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. 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

2 / 30

Category: shoulder

2. 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

3 / 30

Category: shoulder

3. 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

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 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

6 / 30

Category: shoulder

6. 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

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. 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

9 / 30

Category: shoulder

9. Trapezius inserts into:

1. vertebral border scapula

2. scapula spine

3. proximal humerus

4. medial clavicle

5. none of the above

10 / 30

Category: shoulder

10. 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

11 / 30

Category: shoulder

11. 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

12 / 30

Category: shoulder

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

1. pectoralis major

2. trapezium

3. latissimus dorsi

4. subscapularis

5. deltoid

13 / 30

Category: shoulder

13. 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

14 / 30

Category: shoulder

14. 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

15 / 30

Category: shoulder

15. 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

16 / 30

Category: shoulder

16. 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

17 / 30

Category: shoulder

17. 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

18 / 30

Category: shoulder

18. What structure does NOT pierce the clavipectoral fascia?

1. cephalic vein

2. lymphatics

3. lateral thoracic artery

4. lateral pectoral nerve

5. thoracoacromial artery

19 / 30

Category: shoulder

19. 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

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. 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

22 / 30

Category: shoulder

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

1. supraspinatus

2. subscapularis

3. biceps

4. teres minor

5. deltoid

23 / 30

Category: shoulder

23. 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

24 / 30

Category: shoulder

24. Rotator cuff muscles include:

1. subclavius

2. teres minor

3. pectoralis major

4. teres major

5. deltoid

25 / 30

Category: shoulder

25. 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

26 / 30

Category: shoulder

26. 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

27 / 30

Category: shoulder

27. 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

28 / 30

Category: shoulder

28. 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

29 / 30

Category: shoulder

29. 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

30 / 30

Category: shoulder

30. 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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Online Quiz: The Shoulder

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Online Quiz: The Shoulder

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