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Human Anatomy Physiology 10th Edition Marieb Hoehn Test Bank
Human Anatomy Physiology 10th Edition Marieb Hoehn Test Bank
Figure 8.1
1) Periosteum.
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 1 Knowledge
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2) Articular cartilage.
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 1 Knowledge
4) Synovial membrane.
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 1 Knowledge
5) Fibrous layer.
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 1 Knowledge
Answers: 1) A 2) B 3) E 4) D 5) C
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Figure 8.2
Using Figure 8.2, what type of axial movement does each joint have?
A) uniaxial
B) biaxial
C) nonaxial
D) multiaxial
6) Joint 1.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
7) Joint 2.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
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8) Joint 3.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
9) Joint 4.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
10) Joint 5.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
11) Joint 6.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
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Figure 8.2
12) Joint 1.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
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13) Joint 2.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
14) Joint 3.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
15) Joint 4.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
16) Joint 5.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
17) Joint 6.
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1, HAPS2
Bloom's Level: 2 Comprehension
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Match the following:
A) Syndesmosis
B) Gomphosis
C) Symphysis
D) Suture
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8.2 True/False Questions
1) The amount of movement permitted by a particular joint is the basis for the functional
classification of that joint.
Answer: TRUE
Section: 8.1
Learning Outcome: 8.2
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
5) The articular surfaces of synovial joints play a minimal role in joint stability.
Answer: TRUE
Section: 8.4
Learning Outcome: 8.7
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
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6) The major role of ligaments at synovial joints is to unite bones and prevent undesirable
movement.
Answer: TRUE
Section: 8.4
Learning Outcome: 8.7
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
7) The only movement allowed between the first two cervical vertebrae is flexion.
Answer: FALSE
Section: 8.4
Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
8) Movement at the hip joint does not have as wide a range of motion as at the shoulder joint.
Answer: TRUE
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
9) A person who has been diagnosed with a sprained ankle has an injury to the ligaments that
attach to that joint.
Answer: TRUE
Section: 8.6
Learning Outcome: 8.11
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 1 Knowledge
10) Supination is the movement of the forearm in which the palm of the hand is turned anteriorly
or superiorly.
Answer: TRUE
Section: 8.4
Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
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11) The wrist joint can exhibit adduction and eversion movements.
Answer: FALSE
Section: 8.4
Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
13) Flexion of the ankle so that the superior aspect of the foot approaches the shin is called
dorsiflexion.
Answer: TRUE
Section: 8.4
Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
14) The gripping of the trochlea by the trochlear notch constitutes the "hinge" for the elbow joint.
Answer: TRUE
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
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16) The structural classification of joints is based on the composition of the binding material and
the presence or absence of a joint cavity.
Answer: TRUE
Section: 8.1
Learning Outcome: 8.2
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
17) Synovial fluid contains phagocytic cells that protect the cavity from invasion by microbes or
other debris.
Answer: TRUE
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
18) A person who has been diagnosed with rheumatoid arthritis would be suffering loss of the
synovial fluids.
Answer: FALSE
Section: 8.6
Learning Outcome: 8.12
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 2 Comprehension
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21) Dislocations in the TMJ almost always dislocate posteriorly with the mandibular condyles
ending up in the infratemporal fossa.
Answer: FALSE
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 2 Comprehension
22) Symphyses are synarthrotic joints designed for strength with flexibility.
Answer: FALSE
Section: 8.3
Learning Outcome: 8.4
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
2) A joint united by fibrocartilage tissue that usually permits a slight degree of movement is a
________.
A) symphysis
B) gomphosis
C) suture
D) syndesmosis
Answer: A
Section: 8.3
Learning Outcome: 8.4
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
4) Connective tissue sacs lined with synovial membrane that act as cushions in places where
friction develops are called ________.
A) menisci
B) ligaments
C) tendons
D) bursae
Answer: D
Section: 8.4
Learning Outcome: 8.6
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
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7) The gliding motion of the wrist uses ________ joints.
A) pivot
B) hinge
C) plane
D) condyloid
Answer: C
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
8) The ligaments that protect the alignment of the femoral and tibial condyles and limit the
movement of the femur anteriorly and posteriorly are called ________.
A) anterior ligaments
B) cruciate ligaments
C) tibial collateral ligaments
D) patellar ligaments
Answer: B
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
13) In symphysis joints the articular surfaces of the bones are covered with ________.
A) synovial membranes
B) fibrocartilage
C) tendon sheaths
D) hyaline cartilage
Answer: D
Section: 8.3
Learning Outcome: 8.4
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
14) Synovial fluid is present in joint cavities of freely movable joints. Which of the following
statements is true about this fluid?
A) It contains hyaluronic acid.
B) It contains hydrochloric acid.
C) It contains lactic acid.
D) It contains enzymes only.
Answer: A
Section: 8.4
Learning Outcome: 8.5
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Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
18) What is moving a limb away from the midline of the body along the frontal plane called?
A) flexion
B) abduction
C) extension
D) adduction
Answer: B
Section: 8.4
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Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
19) The terms inversion and eversion pertain only to the ________.
A) arms
B) feet
C) hands
D) hands and the feet
Answer: B
Section: 8.4
Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
20) The hip joint is a good example of a(n) ________ synovial joint.
A) uniaxial
B) biaxial
C) multiaxial
D) nonaxial
Answer: C
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
21) Which of the following movements does NOT increase or decrease the angle between bones?
A) extension
B) rotation
C) abduction
D) circumduction
Answer: B
Section: 8.4
Learning Outcome: 8.8
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
22) Compared to the shoulder, displacements of the hip joints are ________.
A) rare because of the ligament reinforcement
B) common due to the weight bearing the hip endures
C) rare because the rotator cuff stabilizes the hip joint
D) common in all people who are overweight
Answer: A
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Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 2 Comprehension
23) Which ligament of the knee initiates the knee-jerk reflex when tapped?
A) the medial patellar retinacula
B) the patellar ligament
C) the lateral patellar retinacula
D) the extracapsular ligament
Answer: B
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 2 Comprehension
24) Football players often sustain lateral blows to the extended knee. Which of the following is
(are) damaged as a result?
A) tibial collateral ligament, medial meniscus, and anterior cruciate ligament
B) arcuate popliteal and the posterior cruciate ligaments
C) suprapatellar ligament
D) oblique popliteal and extracapsular ligaments
Answer: A
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 3 Application
27) Presence of a synovial cavity, articular cartilage, synovial membrane, and ligaments are
characteristics of what type of joint?
A) hinge joint
B) symphysis
C) suture
D) synchondrosis
Answer: A
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
29) Baseball pitchers often require "Tommy John" surgery to repair damage to their elbow.
Which ligament would this surgery target?
A) lateral ligament
B) acetabular labrum
C) anular ligament
D) ulnar collateral ligament
Answer: D
Section: 8.5
Learning Outcome: 8.10
Global LO: G2
HAPS LO: HAPS1, HAPS6
Bloom's Level: 3 Application
32) Saddle joints have concave and convex surfaces. Identify a saddle joint of the skeleton.
A) carpometacarpal joint of the phalanges
B) carpometacarpal joint of the thumb
C) metacarpophalangeal joint of the finger
D) interphalangeal joint of the finger
Answer: B
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
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34) Which of the following is NOT strictly a part of a synovial joint?
A) articular cartilage
B) tendon sheath
C) joint (articular) cavity
D) articular (joint) capsule
Answer: B
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
35) All of the following are factors that influence synovial joint stability EXCEPT?
A) structure and shape of the articulating bone
B) strength and tension of joint ligaments
C) arrangement and tension of the muscles
D) number of bones in the joint
Answer: D
Section: 8.4
Learning Outcome: 8.7
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 1 Knowledge
39) Lifting up a glass to take a drink involves the elbow joint. Which of the following correctly
characterizes that joint?
A) cartilaginous
B) pivot
C) diarthrotic
D) biaxial
Answer: C
Section: 8.4
Learning Outcome: 8.9
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 3 Application
40) An individual with a "double-jointed" thumb can pull it back towards the wrist much farther
than normal. What does it mean to be "double-jointed?"
A) the additional joint present doubles the range of motion
B) articular cartilage at bone ends is replaced with hyaline cartilage
C) greater than normal production of serous fluid lubricates the joint and extends it
D) the joint capsules and ligaments are more stretchy and loose than normal
Answer: D
Section: 8.4
Learning Outcome: 8.5
Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
41) The type of joint between the carpal (trapezium) and the first metacarpal is a ________ joint.
A) saddle
B) hinge
C) condylar
D) plane
Answer: A
Section: 8.4
Learning Outcome: 8.9
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Global LO: G2
HAPS LO: HAPS1
Bloom's Level: 2 Comprehension
2) A friend finally completes a basement floor tiling project that required extensive time on his
knees. Afterwards, knee pain took him to a doctor who diagnosed bursitis. Help explain to your
friend what bursitis is and what can be done to relieve it.
Answer: Bursitis is inflammation of the bursa. Repeated pressure and friction on the knee while
completing the project caused damage to the prepatellar bursa. This can be treated by avoiding
pressure to the area and injection of anti-inflammatory drugs into the bursa. If significant fluid
accumulates, aspiration may be required to relieve pressure.
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Section: 8.6
Learning Outcome: 8.11
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 3 Application
3) After months of very little exercise, you decide to go for a long run. After a mile, you start to
feel pain in your kneecap area. What could explain this?
Answer: Muscle tone is very important for stabilizing the knee joint. The long time off allowed
the muscles whose tendons span the knee joint to weaken and lose that stabilizing force. Running
should stop until the muscles can be reconditioned. Then the distance should be short at first and
increased incrementally.
Section: 8.4
Learning Outcome: 8.7
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 4 Analysis
6) For each of the following movements, indicate the specific kind of joint involved (e.g., hinge,
etc.) and the movement performed (e.g., extension, etc.).
8) Although uric acid is a normal waste product of nucleic acid metabolism, excessive levels lead
to gouty arthritis. How does this waste product build up and cause so much pain when things go
wrong and why is it more common in men?
Answer: Blood levels of uric acid increase due to excessive production or slow excretion. Males
have higher blood levels of uric acid than females because estrogens are thought to increase the
rate of uric acid excretion. When blood levels of uric acid rise excessively, it is deposited as
needle-shaped urate crystals in the soft tissues of joints. This causes an inflammatory response
and pain, typically at one joint at the base of the great big toe.
Section: 8.6
Learning Outcome: 8.12
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 2 Comprehension
9) After reading a medical report, you learn that a 45-year-old female has the following
symptoms: inflammation of synovial membranes, accumulation of synovial fluid, pain and
tenderness about the joints, pannus formation, and some immobility at certain joints. On the
basis of these symptoms, what would the patient probably have?
Answer: Rheumatoid arthritis
Section: 8.6
Learning Outcome: 8.12
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 4 Analysis
10) Greg is somewhat of a "weekend athlete" who has overextended himself by pitching multiple
baseball games for a local team during the week and by playing golf on the weekends for several
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hours. He presented himself to the emergency room last week with severe shoulder pain (at the
glenohumeral joint). The physician told him that the X-ray was not conclusive, but he may have
damage to his rotator cuff. What is the rotator cuff, and how might he have caused this damage?
What remedies will the physician recommend?
Answer: Greg has either stretched or torn his rotator cuff. He will be told to rest for a few
months, and if the pain does not subside, surgery will be necessary. The rotator cuff is made up
of four tendons that belong to the subscapularis, supraspinatus, infraspinatus, and teres minor
muscles and encircle the shoulder joint. They are vulnerable to damage when the arm is
circumducted vigorously. Greg is obviously overdoing his activities by pitching multiple
baseball games per week and playing golf on weekends.
Section: 8.5
Learning Outcome: 8.10
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 3 Application
11) Why is muscle tone the most important stabilizing factor for most joints?
Answer: The shapes of the articular surfaces may hinder rather than help joint stability.
Ligaments can stretch and reduce stability. Muscle tendons are kept taut at all times by the tone
of their muscle.
Section: 8.4
Learning Outcome: 8.7
Global LO: G2, G8
HAPS LO: HAPS1, HAPS11
Bloom's Level: 2 Comprehension
1) Steven, a football player, complained of severe pain and the inability to use his right arm and
shoulder after having been tackled during a game. What would you guess might be his problem?
Answer: He might have suffered a shoulder dislocation since the shoulder joint has sacrificed
stability for flexibility.
Section: 8.5
Learning Outcome: 8.10
Global LO: G2, G8
HAPS LO: HAPS1, HAPS4, HAPS6, HAPS11
Bloom's Level: 4 Analysis
2) Mary has been suffering from a "bad knee" for several months. She is a tennis player who
often slides in to attack a ball; she is an aerobic devotee and a jogger. She visited an orthopedic
surgeon last week who told her that he would "like to have a look at her knee joint." He also told
her that her symptoms indicated damage to the meniscus, and it might have to be removed. What
will the doctor do to see the joint, and if the meniscus is removed will Mary be able to play
tennis again?
Answer: The doctor will perform arthroscopic surgery on Mary in order to view the interior of
the joint. If she has severely damaged the meniscus, it can be removed with little impairment to
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the knee except some loss in stability. However, over the long term, the lack of weight
distribution by the missing meniscus increases the likelihood of osteoarthritis in her knee. Mary
might consider taking up swimming instead.
Section: 8.6
Learning Outcome: 8.11
Global LO: G2, G8
HAPS LO: HAPS1, HAPS4, HAPS6, HAPS11
Bloom's Level: 4 Analysis
3) Farhad begins typing his term paper on his new computer early one morning. After 8 hours of
typing, he notices that his wrists are stiff and very sore. The next morning, Farhad begins to
finish his paper, but soon finds his wrists hurt worse than last night. What is wrong?
Answer: Farhad is suffering from tendonitis. If he continues to use the keyboard incorrectly, the
tendonitis could develop into the more serious condition called carpal tunnel syndrome.
Section: 8.6
Learning Outcome: 8.11
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 4 Analysis
4) Probenecid inhibits the active resorption of uric acid in the kidney, which leads to increased
urinary excretion of uric acid. Explain why this drug would be useful in treating gout.
Answer: Uric acid, a normal waste product of nucleic acid metabolism, is ordinarily excreted in
urine without any problem. However, when blood levels of uric acid rise excessively, it may be
deposited as needle-shaped urate crystals in the soft tissue of joints. An inflammatory response
follows, which leads to gout. By lowering the uric acid level, no crystals form, and inflammation
subsides.
Section: 8.6
Learning Outcome: 8.12
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 3 Application
5) Maggie is a 28-year-old Caucasian woman who has newly diagnosed rheumatoid arthritis. She
complains of painful, stiff hands and feet, feeling tired all the time, and reports an intermittent
low-grade fever. She asks the nurse if she is going to be "crippled." How might the nurse explain
the pathophysiology of rheumatoid arthritis?
Answer: Rheumatoid arthritis (RA) is a chronic, systemic, and inflammatory disorder. RA is an
autoimmune disease in which the body's immune system attacks its own tissue. RA begins with
inflammation of the synovial membrane of the affected joints. Fluid accumulates, causing joint
swelling. The nurse should explain that RA is a chronic crippling disease with joint stiffening
(ankylosis) resulting in restriction of joint movement and extreme pain.
Section: 8.6
Learning Outcome: 8.12
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 3 Application
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Human Anatomy Physiology 10th Edition Marieb Hoehn Test Bank
6) Susan was bitten by a deer tick and now complains of joint pain, flu-like symptoms, and
difficulty thinking. What might be her diagnosis and the treatment required to alleviate her
symptoms?
Answer: She probably has contracted Lyme disease, which is treated with antibiotics.
Section: 8.6
Learning Outcome: 8.13
Global LO: G2, G8
HAPS LO: HAPS1, HAPS6, HAPS11
Bloom's Level: 4 Analysis
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