امتحان التشريح الشامل2

4/4/2021 ‫اﻣﺗﺣﺎن اﻟﺗﺷرﯾﺢ اﻟﺷﺎﻣل‬
‫اﻣﺗﺣﺎن اﻟﺗﺷرﯾﺢ اﻟﺷﺎﻣل‬

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1st Page
Stabilizing factors of the shoulder joint include all but: * 1 point
tendons that fuse with the capsule
a tight capsule
glenohumeral and coracohumeral ligaments
splinting of the humeral head between the tendons of biceps and triceps
labrum
This is a required question
According to breast cancer , which quadrant has highest risk of breast 1 point
cancer incidence : *
areola of the breast
upper medial quadrant
upper lateral quadrant
lower lateral quadrant
lower medial quadrant
https://docs.google.com/forms/d/e/1FAIpQLSfWzFMWuILxbFdP012UMj9tdrTNjlRjiPppQC-_PEZVCTBmMw/formResponse 1/24
The nerve supply to teres minor is from the: * 1 point
lower subscapular nerve
axillary nerve
suprascapular nerve
upper subscapular nerve
An example of a fibrous joint include: * 1 point
sternoclavicular joint
carpometacarpal joint
proximal radio-ulnar joint
structures of the vault of the skull
The cephalic vein: * 1 point
terminates by joining the brachial vein
is medial to biceps in the arm
has no valves
arises in the region of the anatomical snuffbox
at the elbow, is deep to the lateral cutaneous nerve of the forearm
Blood supply to the upper limb, which is FALSE? * 1 point
the acromial branch of the thoracoacromial trunk accompanies the cephalic vein in
the deltopectoral triangle
the dorsal scapular branch may arise from the third segment
the subclavian artery is divided schematically by scalenus anterior
pectoralis major schematically divides the axillary artery into three parts
" Tennis elbow" is inflammation of : * 1 point
Head of humerus
Medial condyle of humerus
Lateral condyle of humerus
Wrist joint
Non of the above
22-year-old woman is admitted to the emergency department in an 1 point
unconscious state. The nurse takes a radial pulse to determine the heart
rate of the patient. This pulse is felt Lateral to which tendon? *
Flexor carpi radialis
Flexor digitorum profundus
Palmaris longus
Flexor pollicis longus
Fl di it fi i li
Flexor digitorum superficialis
The following are true about flexor carpi radialis EXCEPT: * 1 point
the radial artery lies laterally to it at the wrist
it has its own compartment in the flexor retinaculum
flexor pollicis longus lies medially
it arises from the common flexor origin at the humerus
it is supplied by the median nerve
it inserts into the base of the 2 nd and 3 rd metacarpals
Regarding types of joints, which pairing is CORRECT? * 1 point
synarthrosis – symphysis pubis
cromphosis – intervertebral joints
diarthrosis – cranial suture
syndesmoses – tibiofibular joint
amphiarthrosis – sternoclavicular joint
The nerve supply of rhomboid major and rhomboid minor is from the: * 1 point
axillary nerve
thoracodorsal nerve
pectoral nerves
long thoracic nerve

dorsal scapular nerve
lateral cutaneous nerve of forearm is a terminal branch of * 1 point
Musculocutanous nerve
Radial nerve
Ulnar nerve
Median nerve
Axillary nerve
The roots of brachial plexus are : * 1 point
anterior rami of T1-T6
anterior rami of C5-T1
anterior rami of C5-T2
posterior rami of C5-T1
anterior rami of C4-C7
Which muscle does not arise from the common extensor origin? * 1 point
extensor carpi radialis brevis
extensor carpi ulnaris
extensor digitorum
extensor carpi radialis longus
extensor digiti minimi

The nerve supply of serratus anterior is from the: * 1 point
pectoral nerves
axillary nerve
thoracodorsal nerve
long thoracic nerve
A 23-year-old medical student complains of loss of sensation in the skin on 1 point
the medial edge of her left hand, including the entire fifth digit. The
associated motor deficit probably involves weakness in which of the
following? *
Abduction of the wrist
Flexion of the interphalangeal joints of the index finger
Extension of the wrist
Pronation
Abduction of the index finger
Which is the smallest branch of the medial cord of the brachial plexus? * 1 point
medial cutaneous nerve of the forearm
medial pectoral nerve
medial cutaneous nerve of the arm
medial root of the median nerve
ulnar nerve
At the wrist / carpal tunnel: * 1 point
tendons of flexor digitorum remain attached until they reach the palm
all superficial and deep flexors of forearm , except flexor pollicis longus, share a
common flexor sheath
flexor retinaculum attaches to scaphoid and trapezoid laterally
the ulnar nerve lies medial to pisiform
median nerve lies beneath flexor retinaculum between the tendons of flexor muscles
Blood supply of posterior compartment of arm is mainly by : * 1 point
A-radial artery
B-ulnar artery
C-axillary artery
D-profunda brachii artery
A 10-year-old boy was running across a parking lot when he tripped and 1 point
received lacerations on the base of his thumb from a broken glass bottle.
On examination, his thumb was unable to oppose to his fingers, and the
thumb also showed weakness when abducting and flexing. No sensory
deficits were reported. What nerve was most likely severed? *
Deep branch of radial nerve
Superficial branch of radial nerve
Deep branch of ulnar nerve
Recurrent branch of median nerve
Which of the following is INCORRECT? The biceps: * 1 point
is a weak flexor of the shoulder
supinates the forearm
is paralysed by an injury to the posterior cord of the brachial plexus
is a powerful flexor of the elbow
inserts into the bicipital aponeurosis
Physical examination of a 45-year-old man who had been stabbed in the 1 point
back of the shoulder shows a deep wound penetrating into the

quadrangular space of the shoulder, causing bleeding from the severed
blood vessels there. Which of the following neural structures is most likely
damaged as well? *
Lateral cord of the brachial plexus
Radial nerve
Medial cutaneous nerve of the arm
Musculocutaneous nerve
Axillary nerve
which joint has articular disc: * 1 point
elbow joint
shoulder joint
metacarpophalangeal joint
Interphalangeal joints
The lateral cord of the brachial plexus is named because it lies immediately 1 point
lateral to which of the following structures? *
Pectoralis minor muscle
Subclavian vein
Axillary artery
Surgical neck of the humerus
Long head of the biceps brachii muscle
Which carpal bone is most commonly dislocated? * 1 point
pisiform
lunate
trapezium
capitate
scaphoid
What structure does NOT pierce the clavipectoral fascia? * 1 point
lateral thoracic artery
thoracoacromial artery
lateral pectoral nerve
lymphatics
cephalic vein
Identify the incorrect innervation: * 1 point
serratus anterior – long thoracic nerve
trapezius – accessory nerve
clavicular head of pectoralis major – medial pectoral nerve
subclavius – own nerve from the brachial plexus
latissimus dorsi – dorsal scapular nerve
One of the following is not attached to the medial border (vertebral 1 point
border) of the scapula: *
teres minor
levator scapulae muscle
rhomboids major
serratus anterior
rhomboids minor
Which of the following has some nerve supply from the radial nerve? * 1 point
Short head of biceps
Long head of biceps
Brachialis
Coracobrachialis
A physician tests the biceps reflex . A normal response of involuntary 1 point
contraction of the biceps brachii muscle is noted. This reflex confirms the
integrity of what nerve? *
Radial nerve
Ulnar nerve
Median nerve
Axillary nerve
In the cubital fossa: * 1 point
the floor is formed mainly by the supinator
the medial wall is formed by pronator teres
the ulnar nerve lies medially
the radial nerve lies medial to the biceps tendon
none of the above
"Golfer elbow" is inflammation of : * 1 point
Head of humerus
Medial condyle of humerus
Lateral condyle of humerus
Wrist joint
Non of the above
The greater tuberosity of humerus gives attachment to all muscles listed 1 point
below except: *
teres major
teres minor
supraspinatus
infraspinatus
Regarding the clavicle, which is false? * 1 point
fractures of the clavicle tend to occur between the costoclavicular and the
coracoclavicular ligaments
the articulating sternal end is covered by fibrocartilage
it has four named ligaments attached to it
the clavicle is longer and its curvatures more pronounced in the male
it is the first bone to ossify in the foetus
Sensory nerve supply of skin of little finger (palmar aspect ) is by : * 1 point
median nerve
ulnar nerve
radial nerve
medial cutaneous nerve of forearm
non of the above
What structure does NOT lie in the anatomical snuff box? * 1 point
first metacarpal bone
radial artery
extensor pollicis longus
radial styloid
cephalic vein
The scapula lies on the back of thoracic wall opposite to vertebrae: * 1 point
T2-T7
C8-T7
T1-T8
T3-T7
C7-T5
The female breast * 1 point
Has about 5 lactiferous lobes
Has a nipple that is usually located opposite the 6 th intercostal space
Has a bed formed mainly by the serratus anterior muscle
Has Cooper ligament that suspends the breast
Its lymphatics drain mainly in the parasternal LN

While crossing the elbow ,the following structures have the following 1 point
relation to the joint except : *
brachial artery anterior
median nerve anterior
radial nerve posterior
brachioradialis muscle anterior
ulnar nerve posterior
Regarding the interosseous muscle: * 1 point
they insert into the extensor expansion
there are four palmar interossei
the palmar interossei have two heads
the tendons pass on the posterior side of the deep transverse ligament
they are supplied by the superficial branch of the ulnar nerve (C8, T1)
Which lymph nodes drain the ulnar side of the forearm? * 1 point
supratrochlear
anterior axillary
ulnar trochlear
infraclavicular
i f t hl
infratrochlear
The largest branch of the axillary artery is: * 1 point
posterior circumflex humeral artery
subscapular artery
lateral thoracic artery
thoracoacromial artery
superior thoracic artery
The inferior aspect of clavicle gives attachment to all the following except : 1 point
trapezoid ligament
subscapularis muscle
conoid ligament
costoclavicular ligament
subclavius muscle
The superficial branch of the ulnar nerve supplies: * 1 point
palmaris brevis
thenar eminence
palmar aspect index finger
flexor digitorum ulnaris
lli i
opponens pollicis
Regarding lymph nodes, the lateral side of the arm and forearm is drained 1 point
initially to the: *
supratrochlear nodes
central axillary nodes
infraclavicular nodes
posterior axillary nodes
A 37-year-old factory worker fractures multiple bones distal to the elbow 1 point
when his hand and forearm are crushed by equipment dropped by a faulty
hydraulic lift. Which of the following bones, if fractured, would most likely
develop avascular necrosis? *
Distal radius
Lunate
Midshaft ulna
Fifth metacarpal
Scaphoid
Pronator teres syndrome” is a condition in which one of the following 1 point
nerves is excessively compressed where it passes between the two heads

of the pronator teres muscle. Which of the following nerves is entrapped? *
Superficial branch of ulnar nerve
Median Nerve
Median Nerve
Deep branch of radial nerve
Deep branch of ulnar nerve
Compression of the median nerve in the carpal tunnel produces: * 1 point
wasting of the hypothenar eminence
loss of power of flexion of the thumb
loss of power of opposition of the thumb
anaesthesia over the thenar eminence
anaesthesia of the little finger
The nerve supply to deltoid is from the: * 1 point
axillary nerve
long thoracic nerve
thoracodorsal nerve
pectoral nerves
the prime move of pronation of forearm is : * 1 point
Pronator quadratus
Pronator teres
Flexor digitorim profundus
Flexor digitorum superficialis
Main lymphatic drainage of breast (85%) is to: * 1 point
para-aortic LN
parasternal LN
axillary LN
subclavian LN
inguinal LN
Movement of gleno-humeral joint is * 1 point
Uni-axial
Its synovial joint so it has no movement
Multi-axial
Bi-axial
74 year-old man complains of pain in his right hand and fingers when he 1 point
works with his hands for a while. Thorough testing reveals insufficient
blood flow into the deep palmar arch. Occlusion of which of the following
arteries is the most likely cause of this condition? *
Inferior ulnar collateral artery
Ulnar artery
Posterior interosseous artery
Radial artery
Anterior interosseous artery
As part of a physical examination to evaluate muscle function in the hand, a 1 point

physician holds the proximal interphalangeal joint of his patient’s index
finger in the extended position and instructs him to try to flex the distal
interphalangeal joint, as shown below. Which of the following muscles is
the doctor testing? *
Flexor digitorum profundus (FDP)
Extensor indicis
First lumbrical
Flexor digitorum superficialis (FDS)
First dorsal interosseous
Which structures pass In the triangular interval * 1 point
posterior circumflex humeral artery and axillary nerve
anterior circumflex humeral artery and radial nerve
profanda brachii artery and radial nerve
circumflex scapular artery only
posterior circumflex humeral artery and musculocutaneous nerve
Which nerve does NOT make contact with periosteum? * 1 point
anterior interosseous nerve
radial nerve
di
median nerve
axillary nerve
ulnar nerve
The skin of the top of the index finger is supplied by: * 1 point
radial and ulnar nerve
median nerve only
radial nerve only
ulnar nerve only
radial and median nerve
Identify the incorrect pairing for testing muscles: * 1 point
latissimus dorsi – abduct to 60° and adduct against resistance
rhomboids – place hands on hips and draw elbows back and scapulae together
trapezius – shrug shoulders against resistance
serratus anterior – push with arms outstretched against a wall
Anastomosis around the scapula connect the the subclavian artery with : * 1 point
1st segment of axillary artery
2nd segment of axillary artery
3rd segment of axillary artery
brachial artery
Non of the above
In "blood pressure measurement" in the arm , we auscultate the * 1 point
Brachial artery
Ulnar artery
Radial artery
Heart
Axillary artery
Subclavian artery
The lumbrical muscles: * 1 point
attach directly to the first phalanx
are all bicipital muscles
flex the metacarpophalangeal joint
arise from the four superficial tendons
pass along the ulnar side of the metacarpophalangeal joint
The extensor retinaculum attaches between: * 1 point
radius and triquetral and pisiform
scaphoid and ulna
trapezium and ulnar
radius and lunate

radius and ulna
Interossei muscles in the hand: * 1 point
cannot laterally deviate the middle finger
assist in extension of metacarpophalangeal joints
flex the interphalangeal joints
the palmar interossei have two heads of origin
are usually supplied by the ulnar nerve
Which lymphatics do not drain the breast? * 1 point
subscapular nodes
lateral axillary nodes
parasternal nodes
pectoral nodes
infraclavicular nodes
Regarding the nerves and vessels of the arm: * 1 point
supratrochlear lymph nodes lie in the subcutaneous fat just above the medial
epicondyle
the basilic vein is lateral to the cephalic vein
the median nerve crosses obliquely in front of the radial artery in the arm
the ulnar nerve pierces the lateral intermuscular septum in the lower third of the arm
the circumflex vessels and the axillary nerve enter the extensor compartment in the
the circumflex vessels and the axillary nerve enter the extensor compartment in the
axilla through the triangular space
The nerve supply of pectoralis minor is from the: * 1 point
lower subscapular nerve
axillary nerve
pectoral nerves
long thoracic nerve
The posterior interosseous nerve DOES NOT supply: * 1 point
the skin over the dorsal aspect of the thumb
extensor pollicis brevis
extensor carpi ulnaris
the interosseous membrane
the periosteum of the radius and ulna
1st carpometacarpal joint of the thumb is * 1 point
hingi joint
condyloid joint
saddle joint
plane joint
gliding joint
The brachial artery: * 1 point
is in direct contact with the humerus
is readily compressible
has biceps tendon lying medial to it
is accompanied throughout its course by the basilic vein
commences at the upper border of teres major
Which muscle arises from both ulnar and radius? * 1 point
flexor carpi radialis
flexor digitorum profundus
pronator teres
flexor digitorum superficialis
flexor pollicis longus
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امتحان التشريح الشامل2

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امتحان التشريح الشامل2

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4/4/2021 ‫اﻣﺗﺣﺎن اﻟﺗﺷرﯾﺢ اﻟﺷﺎﻣل‬

‫اﻣﺗﺣﺎن اﻟﺗﺷرﯾﺢ اﻟﺷﺎﻣل‬

Stabilizing factors of the shoulder joint include all but: * 1 point

tendons that fuse with the capsule

glenohumeral and coracohumeral ligaments

This is a required question

areola of the breast

upper medial quadrant

upper lateral quadrant

lower lateral quadrant

lower medial quadrant

The nerve supply to teres minor is from the: * 1 point

lower subscapular nerve

upper subscapular nerve

An example of a fibrous joint include: * 1 point

proximal radio-ulnar joint

structures of the vault of the skull

The cephalic vein: * 1 point

terminates by joining the brachial vein

is medial to biceps in the arm

arises in the region of the anatomical snuffbox

at the elbow, is deep to the lateral cutaneous nerve of the forearm

Blood supply to the upper limb, which is FALSE? * 1 point

the subclavian artery is divided schematically by scalenus anterior

" Tennis elbow" is inflammation of : * 1 point

Medial condyle of humerus

Lateral condyle of humerus

Non of the above

22-year-old woman is admitted to the emergency department in an 1 point

Flexor carpi radialis

Flexor digitorum profundus

Flexor pollicis longus

the radial artery lies laterally to it at the wrist

it has its own compartment in the flexor retinaculum

flexor pollicis longus lies medially

it arises from the common flexor origin at the humerus

it is supplied by the median nerve

it inserts into the base of the 2 nd and 3 rd metacarpals

Regarding types of joints, which pairing is CORRECT? * 1 point

synarthrosis – symphysis pubis

cromphosis – intervertebral joints

diarthrosis – cranial suture

syndesmoses – tibiofibular joint

amphiarthrosis – sternoclavicular joint

long thoracic nerve

dorsal scapular nerve

lateral cutaneous nerve of forearm is a terminal branch of * 1 point

The roots of brachial plexus are : * 1 point

anterior rami of T1-T6

anterior rami of C5-T1

anterior rami of C5-T2

posterior rami of C5-T1

anterior rami of C4-C7

extensor carpi radialis brevis

extensor carpi ulnaris

extensor carpi radialis longus

extensor digiti minimi

The nerve supply of serratus anterior is from the: * 1 point

long thoracic nerve

dorsal scapular nerve

A 23-year-old medical student complains of loss of sensation in the skin on 1 point

Abduction of the wrist

Flexion of the interphalangeal joints of the index ﬁnger

Extension of the wrist