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Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬

Dr Ahmed Nabil Elnaggar. ‫د أحمد نبيل النجار‬

1st Exam shoulder joint
13/07/2017

Q1: Enumerate A, B and C and write its type then complete this schedule: (12 marks)

A:……………………………………….. B: …………………………………… C:………………………………………

ITS TYPE: ……………………………. Its type: ………………………… Its type:…………………………….

1: ………………………………………. 1: …………………………………… 1: ……………………………………..

2: ………………………………………. 2: …………………………………… 2: ……………………………………..

3: ………………………………………. 3: …………………………………… 3: ……………………………………..

4: ……………………………………….

5: ……………………………………….

1|Page

Middle trapezius.…. 4. Gravity. Lower fibers of serratus anterior. Gravity. 1. ………………………………………. Rhomboids major and minor. 2. Upper fibers of trapezius.? (2 marks) 1. Q5: Protraction of scapulae is done by none of these except: (1 mark) 1. 3. 2. Q6: Depression of scapula is done by all of these except: (1 mark). No 2 with pectoralis major clavicular head and anterior deltoid. Levator scapulae. 4. ………………………………………. 3. ……………………………………….. Sternocledomastoid. 2. 2. Serratus anterior. No 2 with middle trapezius and subscapularis. 2. with assistance of ……………. Q4: Forward rotation of scapula is necessary in shoulder flexion in phase no. 3. 4. ………………………………………. No 1 with anterior deltoid and pectoralis major sternal head. Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬ Dr Ahmed Nabil Elnaggar. 4. Q3: Elevation of the scapula is done mainly by all of these muscles except: (1 mark) 1. 3. 2|Page . 3. 4. No 1 with middle deltoid and upper trapezius. Middle fibers of serratus anterior. ‫د أحمد نبيل النجار‬ Q2: This image reminds you by ……………………………………………. Pectoralis minor. None of the above. Enumerate these numbers in the image? (4 marks) 1..

4. 2.Insertion: …………………………………… ………………………………… Q8: Upper fibers of trapezius is coming from all of these except? (1 mark). Q11: Insertion of pectoralis minor muscle is? ( 1 mark). 3. 3.Origin:………………………………… ………………………………… 4.Nerve supply: …………………………………………… 3. 1. Lateral rotation. 4. Q10: Action of serratus anterior muscle is none of these except: (1 mark). Retraction of scapula. Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬ Dr Ahmed Nabil Elnaggar. 2. Lateral lip of bicipital groove. 4. 3|Page . of neck (cervical spine) (1 mark). Medial part of superior nuchal line. Side pending. Elevation of scapula. 3.. Protraction of scapula. 1. ‫د أحمد نبيل النجار‬ Q7: Name of this muscle and its nerve supply? (4 marks) 1. Acromion of scapula. Q9: If trapezius ms works bilaterally.Name of ms: ……………………………………………. Coracoid process of scapula. 2. Upper 1/3 of greater tubercle of humerus. External occipital protuberance. 2. 2. 1. 1. Extension. Flexion.. 3. 4. Lateral part of clavicle. I will produce …………. Downward rotation of scapula by its lower fibers. Ligamentum nuchae.

4. 4. Q13: In phase 1 flexion of shoulder. 2. Q16: Shoulder flexion from full extension of humerus is done by? (1 mark).Upper subscapular nerve C5. Pect. 4. 3. ‫د أحمد نبيل النجار‬ Q12: Nerve supply of rhomboids major is? (1 mark). the movement is coming mainly from …………? (1 mark). Hip joint. mj clavicular head. Medial border of the mid-shaft of the humerus. Upper trapezius and lower serratus ms. Spine of scapula. Q14: In phase 2 shoulder flexion (60-120) which of these muscles work? (1 mark). 4. Floor of bicipital groove. 1. 4. Sternoclavicular joint. Clavicular head of pectoralis major ms. Acromioclavicular joint. 1. Long head of biceps ms. 3. coracobrachialis. 3. Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬ Dr Ahmed Nabil Elnaggar. Deltoid. 2. 1. Glenohumeral joint. Ant. 3.5.7.6. 3. Sternal head of pectoralis major ms. 1. Q17: Insertion of coracobrachialis ms? (1 mark). Lateral clavicle. Acromion process. 2. 4|Page . 1+ upper trapezius and lower serratus ant ms.6. 1.. 3. Tip of coracoid process. 2. Q15: Anterior deltoid is coming from? (1 mark).Axillary nerve C5.. Medial part of clavicle. 2. Lateral border of the mid-shaft of the humerus. 1 + upper trapezius. Sternocostal head of pectoralis minor ms. 1.Dorsal scapular nerve C4. 2.

. 4. 2. Lumbar extension. Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬ Dr Ahmed Nabil Elnaggar. Vertebral side bending contralaterally. 1.? (1mark) 1. thank you…. Q22: In bilateral abduction of upper limbs. 1. the associated action of vertebral column is…. Anterior deltoid with teres minor. Extension shoulder. Lumbar extension. 3. Sternal head of pectoralis major with latissimus dorsi. 4. Posterior deltoid with teres major. Thoracic flexion. Q20: If extension commences from a position of full flexion. Supination and flexion of the elbow 2. 4. 3. Lumbar flexion. Upper trapezius and lower serratus anterior. the following muscles are said to be active: (1 mark). 1. the lumbar associated movement is……. Lumbar side bending contralaterally. Medial rotation of shoulder.? ( 1 mark). 2. Flexion shoulder. Vertebral side bending ipsilateral. 3. 2. 3.. Q21: In phase 3 shoulder abduction (150-180). 1. 4. 4. Middle trapezius and deltoid.. Posterior deltoid with teres minor. ‫د أحمد نبيل النجار‬ Q18: The main function of biceps ms is: (1 mark). Finished. 5|Page . 3. Q19: Extension of shoulder is done mainly by none of these muscles except? (1 mark). Long head of biceps. Lumbar side bending ipsilaterally. 2. Clavicular head of pectoralis major and latissimus dorsi.