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:

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

2 / 30

Category: shoulder

2. 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

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Category: shoulder

3. 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

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. 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

6 / 30

Category: shoulder

6. 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

7 / 30

Category: shoulder

7. 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

8 / 30

Category: shoulder

8. 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

9 / 30

Category: shoulder

9. 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

10 / 30

Category: shoulder

10. Which structure lies in the deltopectoral groove?

1. median pectoral nerve

2. lateral pectoral nerve

3. cephalic vein

4. basilic vein

5. axillary vein

11 / 30

Category: shoulder

11. 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

12 / 30

Category: shoulder

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

1. deltoid

2. biceps

3. subclavius

4. subscapularis

5. supraspinatus

13 / 30

Category: shoulder

13. 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

14 / 30

Category: shoulder

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

1. supraspinatus

2. subscapularis

3. biceps

4. teres minor

5. deltoid

15 / 30

Category: shoulder

15. 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

16 / 30

Category: shoulder

16. 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

17 / 30

Category: shoulder

17. 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

18 / 30

Category: shoulder

18. 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

19 / 30

Category: shoulder

19. 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

20 / 30

Category: shoulder

20. 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

21 / 30

Category: shoulder

21. 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

22 / 30

Category: shoulder

22. 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

23 / 30

Category: shoulder

23. 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

24 / 30

Category: shoulder

24. Trapezius inserts into:

1. vertebral border scapula

2. scapula spine

3. proximal humerus

4. medial clavicle

5. none of the above

25 / 30

Category: shoulder

25. 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

26 / 30

Category: shoulder

26. Rotator cuff muscles include:

1. subclavius

2. teres minor

3. pectoralis major

4. teres major

5. deltoid

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Category: shoulder

27. Pectoralis major arises from all EXCEPT the:

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

28 / 30

Category: shoulder

28. 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

29 / 30

Category: shoulder

29. 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

30 / 30

Category: shoulder

30. 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

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Online Quiz: The Shoulder

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