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Anatomy Upper Limb Q Bank MCQ 1
Anatomy Upper Limb Q Bank MCQ 1
01. T/F
a) Primary curvature is seen in the cervical region in an adult.
b) Rotation is confined to thoracic region.
c) Non fusion of the spinal process results in spina bifida.
d) Joints between the body of the vertebrae is primary cartilaginous.
e) Annulus fibrosus is weakest anterolaterally.
a) F – secondary . primary only in thoracic & sacral . lumbar also secondary , appears after cervical
b) T – pure rotation
c) F – vertebral arches
d) F – secondary cartilaginous
e) F - posterolaterally
a) T
b) T
c) F - largest
d) T
e) F – in lumbar
UPPER LIMB
01. Regarding axillary region,
a) Divisions of the brachial plexus lie beneath the lateral 1/3 of the clavicle.
b) Damage to axillary nerve affects abduction.
c) Subclavian artery does not give any branches to scapular anastomoses.
d) All the lymph nodes which drain the mammary glands are palpable.
e) Apex of the axilla communicates with the posterior triangle of the neck.
a) F – middle 1/3
a) T – basilic vein becomes axillary vein at lower border of teres major , cephalic vein lying on
deltopectoral groove pierces clavipectoral fascia & drains into axillary
a) T
c) F – near the elbow (but branch of nerve to flexor digitorum superficialis supplying index finger
given in mid forearm ) branch of median – anterior interosseus supplies in mid forearm
d) T – posterior interosseus nerve . extensor carpi radialis , brachioradialis & anconeus supplied
before dividing into branches by the radial nerve
a) T
b) T
e) F – variable area on medial 1 ½ fingers and adjoining area on both sides of hand
b) F – superficial arch . deep arch between long flexor tendons & metacarpals
c) F – ends in adductor pollicis (usually gives a twig to flexor pollicis brevis ) abductor pollicis brevis –
thenar eminence , supplied by recurrent branch of median nerve
d) T – pulp space
e) F – numbness & paresthesia . weakness & atrophy of thenar muscles may occur if left untreated
d) T – between lateral 1/3 & medial 2/3 in between costoclavicular & coracoclavicular ligaments
d) F – lateral & posterior cords superolateral . posterior cord posterior . 2 nd part – each cord has
same relation as name of cord
e) F – upper trunk
a) F – lateral 3 ½ only
b) T
e) F – only weak & accompanied by adduction since flexor carpi radialis is paralyzed , strong flexor
carpi ulnaris & medial half of flexor digitorum profundus ( supplied by ulnar nerve) is acting
a) T
c) T – clawing produced by unopposed action of finger extensors and of flexor digitorum profundus .
when nerve is damaged at elbow , ulnar half of flexor digitorum profundus is out of action & can’t
flex distal interphalangeal joints of ring & little fingers . clawing less profound when damaged at
elbow
d) T
a) T
b) T
c) T
e) T
a) T
b) F - anteroposteriorly
c) T
d) T
e) T
a) T
c) T – another name for anterior axillary nodes . posterior nodes along subscapular artery
a) F – any long flexor flexes all other joints it crosses proximal to its insertion
b) T – supplies all muscles of posterior compartment of forearm except anconeus , brachioradialis &
extensor carpi radialis longus which are supplied by main trunk of radial nerve
c) F – thumb has no lumbricals since it has no tendon of flexor digitorum profundus . other four
fingers do
d) F – adductor pollicis .abductor pollicis brevis (thenar eminence) – supplied by recurrent branch of
medial nerve . abductor pollicis longus by dorsal interosseus nerve
e) F – carpometacarpal movements
f) F – lateral side since DAB (Dorsal interossei abduct) & attached to index finger
a) T
b) F - supraspinatus
e) F
f) F - medial
g) T
a) F – anterior / pectoral nodes along lateral thoracic artery . posterior nodes along subscapular
artery
e) T
a) T
b) T
c) T
e) T
b) F – median nerve
e) T – via common interosseus branch which divides into anterior & posterior interosseus arteries
18. In the hand
a) The median nerve supplies adductor pollicis muscle.
b) The ulnar nerve supplies all the lumbricals.
c) Mid palmar space is continuous with the lumbricus canal.
d) Deep transverse metacarpal ligament extends between all five metacarpophalangeal joints.
e) The principal movement of the thumb is at the first carpometacarpal joint.
c) T
e) T – saddle joint
a) T
b) T
c) F – lateral thoracic
d) T
e) F – XXY (klinefelter’s)
a) T
b) F – at medial epicondyle
c) T – paralysis of interossei (assuming question is regarding medial four fingers since middle four
fingers ?? O.o )
d) T
e) F – medial cord
21. Regarding the forearm
a) All the tendons of the flexor digitorum profundus separate before entering the carpal tunnel.
b) Posterior interosseous artery pierces the interosseus membrane.
c) Median nerve enters the forearm between the two heads of pronator teres.
d) The ulnar nerve lies deep to the flexor carpi ulnaris in the distal 1/3 of the forearm.
e) Deep branch of the radial nerve supplies the extensor carpi radialis brevis before it enters the
supinator muscle.
a) F – tendon for index finger separate . tendons for others separate in palm
b) F – passes backwards through the interosseus space between upper end of interosseus
membrane and oblique cord
c) T
d) T
e) T – also supinator
a) T
d) T
b) T
c) F – Schwann cells
d) T
b) F – ulnar artery
d) F – anterior interosseus
e) T
25. True/False
a) Palmar cutaneous branch of the median nerve passes superficial to the flexor retinaculum.
b) The fibrous flexor sheath to the terminal phalanx.
c) Extensor expansion is attached to the carpal bones.
d) Lumbrical canals extend between the deep and superficial transverse metacarpal ligaments.
e) The base of the extensor expansion is attached to the superficial transverse metacarpal
ligaments.
a) T – supplies skin over thenar eminence & central part of palm (sparing of this area in carpal tunnel
syndrome)
b) T - extends
a) F – lateral to medial
b) T
c) T
d) F - midarm
e) T – M B B R
b) T
c) F – deep to long flexor tendons . ( lumbricals arise from tendons of flexor digitorum profundus)
28. The muscles supplied by the deep branch of the ulnar nerve include
a) Lumbricals
b) Adductor pollicis
c) Adductor digiti minimi
d) Opponens pollicis
e) Dorsal interossei
a) T – medial 2
b) T
c) T
e) T
b) F - distal
30. T/F
a) Head of the radius can be palpated immediately inferior to the lateral condyle.
b) Anconeus assists in pronation.
c) Superficial branch of the radial nerve is deep to the brachioradialis.
d) Posterior compartment of the forearm is supplied by the ulnar artery.
e) Thenar muscles are supplied by the superficial branch of the ulnar nerve.
a) F - distal
c) T
b) F - biceps
c) T
e) T
a) T
b) F – at radioulnar joints
c) T – Triceps
a) T
b) T
c) T – mainly inbetween coracoacromial ligament and supraspinatus tendon . extends under deltoid .
rolled inwards when arm is abducted (Tenderness over greater tuberosity of humerus beneath
deltoid , disapperaing when arm is abducted – feature of subacromial bursitis )
34. T/F
a) Dorsal axial line extends up to the wrist.
b) Clavicle is liable to fracture frequently at the junction of middle & lateral third.
c) Cords of the brachial plexus lie behind the clavicle.
d) Posterior cutaneous nerve of the arm is a branch of the axillary nerve.
e) There is a dermatome between 1st & 2 nd which is supplied only by the radial nerve on the back
of the hand.
d) F – radial nerve . axillary nerve gives upper lateral cutaneous nerve of arm
35. T/F
a) The anterior and posterior interosseous arteries of the upper limb are branches of ulnar artery.
b) Part of the interosseous tendons of the hand pass to the base of the proximal phalanx.
c) Lumbricals flex the metacarpophalangeal joints.
a) T
a) T
b) T
c) F – medial
d) F – lateral two by median nerve
c) T
d) T
a) T
e) F - clawing produced by unopposed action of finger extensors and of flexor digitorum profundus .
when nerve is damaged at elbow , ulnar half of flexor digitorum profundus is out of action & can’t
flex distal interphalangeal joints of ring & little fingers . clawing less profound when damaged at
elbow
d) T
e) F – lateral thoracic
a) F – middle 1/3
c) T
d) T
b) T
d) T – distal branches of digital vessels travel through pulp space . proximal branches does not
e) T
a) T
b) F
c) T
d) T
e) F – branches to long & medial heads of triceps and posterior cutaneous nerve of arm
a) T – M B B R
d) F - anteroposteriorly
a) T
b) T
c) F - stability
d) F
e) F - stability
b) F - superior
c) F – C5 C6
a) T
b) T
c) T – in guyon’s canal
d) F
e) F – in forearm
b) T
e) F – no sensory supply by anterior interosseus nerve . skin over thenar eminence supplied by
palmar cutaneous branch of median nerve in forearm
48. What is the structure that does not pierce the clavipectoral fascia?
a) Lateral pectoral nerve
b) Thoraco acromial artery
c) Cephalic vein
d) Lymphatic vessels
e) Medial pectoral nerve
best choice – E
49. What is the nerve that is damaged when the radial head dislocates?
a) Lower lateral cutaneous nerve of forearm
b) Posterior cutaneous nerve of arm
c) Superior cutaneous nerve of radial nerve
d) Posterior interosseous nerve
e) Anterior interosseous nerve
best choice – D
best choice – C
52. Which answer gives the correct arrangement of the contents of the cubital fossa from medial
to lateral?
a) Brachial artery, median nerve, biceps tendon, radial nerve
b) Median nerve, biceps tendon, radial nerve, brachioradialis
c) Biceps tendon, median nerve, brachial artery, radial nerve
d) Radial nerve, biceps tendon, brachial artery, median nerve
e) Median nerve, brachial artery, biceps tendon, radial nerve
best choice – E
best choice – C
54. A female was presented in a clinic with a breast lump and the doctor asked her to keep her
hands on her hips and press on the hip. What was the muscle can be test like that,
a) Serratus Anterior
b) Latissimus dorsi
c) Pectoralis major
d) Trapezius
e) Gluteus maximus
best choice – C
55. A 40 yr patient is presented with a sensory loss in palmer and dorsal aspect of medial 1 ½
fingers. Flexion of the fingers are impaired. There is weak flexion of the interphalangeal joint of
the thumb.Where is the lesion is located ?
a) Axilla
b) Mid arm
c) Posterior to the medial epicondyle
d) 10 cm distal to the elbow .
e) wrist
best choice – D ( suggests a lesion in ulnar and median nerves . if it is in axilla or midarm , the patient
should present with far greater sensory loss . only ulnar nerve passes posterior to medial
epicondyle . out of D & E , E can’t be true since all branches to long flexors have already been
supplied by that point )