Online quiz on the anatomy of the shoulder girdle

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2 votes, 5 avg

Created on September 04, 2022 By

Prof Kehinde Oluwadiya

Shoulder

Shoulder Quiz

1 / 30

Category: shoulder

1. Which of the following IS NOT true about pectoralis major?

1. only upper limb muscle supplied by all five segments of brachial plexus

2. arises by two heads

3. inserts via a bilaminar tendon

4. innervated by lateral pectoral nerve

5. contributes to boundaries of axilla

2 / 30

Category: shoulder

2. Regarding the sternoclavicular joint, the major stabilising factor is the:

1. acromioclavicular ligament

2. costoclavicular ligament

3. interclavicular ligament

4. sternoclavicular ligament

5. coracoclavicular ligament

3 / 30

Category: shoulder

3. Which of the following is INCORRECT? Pectoralis major:

1. consists of clavicular and sternocostal heads

2. is innervated by C6 to T1

3. medially rotates and abducts the arm

4. assists flexion at the shoulder

5. can act as an accessory muscle of respiration

4 / 30

Category: shoulder

4. Pectoralis minor:

1. inserts into the lateral tip of the intertubecular groove of the humerus

2. is a rectangular muscle

3. is a guide for the underlying subclavian artery

4. is superior to the suspensory ligament of the axilla

5. None of the above

5 / 30

Category: shoulder

5. The nerve supply of serratus anterior is from the:

1. pectoral nerves

2. thoracodorsal nerve

3. axillary nerve

4. long thoracic nerve

5. dorsal scapular nerve

6 / 30

Category: shoulder

6. Which muscle does not insert in or next to the intertubecular groove of the upper humerus?

1. pectoralis major

2. pectoralis minor

3. latissimus dorsi

4. teres major

5. deltoid

7 / 30

Category: shoulder

7. Regarding the shoulder joint:

1. the glenoid labrum is the most important stabilising factor

2. the strong capsule is reinforced by tight glenohumeral ligaments

3. the coracoacromial arch prevents the humeral head from displacing

4. the long head of triceps gives stability to the abducted humerus

5. the pull of teres minor stabilises the abducted humerus

8 / 30

Category: shoulder

8. Identify the incorrect pairing for testing muscles:

1. latissimus dorsi – abduct to 60° and adduct against resistance

2. trapezius – shrug shoulders against resistance

3. rhomboids – place hands on hips and draw elbows back and scapulae together

4. serratus anterior – push with arms outstretched against a wall

9 / 30

Category: shoulder

9. The subacromial bursa:

1. communicates with the shoulder joint

2. does not extend beyond the lateral aspect of the acromion

3. innervated in part by the dorsal scapular nerve

4. attached superiorly to the conoid trapezoid and conoid ligaments

5. attached inferiorly to the tendon of supraspinatus

10 / 30

Category: shoulder

10. Which of the following is correct regarding the clavicle:

1. ossifies at eight weeks

2. has atypical synovial joints at both ends

3. articulates with the first rib

4. is more curved in females

5. None of the above

11 / 30

Category: shoulder

11. With regard to the pectoral girdle:

1. contains three joints, the sternoclavicular, the acromioclavicular and the glenohumeral

2. serratus anterior, the rhomboids and subclavius attach the scapula to the axial skeleton

3. pectoralis major and deltoid are the only muscular attachments between the clavicle and the upper limb

4. teres major provides attachment between the axial skeleton and the girdle

12 / 30

Category: shoulder

12. With regard to action, which muscle is the odd one out?

1. teres minor

2. deltoid

3. teres major

4. subscapularis

5. trapezius – accessory nerve

13 / 30

Category: shoulder

13. Pectoralis major:

1. is synergistic to serratus anterior

2. is innervated by the median nerve

3. can abduct the arm

4. can act as an accessory muscle of respiration

5. is a lateral rotator of the arm

14 / 30

Category: shoulder

14. What structure does NOT pierce the clavipectoral fascia?

1. cephalic vein

2. lymphatics

3. lateral thoracic artery

4. lateral pectoral nerve

5. thoracoacromial artery

15 / 30

Category: shoulder

15. The subclavius muscle:

1. arises from the costochondral junction of the second rib

2. passes in the subclavian groove on the inferior aspect of the clavicle to attach to the acromion

3. is enclosed by the upper attachment of the clavipectoral fascia

4. is supplied by C7 and C8

5. None of the above

16 / 30

Category: shoulder

16. Which muscle does not extend from the posterior surface of the scapula to the greater tubercle of the

1. teres major

2. infraspinatus

3. supraspinatus

4. teres minor

5. trapezius – accessory nerve

17 / 30

Category: shoulder

17. Which of the following is CORRECT about the latissimus dorsi?

1. arises from all spinous processes from T8 and S5

2. known as the “boxers muscle”

3. innervated by the long thoracic nerve

4. derivative of upper limb myotomes

5. forms the superior border of the triangle of auscultation

18 / 30

Category: shoulder

18. Pectoralis major:

1. is innervated laterally by the lateral pectoral nerve

2. inserts into the medial lip of the intertubercular sulcus

3. receives its arterial supply via the thoracoacromial artery

4. can act as an accessory muscle of inspiration

5. acts with latissimus dorsi and teres minor to adduct the arm

19 / 30

Category: shoulder

19. The nerve supply to deltoid is from the:

1. pectoral nerves

2. thoracodorsal nerve

3. axillary nerve

4. long thoracic nerve

5. dorsal scapular nerve

20 / 30

Category: shoulder

20. The quadrangular space between teres major and subscapularis transmits:

1. lower subscapular nerve

2. axillary artery

3. profunda brachii vessels

4. radial nerve

5. post circumflex humeral artery

21 / 30

Category: shoulder

21. Which of the following structures DOES NOT pierce the clavipectoral fascia in the delto-pectoral triangle?

1. lymphatics

2. medial pectoral nerve

3. acromiothoracic axis

4. lateral pectoral nerve

5. cephalic vein

22 / 30

Category: shoulder

22. Which one of the following structures pass beneath the flexor retinaculum at the wrist?

1. palmaris longus

2. ulnar nerve

3. radial artery

4. ulnar artery

5. median nerve

23 / 30

Category: shoulder

23. The nerve supply of pectoralis minor is from the:

1. pectoral nerves

2. thoracodorsal nerve

3. axillary nerve

4. long thoracic nerve

5. dorsal scapular nerve

24 / 30

Category: shoulder

24. Sternoclavicular joint:

1. lateral anterior half of manubrium

2. body of sternum

3. aponeurosis of external oblique

4. upper six ribs

5. medial half of anterior clavicle

25 / 30

Category: shoulder

25. The insertion of latissimus dorsi in the arm is into the:

1. lateral lip of the intertubecular groove

2. medial lip of the intertubecular groove

3. posterior border of the proximal humerus

4. floor of the intertubecular groove

5. superior facet of the greater trochanter

26 / 30

Category: shoulder

26. The nerve supply to teres major is from the:

1. lower subscapular nerve

2. dorsal scapular nerve

3. suprascapular nerve

4. upper subscapular nerve

5. thoracodorsal nerve

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Category: shoulder

27. Teres major:

1. receives its nerve supply from the lateral cord of the brachial plexus

2. is part of the medial wall of the axilla

3. forms the medial border of the triangular space

4. is separated from teres minor by the long head of triceps

5. has the same nerve supply as teres minor

28 / 30

Category: shoulder

28. Regarding the shoulder joint, which is INCORRECT?

1. full abduction requires medial rotation

2. the long head of biceps is intracapsular

3. the subacromial bursa is attached to the coracoacromial ligaments

4. flexion involves pec major, deltoid, coracobrachialis and biceps

5. supraspinatus initiates abduction

29 / 30

Category: shoulder

29. The nerve supply of rhomboid major and rhomboid minor is from the:

1. pectoral nerves

2. thoracodorsal nerve

3. axillary nerve

4. long thoracic nerve

5. dorsal scapular nerve

30 / 30

Category: shoulder

30. Direct attachment of the pectoral girdle to the trunk is provided by:

1. pectoralis major

2. trapezium

3. latissimus dorsi

4. subscapularis

5. deltoid

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Online Quiz: The Shoulder

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