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 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

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 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

4 / 30

Category: shoulder

4. 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

5 / 30

Category: shoulder

5. 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

6 / 30

Category: shoulder

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

1. pectoralis major

2. trapezium

3. latissimus dorsi

4. subscapularis

5. deltoid

7 / 30

Category: shoulder

7. 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

8 / 30

Category: shoulder

8. 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

9 / 30

Category: shoulder

9. What structure does NOT pierce the clavipectoral fascia?

1. cephalic vein

2. lymphatics

3. lateral thoracic artery

4. lateral pectoral nerve

5. thoracoacromial artery

10 / 30

Category: shoulder

10. 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

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. 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

13 / 30

Category: shoulder

13. 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

14 / 30

Category: shoulder

14. 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

15 / 30

Category: shoulder

15. 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

16 / 30

Category: shoulder

16. 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

17 / 30

Category: shoulder

17. 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

18 / 30

Category: shoulder

18. Trapezius inserts into:

1. vertebral border scapula

2. scapula spine

3. proximal humerus

4. medial clavicle

5. none of the above

19 / 30

Category: shoulder

19. Teres major:

1. receives its nerve supply from the lateral cord of the brachial plexus

2. is part of the medial wall of the axilla

3. forms the medial border of the triangular space

4. is separated from teres minor by the long head of triceps

5. has the same nerve supply as teres minor

20 / 30

Category: shoulder

20. 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

21 / 30

Category: shoulder

21. 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

22 / 30

Category: shoulder

22. 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

23 / 30

Category: shoulder

23. 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

24 / 30

Category: shoulder

24. 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

25 / 30

Category: shoulder

25. 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

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Category: shoulder

26. 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

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Category: shoulder

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

1. deltoid

2. biceps

3. subclavius

4. subscapularis

5. supraspinatus

28 / 30

Category: shoulder

28. 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

29 / 30

Category: shoulder

29. 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

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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