Upper limb mcqs joints and muscles by Dr. Shadab Kamal

1. 1. Carpal tunnel contains all of the following structures except: a. Median nerve b. Flexor pollicis longus c. Flexor carpi radialis d. Flexor digitorum superficialis think with dr.shadab

2. 1. Carpal tunnel contains all of the following structures except: a. Median nerve b. Flexor pollicis longus c. Flexor carpi radialis d. Flexor digitorum superficialis think with dr.shadab

3. • Reason: think with dr.shadab

4. 2. The common direction of shoulder dislocation is a. Superior b. Inferior c. Lateral d. medial think with dr.shadab

5. 2. The common direction of shoulder dislocation is a. Superior b. Inferior c. Lateral d. medial think with dr.shadab

6. think with dr.shadab

7. 3. Damage to scaphoid bone causes injury to a. Radial artery b. Ulnar artery c. Brachial artery d. Anterior interosseous artery think with dr.shadab

8. 3. Damage to scaphoid bone causes injury to a. Radial artery b. Ulnar artery c. Brachial artery d. Anterior interosseous artery think with dr.shadab

10. 4. A grand father was playing with his grandson holding his wrist and rotating him in circles. Suddenly the child started crying and sat with holding his forearm in prone position. What was the likely cause? a. Proximal radioulnar joint dislocation b. distal radioulnar joint dislocation c. fracture of acromian d. fracture of neck of radius think with dr.shadab

11. 4. A grand father was playing with his grandson holding his wrist and rotating him in circles. Suddenly the child started crying and sat with holding his forearm in prone position. What was the likely cause? a. Proximal radioulnar joint dislocation b. distal radioulnar joint dislocation c. fracture of acromian d. fracture of neck of radius think with dr.shadab

12. A condition called “nurse maid’s elbow” think with dr.shadab

13. 5. Proximal row of carpal bones contain a. scaphoid, lunate, triquetral, pisiform b. trapezium and scaphoid c. pisiform and capitate d. scaphoid, lunate, triquetral think with dr.shadab

14. 5. Proximal row of carpal bones contain a. scaphoid, lunate, triquetral, pisiform b. trapezium and scaphoid c. pisiform and capitate d. scaphoid, lunate, triquetral think with dr.shadab

15. 6. Wrist joint involves which of the following carpal bones a. scaphoid, lunate, triquetral, pisiform b. trapezium and scaphoid c. pisiform and capitate d. scaphoid, lunate, triquetral think with dr.shadab

16. 6. Wrist joint involves which of the following carpal bones a. scaphoid, lunate, triquetral, pisiform b. trapezium and scaphoid c. pisiform and capitate d. scaphoid, lunate, triquetral think with dr.shadab

18. 7. Which of the following muscle does not includes in the boundaries of anatomical snuff box? a. Extensor pollicis brevis b. extensor pollicis longus c. abductor pollicis longus d. abductor pollicis brevis think with dr.shadab

19. 7. Which of the following muscle does not includes in the boundaries of anatomical snuff box? a. Extensor pollicis brevis b. extensor pollicis longus c. abductor pollicis longus d. abductor pollicis brevis think with dr.shadab

21. 8. Which of the following structures is not innervated by ulnar nerve in hand a. 1st and 2nd lumbrical b. opponens pollicis c. Adductor pollicis longus d. flexor pollicis brevis think with dr.shadab

22. 8. Which of the following structures is not innervated by ulnar nerve in hand a. 1st and 2nd lumbrical b. opponens pollicis c. Adductor pollicis longus d. flexor pollicis brevis think with dr.shadab

23. Mneumonic: ½ LOAF think with dr.shadab

24. 9. Which of the following muscle is not of the posterior compartment of forearm but innervated by radial nerve a. Extensor carpi radialis brevis b. Extensor carpi radialis longus c. Extensor pollicis brevis d. Abductor pollicis longus think with dr.shadab

25. 9. Which of the following muscle is not of the posterior compartment of forearm but innervated by radial nerve a. Extensor carpi radialis brevis b. Extensor carpi radialis longus c. Extensor pollicis brevis d. Abductor pollicis longus think with dr.shadab

26. ALL INNERVATED BY RADIAL NERVE MUSCLES OF LATERAL COMPARTMENT OF FOREARM MUSCLES OF POSTERIOR COMPARTMENT OF FOREARM 1.BRACHIORADIALIS 2.EXTENSOR CARPI RADIALIS LONGUS 1.EXTENSOR CARPI RADIALIS BREVIS 2.EXTENSOR DIGITORUM 3.EXTENSOR DIGITI MINIMI 4.EXTENSOR CARPI ULNARIS 5.EXTENSOR POLLICIS BREVIS 6.EXTENSOR POLLICIS LONGUS 7.EXTENSOR INDICIS 8.ABDUCTOR POLLICIS LONGUS 9.ANCONEUS 10.SUPINATOR think with dr.shadab

27. 10. A 19 year old girl was seen in the emergency department and found to have a knife wound to the front of her left wrist. A careful examination revealed that two superficial tendons on either side of the median nerve had been severed. Which of the following tendons are likely to be cut? a. Flexor pollicis longus and pronator quadratus tendons b. flexor carpi ulnaris and flexor digitorum profundus tendons c. Flexor digitorum superficialis and flexor carpi radialis tendons d. Brachioradialis and pronator teres tendons e. Abductor pollicis longus and extensor pollicis brevis tendons think with dr.shadab

28. 10. A 19 year old girl was seen in the emergency department and found to have a knife wound to the front of her left wrist. A careful examination revealed that two superficial tendons on either side of the median nerve had been severed. Which of the following tendons are likely to be cut? a. Flexor pollicis longus and pronator quadratus tendons b. flexor carpi ulnaris and flexor digitorum profundus tendons ( - innervated by ulnar nerve) c. Flexor digitorum superficialis and flexor carpi radialis tendons d. Brachioradialis and pronator teres tendons e. Abductor pollicis longus and extensor pollicis brevis tendons (- innervated by radial nerve) (pronators are inserted way above in the shaft, so cannot get injured. FPL is a deep tendon innervated by median nerve,though. Brachioradialis is innervated by radial nerve) think with dr.shadab

30. 11. A 35 year old left handed baseball pitcher experiences a severe spasm of pain while abducting his left arm in beginning to throw a pitch, and is unable to continue playing. Subsequently, he cannot initiate abduction of the left arm. However, if that arm is passively elevated through the first 15 degrees of abduction, he can complete bringing the arm up to a right angle. The tendon of which of the following muscles is mostly torn? a. Teres major b. Supraspinatous c. Infraspinatous d. Deltoid think with dr.shadab

31. 11. A 35 year old left handed baseball pitcher experiences a severe spasm of pain while abducting his left arm in beginning to throw a pitch, and is unable to continue playing. Subsequently, he cannot initiate abduction of the left arm. However, if that arm is passively elevated through the first 15 degrees of abduction, he can complete bringing the arm up to a right angle. The tendon of which of the following muscles is mostly torn? a. Teres major b. Supraspinatous c. Infraspinatous d. Deltoid think with dr.shadab

32. 12.If supination of arm is lost which group of nerve will be involved a. Radial b. Radial and musculocutaneous c. Radial and ulnar d. Median and ulnar think with dr.shadab

33. 12.If supination of arm is lost which group of nerve will be involved a. Radial b. Radial and musculocutaneous c. Radial and ulnar d. Median and ulnar think with dr.shadab

35. 13. A 40 year old man fell on an outstertched hand, he comes to the hospital complaining of pain and inability to move his arm. Which structure is likely to be damaged? a. Clavicle fracture b. Posterior dislocation of distal radial epiphysis c. Distal radio ulnar joint d. Scaphoid fracture think with dr.shadab

36. 13. A 40 year old man fell on an outstertched hand, he comes to the hospital complaining of pain and inability to move his arm. Which structure is likely to be damaged? a. Clavicle fracture b. Posterior dislocation of distal radial epiphysis c. Distal radio ulnar joint d. Scaphoid fracture think with dr.shadab

37. FOOSH • Young child : posterior dislocation of distal radial epiphysis • Teenager: clavicle fracture • Young adult: scaphoid fracture • Elderly: colle’s fracture (distal radioulnar joint dislocation) think with dr.shadab

38. 14. Which nerve is most likely to be damaged due to FOOSH encountering posterior dislocation of elbow? a. Median nerve b. Ulnar nerve c. Axillary nerve d. Brachial nerve think with dr.shadab

39. 14. Which nerve is most likely to be damaged due to FOOSH encountering posterior dislocation of elbow? a. Median nerve b. Ulnar nerve c. Axillary nerve d. Brachial nerve think with dr.shadab

40. 15. A 35 year old painter fell from a height, while painting a hoarding on a roadside. He was brought to the hospital with acute pain in his forearm. On xray of forearm, there was a fracture on the medial side of elbow and a tear found in medial collateral ligament. Which nerve is most likely to be damaged? a. Median nerve b. Radial nerve c. Ulnar nerve d. Axillary nerve think with dr.shadab

41. 15. A 35 year old painter fell from a height, while painting a hoarding on a roadside. He was brought to the hospital with acute pain in his forearm. On xray of forearm, there was a fracture on the medial side of elbow and a tear found in medial collateral ligament. Which nerve is most likely to be damaged? a. Median nerve b. Radial nerve c. Ulnar nerve d. Axillary nerve think with dr.shadab

43. 14.Which of the following muscle divides axillary artery into 3 segments? a. Teres minor b. Teres major c. Pectoralis minor d. Pectoralis major think with dr.shadab

44. 14.Which of the following muscle divides axillary artery into 3 segments? a. Teres minor b. Teres major c. Pectoralis minor d. Pectoralis major think with dr.shadab

45. Explaination: • Teres minor: rotator cuff muscle • Pectoralis minor: divides axillary aretry into 3 segments • Teres major: At it’s lower border, axillary artery is converted to brachial artery • Pectoralis major: breast lies on it. think with dr.shadab

46. 15. Which nerve supplies pectoralis major muscle? a. Long thoracic nerve b. Medial pectoral nerve c. Lateral pectoral nerve d. Both b and c think with dr.shadab

47. 15. Which nerve supplies pectoralis major muscle? a. Long thoracic nerve b. Medial pectoral nerve c. Lateral pectoral nerve d. Both b and c think with dr.shadab

48. Innervation: • Pectoralis major: medial and lateral pectoral nerve • Pectoralis minor: only medial pectoral nerve think with dr.shadab

49. 16. A patient comes to the clinic and unable to scratch his back, which of the following muscle is having motor issues? a. Serattus anterior b. Latissimus dorsi c. Subclavius d. trapezius think with dr.shadab

50. 16. A patient comes to the clinic and unable to scratch his back, which of the following muscle is having motor issues? a. Serattus anterior b. Latissimus dorsi (muscle that connect upper limb to vertebral coloumn innervated by thoraco dorsal nerve) c. Subclavius d. trapezius think with dr.shadab

51. 17. Which of the following is not a synovial double- plane joint? a. Acromioclavicular joint b. Sternoclavicular joint c. Intermetacarpal joint d. Inter carpal joint think with dr.shadab

52. 17. Which of the following is a synovial double- plane joint? a. Acromioclavicular joint b. Sternoclavicular joint c. Intermetacarpal joint d. Inter carpal joint think with dr.shadab

53. 18. Which of the following muscle is not supplied by median nerve? a. Flexor carpi radialis b. Flexor digitorum superficialis c. Flexor digitorum profundus d. Flexor pollicis longus think with dr.shadab

54. 18. Which of the following muscle is not supplied by median nerve? a. Flexor carpi radialis b. Flexor digitorum superficialis c. Flexor digitorum profundus d. Flexor pollicis longus (mneumonic: U.P – FCU and FDP) think with dr.shadab

55. 19. After damage of supinator muscle, which causes supination? a. Bicep brachii b. Anconeus c. Pronator teres d. subscapularis think with dr.shadab

56. 19. After damage of supinator muscle, which causes supination? a. Bicep brachii b. Anconeus c. Pronator teres d. subscapularis think with dr.shadab

57. 20. Regarding a winged scapula, the following facts are correct except which? a. The spinal part of accesory nerve is damaged b. The inferior angle of scapula projects backwards c. The serratus anterior muscle will be wasted d. The long thoracic nerve is damaged e. The scapula can no longer be pulled anteriorly around the chest wall think with dr.shadab

58. 20. Regarding a winged scapula, the following facts are correct except which? a. The spinal part of accesory nerve is damaged b. The inferior angle of scapula projects backwards c. The serratus anterior muscle will be wasted d. The long thoracic nerve is damaged e. The scapula can no longer be pulled anteriorly around the chest wall think with dr.shadab

59. • Why it is wrong?? Spinal part of accesory nerve (11th cranial nerve) innervates trapezius muscle. think with dr.shadab

Upper limb mcqs joints and muscles by Dr. Shadab Kamal

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Upper limb mcqs joints and muscles by Dr. Shadab Kamal