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ANATOMY OF THE UPPER EXTREMITY, Exams of Anatomy

Liceo de Cagayan University (LDCU)Anatomy

In this document, it is a set of exams where the anatomy of the upper extremity is being tackled (Shoulder, Elbow, Wrist and Hand). It is a multiple-choice set of questions with answers provided through BOLD font, there is also a table presented about the question in relation to the range of motions. There is also a part where the questions were only presented and not with answers.

Typology: Exams

2016/2017

Available from 04/14/2022

dawn-ellorando 🇵🇭

4 documents

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PHYSICAL THERAPY DEPARTMENT

SCHOOL-BASED REVIEW PROGRAM

GROSS ANATOMY OF THE SHOULDER REGION

NAME:_________________________________________ SCORE:___________

I. MULTIPLE CHOICES. ENCIRCLE the letter that corresponds your correct answer.

1. What is the resting position of the acromioclavicular joint?

A. Arms at the side

B. 90 degrees abduction

C. 55 degrees abduction

D. Full abduction and lateral rotation

E. Full abduction and medial rotation

2. The brachial plexus is formed by the:

A. Anterior rami of C5-T1

B. Posterior rami of C5-T1

C. Ventral rami of C6-T1

D. Dorsal rami of C5-T1

E. None of the above

3. These act as antagonists in scapular elevation and depression but they upwardly rotate the scapula:

I. Upper trapezius

II. Lower trapezius

III. Levator scapulae

IV. Rhomboids

A. I and II

B. II and III

C. I and III

D. II and IV

E. III and IV

4. Which of these muscles extend the arm and are the chief lateral rotators?

A. Subscapularis and pectoralis major

B. Supraspinatus and subscapularis

C. Infraspinatus and teres minor

D. Teres major and latissimus dorsi

5. A patient with long thoracic nerve injury will have the most difficulty in:

A. Folding blanket

B. Reaching at shoulder level

C. Washing his face

D. Combing his hair

E. Eating

6. Which of the following structures forms part of the medial wall of the axilla?

A. Coracobrachialis

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PHYSICAL THERAPY DEPARTMENT SCHOOL-BASED REVIEW PROGRAM GROSS ANATOMY OF THE SHOULDER REGION NAME:_________________________________________ SCORE:___________ I. MULTIPLE CHOICES. ENCIRCLE the letter that corresponds your correct answer.

What is the resting position of the acromioclavicular joint? A. Arms at the side B. 90 degrees abduction C. 55 degrees abduction D. Full abduction and lateral rotation E. Full abduction and medial rotation
The brachial plexus is formed by the: A. Anterior rami of C5-T B. Posterior rami of C5-T C. Ventral rami of C6-T D. Dorsal rami of C5-T E. None of the above
These act as antagonists in scapular elevation and depression but they upwardly rotate the scapula: I. Upper trapezius II. Lower trapezius III. Levator scapulae IV. Rhomboids A. I and II B. II and III C. I and III D. II and IV E. III and IV
Which of these muscles extend the arm and are the chief lateral rotators? A. Subscapularis and pectoralis major B. Supraspinatus and subscapularis C. Infraspinatus and teres minor D. Teres major and latissimus dorsi
A patient with long thoracic nerve injury will have the most difficulty in: A. Folding blanket B. Reaching at shoulder level C. Washing his face D. Combing his hair E. Eating
Which of the following structures forms part of the medial wall of the axilla? A. Coracobrachialis

B. Pectoralis minor C. Latissimus dorsi D. Serratus anterior

The axilla is a quadrilateral pyramidal structure through which vessels and nerves pass to the upper extremity. The following statements apply to the axilla, EXCEPT: A. The apex permits the entry of the brachial plexus and axillary artery B. The medial wall is bound by ribs two to six and the overlying serratus anterior C. The anterior and posterior wall can be palpated when the arm is abducted and extended D. The anterior wall is formed by the pectoralis major and the posterior wall by the latissimus dorsi E. The lateral wall is defined by the bicipital groove of the humerus
Which muscle is active in prone arm lift? A. Rhomboids B. Serratus anterior C. Levator scapulae D. Supraspinatus
Which muscle is primarily active when performing push-ups with a plus? A. Rhomboids B. Serratus anterior C. Levator scapulae D. Upper trapezius
Rotator cuff muscle producing the greatest force is the: A. Teres minor B. Teres major C. Subscapularis D. Supraspinatus
The tendons of the following muscles form the rotator cuff except which? A. Teres minor B. Supraspinatus C. Subscapularis D. Teres major
The quadrangular space is bounded by the following structures except which? A. Long head of triceps B. Deltoid C. Teres major D. Teres minor
The following structures are attached to the greater tuberosity of the humerus except which? A. Supraspinatus muscle B. Teres minor muscle C. Infraspinatus muscle D. Subscapularis muscle
The following structures form the boundaries to the superior entrance into the axilla except which? A. Clavicle

B. Scapula D. Neither A nor B

Which of these structures acts as a strut that holds the arm away from the trunk? A. Sternum C. Clavicle B. First rib D. Scapula
Which of the following statements is true of the clavicle? A. The medial third of the clavicle is concave forward. B. The lateral third of the clavicle is convex forward. C. The medial two thirds of the clavicle is convex forward. D. The lateral two thirds of the clavicle is concave forward.
The most commonly fractured bone in the body is the- A. scaphoid. C. clavicle. B. rib. D. skull.
The shallow, concave anterior surface of the scapula is called- A. supraspinous fossa C. infraspinous fossa B. subscapular fossa D. glenoid fossa
The superolateral angle of the scapula forms the pear-shaped- A. supraspinous fossa C. infraspinous fossa B. subscapular fossa D. glenoid fossa
The weakest point of the clavicle is- A. the junction between inner and middle thirds. C. the middle third. B. the junction between outer and middle thirds. D. the outer third.
Upon careful physical examination on the posterior wall of the thorax of a patient, you noticed a dropped shoulder on the right side. What is the most likely impairment of the patient? A. Paralysis of the right serratus anterior C. Paralysis of the right trapezius B. Paralysis of the left serratus anterior D. Paralysis of the left trapezius II. IDENTIFICATION. Answer what is asked.
What is the normal range of motion for shoulder flexion?
What is the normal range of motion for shoulder abduction? 3.What is the normal range of motion for shoulder extension?
What is the normal range of motion for shoulder adduction?
What is the normal range of motion for shoulder internal rotation with the arm abducted?
What is the normal range of motion for shoulder external rotation with the arm abducted? 7 - 10. What are the muscles that can flex the shoulder? Please

specify specific fibers, portion, or parts if necessary. 11 - 15. What are the muscles that can extend the shoulder? Please specify specific fibers, portion, or parts if necessary. 16 - 17. What are the muscles that abducts the shoulder? Please specify specific fibers, portion, or parts if necessary. 18 - 21. What are the muscles that externally rotate the shoulder? Please specify specific fibers, portion, or parts if necessary.

nerve supply of teres major
nerve supply of teres minor
nerve supply of biceps brachii
nerve supply of latissimus dorsi
It is a structure to which 30% of the humeral head articulates.
What ligament prevents inferior translation of the humeral head?
The ligament that prevents anterior translation of the humeral head
Which rotator cuff muscle can internally rotate the shoulder?
What are the roots of the brachial plexus?

B. lateral epicondyle of humerus. C. annular ligament of proximal radioulnar joint. D. neck and shaft of the radius.

The site of origin of the supinator muscle is the: A. lateral surface of the olecranon process of ulna. B. lateral epicondyle of humerus. C. annular ligament of proximal radioulnar joint. D. neck and shaft of the radius.
It is a condition characterized by absence of one or more limbs. A. Phocomelia B. Ectromelia C. Amelia D. Syndactyly
It is a medical condition characterized by webbing of the hand. A. Phocomelia B. Ectromelia C. Amelia D. Syndactyly
Forearm pronation and supination occur in what plane? A. Sagittal B. Transverse C. Frontal D. Vertical
During elbow flexion with forearm pronated, the pronator teres acts as a: A. Prime mover B. Antagonist C. Agonist D. Synergist E. Fixator
Which of the following is the active insufficiency of the biceps brachii? A. Shoulder flexion, elbow flexion B. Shoulder flexion, elbow extension C. Shoulder extension, elbow extension D. Shoulder extension, elbow flexion E. No active insufficiency
The force created by the contraction of the brachioradialis muscle at the elbow is an example of which lever system? A. Lever I B. Lever II C. Lever III D. Lever IV E. Lever V

16. This elbow flexor is innervated by the radial nerve and attaches proximally to a ridge on the

humerus above the lateral epicondyle:

A. Biceps brachii B. Brachioradialis C. Brachialis D. None of these

The following statements describe the Triceps brachii, EXCEPT: A. The long head may help also in extending the shoulder joint. B. The long and lateral heads lie side by side and together are comparable to the Biceps brachii. C. Of the three heads, only the long head arises from the scapula. D. It acts in a lever system of the second class but its lever arm is extremely short. E. The medial head has a fleshy origin from the back of the shaft similar to the Brachialis.
The following statements are true of the brachialis, EXCEPT: A. It is an elbow flexor B. It is innervated by musculocutaneous nerve C. When the forearm is supinated, the brachialis flexes the elbow with little participation from the biceps D. Its proximal attachment is halfway up the shaft of the humerus
1. During an examination of elbow strength using manual muscle testing, the patient supinates the forearm when attempting elbow flexion. Which of the following muscle is most likely doing the major part of the work? A. Biceps brachii B. Brachialis C. Supinator D. Brachioradialis
Which of the following is not a characteristic of the lateral epicondyle? A. It is the common origin of the wrist extensor B. Injury of this area will not affect the ulnar nerve C. It is more prominent than the medial epicondyle D. Inflammation is commonly called tennis elbow
The following are important crutch walking muscles, EXCEPT: A. Latissimus dorsi B. Wrist extensors C. Triceps brachii D. Pectoralis major E. None of the above
This muscle’s sole concern is flexion of the elbow joint. It has an extensive origin from the lower half of the shaft of the humerus and inserted by a tendon into the tuberosity of the ulna below the coronoid process: A. Triceps brachii B. Biceps brachii

1 - 3. What are the joints that compose the elbow complex?

What is the normal ROM of elbow flexion?
What is the normal ROM of forearm supination? 6 - 9. Muscles that can flex the elbow? 10 - 11. Muscles that can extend the elbow?
If the median nerve is cut /severed, which elbow motion is greatly affected?
What ligament holds the radial head in place?

Common origin of the extensors of the wrist?
Common origin of the flexors of the wrist?
What is the normal carrying angle for female?
What is the function of the carrying angle?
What is an abnormal carrying angle?
The ligament that serves as the key stabilizer of the elbow joint
What is the nerve supply of the biceps brachii?
What is the nerve supply of the pronator quadratus?
What is the nerve supply of anconeus?
What is the nerve supply of supinator?
What muscle can supinate the forearm if the musculocutaneous nerve is severed/cut?
What is the nerve supply of the brachioradialis?

What is the ROM of MCP extension 0 - 30
Describe thumb opposition Approximation of the palmar aspect of the thumb and little finger
Describe thumb apposition Approximation between the thumb & other digit not using the palmar aspect
What is the nerve supply of interossei Ulnar nerve
What is the nerve supply of 1st^ and 2nd lumbricals Median nerve 45 - 46. What are the muscles that extend the fingers EDC, Extensor Indicis, EDM
What are the muscles that abducts the fingers Dorsal interossei
What are the muscles that adducts the fingers Palmar interossei 49 - 50. What are the muscles that extends the thumb

EPL, EPB, APL

What is the nerve supply of opponens pollicis Median nerve
What is the nerve supply of abductor pollicis brevis Median nerve
What is the nerve supply of opponens digiti minimi Ulnar nerve
The following structures pass posterior to the flexor retinaculum except which? a. Flexor digitorum supercialis tendons b. Median nerve c. Ulnar nerve d. Flexor pollicis longus tendons
The following tendons are inserted into the base of the proximal phalanx of the thumb except which? a. Flexor pollicis brevis b. Extensor pollicis brevis c. Adductor pollicis d. Abductor pollicis brevis
The following muscles abduct the hand at the wrist joint except which? a. Abductor pollicis longus

b. Extensor carpi radialis longus c. Extensor digiti minimi d. Extensor pollicis longus

The following bones form the proximal row of carpal bones except which? a. Lunate b. Pisiform c. Trapezium d. Triquetrum
The sensory innervation of the medial side of the palmar aspect of the ring finger is the: a. Posterior interosseous nerve b. Dorsal cutaneous branch of ulnar nerve c. Median nerve d. Superficial branch of the ulnar nerve
The sensory innervation of the dorsal surface of the root of the thumb is the- a. Median nerve b. Radial nerve c. Dorsal cutaneous branch of the ulnar nerve d. Posterior interosseous nerve
The boundaries of the anatomic snuffbox include the following except which? a. Abductor pollicis brevis b. Extensor pollicis longus c. Extensor pollicis brevis d. Abductor pollicis longus
The sensory innervation of the medial side of the palm is the a. Palmar cutaneous branch of the ulnar nerve b. Dorsal cutaneous branch of ulnar nerve c. Median nerve d. Superficial branch of the ulnar nerve
The sensory innervation of the nail bed of the index finger is the a. Median nerve b. Radial nerve c. Dorsal cutaneous branch of the ulnar nerve d. Superficial branch of the ulnar nerve
The carpal tunnel contains the following important structures except which? a. Flexor pollicis longus tendon b. Flexor digitorum profundus tendon c. Flexor carpi radialis tendon d. Flexor digitorum superficialis tendon
An inability to oppose the thumb to the little finger can result from damage to the ___ a. Anterior interosseous b. Posterior interosseous c. Ulnar

d. Palmaris longus

The extensor carpi radialis longus inserts into the: a. Base of the first metacarpal bone b. Posterior surface of the base of the second metacarpal bone c. Posterior surface of the base of the third metacarpal bone d. Base of the proximal phalanx of thumb
Which of the following serves as the site of insertion of the abductor pollicis longus a. Base of the first metacarpal bone b. Posterior surface of the base of the second metacarpal bone c. Posterior surface of the base of the third metacarpal bone d. Base of the proximal phalanx of thumb
The extensor carpi radialis brevis inserts into the: a. Base of the first metacarpal bone b. Posterior surface of the base of the second metacarpal bone c. Posterior surface of the base of the third metacarpal bone d. Base of the proximal phalanx of thumb
Which of these muscles can extend the thumb at the metacarpophalangeal joint? a. Abductor pollicis longus b. Extensor pollicis longus c. Extensor pollicis brevis d. Abductor pollicis brevis
Which of these thumb muscles is not supplied by the median nerve? a. Abductor pollicis brevis b. Adductor pollicis c. Opponens pollicis d. Flexor pollicis brevis
Which of these structures serves as the origin of the abductor digiti minimi? a. Flexor retinaculum b. Pisiform bone c. Base of the proximal phalanx of the little finger d. Medial border of the fifth metacarpal bone
Which of these structures serves as the origin of flexor digiti minimi? a. Flexor retinaculum b. Pisiform bone c. Base of the proximal phalanx of the little finger d. Medial border of the fifth metacarpal bone
Which of these structures serves as the origin of the opponens digiti minimi? a. Flexor retinaculum b. Pisiform bone c. Base of the proximal phalanx of the little finger d. Medial border of the fifth metacarpal bone

Which of these muscles can flex the metacarpophalangeal joint and extends the interphalangeal joint of the finger except the thumb? a. Palmaris brevis b. Lumbricals c. Palmar interossei d. Dorsal interossei
It is a condition characterized by absence of one or more limbs a. Phocomelia b. Ectromelia c. Amelia d. Syndactyly
It is a medical condition characterized by webbing of the hand a. Phocomelia b. Ectromelia c. Amelia d. Syndactyly