UPPER LIMB

The following structures pass posterior to the flexor retinaculum of the wrist .1
:except the
a) Flexor digitorum superficialis tendons
b) Median nerve
c) Flexor pollicis longus tendon
d) Ulnar nerve
e) Anterior interosseous nerve

The following tendons are inserted into the base of the proximal phalanx of the .2
:thumb except the
a) Extensor pollicis brevis
b) Abductor pollicis longus
c) Oblique head of adductor pollicis
d) Flexor pollicis brevis
e) Firs palmer interosseous

The following muscles abduct the hand at the wrist joint except the: .3
a) Flexor carpi radialis
b) Abductor pollicis longus
c) Extensor carpi radialis longus
d) Extensor digiti minimi
e) Extensor pollicis longus

:The following bones form the proximal row of carpal bones except the .4
a) Lunate
b) Pisiform
c) Scaphoid
d) Triquetral
e) Trapezium

:The tendons of the following muscles form the rotator cuff except the .5
a) Teres minor
b) Supraspinatus
c) Subscapularis
d) Teres major
e) Infraspinatus

:The quadrangular space is bounded by the following structures except the .6

a) Surgical neck of the humerus
b) Long head of triceps
c) Deltoid
d) Teres major
e) Teres minor

:The lymph from the upper lateral quadrant of the breast drains mainly into .7
a) Lateral axillary nodes
b) Internal thoracic nodes
c) Posterior axillary nodes
d) Anterior axillary nodes
e) Deltapectoral group of nodes
The radial nerve gives off the following branches in the posterior .8
:compartment of the arm except the
a) Lateral head of the triceps
b) Lower lateral cutaneous nerve of the arm
c) Medial head of the triceps
d) Brachioradialis
e) Anconeus

The medial collateral ligament of the elbow joint is closely related to the .9
:following structure
a) Brachial artery
b) Radial nerve
c) Ulnar artery
d) Basilic vein
e) Ulnar nerve

All of the following statements concerning the brachial plexus are true .10
:except
a) The roots of C8 and T1 join to form the lower trunk
b) The roots, trunks, and divisions are not located in the axilla
c) The nerve that innervates the levator scapulae is a branch of the upper trunk
d) The cords are named according to their position relative to the first part of
the axillary artery
e) No nerves originate as branches from the individual divisions of the
brachial plexus

The anterior fascial compartment of the forearm contains the following .11
:arteries except the
a) Brachial
b) Anterior interosseous
c) Radial
d) Ulnar
e) Profunda

:The boundaries of the anatomic snuffbox include the following except the .12
a) Abductor pollicis brevis
b) Extensor pollicis longus
c) Extensor pollicis brevis
d) Abductor pollicis longus

The following structures are attached to the greater tuberosity of the .13
:humerus except the
a) Supraspinatus muscle
b) Coracohumeral ligament
c) Teres minor muscle
d) Infraspinatus muscle
e) Subscapularis muscle
The following structures form the boundaries to the superior entrance into .14
:the axilla except the
a) Clavicle
b) Coracoid process
c) Upper border of scapula
d) Outer border of first rib

:The carpal tunnel contains the following important structures except the .15
a) Flexor pollicis longus tendon
b) Flexor digitorum profundus tendon
c) Median nerve
d) Flexor carpi radialis tendon
e) Flexor digitorum superficialis tendons

Collateral circulation around the shoulder joint would involve all the .16
:following except
a) The subscapular artery
b) The superficial cervical artery
c) The suprascapular artery
d) The anterior circumflex humeral artery
e) The lateral thoracic artery

The proximal row of carpal bones includes all the following carpal bones .17
:except
a) The pisiform
b) The capitate
c) The lunate
d) The triquetral
e) The scaphoid

A shoulder separation, which involves the lateral end of the clavicle sliding .18
onto the superior aspect of the acromion, would most likely result from damage
:to
a) The costoclavicular ligament
b) The sternoclavicular ligament
c) The coracoclavicular ligament
d) The glenohumeral ligament
e) The coracoacromial ligament

Select the muscle that will compensate in part for paralysis of the supinator .19
:muscle
a) The extensor carpi ulnaris muscle
b) The brachialis muscle
c) The triceps brachii muscle
d) The biceps brachii muscle
e) The anconeus

:The synovial sheath of the flexor pollicis longus muscle forms .20
a) The thenar space
b) The ulnar bursa of the wrist
c) The midpalmer space
d) The radial bursa of the wrist
e) The digital synovial sheath for the index finger
:To test for trapezius muscle paralysis, you would ask the patient to .21
a) Flex the arm fully
b) Adduct the arm against resistance
c) Push against a wall with both hands
d) Shrug the shoulder
e) Abduct the arm fully

:The lymph from the medial quadrants of the breast drain mainly into .22
a) The posterior axillary (subscapular) nodes
b) The internal thoracic nodes
c) The anterior axillary (pectoral) nodes
d) The lateral axillay (brachial) nodes
e) The infraclavicular (deltopectoral) nodes

:Cutting the dorsal scapular nerve would most likely result in paralysis of .23
a) The supraspinatus muscle
b) The deltoid muscle
c) The rhomboid major muscle
d) The trapezius muscle
e) The infraspinatus muscle

:Regarding the "winged scapula," the following facts are correct except .24
a) The spinal part of the accessory is damaged
b) The inferior angle of the scapula projects backwards
c) The serratus anterior muscle may be wasted
d) The long thoracic nerve is damaged
e) The scapula can no longer me pulled anteriorly around the chest wall

After injury to a nerve at the wrist, the thumb is laterally rotated and .25
adducted. The hand looks flattened and "apelike." Which nerve has been
?damaged
a) The anterior interosseous nerve
b) The ulnar nerve
c) The deep branch of the radial nerve
d) The median nerve
e) The superficial branch of the radial nerve

:The dermatome present over the lateral side of the wrist is .26
a) C8
b) C6
c) T1
d) T2
e) C5
A 14-year-old boy fell of a wall and fractured his right humerus at midshaft. .27
The wrist joint immediately assumed a flexed position that the patient was
unable to correct. Extension and supination of the forearm was weakened but
not abolished, and skin sensation over the lateral side of the dorsum of the hand
was diminished. Select the one peripheral nerve, that if damged, could account
.for these symptoms and signs
a) The ulnar nerve
b) The median nerve
c) The radial nerve
d) The axillary nerve
e) The musculocutaneous nerve

A patient can raise (abduct) her arm no further than to a 15o position. This .28
: ?suggests paralysis of which muscle
a) The rhomboid minor
b) The deltoid
c) The supraspinatus
d) The teres minor
e) The subscapularis

:The following statements regarding the rotator cuff are incorrect except .29
a) It adds to the stability of the shoulder joint
b) It is formed by the tendons of the long muscles in the region of the shoulder
joint
c) It consists of muscle fibers located close to the shoulder joint
d) All the muscle tendons are innervated by the suprascapular nerve
e) The muscle tendons are not fused to the capsule of the shoulder joint

The quadrangular space in the region of the shoulder transmits the following .30
:structures except
a) The axillary nerve
b) The posterior circumflex humeral artery
c) The lymphatic vessels
d) The radial nerve
e) The posterior circumflex humeral vein

A patient with a knife wound to the front of the left wrist is seen in the .31
emergency department. Examination reveals that two superficial tendons on
either side of the median nerve have been severed. Which of the following
?tendons are these
a) The flexor pollicis longus and pronator quadratus tendons
b) The flexor carpi ulnaris and the flexor digitorum profundus tendons
c) The flexor digitorum superficialis and flexor carpi radialis tendons
d) The brachioradialis and pronator teres tendons
e) The abductor pollicis longus and the extensor pollicis brevis tendons

The following statements regarding the lateral cord of the brachial plexus are .32
:true except
a) It contains sympathetic nerve fibers
b) It has a branch that supplies the pectoralis major muscle
c) It has a branch that supplies the skin on the lateral side of the forearm
d) It has a branch that supplies the skin on the lateral side of the upper arm
e) It lies lateral to the second part of the axillary artery
An examination of a patient with carpal tunnel syndrome may reveal all the .33
:following symptoms and signs except
a) Atrophy of the muscles of the thenar eminence
b) Weakness in opposition of the thumb
c) Loss of skin sensation on the medial part of the palm
d) Loss of skin sensation on the ventral surface of the index finger
e) Normal skin sensation on the ventral surface of the little finger

The following movements are expected to be normal after a complete section .34
:of the medial cord of the brachial plexus except
a) Extension of the wrist
b) Flexion of the elbow
c) Abduction of the shoulder joint
d) Metacarpophalangeal flexion and interphalangeal extension of the medial
four fingers
e) Metacarpophalangeal flexion and interphalangeal extension of the thumb

The following statements regarding the sympathetic innervation of the .35

:arteries of the upper limb are correct except
a) Have preganglionic nerve fibers originating in spinal cord segments T2-8
b) Cause vasoconstriction of the arteries and veins of the skin
c) Have preganglionic nerve fibers synapsing in the middle cervical, the
inferior cervical, and the first thoracic ganglia
d) Many of the postganglionic fibers are distributed within the branches of the
brachial plexus
e) The sympathetic nerves do not innervate the sweat glands

?Which statement about the shoulder and arm is true .36

a) A quadrangular space is bounded by teres minor, teres major, and the long
and medial heads of triceps brachii
b) The radial nerve and profunda brachii artery run between medial and lateral
heads of triceps brachii
c) The quadrangular space gives passage to the radial nerve
d) The circumflex scapular artery is a branch of a subclavian artery
e) The suprascapular nerve passes through the triangular space

?Which of the following muscles does not contribute to wrist abduction .37
a) Flexor carpi radialis
b) Extensor carpi radialis longus
c) Brachioradialis
d) Abductor pollicis longus
e) Extensor pollicis longus

:Suprascapular nerve from .38

a) Posterior cord
b) Lateral cord
c) Both medial & lateral cords
d) Upper trunk
e) None of the above
:Medial side of palmer aspect of ring finger is supplied by .39
a) Median nerve
b) Radial nerve
c) Dorsal cutaeous branch of ulnar nerve
d) Superficial branch of ulnar nerve
e) Palmer cutaneous branch of ulnar nerve

An inability to oppose the thumb to the little finger can result from damage .40
:to the nerve
a) Ulnar
b) Axillary
c) Radial
d) Median

?Which of the following statements is incorrect .41

a) Musculocutaneous nerve innervates muscles of the anterior compartment of
the arm
b) Median nerve lies between brachialis and brachioradialis in the cubital
fossa
c) The anterior interosseous nerve is a branch of the median nerve
d) The flexor carpi ulnaris is innervated by the ulnar nerve
e) The extensor indices is innervated by the posterior interosseous nerve

:The following statements about the radial nerve are true except .42
a) Arises from the posterior cord of the brachial plexus
b) Runs in the spiral groove of the humerus
c) Runs with the posterior humeral circumflex artery
d) Supplies sensation to part of dorsum of the hand
e) Supplies posterior compartment of the arm

Which of the following flex the metacarpophalangeal joints and extend the .43
:interphalangeal joints in the hand
a) Lumbricals
b) Interossei
c) Both A and B
d) Neither A nor B

Paralysis of the pectoralis major muscle will cause weakness in the following .44
:shoulder movements
a) Medial rotation
b) Adduction
c) Flexion
d) Circumduction
e) All of the above

:Select the incorrect statement .45

a) Profunda brachii runs with the ulnar nerve in the arm
b) The median nerve and brachial artery run with the medial intermuscular
septum in the arm
c) The superior ulnar collateral artery anastomoses with the posterior ulnar
recurrent to provide a route of collateral circulation around the elbow
d) The anterior humeral circumflex artery has anastomoses with the posterior
humeral circumflex artery
:The anterior interosseous nerve supplies .46
a) Pronator teres muscle
b) Lateral two lumbricals
c) Medial two lumbricals
d) Flexor pollicis longus
e) Skin overlying the anterior surface of the wrist joint

:Arterial supply of the breast comes from .47

a) Internal thoracic artery
b) Lateral thoracic artery
c) Posterior intercostals arteries
d) Thoraco-acromial artery
e) All of the above

:The following nerves are involved in abduction of the shoulder joint except .48
a) Suprascapular nerve
b) Axillary nerve
c) Musculocutaneous nerve
d) Long thoracic nerve
e) Spinal accessory nerve

:The supraspinatus muscle .49

a) Initiates adduction of the arms
b) Is a rotator cuff muscle
c) Is attached on the lesser tubercle of the humerus
d) Is innervated by the dorsal scapular nerve
e) Is a medial rotator of the shoulder joint

The following statements regarding the lateral cord of the brachial plexus are .50
:true except
a) It contains sympathetic nerve fibers
b) Has a branch that supplies the pectoralis major
c) Has a branch that supplies the lateral side of the forearm skin
d) Has a branch that supplies the lateral side of the arm skin
e) Lies lateral to the second part of the axillary artery

:Brachioradialis muscle .51

a) Flexes the forearm
b) Is supplied by the radial nerve
c) Both A and B
d) Neither A nor B

:Damage to which nerve would result in an inability toe extend the wrist .52
a) Radial nerve
b) Ulnar nerve
c) Median nerve
d) Musculocutaneous nerve
e) Axillary nerve
:The importance of the anatomical snuff box is .53
a) The radial artery runs through it
b) The most frequently fractured carpal bone forms the floor
c) Both A and B
d) Neither A nor B

:The following statements about the median nerve are true except .54
a) Does not supply any muscle in the arm
b) Supplies all muscles in the thenar eminence
c) Supplies two lumbrical muscles
d) Supplies sensation to the lateral palmer hand
e) Supplies all muscles in the extensor part of the forearm

:Attaching the coracoid process of the scapula is/are .55

a) Pectoralis major
b) Short head of biceps brachii
c) Both A and B
d) Neither A nor B

?Which of the following statements is incorrect .56

a) Musculocutaneous nerve innervates muscles of the anterior compartment of
arm
b) Median nerve lies between brachial and brachioradialis in cubital fossa
c) Anterior interosseous nerve is a branch of median nerve
d) Flexor carpi ulnaris is innervated by the ulnar nerve
e) Extensor indices is innervated by the posterior interosseous nerve

:Pick the best association, the teres major muscle .57

a) Rotator cuff
b) Axillary nerve
c) Both A and B
d) Neither A nor B

:The axillary artery .58

a) Ends at the lower border of the teres minor
b) Divided into three segments by the clavicular head of the pectoralis major
c) Continuation of the subclavian artery on the right side and brachiocephalic
artery on the left side
d) Has the cords of the brachial plexus along its entire length
e) Pulse can be palpated in the axilla

Which of the following structures is not included in the posterior axillary .59
?wall
a) Latissimus dorsi
b) Teres major
c) Pectoralis major
d) Subscapularis
:All of the following insert on to the greater tubercle of the humerus except .60
a) Subscapularis
b) Teres minor
c) Supraspinatus
d) Infraspinatus
e) All of the above

:The ulnar nerve supplies .61

a) Lateral half of flexor digitorum superficialis
b) Flexor carpi ulnaris
c) Flexor carpi radialis
d) Lateral half of flexor digitorum profundus
e) All of the above

:Which of the following is not found in the axilla .62

a) Apical group of lymph nodes
b) Dorsal scapular nerve
c) Breast tissue
d) Third part of axillary artery

:Select the incorrect statement about the structures of the cubital fossa .63
a) The brachioradialis forms the lateral border of the fossa
b) Bicepital aponeurosis is not pierced during normal blood drawing from the
medial cubital vein
c) Brachialis and supinator form the floor of the fossa
d) The ulnar nerve enters fossa deep to the pronator teres

?Which of the following muscles does not insert into the scapula .64
a) Trapezius
b) Levator scapulae
c) Pectoralis major
d) Rhomboids
e) All of the above

:The musculocutaneous nerve .65

a) Becomes the medial antebrachial cutaneous nerve
b) One of the two terminal branches of medial cord of the brachial plexus
c) Both A and B
d) Neither A nor B

:Muscles important in the abduction of the arm include .66

a) Deltoid
b) Supraspinatus
c) Both A and B
d) Neither A nor B

:Nerves which come off the roots of the brachial plexus include .67
a) Lower subscapular
b) Long thoracic
c) Both À and B
d) Neither A nor B
 :Lateral rotators of the arm include .68
a) Subscapularis
b) Infraspinatus
c) Both A and B
d) Neither A nor B
:Injury of the radial nerve just proximal to the elbow joint would cause .69
a) Wrist drop
b) Failure to produce extension of forearm
c) Both A and B
d) Neither A nor B

:Select the incorrect statement .70

a) Carpal tunnel contains tendons of flexor carpi radialis and flexor digitorum
superficialis and profundus
b) Two proper palmer digital nerves and proper dorsal digital nerves innervate
each digit (finger)
& c) Thenar muscles are flexor pollicis brevis, abductor pollicis brevis
opponens pollicis
d) Median nerve is located in midpalmer compartment of hand

:The terminal branches of the posterior cord of the brachial plexus .71
a) Musculocutaneous
b) Radial
c) Both A and B
d) Neither A nor B

Which of the following is not supplied by the recurrent branch of the median .72
:nerve
a) Abductor pollicis brevis
b) Flexor pollicis brevis
c) Adductor pollicis
d) Opponens pollicis

:The following muscles originate from the common extensor tendon except .73
a) Brachioradialis
b) Flexor digitorum superficialis
c) Both A and B
d) Neither A nor B

:All of the following muscles are attached to the humerus except .74
a) Pectoralis minor
b) Pecotralis major
c) Subscapularis
d) Supraspinatus
e) Teres minor

:Rotator cuff muscles include .75

a) Teres major
b) Teres minor
c) Both A and B
d) Neither A nor B
:Which statement concerning the serratus anterior muscle is/are not true .76
a) It originates from the subscapular fossa
b) Its innervated by long thoracic nerve
c) Both A and B
d) Neither A nor B

?The tendon of which muscle is found within the shoulder joint cavity .77
a) Infraspinatus
b) Supraspinatus
c) Coracobrachialis
d) Long head of biceps brachii
e) Short head of biceps brachii

Coursing through the radial groove of the humerus with the radial nerve is .78
:the
a) Profunda brachii artery
b) Brachial artery
c) Both A and B
d) Neither A nor B

:What are the two tendons on either side of the median nerve at the wrist .79
a) Flexor pollicis longus & pronator quadratus
b) Flexor carpi ularis & flexor digitorum profundus
c) Flexor digitorum superficialis & flexor carpi radialis
d) Brachioradialis and pronator teres
e) Abductor pollicis longus and extensor pollicis brevis

:The carpal tunnel syndrome does not affect .80

a) Skin of thenar eminence
b) Thenar muscles
c) Flexor pollicis brevis
d) First lumbrical

:The carpal tunnel contains the following except .81

a) Flexor digitorum profundus
b) Flexor digitorum superficialis
c) Ulnar nerve
d) Median nerve

:The ulnar nerve supplies .82

a) Flexor digitorum superficialis
b) Abductor digiti minimi
c) Middle finger
d) Abductor pollicis brevis
e) First lumbrical

:Select the correct statement regarding the ulnar nerve .83

a) Passes through the cubital fossa
b) Supplies teres minor
c) Arises from posterior cord
d) Supplies adductor pollicis
e) Supplies shoulder joint
:The anterior wall is formed of all of the following except .84
a) Pectoralis major
b) Teres minor
c) Pectoralis minor
d) Subclavius
e) Clavipectoral fascia

:Select the correct tendon(s) contained in the cubital fossa .85

a) Brachialis tendon
b) Biceps brachii
c) Both A and B
d) Neither A nor B

:The floor of the cubital fossa is formed of .86

a) Deep fascia of the forearm
b) Bicepital aponeurosis
c) Both A and B
d) Neither A nor B

:Paralysis of the serratus anterior causes .87

a) Flattening of the shoulder
b) Winging of the scapula
c) Both A and B
d) Neither A nor B

:Serratus anterior is supplied by .88

a) Dorsal scapular nerve
b) Thoracodorsal nerve
c) Long thoracic nerve
d) Lower subscapular nerve

:The tendons of which muscles pass within the joint cavities .89
a) Infraspinatus
b) Long head of triceps brachii
c) Long head of biceps brachii
d) Both A and B
e) Both B and C

:The following bony points can be felt in the floor of the anatomical snuff box .90
a) Radial styloid
b) Scaphoid
c) Trapezium
d) All of the above
e) None of the above

:Which of the following veins begin at the roof of the cubital fossa .91
a) Basilic
b) Cephalic
c) Both A and B
d) Neither A nor B
 :Concerning upper limb arterial supply all of the following are true except .92
a) The brachial artery can be compressed over the cubital fossa
b) The radial artery may be palpated at the cubital fossa
c) The ulnar artery can be compressed over the pisiform bone
d) The pulsation of the subclavian artery could be felt over the 1st rib
e) The ulnar artery is the main blood supply of the hand

Concerning peripheral nerve injuries, all of the following are incorrect .93
:except
a) The radial nerve arises from the medial cord
b) If the radial nerve is injured in the axilla the patient has partial claw hand
c) The median nerve has no branches in the hand
d) The ulnar nerve injury at the elbow will give appearance of wrist drop
e) Ape hand results from median nerve injury in the elbow

Which of the following muscles have their origin in the scapula and cross the .94
?elbow
a) Corachobrachialis & biceps brachii
b) Corachobrachialis & brachialis
c) Brachialis and biceps brachii
d) Biceps & Triceps
e) Brachialis & Triceps

?Which of the following would not be affected by damage to the ulnar nerve .95
a) Wrist adduction
b) Thumb adduction
c) Sensation in the skin on the palm side of digit five
d) Extension of the wrist
e) Wrist flexion

:The two muscles abducting the humerus above the head .96
a) Serratus anterior and trapezius
b) Deltoid and subscapularis
c) Supraspinatus and subscapularis
d) Teres major and subscapularis
e) Deltoid and teres major

:In the shoulder joint .97

a) Flexion is produced by the costal head of pectoralis major
b) Abduction is initiated by the deltoid
c) Deltoid is the main adductor
d) Extension is produced by the corachobrachialis
e) Lateral rotation is perforemed by teres major

:The floor of the cubital fossa is formed by .98

a) Brachialis muscle
b) Supinator
c) Anconeous
d) Both A and B
e) Both B and C
:Scapular anastomosis includes .99
a) Dorsal scapular artery
b) Suprascapular artery
c) Circumflex scapular artery
d) Both A and B
e) All of the above

:In the middle of the arm .100

a) Deltoid is inserted medially
b) Corachobrachialis is inserted medially
c) Basilic vein penetrates the deep fascia
d) Both B and C
e) Both A and B

:Arterial supply of the breast comes from the .101

a) Internal thoracic artery
b) Superior thoracic artery
c) Posterior intercostals arteries
d) Both A and B
e) Both A and C

:The following muscles originate from the greater tubercle of the humerus .102
a) Teres minor
b) Supraspinatus
c) Infraspinatus
d) All of the above
e) None of the above

Damage to which nerve would result in a lack sensation in the skin over the .103
:deltoid muscle
a) Radial
b) Ulnar
c) Median
d) Musculocutaneous
e) Axillary

:Medial rotators of the humerus include .104

a) Latissmus dorsi
b) Subscapularis
c) Both A and B
d) Neither A nor B

:The musculocutaneous nerve .105

a) Originates from the medial cord
b) Contains fibers from spinal nerves C5, 6 and 7
c) Supplies sensory innervation to the medial forearm
d) Both A and B
e) All of the above
 :The radial nerve .106
a) Supplies cutaneous sensation to the lateral forearm
b) Supplies cutaneous sensation to the medial forearm
c) Both A and B
d) Neither A nor B

Which of the following structures does not cross the shoulder .107
:(glenohumeral) joint
a) Coracoclavicular ligaments
b) Glenohumeral ligaments
c) Long biceps tendon
d) Subscapularis tendon

Which of the following muscles are not a medial rotator of the shoulder .108
?joint
a) Subscapularis
b) Teres major
c) Latissmus dorsi
d) Pectoralis major
e) Teres minor

:Which statement about blood supply of the upper extremity is false .109
a) The humeral circumflex arteries are branches of the axillary artery
b) The cephalic vein runs up the arm lateral to the biceps
c) The median cubital vein connects the basilica and cephalis veins
d) The terminal branches of the brachial artery are the radial and ulnar arteries
e) In the cubital fossa, the brachial artery runs superficial to the bicepital
aponeurosis

Which artery does not participate in the arterial anastomose around the .110
?scapula
a) Subscapular artery
b) Suprascapular artery
c) Posterior circumflex humeral artery
d) Lateral thoracic artery
e) Transverse (superficial) cervical artery

:Sensory innervation to the lateral side of the forearm is supplied by the .111
a) Musculocutaneous nerve
b) Radial nerve
c) Ulnar nerve
d) Axillary nerve
e) Median nerve

:Which of the following statement about the triceps brachii is false .112
a) The long head of triceps extends the forearm
b) The medial head of triceps extends the forearm
c) The lateral head of triceps extends the arm
d) The triceps is innervated by the radial nerve
e) The triceps receives its blood supply from the profunda brachii artery
?Which statement about the brachial plexus is true .113
a) The brachial plexus is formed by ventral rami of C3-T1
b) The superior trunk contains only nerves innervating the ventral division of
the arm
c) The lateral cord is formed by the posterior divisions of the middle and
superior trunk
d) There are 6 trunks and 3 divisions
e) It begins in the neck and ends in the axilla

:Pectoralis minor .114

a) Inserts in the coracoid process of the scapula
b) Is innervated by the lateral pectoral nerve only
c) Flexes the arm
d) Lies superficial and lateral to the pectoralis major
e) Forms the inferior border to the deltopectoral triangle

:At the middle of the arm these statements are true except .115
a) Median nerve crosses the brachial artery
b) Deltoid is inserted along medial border of the humerus
c) Superior ulnar collateral artery pierces medial intramuscular septum
d) Coracobrachialis is inserted along the medial border of the humerus
e) Basilic vein pierces the deep fascia

:The tendons of which muscles pass within the joint cavities .116
a) Infraspinatus
b) Popliteus
c) Long head of biceps brachii
d) Both A and B
e) Both B and C

:All of the following pass superficial to the flexor retinaculum except .117
a) Palmar branch of ulnar nerve
b) Palmer branch of median nerve
c) Tendon of palmaris longus
d) Tendon of flexor pollicis longus
e) Ulnar nerve

:Winging of the scapula will result from injury to .118

a) Infraspinatus
b) Trapezius
c) Serratus Anterior
d) Teres Major
e) Teres Minor

?Which statement about the hand is false .119

a) The thenar muscles are innervated by the median nerve
b) The hypothenar muscles are innervated by the ulnar nerve
c) The palmar interossi are innervated by the median nerve
d) The dorsal interossei are innervated by the ulnar nerve
e) The lumbricals are innervated by the ulnar and median nerves
:Which of the following wrist bones does not articulate with a metacarpal .120
a) Trapezium
b) Lunate
c) Hamate
d) Capitate
e) Trapezoid

A fracture of the medial epicondyle of the humerus is most likely to damage .121
?which of the following nerves
a) Ulnar
b) Radial
c) Median
d) Musculocutaneous
e) Deep radial

Which of the following arteries accompanies the radial nerve into the .122
?posterior compartment of the arm
a) Brachial artery
b) Deep brachial artery (profunda brachii)
c) Anterior circumflex humeral artery
d) Posterior circumflex humeral artery
e) Circumflex scapular artery

Inability to flex the elbow is most likely an indicator of an injury to which of .123
?the following nerves
a) Axillary nerve
b) Median nerve
c) Radial nerve
d) Musculocutaneous nerve
e) Ulnar nerve

:The Scapula .124

a) Has a spine on its dorsal surface which bounds the upper limit for the origin
of the fibers of subscapularis
b) Has the digitations of serratus anterior inserting into its lateral border
c) Has the coracoid process projecting forwards as the lateral projection of the
spine of the scapula
d) Gives attachment to one head of the biceps brachii
e) Has the coracoid process which provides attachment to three muscles and
three ligaments

:Which is false regarding the ulnar nerve .125

a) Has a root value of C5-7
b) Passes just medial to the pisiform bone
c) Carries nerve fibers which supply the elbow joint
d) Supplies skin on both the palmer and dorsal aspects of the hand
e) Supplies palmaris brevis
:The median nerve .126
a) Has a root value of C5-7
b) Provides innervation to the shoulder joint
c) Is sensory to the palmer aspect of the little, ring and middle fingers
d) Supplies pronator quadratus indirectly
e) Lies deep to the tendons of flexor digitorum superficialis at the wrist

?Which is false regarding the extensor expansions .127

a) Divide into three parts distally
b) Are made up of the extensor tendon, the lumbricals and the interossei
c) Contribute to flexion of the metacarpophalangeal joint
d) Insert into the proximal, middle and distal phalanges
e) Are affected in radial nerve injuries

:The interossei .128

a) Are all innervated by the median nerve
b) Are divided into palmer and dorsal, the former being the larger and more
powerful
c) Include the palmer interossei which abduct the fingers
d) Include the dorsal interossei which all arise by two heads
e) Of the middle finger adducts the finger

:Which of the following muscles flex the forearm .129

a) Brachialis
b) Coracobrachialis
c) Both A and B
d) Neither A or B

Muscles in the anterior (flexor of forearm) which are supplied by the ulnar .130
:nerve include
a) Flexor digitorum superficialis
b) Flexor carpi ulnaris
c) Both A and B
d) Neither A or B

Structures passing deep to or within the flexor retinaculum include all the .131
:following except
a) Tendon of palmaris longus
b) Tendon of flexor digitorum superficialis
c) Median nerve
d) Tendon of flexor digitorum profundus
e) All of the above pass within the flexor retinaculum

The tendon of which muscle is a good guide to finding the ulnar artery at .132
:the wrist
a) Palmaris longus
b) Flexor carpi ulnaris
c) Flexor carpi radialis
d) Flexor carpi radialis longus
?Medial rotation of the humerus is produced by which muscle .133
a) Teres minor
b) Teres major
c) Both A and B
d) Neither A nor B

In a fracture of the clavicle, the lateral fragment is displaced onward. This is .134
:due to the pull of the
a) Upper limb
b) Trapezius
c) Pectoralis major
d) Sternocleidomastoid
e) Subclavius

Following injury to a nerve at the wrist, the thumb is laterally rotated and .135
adducted. The hand has a flattened appearance and is 'ape-like'. Which of the
?following nerves is damaged
a) Ulnar nerve
b) Anterior interosseous nerve
c) Deep radial nerve
d) Musculocutaneous nerve
e) Median nerve

The fingernail of the index finger requires removal because of an underlying .136
:abscess. The nerve that requires blocking by a local anesthetic agent is the
a) Dorsal digital branch of the ulnar nerve
b) Dorsal digital branch of the radial nerve
c) Palmar digital branch of the ulnar nerve
d) Palmar digital branch of the median nerve
e) Terminal branches of the posterior interosseous nerve

The ulnar nerve was damaged by a deep laceration at the left wrist when a .137
17-year old male put his hand through a plate glass window. Select the correct
:statement(s) about the patient's symptoms
a) He cannot adduct his ring finger and hold a piece of paper between his ring
and middle fingers
b) The motor innervation to the flexor digiti minimi brevis and the 3rd and 4th
lumbricals is lost so that the ring and little finger are hyperextended at the
metacarpophalangeal joints
c) He is able to hold a toothpick between the pads of his thumb and index
d) The middle and distal phalanges of the ring and little finger are flexed at the
proximal interphalangeal joint and the distal interphalangeal joint
e) All of the above