Online quiz on the anatomy of the shoulder girdle

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2 votes, 5 avg

100

Created on September 04, 2022 By

Prof Kehinde Oluwadiya

Shoulder

Shoulder Quiz

1 / 30

Category: shoulder

1. 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

2 / 30

Category: shoulder

2. 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

3 / 30

Category: shoulder

3. 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

4 / 30

Category: shoulder

4. 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

5 / 30

Category: shoulder

5. 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

6 / 30

Category: shoulder

6. 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

7 / 30

Category: shoulder

7. 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

8 / 30

Category: shoulder

8. Trapezius inserts into:

1. vertebral border scapula

2. scapula spine

3. proximal humerus

4. medial clavicle

5. none of the above

9 / 30

Category: shoulder

9. 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

10 / 30

Category: shoulder

10. 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

11 / 30

Category: shoulder

11. 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

12 / 30

Category: shoulder

12. Identify the incorrect innervation:

1. subclavius – own nerve from the brachial plexus

2. serratus anterior – long thoracic nerve

3. clavicular head of pectoralis major – medial pectoral nerve

4. latissimus dorsi – dorsal scapular nerve

5. trapezius – accessory nerve

13 / 30

Category: shoulder

13. 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

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. 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

16 / 30

Category: shoulder

16. 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

17 / 30

Category: shoulder

17. 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

18 / 30

Category: shoulder

18. 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

19 / 30

Category: shoulder

19. 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

20 / 30

Category: shoulder

20. 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

21 / 30

Category: shoulder

21. 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

22 / 30

Category: shoulder

22. The nerve supply of infraspinatus is the:

1. axillary nerve

2. long thoracic nerve

3. infrascapular nerve

4. suprascapular nerve

5. subscapular nerve

23 / 30

Category: shoulder

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

1. pectoralis major

2. trapezium

3. latissimus dorsi

4. subscapularis

5. deltoid

24 / 30

Category: shoulder

24. 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

25 / 30

Category: shoulder

25. 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

26 / 30

Category: shoulder

26. 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

27 / 30

Category: shoulder

27. 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

28 / 30

Category: shoulder

28. 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

29 / 30

Category: shoulder

29. 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

30 / 30

Category: shoulder

30. 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

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Online Quiz: The Shoulder

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