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. 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

2 / 30

Category: shoulder

2. Trapezius inserts into:

1. vertebral border scapula

2. scapula spine

3. proximal humerus

4. medial clavicle

5. none of the above

3 / 30

Category: shoulder

3. 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

4 / 30

Category: shoulder

4. 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

5 / 30

Category: shoulder

5. Which structure lies in the deltopectoral groove?

1. median pectoral nerve

2. lateral pectoral nerve

3. cephalic vein

4. basilic vein

5. axillary vein

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. 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

8 / 30

Category: shoulder

8. 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

9 / 30

Category: shoulder

9. 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

10 / 30

Category: shoulder

10. 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

11 / 30

Category: shoulder

11. Regarding the shoulder joint:

1. extensor carpi radialis brevis

2. extensor digitorum comminus

3. extensor carpi radialis longus

4. extensor digiti minimi

5. extensor carpi ulnaris

12 / 30

Category: shoulder

12. 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

13 / 30

Category: shoulder

13. 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

14 / 30

Category: shoulder

14. 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

15 / 30

Category: shoulder

15. 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

16 / 30

Category: shoulder

16. 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

17 / 30

Category: shoulder

17. 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

18 / 30

Category: shoulder

18. 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

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. What structure does NOT pierce the clavipectoral fascia?

1. cephalic vein

2. lymphatics

3. lateral thoracic artery

4. lateral pectoral nerve

5. thoracoacromial artery

21 / 30

Category: shoulder

21. 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

22 / 30

Category: shoulder

22. 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

23 / 30

Category: shoulder

23. 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

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. 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

26 / 30

Category: shoulder

26. 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

27 / 30

Category: shoulder

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

1. supraspinatus

2. subscapularis

3. biceps

4. teres minor

5. deltoid

28 / 30

Category: shoulder

28. 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

29 / 30

Category: shoulder

29. 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

30 / 30

Category: shoulder

30. 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

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Online Quiz: The Shoulder

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Online Quiz: The Shoulder

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