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

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Category: shoulder

1. 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

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Category: shoulder

2. In the shoulder joint:

1. subscapularis, supraspinatus, infraspinatus and teres minor all have rotatory action on the humerus and their tendons form the rotator cuff with the lateral part of the shoulder capsule

2. the subacromial bursa rolls inwards under the acromion when the arm is adducted

3. the joint capsule is attached to the surgical neck of the humerus inferiorly

4. the articular surface of the head of the humerus is five times the area of the glenoid cavity

5. None of the above

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Category: shoulder

3. 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

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Category: shoulder

4. 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

5 / 30

Category: shoulder

5. 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

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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. 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

8 / 30

Category: shoulder

8. The nerve supply to supraspinatus is from the:

1. lower subscapular nerve

2. dorsal scapular nerve

3. suprascapular nerve

4. upper subscapular nerve

5. thoracodorsal nerve

9 / 30

Category: shoulder

9. 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

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Category: shoulder

10. Which of the following does not connect the arm to the shoulder girdle?

1. deltoid

2. biceps

3. subclavius

4. subscapularis

5. supraspinatus

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Category: shoulder

11. Which of the following is not a direct attachment of the pectoral girdle to the trunk?

1. The first part of the subclavian artery:

2. pectoralis major

3. trapezius

4. serratus anterior

5. levator scapulae

12 / 30

Category: shoulder

12. 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

13 / 30

Category: shoulder

13. 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

14 / 30

Category: shoulder

14. 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

15 / 30

Category: shoulder

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

1. pectoralis major

2. trapezium

3. latissimus dorsi

4. subscapularis

5. deltoid

16 / 30

Category: shoulder

16. Stabilising factors of the shoulder joint include all but:

1. a tight capsule

2. tendons that fuse with the capsule

3. glenohumeral and coracohumeral ligaments

4. labrum

5. trapezius – accessory nerve

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Category: shoulder

17. 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

18 / 30

Category: shoulder

18. 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

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Category: shoulder

19. 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

20 / 30

Category: shoulder

20. 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

21 / 30

Category: shoulder

21. 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

22 / 30

Category: shoulder

22. 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

23 / 30

Category: shoulder

23. 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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Category: shoulder

24. 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

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Category: shoulder

25. 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

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Category: shoulder

26. 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

27 / 30

Category: shoulder

27. 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

28 / 30

Category: shoulder

28. 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

29 / 30

Category: shoulder

29. Trapezius inserts into:

1. vertebral border scapula

2. scapula spine

3. proximal humerus

4. medial clavicle

5. none of the above

30 / 30

Category: shoulder

30. 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

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Online Quiz: The Shoulder

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