00
Correct
00
Incorrect
00 : 00 : 00
Session Time
00 : 00
Average Question Time ( Mins)
Retry this test Dashboard

  • Question 1 - An old man fell and fractured a carpal bone articulating with the pisiform...

    Incorrect

    • An old man fell and fractured a carpal bone articulating with the pisiform bone. Which bone was most likely fractured?

      Your Answer: Trapezium

      Correct Answer: Triquetral

      Explanation:

      The pisiform bone has an oval facet for articulation with the triquetral bone. The pisiform bone is a sesamoid bone, and is anterior to the other carpal bones.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      25.4
      Seconds

  • Question 2 - Where would you insert the needle when drawing blood from a patient's median...

    Correct

    • Where would you insert the needle when drawing blood from a patient's median cubital vein?

      Your Answer: Anterior aspect of the elbow

      Explanation:

      The correct answer is to insert it into the anterior aspect of the elbow. If you look at the venous drainage of the upper limb, you will find that there are two main veins, the basilic and the cephalic vein; the connecting branch between these two veins is the median cubital vein. and this vein passes via the cubital fossa which is on the anterior aspect of the forearm.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      33.3
      Seconds

  • Question 3 - During a street fight a boy sustained a laceration below the elbow. It...

    Correct

    • During a street fight a boy sustained a laceration below the elbow. It was a deep cut that led to profuse bleeding from an artery situated on the supinator muscle immediately below the elbow. The vessel most likely to have been injured is?

      Your Answer: Radial recurrent artery

      Explanation:

      The radial recurrent artery is situated on the supinator muscle then passing between the brachialis and the brachioradialis muscles. It originates from the radial artery and ends by anastomosing with the terminal part of the Profunda brachii.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      19.9
      Seconds

  • Question 4 - A young boy fell from a tree, sustaining an injury to the elbow...

    Incorrect

    • A young boy fell from a tree, sustaining an injury to the elbow area and damaging the nerve behind the medial epicondyle of the humerus. What is the most likely result from that injury?

      Your Answer: General cutaneous sensation over the thenar eminence

      Correct Answer: Flexion in the distal interphalangeal joint of digit 5

      Explanation:

      The nerve injured in this situation is the ulnar nerve. It passes posterior to the medial epicondyle of the humerus before going between the two heads of the flexor carpi ulnaris muscle. This nerve supplies the muscles and skin of forearm and hand. At the level of medial epicondyle, the injury will led to paralysis in flexor carpi ulnaris and the ulnar half of the flexor digitorum profundus as well as the palmar interossei and hypothenar muscles in the hand. The correct answer will be that the boy will suffer from inability to flex the distal interphalangeal joint of digit 5

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      31.1
      Seconds

  • Question 5 - When you rest your elbows on a desk, what bony landmark of the...

    Correct

    • When you rest your elbows on a desk, what bony landmark of the upper limb are you resting on?

      Your Answer: Olecranon process of the ulna

      Explanation:

      At the upper and back part of the ulna, there exists a curved eminence which is the olecranon process. This process lodges in the olecranon fossa of the humerus. It’s posterior surface is subcutaneous and this triangular area is what you rest your elbow upon.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      9.7
      Seconds

  • Question 6 - Which of these nerves controls adduction of hand? ...

    Incorrect

    • Which of these nerves controls adduction of hand?

      Your Answer: Radial nerve

      Correct Answer: Ulnar nerve

      Explanation:

      The adductors of the fingers are the palmer interossei. They are supplied by the ulnar nerve, which is a branch of the medical cord of the brachial plexus.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      19.7
      Seconds

  • Question 7 - A young man in a motor vehicle accident sustained a spinal injury at...

    Incorrect

    • A young man in a motor vehicle accident sustained a spinal injury at C8 level. What would likely be seen in this patient?

      Your Answer: Innervation to the deltoid muscle would be affected

      Correct Answer: The hypothenar muscles would be completely paralysed

      Explanation:

      The eighth cervical nerve is one of the contributors of the ulnar nerve. The ulnar nerve supplies the hypothenar muscles which include the opponens digiti minimi, abductor digiti minimi, flexor digiti minimi brevis, and palmaris brevis.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      25.7
      Seconds

  • Question 8 - Regarding abduction of the digits of the hand, which of the following is...

    Correct

    • Regarding abduction of the digits of the hand, which of the following is correct?

      Your Answer: All of the adductors of the digits take at least part of their attachments from metacarpal bones

      Explanation:

      Lying on the palmer surfaces of the metacarpal bones are four palmar interossei which are smaller than the dorsal interossei. Arising from the entire length of the metacarpal bone of one finger, is a palmar interosseous, which is inserted into the side of the base of the first phalanx and the aponeurotic expansion of the extensor digitorum communis tendon to the same finger. All the interossei are innervated by the eighth cervical nerve, through the deep palmar branch of the ulnar nerve. The palmar interossei adducts the fingers to an imaginary line drawn longitudinally through the centre of the middle finger.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      61.1
      Seconds

  • Question 9 - The muscle that forms the posterior wall of the axilla along with the...

    Correct

    • The muscle that forms the posterior wall of the axilla along with the scapula, subscapularis muscle and teres major muscle is the?

      Your Answer: Latissimus dorsi

      Explanation:

      The latissimus dorsi forms the posterior wall of the axilla along with the scapula. It is responsible for extension, adduction, transverse extension also known as horizontal abduction, flexion from an extended position, and (medial) internal rotation of the shoulder joint. It also has a synergistic role in extension and lateral flexion of the lumbar spine.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      31.2
      Seconds

  • Question 10 - A mechanic sustained a deep laceration to his right cubital fossa which resulted...

    Incorrect

    • A mechanic sustained a deep laceration to his right cubital fossa which resulted in him unable to move the proximal radioulnar joint of his right arm. Which muscles was affected?

      Your Answer: Brachioradialis

      Correct Answer: Pronator teres

      Explanation:

      The correct answer is the pronator teres muscle. This muscle arises from 2 heads of origin: the humerus and ulnar. Between the 2 heads is the site of entrance of median nerve to the forearm. This muscle acts on the proximal radio-ulnar joint to rotate the radius on the ulna, otherwise known as pronation. It also assists in forearm flexion if the radius is fixed.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      219.8
      Seconds

  • Question 11 - Injury to the supraspinatus muscle will affect: ...

    Incorrect

    • Injury to the supraspinatus muscle will affect:

      Your Answer: Superior rotation of the scapula

      Correct Answer: Initiation of abduction of the humerus

      Explanation:

      This muscle arises from the medial two-thirds of the supraspinatus fossa and from the supraspinatus fascia. It is inserted into the highest impression on the greater tubercle of the humerus after passing over the upper part of the shoulder joint. It works with the deltoid to raise the arm from the side of the trunk and initiate abduction. It also assists in fixation of the head of the humerus in the glenoid cavity.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      18.9
      Seconds

  • Question 12 - The Carpal tunnel does NOT contain: ...

    Incorrect

    • The Carpal tunnel does NOT contain:

      Your Answer:

      Correct Answer: Flexor carpi ulnaris

      Explanation:

      The contents of the carpal tunnel include:

      – Median nerve

      – Flexor digitorum supervicialis

      – Flexor digitorum profundus

      – Flexor policis longus

      – Flexor carpi radialis

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 13 - A swimmer was struggling to finish his training following an injury to his...

    Incorrect

    • A swimmer was struggling to finish his training following an injury to his right arm. On further examination it was found that any movements involving adduction, medial rotation and extension of her arm were particularly weak. Which nerve in this case was damaged?

      Your Answer:

      Correct Answer: Thoracodorsal

      Explanation:

      Weakness on these particular movements indicate that there is a problem with the latissimus dorsi muscle. This muscle is very important particularly in swimming movements and is supplied by the thoracodorsal nerve.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 14 - A chef, whilst preparing food, cut her thumb with a knife. She transected...

    Incorrect

    • A chef, whilst preparing food, cut her thumb with a knife. She transected the arteria princeps pollicis. This artery is a branch of the?

      Your Answer:

      Correct Answer: Radial artery

      Explanation:

      The radial artery branches into the arteria princeps pollicis as it turns medially into the deep part of the hand. The arteria princeps pollicis is distributed to the skin and subcutaneous tissue of the thumb.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 15 - The annular ligament in the forearm: ...

    Incorrect

    • The annular ligament in the forearm:

      Your Answer:

      Correct Answer: Encircles the head of the radius

      Explanation:

      The annular ligament forms about four-fifths of the osseofibrous ring and is attached to the anterior and posterior margins of the radial notch. It is a strong band of fibres which encircles the head of the radius retaining it in contact with the radial notch of the ulna. When it comes to its upper border, it blends with the anterior and posterior ligament of the elbow.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 16 - The rotator cuff surrounds the shoulder joint and consists of the supraspinatus, infraspinatus,...

    Incorrect

    • The rotator cuff surrounds the shoulder joint and consists of the supraspinatus, infraspinatus, subscapularis and which one other muscle?

      Your Answer:

      Correct Answer: Teres minor

      Explanation:

      The correct answer is the teres minor muscle. These group of muscles play an important role in protecting the shoulder joint and keeping the head of the humerus in the glenoid fossa of the scapula. This fossa is somehow shallow and needs support to allow for the full mobility that the shoulder joint has.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 17 - A 54 year old man fell off his bicycle. He felt a severe...

    Incorrect

    • A 54 year old man fell off his bicycle. He felt a severe pain in his hand and wasn't able to move it. It was found that a carpal bone in the distal row was fractured. Which is the most likely bone?

      Your Answer:

      Correct Answer: Trapezium

      Explanation:

      There are eight carpal bones which are arranged in two rows, proximal and distal; scaphoid, lunate, triquetral and pisiform are of proximal row. Trapezium, trapezoid, capitate and hamate are of the distal row.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 18 - The muscle which has an antagonistic action to the serratus anterior muscle and...

    Incorrect

    • The muscle which has an antagonistic action to the serratus anterior muscle and is one of the retractors of the scapula is the?

      Your Answer:

      Correct Answer: Rhomboid major

      Explanation:

      Protraction is accomplished by the actions of the serratus anterior, pectoralis major, and pectoralis minor muscles. Retraction is accomplished by the actions of the trapezius, rhomboids, and latissimus dorsi muscles.

      The rhomboid major arises from the second, third, fourth and fifth thoracic vertebrae. It is inserted into a narrow tendinous arch attached to the root of the spine of the scapula and the inferior angle. By its insertion in the inferior angle of the scapula, it acts on this angle and produces a slight rotation of the scapula on the side of the chest. It also retracts the scapula by working with the trapezius muscle.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 19 - After severe injury of the upper limb following an accident. The humerus is...

    Incorrect

    • After severe injury of the upper limb following an accident. The humerus is injured as well as the nerve which innervates the muscles of the anterior compartment of the arm. Which nerve is injured?

      Your Answer:

      Correct Answer: Musculocutaneous

      Explanation:

      The musculoskeletal nerve supplies the muscles of the anterior compartment of the arm including the coracobrachialis, biceps brachii and the greater part of the brachialis. This nerve derives its fibres from the fifth, sixth and seventh cervical nerves and arises from the lateral cord of the brachial plexus. It also provides a branch to the elbow joint.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 20 - What is the nerve supply of the muscle that is inserted onto the...

    Incorrect

    • What is the nerve supply of the muscle that is inserted onto the crest of the lesser tubercle of the humerus?

      Your Answer:

      Correct Answer: Lower subscapular

      Explanation:

      The muscle is the subscapularis muscle which is supplied by the lower subscapular nerve.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 21 - An old man presented with atrophy of the thenar eminence despite the sensation...

    Incorrect

    • An old man presented with atrophy of the thenar eminence despite the sensation over it still being intact. What is the injured nerve in this case?

      Your Answer:

      Correct Answer: Median nerve

      Explanation:

      Atrophy of the thenar muscles means injury to the motor supply of these muscles. The nerve that sends innervation to it is the median nerve. But the median nerve does not provide sensory innervation to the overlying skin so sensation is spared.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 22 - Which best describes the suprascapular nerve? ...

    Incorrect

    • Which best describes the suprascapular nerve?

      Your Answer:

      Correct Answer: It contains nerve fibres from C5 and C6 spinal cord segments

      Explanation:

      The suprascapular nerve arises from the cervical spinal nerves 5 and 6 after coming together to form common trunk. This nerve supplies the supraspinatus and infraspinatus muscles giving off branches to the shoulder joint.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 23 - The following joint has an anastomotic circulation that is provided by branches of...

    Incorrect

    • The following joint has an anastomotic circulation that is provided by branches of the brachial artery:

      Your Answer:

      Correct Answer: Elbow joint

      Explanation:

      The arterial anastomoses of the elbow joint is contributed by branches of the brachial artery and the Profunda brachii artery. The brachial artery gives off the superior ulnar collateral artery and the inferior collateral artery. On the other hand, the Profunda brachii gives off the radial and medial recurrent arteries.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 24 - Two boys were playing when one of them brought the forearm of the...

    Incorrect

    • Two boys were playing when one of them brought the forearm of the other behind his back. This resulted in a stretching of the lateral rotator of the arm. Which of the following muscles was most likely to have been involved?

      Your Answer:

      Correct Answer: Infraspinatus

      Explanation:

      There are two lateral rotators of the arm, the infraspinatus and the teres minor muscles. The infraspinatus muscle receives nerve supply from C5 and C6 via the suprascapular nerve, whilst the teres minor is supplied by C5 via the axillary nerve.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 25 - A man came to the hospital complaining of a sensation of pins and...

    Incorrect

    • A man came to the hospital complaining of a sensation of pins and needles in the dorsum of the thumb and digits 1 and 2. On further examination they found that he had weakness in wrist dorsiflexion and finger extension. Which nerve do you think is injured in this case?

      Your Answer:

      Correct Answer: Radial

      Explanation:

      The radial nerve can be injured in multiple sites along its course in the upper limb, and each site has its own presentation. The major complaint is wrist drop which if high above the elbow, can cause numbness of the forearm and hand. It can last for several days or weeks. The most common site of compression for the radial nerve is at the proximal forearm in the area of the supinator muscles.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 26 - A space defined by the teres major muscle, the teres minor muscle, long...

    Incorrect

    • A space defined by the teres major muscle, the teres minor muscle, long head of the triceps brachii muscle and surgical neck of the humerus contains the axillary nerve and the?

      Your Answer:

      Correct Answer: Posterior circumflex humeral artery

      Explanation:

      This quadrangular space transmits the posterior circumflex humeral vessels and the axillary nerve.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 27 - What is the arterial sequence for an analgesic to reach the latissimus dorsi...

    Incorrect

    • What is the arterial sequence for an analgesic to reach the latissimus dorsi muscle assuming that your starting point is at the subclavian vein?

      Your Answer:

      Correct Answer: Subclavian – axillary – subscapular – thoracodorsal

      Explanation:

      Assuming our starting point is the subclavian artery, the analgesic continues in the same vessel into the axillary artery, as it passes into the axilla. The axillary artery at the lower border of the subscapularis gives rise to the subcapsular artery which is considered the largest branch of the axillary artery. This circumflex scapular branch distributes a serratus branch before entering the substance of the muscle as the thoracodorsal artery.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 28 - A young man came to the emergency room after an accident. The anterior...

    Incorrect

    • A young man came to the emergency room after an accident. The anterior surface of his wrist was lacerated with loss of sensation over the thumb side of his palm. Which nerves have been damaged?

      Your Answer:

      Correct Answer: Median

      Explanation:

      The median nerve provides cutaneous innervation to the skin of the palmar radial three and a half fingers. Also the site of injury indicates that the medial nerve may have been injured as it passes into the hand by crossing over the anterior wrist.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 29 - A young man was thrown from a vehicle in a collision. He landed...

    Incorrect

    • A young man was thrown from a vehicle in a collision. He landed on his head and shoulder tip, stretching the left side of his neck. A neurological examination revealed that the fifth and sixth cervical nerves had been torn from the spinal cord. What is the most obvious clinical manifestation of this?

      Your Answer:

      Correct Answer: Abduction

      Explanation:

      In the case of injuries to the upper roots of the brachial plexus there is complete loss of abduction. The muscle performing this movement is the supraspinatus. This initiates the movement, followed by the deltoid muscle, which allows for complete abduction. Both these muscles are innervated by nerves originating from C5 and C6. The injury to these roots results in a condition named Erb-Duchenne’s palsy.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

  • Question 30 - Which Statement is true of the brachial plexus? ...

    Incorrect

    • Which Statement is true of the brachial plexus?

      Your Answer:

      Correct Answer: The posterior cord continues as the axillary nerve

      Explanation:

      The lateral cord continues as the musculocutaeous nerve.

      The medial cord continues as the ulnar nerve.

      The posterior cord continues as the radial nerve and the axillary nerve.

      The nerve to subclavius muscle is a branch of the C6 root.

      The suprascapular nerve is a branch from the upper trunk.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (5/11) 45%
Upper Limb (5/11) 45%
Passmed
Retry this test Dashboard