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. 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

2 / 30

Category: shoulder

2. 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

3 / 30

Category: shoulder

3. 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

4 / 30

Category: shoulder

4. 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

5 / 30

Category: shoulder

5. Pectoralis major:

1. is supplied by all three cords of brachial plexus

2. is supplied by all five segments of brachial plexus

3. is inserted into the medial lip of the bicipital groove

4. clavicular fibres are strong adductors of shoulder joint

5. the lowermost sternocostal fibres insert into the lowermost part of the humeral insertion site

6 / 30

Category: shoulder

6. 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

7 / 30

Category: shoulder

7. 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

8 / 30

Category: shoulder

8. 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

9 / 30

Category: shoulder

9. 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

10 / 30

Category: shoulder

10. 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

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. 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

13 / 30

Category: shoulder

13. What structure does NOT pierce the clavipectoral fascia?

1. cephalic vein

2. lymphatics

3. lateral thoracic artery

4. lateral pectoral nerve

5. thoracoacromial artery

14 / 30

Category: shoulder

14. 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

15 / 30

Category: shoulder

15. 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

16 / 30

Category: shoulder

16. 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

17 / 30

Category: shoulder

17. Which structure lies in the deltopectoral groove?

1. median pectoral nerve

2. lateral pectoral nerve

3. cephalic vein

4. basilic vein

5. axillary vein

18 / 30

Category: shoulder

18. 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

19 / 30

Category: shoulder

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

1. deltoid

2. biceps

3. subclavius

4. subscapularis

5. supraspinatus

20 / 30

Category: shoulder

20. 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

21 / 30

Category: shoulder

21. The cephalic vein:

1. empties into the brachial vein

2. combines with the basilic vein to form the axillary vein

3. is the continuation of the median basilic and medial cephalic veins

4. empties into the axillary vein

5. none of the above

22 / 30

Category: shoulder

22. 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

23 / 30

Category: shoulder

23. 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

24 / 30

Category: shoulder

24. The capsule of the shoulder joint:

1. is supplied exclusively by the axillary nerve

2. is separated from the tendons of the short scapular muscles by a bursa

3. bridges the gap between the greater and lesser tuberosities as the transverse ligament

4. the long tendon of biceps is extracapsular

5. is the major stabilising factor for the shoulder joint

25 / 30

Category: shoulder

25. 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

26 / 30

Category: shoulder

26. 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

27 / 30

Category: shoulder

27. 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

28 / 30

Category: shoulder

28. 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

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 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

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Online Quiz: The Shoulder

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Online Quiz: The Shoulder

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