Hussein AL-HAFETH

~Batch 2028~

Anatomy of the
Shoulder
Region
Revision prepared by : Hussein AL-HAFETH
Lecture given via : Dr.Emad Nosier
1-A pregnant woman in her 17th week of gestation
undergoes a sonar examination and successfully identifies
the following bone , all of the following is true regarding
the identified bone except ?

A. Identified bone began ossification 3 months ago

B. It has No medullary cavity
C. Medial end will be attached via saddle synovial joint to
the sternum
D. The medial two thirds is convex forward when we look
from the posterior side
E. The acromion is superior to the glenoid cavity and
projects anterolaterally

d
2- During a lively volleyball tournament, Ahmed
DJ-Sbag jumps for a powerful spike. In an attempt
to save the ball, he lands awkwardly on his
outstretched arm, resulting in immediate pain and
difficulty moving the shoulder, Which of the
following is more likely matching the shoulder
injury experienced by Ahmed?

a) Anterior dislocation
b) Posterior dislocation
c) Inferior dislocation
d) Medial dislocation
e) Superior dislocation

c
3-Esam is driving home from work when he become involved in a car
accident, The collision was forceful, and the driver's chest hits the
steering wheel. Following the accident, the driver experiences sharp
pain in the shoulder and difficulty moving the arm. Suspecting a
clavicle fracture, which side of the body is more likely to sustain a
clavicle fracture?
a) Lateral side
b) Medial side
c) Junction between medial two thirds and lateral third
d) Lateral to the plane synovial joint
e) Junction between medial third and lateral two thirds

C
4- Hussein is an orthopedic resident , while preforming
physical examination of the shoulder of his patient he feels a
snapping sensation under his fingers that are positioned on the
patient shoulder , Prof.Nabil the chief of orthopedic department
told him “This is the long head of the biceps tendon popping
out of the bicipital groove because ligament is no longer
holding it in place” , Which of the following ligaments have
been most likely to be teared in Hussein's patient ?

a) Coracoacromial ligament
b) Acromioclavicular Ligament
c) Coracoclavicular Ligament
d) Coracohumeral Ligament
e) Transverse humeral Ligament

E
5- The inferior surface of the collar bone gives attachment to all of the
following EXCEPT:

A) Corococlavicular ligament.
B) Trapezoid ligament.
C) Costoclavicular ligament
D) Pectoralis major muscle.
E) Subclavius muscle.

d
6-Which part of the Shoulder blade articulates with the head of the
humerus at the Glenohumeral joint?

A) fossa on posteroinferior side

B) fossa on the anterior side
C) fossa on the Lateral side
D) Fossa on Posterosuperior side
E) Acromion

C
7-The line separating the head of the humerus from the rest of the
upper end is called ?

A) Surgical neck
B) Greater tubercle
C) Lesser tubercle
D) Anatomical neck
E) Bicipital groove

D
8-The spine of the scapula is continued laterally as the ?

A) Coracoid porcess
B) Angle of the scapula
C) Infraglenoid tubercle
D) Supraglenoid tubercle
E) Acromion process

E
9-regarding scapula bone, there are 3 borders, 4 fossae , 2 surfaces , 2
processes and 3 angels . Regarding shoulder blade borders Which one is
not considered as a border ?

A) vertebral border
B) axillary border
C) superior border
D ) inferior border
E) Medial border

D
10-Which of the following is NOT true regarding the clavicle?

A) Its medial end is enlarged where it attaches to the sternum.

B) Its lateral end is flat where it articulates with the humerus.
C) The medial two-thirds of the shaft are convex anteriorly.
D) The clavicle transmits shock from the upper limb to the axial skeleton.
E) The clavicle is a “long bone” that Lies horizontally.

B
11-The constriction below the greater and lesser tuberosities of the
humerus is called ?

A) Anatomical neck.
B) Surgical neck.
C) Humeral shaft.
D) Humeral ring.
E) non of the above

B
12-The subacromial bursa is located between the acromion and which
specific structure of the rotator cuff ?

A) Supraspinatus tendon
B) Infraspinatus tendon
C) Teres minor tendon
D) Subscapularis tendon
E) Long head of the biceps tendon

A
13- A 50-year-old individual presents with shoulder pain and limited
range of motion, particularly during external rotation and abduction of
the arm. The pain is localized in the lateral aspect of the shoulder. Upon
further examination, the patient exhibits weakness in resisting external
rotation against resistance. Which rotator cuff muscle is likely affected?

A) Supraspinatus
B) Infraspinatus
C) Teres major
D) Subscapularis
E) All of the above

B
14 -A 33-year-old patient reports experiencing
sharp pain in the shoulder after abducting the
arm during activities like reaching for objects
on high shelves. The pain is localized in the
upper shoulder area. Which muscle is most
likely affected in this scenario?

A) Supraspinatus
B) Infraspinatus
C) Deltoid
D) Subscapularis
E) Serratus anterior
E
15- A patient presents with pain in the posterior shoulder and difficulty
reaching behind the back. Upon examination, the physician observes
weakness during internal rotation of the affected shoulder. The pain is
exacerbated when the patient attempts to reach their lower back.
Which rotator cuff muscle is most likely affected?

A) Supraspinatus
B) Infraspinatus
C) Teres minor
D) Subscapularis
E) Teres Major

D
16 -Which one of the following statements is not correct:

A) the point of insertion for the deltoid is the deltoid tuberosity

B) the intertubercular sulcus provides a pathways for the tendon of the
long head of biceps brachii
C) the cephalic vein passes is between deltoid and pectolaris muscle
D) the point of insertion for the deltoid is the posterior to humerus
E) pectoralis minor can assist breathing under special circumstances

D
17-Tendons of muscles contributing to the "rotator cuff" do not
include ?

A) subscapularis
B) supraspinatus
C) infraspinatus
D) teres minor
E) teres major

E
18-The lesser tuberosity of the humerus gives attachment to Which
rotator cuff muscle ?
A) Supraspinatus.
B) Infraspinatus.
C) Teres minor.
D) Teres major.
E) Subscapularis.

E
19 -A 40-year-old individual experiences a traumatic injury to the
shoulder during a fall. Upon examination, medical team identifies a
loss of sensation over the deltoid muscle area and weakness in
shoulder abduction. In this scenario, which of the following
statements accurately reflects the impact of deltoid muscle paralysis?

A) Loss of abduction of the arm from zero to 15°

B) Loss of abduction of the arm from 15° - 90°
C) Loss of abduction of the arm from zero to 90°
D) Loss of abduction of the arm from 90° - 180°
E) None of the above.

B
20 –what are the muscle pair responsible for abducting the humerus
to the position clarified in the following picture ?

A) Deltoid and subscapularis

B) Deltoid and supraspinatus
C) Supraspinatus and subscapularis
D) Teres major and subscapularis
E) Deltoid and teres major

B
21 – Baraa a first-year surgical resident rushes to a table and
prepares for emergent tracheostomy for an elderly man chocking
from his food after Heimlich procedure have failed . He locates the
manubrium of the sternum and recalls that
it is free from articulation with which of the
following structures?
A) Body of the sternum
B) First rib
C) Second rib
D) Third rib
E) Clavicle

D
22 - A 30-year-old individual presents with persistent pain at the
base of the neck, Physical examination reveals tenderness over the
sternoclavicular joint, and there is a noticeable drooping of the
affected shoulder. MRI indicates a tear in a ligament connecting the
sternal ends of the clavicles, which ligament is most likely torn?

A) Costoclavicular ligament
B) Coracoclavicular ligament
C) Interclavicular ligament
D) Acromioclavicular ligament
E) Sternoclavicular ligament

C
23– Which of the following sentences
correctly describes shoulder and scapula
movements in the clarified figure shown at the
right ?

A) Scapula protraction
B) Scapula retraction
C) Scapula elevation and upward rotation
D) Scapula depression and downward rotation
E) Scapula depression and upward rotation

C
C
D
C
E
Related Q-banks
By batch ^25
B
D
E
B
V.V.V
important qs

C
D
D
V.V.V
important qs

Ans could be : p.major , p minor and Latismus dorsi !!

C
A
A
A
C
A
C
C
D
Explanation- The lateral rotators of the arm include the teres
minor, deltoid, and infraspinatus muscles, but the infraspinatus
muscle is innervated by the suprascapular nerve.
B
A