questuins on upper limb

7/25/2019 Questuins on Upper Limb

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1. What are the only muscles that perform internal rotation at the GHJ?

a. Latissimus Dorsi, Teres Major, Pec Major, u!scapularis

". #ll of the $J li%aments chec& 'epression e(cept )hich one?a. $ostocla*icular Li%ament+. What may a )in%e' capula- in'icate?

a. Dama%e to the Lon% Thoracic er*e /or )ea&ness to erratus #nt.0

. What muscles in the posterior forearm are inner*ate' !y the ra'ial ner*e?a. #nconeus, 2(tensor $arpi 3a'ialis Lon%us /2$3L0, 4rachiora'ialis

5. Ho) many syno*ial planar joints are there in the 62?a. 7our8 9ntercarpals, 9ntermetacarpals, #$J, $arpometacarpals

:. What separates the Lateral an' Me'ial hea's of the triceps?

a. 3a'ial %roo*e, 3a'ial er*e, Profun'a 4rachial #rtery

;. 4oth the 4rachialis an' 4iceps automatically fire 'urin% normal el!o)fle(ion?

a. 7alse /4iceps re. What ner*e inner*ates the floor of the a(illa?a. 9ntercostal 4rachial

. Ho) many muscles are in*ol*e' in the si( tunnels of the e(tensor

retinaculum?a. ine /#PL@2P4, 2$3L@2$34, 2PL, 2D@29, 2DM, 2$60

1A. Ho) many ner*es inner*ate the s&in of the 62?a. 118 a(illary, ra'ial, musculocutaneous, me'ial !rachial cutaneous, me'ial

anti!rachial cutaneous, me'ian, superficial ulnar, superficial ra'ial, palmar

cutaneous, 'orsal cutaneous, intercostal !rachial ner*e.11. Bnce the ra'ial ner*e passes throu%h the ra'ial %roo*e, )here 'oes it %o?

a. Passes throu%h the intermuscular septum !et)een the lateral hea' of thetriceps an' the !rachialis.

1". #nnie, a 5 year ol', )as playin% )ith her !ros )hen one pulle' her arm

har'. he crie' !ut stoppe' )hen a !ro attempte' to fin' the injury !ypronatin% an' supinatin% her han'. What con'ition 'i' she ha*e?

a. ursemai'Cs el!o)1+. Latissimus Dorsi )oul' !e inner*ate' !y )hat type of rami@ner*e?

a. #nterior 3ami, Thoraco'orsal /$:,$;,$>0

1. What are the !or'ers of the 'eltopectoral trian%le?a. #nterior Deltoi', Lateral $la*icular hea' of Pectoralis Major, $la*icle

15. Which is more lateral? The $onoi' Tu!ercle or Trapeoi' Line? /Thin&$la*icle=0

a. Trapeoi' Line1:. Hea'ache from the !ac& of the nec&, up o*er the !ac& of the hea', is 'ue

to stran%ulation- of the %reater occipital ner*e !y )hat muscle?

a. The Trapeius /Eia ori%in from %reater occipital protu!erance0


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1;. Ho) many muscles pass throu%h the carpal tunnel?a. + /7le(or Di%itorum Profun'us, 7le(or Di%itorum uperficialis, 7le(or Pollicis

Lon%us01>. 9f a person lost motor capa!ility of the intrinsic han' muscles, as )ell as

sensory capacity in 5th'i%it an' ulnar half of th'i%it, )here is the ulnar

ner*e 'ama%e'?a. #fter GuoyansC $anal

1. What muscles@ten'ons can !e palpate' throu%h the 'eltopectoral trian%le?a. Pectoralis Minor an' u!scapularis

"A. What is the only li%ament that not only chec&s mo*ements, !ut also

in'uces it?a. $oracocla*icular

"1. Ho) many ner*es inner*ate muscles of the a(illary )all?a. : /Posterior 4or'er F 6pper u!scapular, Thoraco'orsal, Lo)er

u!scapular. #nterior 4or'er F Lateral Pectoral, Me'ial Pectoral. Me'ian

4or'er F Lon% Thorasic0"". Ho) many types of joints are in the han'?

a. /Planar, ellar, $on'yloi', yno*ial Gin%lymus0"+. What attaches to the supra%lenoi' tu!ercle?

a. Lateral hea' 4iceps, uperior GH Li%ament, Glenoi' La!rum, Joint $apsule". T@78 #ll superficial !ac& muscles assist in retraction?

a. 7alse, the Le*ator capula 'oes not

"5. Dama%e to )hat peripheral ner*e/s0 )oul' impair e(ternal rotation at theGHJ?

a. uprascapular an' #(illary ner*es":. Ho) many muscles in the 62 ha*e more than one hea'?

a. ;8 4iceps/L@0, 7$6 /H@60, PT /H@60, Triceps /Lon%, Lat, Me'0, 7P4/uperficial@Deep0, Pec. Major /ternocostal@$la*icular0, #''uctor Policis/B!li. Ho) many li%aments chec& the mo*ement of the GHJ?

a. /uperior GHL, Mi'. GHL, 9nferior GHL, $oracohumeral Li%ament0". Ho) many muscles an' li%aments in'uce@cause posterior rotation at the

$J?a. 5 /$oracocla*icular Li%ament, Pec. Minor, erratus #nterior, Lo)er Trap.,

6pper Trap0 IBT28 anythin% that causes #4'uction #$J )ill in'ucePosterior 3otation $J+A. # 1Ayr ol' fractures her humerus sur%ical nec&. What 'ama%e shoul'

you chec& for K ho)?a. #(illary er*e Dama%e. Profoun' atrophy in Deltoi', chec& stars@stripes of

s&in+1. 9f me'ian ner*e is cut after it passes throu%h PT, )oul' you e(perience

)ea&ness in Pronation?


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a. es, the Pronator ua'ratus /inner*ate' !y the #nt. 9nterosseous er*e0 is'ama%e'.

+". What muscle sin the 62 are inner*ate' !y " ner*es?a. Pectoralis Major, Pec. Minor, u!scapularis, 7DP, 7P4, Bpponens Pollicis

++. Li&e the action of the eratus #nterior at the $J, )hich other muscles

pro'uce the same mo*ement at this location?a. Lo)er Trap., Mi''le Trap., 3hom!oi's. /2(ternal 3otation at the #$J0

+. What is the 6nhoo& the 4rassier- Muscle?a. Pectoralis Minor

+5. The articular 'is& of the )rist is !et)een the ulna an' the pro(imal ro) of

carpal !ones. Why canCt the ulna 'irectly attach to the carpal !ones?a. 6lna 'oes not mo*e 'urin% pronation K supination /)oul'nCt affect the

carpals0+:. What are the only structures in the !o'y that are !oth mo!iliin% an'

sta!iliin%?

a. #ccessory 7i!rocartila%inous tructures+;. T@78 9f o!er ally is 'ia%nose' )ith a me'ian neuropathy, she )oul'

e(perience the same location of cutaneous sensory alteration /ra'iatin%pain0, re%ar'less of the specific location of ner*e 'ama%e?

a. True /carpal tunnel K pronator syn'romes ha*e same cutaneousalterations0

+>. Ho) many muscles attach to the 2(tensor 2(pansions?

a. 1+8 P#Ds /+0, D#4s /0, Lum!ricals /1+0, 2(tensor 9n'ices, 2(t. Di%itiMinimi

+. Ho) many 3ami are in the cer*ical re%ion?a. 2i%ht /$1 NO $>, $> lies !et)een *erte!rae $; K T10

A. What structures tra*el !et)een the lateral an' me'ial hea's of the triceps?a. 3a'ial er*e, Profun'us 4rachial #rtery, 3a'ial Groo*e1. What is the profoun' atrophy of Me'ian er*e 'ama%e in the carpal tunnel?

What is the Hallmar& posture?a. Thenar $ompartment F #pe Han's /o opposa!le thum!? #nythin% !ut

that===0

". What !ones articulate )ith the $apitate?a. Hamate, Lunate, caphoi', Trapeoi', Metacarpals ", +, K

+. #ll GH li%aments chec& )hat mo*ements of the GHJ?a. 2(ternal 3otation an' Hypere(tension

. T@78 The upraspinatus is al)ays torn )ith a rotator cuff tear?a. True5. T@78 When the suprascapular ner*e is injure' in the sphino%lenoi' notch,

the supraspinatus an' infraspinatus )ill !e )ea&?a. 7alse /it alrea'y inner*ate' the supraspinatus !efore the notch0

:. What type of joint allo)s for B rotation?a. 2llipsoi'al

;. What ner*e surroun's the lateral an' me'ial hea' of the triceps !rachii?


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a. 3a'ial er*e>. Most li%aments of the $J chec& )hat mo*ement?

a. Depression. This aspect of the GHJ allo)s for ma(imal ran%e of mo*ement, e*en thou%h

it usually is a sta!iliin% structure8

a. 9nferior GH /a(illary pouch05A. Bf the $J, #$J, an' GHJ, )hich contains the most li%aments?

a. GHJ li%ament /clearly, ha*e you seen the !all in soc&et lately???051. What muscle allo)s for #!'uction o*er A 'e%rees?

a. Lo)er Trapeius /pulls the superior an%le of the scapula 'o)n)ar'0

5". Ho) many 'ifferent types of joints are associate' )ith the ulna?a. +8 2l!o) /%in%lymus0, DistalKPro(. 36J /Trochoi'0, Mi''le 36J

/syn'esmosis0 IBT28 the ulna 'oes not articulate )ith carpal !ones=5+. What are the attachments for the fle(or retinaculum?

a. Hoo& of Hamate, caphoi' tu!ercle, Trapeoi' tu!ercle, Tu!ercle of

Tri


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a. H 4iceps, Pec.Minor, $oricocla*icular Li%., $orico!rachialis, $oricoacromialLi%., $oricohumeral Li%., Tran*erse capular li%ament

::. Ho) many@)hat muscles cause acromiocla*icular e(ternal rotation?a. 5 /Lo) Trap, Mi' Trap, Lat Dorsi, 3hom!oi's, erratus #nterior0

:;. 9f ra'ial ner*e is cut at the lateral intermuscular septum, )hat )ill !e

affecte'?a. 4rachiora'ialis /2$3L0, all posterior compartment muscles /e(cept

anconeus0, 'orsum 1st)e! space /cutaneous pro!lems0 IIBT28 ot theposterior forearm !ecause that !ranch has alrea'y !een split !efore the cut

:>. What are the + si%ns of $ollesC 7racture?

a. 3a'ial !one !ecomes shorter /more pro(imal0, Wrist 'rifts to the ra'ialsi'e, Dinner 7or&- 'eformity

:. What muscles cause $J 'epression?a. Lo)er trap., Lat. Dorsi, Pec Major@Minor, u!cla*ius

;A. T@78 There )ill !e profoun' )ea&ness in the MPJ fle(ion of th@5th'i%it if the

M is cut after the cu!ital tunnel?a. 7alse /still ha*e function of Lum!ricals an' 7DP, only 7D is lost0

;1. 9f a patient sho)s symptoms of the cla) han'- )hen they try to fullye(ten', they ha*e 'ama%e to )hat ner*e?

a. 6lnar;". What &in' of muscle )ea&ness 'oes 2r!Cs Palsy cause?

a. Tip Ta&ers- /o arm fle(ion or )rist e(tension0

;+. Which muscles coul' !e )or&e' in or'er to compensate for a )ea&ene'serratus 'ue to peripheral neuropathy of the lon% thoracic ner*e?

a. Pec Major@Minor /!oth 'o protraction, the muscle action lost0;. What are the contents of the Deltopectoral Trian%le?

a. ;8 $oracoi' Process, Pe Minor, #(illary #rtery@Eein, $or's of the 4rachialPle(us, Lymph o'es, Ten'on of the u!scapularis

;5. Ho) many muscles insert on carpal !ones?

a. 18 7le(or $arpi 6lnaris;:. Bf the : tunnels, )hich one/s0 ha*e muscle ori%ins in the posterior aspect

of the 3a'ius an' 6lna?

a. Tunnel 1, +, ;;. Which part of a syno*ial joint is hi%hly *ascularie'? Why?

a. tratum yno*ium /mo!iliation *ia syno*ial flui' pro'uction an' filtration0;>. # person complains of shoul'er pain that arises )hile #!'uctin% his arm at

the GHJ. The pain is not there until his arm passes A 'e%rees. What coul'!e the possi!ilities that coul' !e causin% this pain?a. upraspinatus, GHJ capsule, LH 4iceps /Ten'onitis0, u!acromial@Deltoi'

4ursa;. Which of these act on the 9PJ? #P4, 7P4, BP, #''uctor Pollicis?

a. one, they only act on the MPJ an' $MPJ of the Thum!>A. T@78 9f the ulnar artery is cut just pro(imal to GuyonCs canal, then all three

arches in the han' )ill !e affecte'?


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a. 7alse /'orsal !ranch )as sent pro(imally to the )rist0>1. Ho) many muscles ha*e superficial inner*ations in the 62?

a. " /serratus anterior, fle(or 'i%itorum profun'us0>". 9f a patient has 'ama%e to their suprascapular ner*e, )hich action/s0 )oul'

!e affecte'?

a. 2(ternal 3otation, #4'uction, Hori. #4'uction, 9nferior Gli'e>+. What seperates the " hea's of the pronator teres?

a. Me'ian er*e>. What are the : thin%s the ra'ial ner*e 'oes as it approaches the ra'ial

%roo*e?

a. 9nner*ates triceps, anconeus, posterior arm s&in, posterior forearm s&in>5. Ho) many joints come to%ether to form the han'?

a. : /D9P, P9Ps, MPJs, $M$Js, 9nter M$, 9ntercarpal>:. The me'ian ner*e !ranches just !efore the carpal tunnel. 9f this !ranch is

cut, )hat muscles an' )hat s&in )ill lose inner*ations?

a. o s&in. 3a'ial 7DP, 7PL, Pronator >. What passes throu%h the supra%lenoi' notch?

a. uprascapular artery an' ner*e>. The muscles of )hich compartment are affecte' in carpal tunnel syn'rome?

a. #nterior compartments /appro(imately layers " an' +0

A. Ho) many muscles of the posterior compartment attach 'irectly to the!ones of the 'i%its?

a. 1 /2(tensor Di%itorum01. T@78 The num!er of muscles )hich ori%inate from the me'ial epicon'yle

e


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a. 7DP, 7PL, P>. 9f you ha*e )ea&ness in MPJ fle(ion, )hat ner*es are 'ama%e'?

a. Me'ian an' Deep 6lnar. T@78 The supra%lenoi' tu!ercle has more attachments than the infra%lenoi'

tu!ercle?

a. True1AA. T@78 Loss of the articular cartila%e in a joint )ill increase its

sta!iliation?a. True

1A1. What muscles cause e(tension of the "n''i%it?

a. 2D, Lum!ricals, P#Ds, D#4s, 291A". T@78 There are " muscle attachments to the olecranon of the ulna?

a. 7alse, +8 #nconeus, triceps /9nsertion0, 7$6 /ori%in01A+. &

questuins on upper limb

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