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 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

2 / 30

Category: shoulder

2. 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

3 / 30

Category: shoulder

3. Rotator cuff muscles include:

1. subclavius

2. teres minor

3. pectoralis major

4. teres major

5. deltoid

4 / 30

Category: shoulder

4. 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

5 / 30

Category: shoulder

5. 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

6 / 30

Category: shoulder

6. Choose the odd muscle out as regards insertion/origin:

1. supraspinatus

2. subscapularis

3. biceps

4. teres minor

5. deltoid

7 / 30

Category: shoulder

7. Deltoid:

1. anterior fibres arise from lateral two thirds of clavicle

2. posterior fibres arise from superior lip of crest of scapular spine

3. lateral fibres only are multi-pennate

4. fibres strengthen shoulder joint capsule

5. acts in isolation to abduct humerus

8 / 30

Category: shoulder

8. What structure does NOT pierce the clavipectoral fascia?

1. cephalic vein

2. lymphatics

3. lateral thoracic artery

4. lateral pectoral nerve

5. thoracoacromial artery

9 / 30

Category: shoulder

9. 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

10 / 30

Category: shoulder

10. 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

11 / 30

Category: shoulder

11. 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

12 / 30

Category: shoulder

12. 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

13 / 30

Category: shoulder

13. The clavipectoral fascia is pierced by all but one of the following structures:

1. lymphatic drainage from the infraclavicular nodes to apical axillary nodes

2. cephalic vein

3. lateral pectoral nerve

4. thoracoacromial artery

5. pectoralis minor

14 / 30

Category: shoulder

14. 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

15 / 30

Category: shoulder

15. 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

16 / 30

Category: shoulder

16. Which of the following is INCORRECT? Pectoralis minor:

1. arises from the 3 , 4 and 5 ribs

2. inserts into the coracoid process of the scapula

3. is innervated by both pectoral nerves

4. is an important landmark to the underlying axillary artery

5. is a medial rotator and adductor of the arm

17 / 30

Category: shoulder

17. The nerve supply of infraspinatus is the:

1. axillary nerve

2. long thoracic nerve

3. infrascapular nerve

4. suprascapular nerve

5. subscapular nerve

18 / 30

Category: shoulder

18. 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

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Category: shoulder

19. Which structure lies in the deltopectoral groove?

1. median pectoral nerve

2. lateral pectoral nerve

3. cephalic vein

4. basilic vein

5. axillary vein

20 / 30

Category: shoulder

20. 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

21 / 30

Category: shoulder

21. 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

22 / 30

Category: shoulder

22. 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

23 / 30

Category: shoulder

23. 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

24 / 30

Category: shoulder

24. 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

25 / 30

Category: shoulder

25. 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

26 / 30

Category: shoulder

26. Latissimus dorsi:

1. is an accessory muscle of inspiration and expiration

2. is supplied by the dorsal scapular nerve

3. forms the lower border of the medially axillary fold

4. laterally rotates the humerus

5. lies superficial to trapezius at its upper border

27 / 30

Category: shoulder

27. Which of the following statements about the glenohumeral (shoulder joint) is INCORRECT?

1. long tendon of biceps is extrasynovial

2. subscapularis bursa communicates with joint cavity

3. innervated by medial pectoral nerve

4. branches of third part of axillary artery provide majority of blood supply

5. surface area of humeral head is about four times greater than that of glenoid fossa

28 / 30

Category: shoulder

28. Which statement is INCORRECT?

1. the muscles of the rotator cuff are deemed to be such because all their tendons fuse with the lateral part of the shoulder capsule and are attached to the humerus near the joint

2. the capsule of the shoulder joint is attached at the line of the anatomical head except inferiorly where it extends to the level of the surgical neck

3. the subacromial bursa lies between the tendon of supraspinatus and the coraco-acromial ligament and communicates with the shoulder joint

4. the long tendon of biceps lies intracapsular and is sheathed by synovial membrane that allows it to slide

29 / 30

Category: shoulder

29. Regarding the shoulder joint:

1. extensor carpi radialis brevis

2. extensor digitorum comminus

3. extensor carpi radialis longus

4. extensor digiti minimi

5. extensor carpi ulnaris

30 / 30

Category: shoulder

30. The nerve supply of latissimus dorsi is from the:

1. pectoral nerves

2. thoracodorsal nerve

3. axillary nerve

4. long thoracic nerve

5. dorsal scapular nerve

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Online Quiz: The Shoulder

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