metacarpal
( ) Palmaris longus............................................ .................................................. .............................................. E. Base of 2nd metacarpal
5. Match muscle with its nerve supply:
( ) Coraco-brachialis .................................................. .................................................. .................................................A . Ulnar nerve
( ) Brachioradialis .................................................. .................................................. .................................................. B. Median nerve
( ) F1exor carpi ulnaris .................................................. .................................................. ...........................................C. Axillary nerve
( ) Pronator teres............................................. .................................................. .................................................. ........ D. Radial nerve
( ) Teres minor .................................................. .................................................. ......................................E. Musculo-cutaneous nerve
Answers:
1. D B E A C 2. B E D C A 3. D A B E C 4. E D C B A
5. E D A B C
SELECT AND ENCIRCLE THE MOST APPROPRIATE TO EACH OF THE FOLLOWING QUESTIONS:
1. The Weakest part of the clavicle is:
A. Sternal end B. Acromial end
C. Middle part D. Junction of its lateral with intermediate third
E. Junction of its medial with intermediate third
2. The spine of the scapula is continued laterally as the:
A. Coracoid process B. Angle of the scapula
C. Infraglenoid tubercle D. supraglenoid tubercle
E. Acromion process
3. One of the of the following muscles is inserted into the scapula:
A. Latissimus dorsi B. Biceps brachii
C. Pectoralis major D. Pectoralis minor
E. Subscapularis
4. One of the following muscles inserts into the greater tuberosity of the humerus:
A. Pectoralis major B. Subscapularis
C. Latissimus dorsi D. Teres major
E. Teres minor
5. The lesser tubercle of the humerus receives the tendon(s) of the:
A. Subscapularis B. Coracobrachialis muscle
C. Supraspinatus muscle D. Teres minor muscle
E. All of the above
6. The following are in the bicipital groove, except:
A. Insertion of teres major B. Insertion of pectoralis minor
C. Insertion of latissimus dorsi D. Long head of biceps
E. Ascending branch of anterior circumflex humeral artery
7. If the surgical neck of the humerus is fractured, the nerve most likely to be damaged would be the:
A. Median nerve B. Ulnar nerve
C. Musculo-cutaneous D. Axillary nerve
E. Radial nerve
8. Which of the following structures is most likely to be damaged in association with a fracture of the medial epicondyle of the humerus?
A. The radial artery B. The ulnar nerve
C. The brachial artery D. The ulnar artery
E. The median nerve
9. Fracture middle shaft of humerus usually produces injury into:
A. Ulnar nerve B. Median nerve
C. Radial nerve D. Musculo cutaneous nerve
E. Axillary nerve
10. Bones articulating at the wrist joint are, except:
A. Scaphoid B. Lunate
C. Triquetral D. Lower end of radius
E. Head of ulna
11. Structures attached to coracoid process are, except:
A. Pectoralis minor B. Long head of biceps
C. Coraco-brachialis D. Short head of biceps
E. Coraco-acromial ligament
12. Breast lies over:
A. Pectoralis major B. Serratus anterior
C. External oblique D. All the above
13. The pectoralis major muscle:
A. Is inserted into the floor of the bicipital groove
B. Is supplied by branches of roots of the brachial plexus
C. Is a lateral rotator of the arm
D. Can adduct the arm
E. Supports the upper aspect of capsule of shoulder joint.
14. Apex of axilla is formed of:
A. Clavicle B. 1st rib
C. Scapula D. All the above
15. Anterior wall of axilla is formed of:
A. Pectoralis major B. Pectoralis minor
C. Subec1avius D. Clavi-pectoral fascia
E. All the above
16. Pectoralis major arises from:
A. Sternum B. Upper 6 costal cartilage
C. External oblique aponeurosis D. Medial 1/2 of clavicle
E. All the above
17. Which of the following muscles does not have an attachment to the scapula:
A. Coracobrachialis B. Serratus anterior
C. Pectoralis major D. Biceps brachii
E. Triceps brachii
18. Deltopectoral groove contains the following, except:
A. Cephalic vein B. Musculo-cutaneous nerve
C. Deltopectoral lymph nodes D. Lymph vessels
E. Deltoid branch of thoracoacromial artery
19. All of the following structures perforate the clavi-pectoral fascia, except:
A. Lymphatic vessels B. Lateral pectoral nerve C Thoraco-acromial artery D. Cephalic vein
E. Medial pectoral nerve
20. Pectoralis minor muscle:
A. Arises from 3,4,5, costal cartilages
B. Inserts into acromion
C. Covers third part of axillary artery
D. Is invested by calvipectoral fascia
E. Is supplied by long thoracic nerve
21. Regarding the serratus anterior muscle all statements are true, except:
A. It arises from upper eight ribs
B. It is supplied by the thoracodorsal nerve
C. it protracts the scapula
D. It rotates the scapula during overhead raising of the arm
E. Its paralysis produces winging of the scapula
22. Trapezius arises from:
A. Superior nuchal line B. External occipital protuberance
C. Ligament nuchae and 7th cervical spine D. All thoracic spines
E. All the above
23. Latissimus dorsi arises from:
A. Lower 6 thoracic spines B. Thoraco lumbar fascia
C. Iliac crest D. Lower 3 ribs
E. All the Above
24. Female patient was operated for mastectomy (removal of the breast). After the operation she developed “winging of the scapula”. This could be due to injury to:
A. Thoracodorsal nerve B. Long thoracic nerve
C. Upper subscapular nerve D. Axillary nerve
E. Medial pectoral nerve
25. The biceps brachii muscle:
A. Arises from the infraglenoid tubercle
B. Can pronates the forearm
C. Is supplied by the axillary nerve
D. Is inserted into the radial tuberosity
E. Tendon lies medial to brachial artery
26. The biceps brachii is active in:
A. Extension of the elbow B. Flexion of the wrist
C. Pronation D. Supination
E. Abduction of the shoulder
27. Bicipital aponeurosis is crossed by:
A. Cephalic vein
B. Median cubital vein
C. Posterior cutaneous.
D. Superficial branch of radial nerve
E. lateral cutaneous nerve of forearm
28. The long head of biceps brachii is: One of the following statements is correct:
A. Intra synovial B. Extracapsular
C. Intracapsular D. Capsular
E. None of the above
29. Muscle inserted into medial lip of intertubercular sulcus:
A. Teres major B. Teres minor
C. Pectoralis major D. Latissimus dorsi
E. Pectoralis minor
30. The latissimus dorsi muscle is supplied by:
A. Posterior primary rami of the thoracic nerves
B. The spinal accessory nerve
C. Branches of local intercostal nerves
D. Suprascapular nerve
E. Thoracodorsal nerve
31. These muscles form a musculo-tendinous cuff for shoulder joint, except:
A. Subscapularis B. Supraspinatus
C. 1nfraspinatus D. Teres major
E. Teres minor
32. Medial rotation of the arm is produced by the following muscles, except:
A. Subscapularis B. Pectoralis major
C. Teres major D. Latissimus dorsi
E. Teres minor
33. Of the following muscles, the only one that would laterally rotate the humerus is the:
A. Pectoralis major B. Latissimus dorsi
C. Subscapularis D. Teres major
E. Teres minor
34. The muscle pair which assists in elevating the arm above the head:
A. Trapezius and pectoralis minor
B. Levator scapulae and serratus anterior
C. Rhomboid major and serratus anterior
D. Rhomboid major and levator scapulae
E. Trapezius and serratus anterior
35. Which of the following is not a boundary of the quadrangular space?
A. The teres minor
B. The teres major
C. The surgical neck of the humerus
D. The long head of the triceps
E. The medial head of the triceps
36. Contents of cubital fossa are, except:
A. Brachial artery B. Ulnar artery
C. Radial artery D. Ulnar nerve
E. Tendon of biceps
37. Which of the following paired structures pass through the quadrangular space in the axilla:
A. Circumflex scapular artery and radial nerve
B. Axillary nerve and posterior circumflex humeral artery
C. Radial nerve and profunda brachii artery
D. Axillary nerve and circumflex scapular artery
E. Axillary nerve and profunda brachii artery
38. Following an automobile accident, a patient exhibits atrophy (wasting) of trapezius muscle. which of the following nerves has been injured?
A. The radial nerve B. The thoracodorsal nerve
C. The ulnar nerve D. The spinal accessory nerve
E. The long thoracic nerve
39. At insertion of coracobrachialts are the following except:
A. Median nerve crosses in front of brachial artery
B. Ulnar nerve pierces the medial intermuscular septum
C. Radial nerve pierces the lateral intermuscular Septum
D. Medial cutaneous nerve of forearm pierces deep fascia
E. Basilic vein pierces deep fascia
40. The cubital fossa is bounded by the:
A. Biceps medially, pronator teres laterally
B. Pronator teres medially, brachioradialis laterally
C. Pronator teres laterally, brachioradialis medially
D. Pronator teres medially, brachialis laterally
E. Pronator teres laterally, brachialis medially
41. Which of the following muscles takes origin from the ulna:
A. Supinator D. Brachialis
B. Anconeus E. Triceps brachii
C. Extensor pollicis brevis
42. Each tendon of flexor digitorum superficialis is inserted into:
A. Proximal phalanx B. Middle phalanx
C. Terminal phalanx D. Base of metacarpal bone
E. All the above
43. Select the muscle that will compensate for paralysis of the supinator muscle?
A.Brachialis B. Biceps
D. Triceps C. Extensor carpi radialis
E. Anconeus
44. The supinator muscle and the biceps brachii are both:
A. Innervated by the musculo-cutaneous nerve
B. Supinators of the forearm
C. Innervated by the radial nerve
D. Pronators of the forearm
E. Innervated by the median nerve
45. The following muscles act on the radio-ulnar joints, except:
A. Biceps brachii B. Pronator teres
C. Brachioradialis D. Supinator
E. Brachialis
46. Which structure passes between the two heads of origin of the pronator teres muscle?
A. Deep branch of radial nerve B. Brachial artery
C. Superficial branch of radial nerve D. Median nerve
E. Ulnar nerve
47. A surgeon who wishes to find the ulnar nerve in the forearm may find it as it passes between the two heads of the:
A. Pronator teres B. Flexor digitorum superficialis
C. Flexor digitorum profundus D. Flexor carpi ulnaris
E. Extensor carpi ulnaris
48. All superficial flexors of the forearm:
A. Cross wrist joint
B. Are supplied by median nerve
C. Can flex both elbow and wrist
D. Arise from the lower end of humerus
E. None of the above
49. Median nerve in the palm of hand supplies the following, except:
A. Abductor pollicis brevis B. Lateral 2 lumbricals
C. Opponens pollicis D. Skin of lateral 3, 1/2 fingers
E. Adductor pollicis
50. Flexors of arm are:
A. Pectoralis major B. Deltoid
C. Coraco brachialis D. Biceps
E. All the above
E. Scaphoid
Answers:
1. D 2. E 3. D 4. E 5. A 6. B 7. D 8. B
9. C 10. E 11. B 12. D 13. D 14. D 15. E 16. E
17. C 18. A 19. E 20. D 21. B 22. E 23. E 24. B
25. D 26. D 27. B 28. C 29. A 30. E 31. D 32. E
33. E 34. E 35. E 36. D 37. B 38. D 39. C 40. B
41. A 42. B 43. B 44. B 45. E 46. D 47. D 48. D
49. E 50. E
موضوع: أسئلة متنوعة في Upper limb 
