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Upper limb MCQs

Select the Single Best Answer:
1. Regarding the clavicle, all are correct EXCEPT: a. It is an example of the short bones. b. It is the first bone to ossify in the fetal life. c. It ossifies in membrane. d. It is the commonly fractured bone. e. It has no medullary cavity. 2. The most common site of fracture of the clavicle is: a. Medial end. b. Lateral end. c. Midpoint of the clavicle. d. Junction of the medial two-thirds and the lateral third. e. Junction of the lateral two-thirds and the medial third. 3. The inferior surface of the clavicle gives attachment to all of the following EXCEPT: a. Conoid ligament. b. Trapezoid ligament. c. Costoclavicular ligament. d. Pectoralis major muscle. e. Subclavius muscle. 4. These muscles are attached to the medial two thirds of the clavicle EXCEPT: a. Sternomastoid. b. Deltoid. c. Pectoralis major. d. Subclavius. e. Sternohyoid. 5. Regarding the articulations of the clavicle, one is correct: a. The medial end articulates with the manubrium by fibrous articulation. b. The medial end articulates with the manubrium by cartilaginous articulation. c. The medial end articulates with the body of the sternum by saddle synovial joint. d. The lateral end articulates with the acromion by fibrous articulation. e. The lateral end articulates with the acromion by plane synovial articulation 6. One of he following is not attached to the medial border of the scapula: a. Levator scapulae. b. Teres minor. c. Serratus anterior. d. Rhombideus minor. e. Rhomboideus major. 7. All of the following parts of the scapula can be felt EXCEPT: a. Acromion process. b. Crest of the spine.

b. 11. Cartilaginous articulation. None of the above. e. 12. c. Fibrous articulation. Axillary nerve. Plane synovial articulation. Axillary artery. Trunks of the brachial plexus. 9. The bicipital groove of the humerus lodges (contains) the: a. d. b. Radial nerve. c. c. 14. b. b. Fat. 8. Tail of the breast. b. e. Trapezius. Ball and socket synovial articulation. Ulnar nerve. e. Inferior angle. d. The axilla contains all of the following EXCEPT: a. c. Upper border. The back of the medial epicondyle is related to the: a. Long head of the biceps. The surgical neck of the humerus is related to the: a. Pectoralis major. None of the above. c. Hinge synovial articulation. 10. d. d. d. e. c. Radial nerve. Axillary artery. Coracobrachialis. All of the above. The deltopectoral groove contains: a. The glenoid cavity articulates with the head of the humerus by a: a.c. d. Tip of the coracoid process. Axillary nerve. Median nerve. Deltoid branch of the lateral thoracic artery. . Long head of the triceps. Ulnar nerve. Subclavius. Apical group of axillary lymph nodes. c. b. d. e. e. e. None of the above. b. Muscle/s taking origin from the clavicle is/are: a. Axillary vein. 13. Cephalic vein. None of the above. Median nerve.

c. Subclavian artery. 4 cords. b. Its lymphatics drain mainly in the parasternal lymph nodes. c. Lateral thoracic artery. None of the above. 2. e. .d. c. All of the above. Anterior circumflex humeral artery. 20. e. Superior thoracic artery. d. e. Intercostals arteries. d. 15. e. First part of the axillary artery. Has a nipple that is usually located opposite the 6th intercostals space. Brachial artery. c. 3. Has Cooper·s ligament that suspends the breast. d. 21. One of the following is a branch of the second part of the axillary artery: a. 4. Has a bed formed mainly by the serratus anterior muscle. b. 2. 6 divisions. Posterior circumflex humeral artery. e. e. 8 rami (roots). 1. d. e. Internal thoracic artery. d. The breast is supplied by: a. 18. d. The usual number of branches of the medial cord of the brachial plexus: a. 1. b. 17. b. Has about 5 lactiferous sinuses. b. 5 trunks. 19. c. c. The female breast: a. a and b only. b. The usual number of branches of the lateral cord of the brachial plexus: a. The thoracoacromial artery is a branch of the: a. Second part of the axillary artery. Lateral thoracic artery. Subscapular artery. The brachial plexus has: a. 3. All of the above. 16. 5. None of the above. b. Third part of the axillary artery. c.

Policeman·s tip position. The earliest bone to ossify in the body is: a. one is INCORRECT: a. Separates the pectoralis major from the breast. Ulna. e. b. Radius. d. Policeman·s tip position. c. The axillary artery terminates at the lower border of teres major. Winging of the scapula. Winging of the scapula. e. Winging of the scapula. Claw hand. b. c. Femur. In Erb·s paralysis. b. e. Claw hand. c. The deep pectoral fascia: a. All of the above.d. Pierced by the lateral pectoral nerve. e. b. Regarding the axilla. d. 5. In Klumpke·s paralysis. Clavicle. e. c. Subclavius. Wrist drop. Claw hand. the deformity is called: a. Teres major. 28. Paralysis of the serratus anterior muscle causes: a. Invests the pectoralis minor muscle. The brachial plexus terminates at the lower border of the pectoralis minor. d. Invests the subclavius muscle. Ape hand. The axillary lymph nodes receive 75% of the lymphatics of the breast. 27. The anterior wall of the axilla is formed by all of the following EXCEPT: a. the deformity is called: a. Ape hand. d. The third part of the axillary artery is related to the cords of the brachial plexus. 23. 26. c. c. Pectoralis minor. Clavipectoral fascia. . 4. e. 25. Ape hand. Wrist drop. Pectoralis major. e. c. d. b. The anterior fold of the axilla is higher than the posterior fold. 24. b. d. 22. Humerus. b.

b. The anterior (pectoral) group of the axillary lymph nodes is located along the: a. e. 6 & 7 e. Lymphatics that accompany the cephalic vein drain into the: a. Central group of the axillary lymph nodes. Pectoral group of the axillary lymph nodes. Parasternal lymph nodes. 32. Apical group of the axillary lymph nodes. 7 & 8 31. Wrist drop. Policeman·s tip position. c. Apical group of the axillary lymph nodes. . c. d. Upper trunk. b. Lymphatics from the nipple and areola drain into the: a. b. b. Subscapular group of the axillary lymph nodes.d. Pectoral group of the axillary lymph nodes. Upper part of the axillary vein. 33. The suprascapular nerve is a branch from the: a. d. e. Central group of the axillary lymph nodes. Apical group of the axillary lymph nodes. d. Parasternal lymph nodes. 6. Central group of the axillary lymph nodes. C5. Pectoral group of the axillary lymph nodes. None of the above. C6. d. Lower part of the axillary vein. Pectoral group of the axillary lymph nodes. Middle trunk. Subscapular group of the axillary lymph nodes. e. 30. Roots of the brachial plexus. c. Parasternal lymph nodes. C7. Subscapular group of the axillary lymph nodes. e. Subscapular group of the axillary lymph nodes. d. b. Central group of the axillary lymph nodes. Lateral thoracic artery. Lymphatics from the medial zone of the breast drain into the: a. c. e. d. c. Lateral cord. Posterior cord. C5. C5. The root value of the long thoracic nerve is: a. b. b. Subscapular artery. 29. 34. c. c. 35. e. Lymphatics from the skin of the back above the iliac crest drain into the: a.

Paralysis of the deltoid muscle causes: a. Loss of abduction of the arm from zero to 15°. 39. Muscle that abducts the arm from zero to15°. Muscle that initiates abduction of the arm. Loss of abduction of the arm from 15° ² 90° c. 37. Dorsal scapular nerve. Parasternal lymph nodes. Teres minor. d. Upper lip of the crest of the spine. c. c. Long thoracic nerve. d. b. Loss of abduction of the arm from 90° ² 180° e. a and b only. Supraspinatus. b. c. Wrist drop. d. e. Dorsal lip of the medial border of the scapula. All of the above. b. Thoracodorsal nerve. Infraspinatus. e. Loss of abduction of the arm from zero to 90°. b. d. b. Spinal accessory nerve. The axillary nerve supplies the: a. e. c. b. d. Cranial accessory nerve. b and c 40. 38. 41. Muscle that abducts the arm from 15° ² 90°. Teres major. e. Muscle inserted into the middle impression of the greater tuberosity of the humerus. Apical group of the axillary lymph nodes. c. None of the above. One of the following muscles is not a rotator cuff muscle: a. . 36. d.d. e. a and c. Claw hand. Muscles that rotate the scapula downward are attached to: a. Lesion of the axillary nerve causes: a. b. e. 42. Subscapularis. Winging of the scapula. Ventral lip of the medial border of the scapula. Muscle inserted into the upper impression of the greater tuberosity of the humerus. Muscle that forms the rounded contour of the shoulder. The suprascapular nerve supplies: a. The trapezius muscle is supplied by the: a. c. Flat shoulder. Ape hand.

Has short head attached to the tip of the coracoid process. None of the above. Muscles that rotate the scapula upward are attached to the: a. Lower lip of the crest of the spine. e. Ventral lip of the medial border of the scapula. d. e. a and c. d. Second part of the axillary artery. Brachial artery. d. Regarding the biceps brachii. c. b. one is INCORRECT: a. d. b. c. 49. Actions of the latissimus dorsi: a. b. Surgical neck of the humerus. Teres major. Adduct the arm. 46. Medial border of the scapula. c. a and c. Trapezius. The quadrangular space is bounded by all of the following EXCEPT: a. e.d. c. Third part of the axillary artery. Abducts the arm. Upper lip of the crest of the spine. All the muscles attached to the bicipital (intertubercular) groove: a. 47. Lower lip of the crest of the spine. a and c. Latissimus dorsi. Teres minor b. c. None of the above. Dorsal lip of the medial border of the scapula. Rhomboid major. First part of the axillary artery. b and c. b. 45. Medial rotation of the arm. e. e. Long head of triceps. Long head of biceps. d. Laterally rotates the arm. b. Has long head attached to the supraglenoid tubercle. 44. c. b. Abduct the arm (shoulder joint). 43. Flexes the arm. All of the above. Anastomosis around the scapula connects the subclavian artery with the: a. d. Triangle of auscultation is associated with all of the following EXCEPT: a. e. Teres major. Has a tendon inserted into the radial tuberosity. c. 48. . e.

Brachialis. c. b. Radial nerve. Exatension. b. The brachial artery: a. 52. The lateral cutaneous nerve of the forearm is derived from the: a. it lies medial to the biceps tendon. C5. Abduction. 7 e. b. c. 51. Bifurcates opposite the neck of the humerus. None of the above. e. 7. e. 53. e. Brachial artery. C5. Medially. Rotation. c. 55. Upward. 50. d. None of the above. C6. b. C6. Median nerve. c. The cubital fossa is bounded by the: a. d. Triceps. e. The direction of the nutrient foramen of the humerus is: a. d. Median cubital vein. Biceps. Supination. . c. It flexes the elbow joint. The anterior compartment of the arm contains all of the following EXCEPT: a. Biceps tendon. 54. d. e. Flexion. e. d.d. Downward. d. In movements of the arm. b. 6. The median nerve crosses in front of the artery from the medial to the lateral side. c. Is deep throughout its entire course. The bicipital aponeurosis passes obliquely deep to the: a. C7. 8 56. In the cubital fossa. Pronator quadratus. Brachioradialis. c. It is powerful supinator of the extended elbow. a and b only. Laterally. the coracobrachialis assists in: a. b. Coracobrachialis. b. None of the above.

. The lesser tuberosity of the humerus gives attachment to the: a. None of the above. C7 and C8 c. 57. Brachial artery. Radial nerve. d. Regarding the median nerve. c. 60. 63. It enters the hand superficial to the flexor retinaculum. All of the above. all are correct EXCEPT: a. Supraspinatus. 58. d. e. The constriction below the greater and lesser tuberosities of the humerus is called: a. d. Lunate. b. c. Injury of the nerve causes partial claw hand. Brachial artery. e. Radial artery. Humeral ring. Teres minor. d.d. In the cubital fossa. Surgical neck. e. e. Arises from both the medial and lateral cords of the brachial plexus. e. Ulnar nerve. b. Median nerve. d. Is the largest branch of the medial cord of the brachial plexus. Infraspinatus. c. Brachialis. b. c. d. Carries fibers from C6. Biceps. Anatomical neck. it lies lateral to the brachial artery. The cubital fossa contains all of the following EXCEPT: a. Scaphoid. Subscapularis. c. Coracobrachialis. All of the above. b. c. b. Coracobrachialis. Trapezium. b. e. Has no branches in the arm. The proximal row of the carpal bones consists of all of the following EXCEPT: a. b. Triceps. Triquetral. Regarding the ulnar nerve. 61. e. Muscles innervated by the musculocutaneous nerve: a. 62. 59. Pisiform. Humeral shaft. all are correct EXCEPT: a. It crosses the brachial artery at the insertion of the coracobrachialis.

. b. Flexor digitorum superficialis. b. Deep palmar arch. The median nerve supplies all of the following muscles EXCEPT: a. c. Flexor carpi radialis. None of the above. 70. One of the following is not a branch of the radial artery: a. Common interosseous artery. Flexor pollicis longus. Carpal tunnel syndrome causes: a. d. All of the above. Structure crossing superficial to the carpal tunnel: a. b. The distal row of the carpal bones consists of: a. The ulnar nerve supplies all of the following muscles EXCEPT: a. It enters the hand in the carpal tunnel. d. d. e. e. Ulnar nerve. c. The ulnar nerve: a. Palmar (anterior) carpal. Flexor pollicis longus. Adductor pollicis. e. Paralysis of all muscles of the hand. 65. e. Dorsal (posterior) carpal. Lunate. d. Carries fibers from C8 and T1. c. Pronator teres. Injury of the nerve causes ape like hand. d. 68. 69. Medial 2 lumbricals 67. c. None of the above. Palmaris longus. b. c. c. Triquetral. Flexor digitorum superficialis. Flexor carpi ulnaris. Interossei muscles. Claw hand. is a branch from the lateral cord of the brachial plexus. Median nerve. 64. Pisiform. e. b. Radial recurrent artery. e. Wrist drop. Scaphoid. b. e. None of the above. 66.d. Supplies all the superficial muscles of the front of the forearm except one muscle. Hypothenar muscles. b. c. d.

e. The following muscles are innervated by the median nerve EXCEPT: a. Branches of the ulnar artery in the forearm include: a. Flexor pollicis longus. 1 c. e. Pronator teres. Biceps. 3rd dorsal metacarpal artery. All of the above. Superficial palmar branch. 3 d. Regarding the bicipital aponeurosis. b. e. Common interosseous artery. Separates the median nerve from the median cubital vein. 4 e. Anterior ulnar recurrent artery. c. Ape like hand e. b. c. . None of the above. e. b. c. d. c. 71. 0 b. 1 c. 0 b. It blends with the deep fascia covering the extensor muscles of the forearm. Muscles originating from the radius: a. 6 72. 74. Adductor pollicis. 77. Crosses the front of the median nerve. 2nd dorsal metacarpal artery. 76. one is incorrect: a. All of the above. Opponens pollicis. 4 e. 6 73. 3 d. The usual number of branches of the median nerve in the arm: a. d. b. Passes over the brachial artery. Branches of the radial artery at the wrist include: a.d. d. 1st dorsal metacarpal artery. c. A and B only. Pronator quadratus. 75. The usual number of branches of the ulnar nerve in the arm: a. b. d. Supinator. It is an extension from the tendon of the biceps. Waiter·s tip position. Pronator quadratus.

The thumb cannot be adducted. 2 inches above the wrist. Lies medial to the ulnar nerve. The thumb cannot be abducted. . d. All of the above. e. All of the above. Lies in the carpal tunnel. A and B are correct. e. Lies lateral to the pisiform bone. b. A and B only. 79. Lies between the tendons of the palmaris longus and flexor carpi radialis. 78. d. All of the above. e. c. 80. A and B only. Loss of sensation over the thumb. c. it becomes subcutaneous. Relations of the ulnar artery at the wrist: a. Marked wasting (atrophy) of the thenar eminence. b. None of the above. Relations of the median nerve at the wrist: a.d. c. b. d. e. Lies anterior to the flexor retinaculum. As a result of injury of the ulnar nerve at the wrist: a.