VERTEBRAL COLUMN 01. T/F a) Primary curvature is seen in the cervical region in an adult. b) Rotation is confined to thoracic region. c) Non fusion of the spinal process results in spina bifida. d) Joints between the body of the vertebrae is primary cartilaginous. e) Annulus fibrosus is weakest anterolaterally. a) F – secondary . primary only in thoracic & sacral . lumbar also secondary , appears after cervical b) T – pure rotation c) F – vertebral arches d) F – secondary cartilaginous e) F - posterolaterally 2. What is the unique feature of cervical vertebrae a) Narrow vertebral body b) Foramen transversarium c) Small vertebral foramen d) Bifid spine e) Mammillary process a) T b) T c) F - largest d) T e) F – in lumbar
UPPER LIMB 01. Regarding axillary region, a) Divisions of the brachial plexus lie beneath the lateral 1/3 of the clavicle. b) Damage to axillary nerve affects abduction. c) Subclavian artery does not give any branches to scapular anastomoses. d) All the lymph nodes which drain the mammary glands are palpable. e) Apex of the axilla communicates with the posterior triangle of the neck. a) F – middle 1/3 b) T – common in shoulder dislocations since it winds round surgical neck of humerus c) F – between 1st part of subclavian & 3rd part of axillary
d) F e) T – apex with cervicoaxillary canal 02. In the arm, a) Cephalic vein lies in the deltopectoral groove. b) Ulnar nerve lies in the flexor compartment throughout its course. c) Deltoid is attached to the greater tubercle. d) Biceps supinates the forearm. e) Profunda brachii lies in the spiral groove. a) T – basilic vein becomes axillary vein at lower border of teres major , cephalic vein lying on deltopectoral groove pierces clavipectoral fascia & drains into axillary b) F – at level of insertion of coracobrachialis, enters posterior compartment c) F – deltoid tuberosity of humerus . greater tubercle – supraspinatus , infraspinatus , teres minor from above downwards d) T – strong when forearm is flexed . supinator when forearm is extended e) T – along with radial nerve 03. In the forearm a) Biceps aponeurosis is superficial to the brachial artery. b) Median nerve passes deep to pronator teres. c) Median nerve gives its branches in the middle1/3. d) Deep branch of the radial nerve enters the supinator. a) T b) T – enters forearm passing between two heads of pronator teres c) F – near the elbow (but branch of nerve to flexor digitorum superficialis supplying index finger given in mid forearm ) branch of median – anterior interosseus supplies in mid forearm d) T – posterior interosseus nerve . extensor carpi radialis , brachioradialis & anconeus supplied before dividing into branches by the radial nerve 04. Regarding the ulnar nerve a) Enters the forearm between the heads of flexor carpi ulnaris. b) Lies on the flexor digitorum profundus. c) Supplies the medial half of the flexor digitorum profundus. d) Runs medial to the hook of the hamate. e) When damaged there is no sensory loss. a) T b) T c) T – lateral half by anterior interosseus nerve
d) T e) F – variable area on medial 1 ½ fingers and adjoining area on both sides of hand 05. In the hand a) Superficial palmar arch is at the level of the distal border of the extended thumb. b) Deep palmar arch lies between flexor retinaculum and long flexor tendons. c) Deep branch of the ulnar nerve ends in the abductor policis. d) In the pulp of the finger fibrous septae extends from skin to the bone. e) In the carpal tunnel syndrome paresis of the muscles does not occur. a) T – at level of proximal transverse skin crease of palm . deep arch proximal to it b) F – superficial arch . deep arch between long flexor tendons & metacarpals c) F – ends in adductor pollicis (usually gives a twig to flexor pollicis brevis ) abductor pollicis brevis – thenar eminence , supplied by recurrent branch of median nerve d) T – pulp space e) F – numbness & paresthesia . weakness & atrophy of thenar muscles may occur if left untreated 06. Regarding the bones of the upper arm a) Proximal epiphysis of the humerus joins the shaft at puberty. b) Axis of supinator passes between the radius and ulnar. c) 5th & 6th cervical nerve roots are involved in abduction and lateral rotation. d) The weakest point of the clavicle is at the junction of outer and middle third. e) Ossification centres of proximal carpal bones appear before birth. a) F – growing end of bone at upper end , fuses with shaft at 20 years b) T – through radial head & ulnar styloid c) T – deltoid & teres minor mainly , supplied by axillary nerve d) T – between lateral 1/3 & medial 2/3 in between costoclavicular & coracoclavicular ligaments e) F – none before birth 07. Regarding the brachial plexus a) Suprascapular nerves originate from theupper trunk. b) Divisions lie behind the subclavius. c) Posterior cord supplies the muscles of the posterior compartment. d) The cords of the brachial plexus lie lateral to the first part of the axillary artery. e) Lower trunk is likely to damage when the neck is suddenly turned to the other side. a) T – also nerve to subclavius b) T – behind middle 1/3 of clavicle
c) T – radial nerve d) F – lateral & posterior cords superolateral . posterior cord posterior . 2nd part – each cord has same relation as name of cord e) F – upper trunk 08. If the median nerve is damaged at the elbow a) There is loss of sensation at the tips of all the fingers. b) Opposition is made impossible. c) Adduction of the thumb is impossible. d) Flexion of the interphalangeal joint of the thumb is affected. e) Flexion of the wrist is made impossible. a) F – lateral 3 ½ only b) T c) F – thumb laterally rotated & adducted d) T - paralysis of flexor pollicis longus e) F – only weak & accompanied by adduction since flexor carpi radialis is paralyzed , strong flexor carpi ulnaris & medial half of flexor digitorum profundus ( supplied by ulnar nerve) is acting 09. Regarding the ulnar nerve a) The adductor pollicis is supplied by the deep branch of the ulnar nerve. b) In the ulnar nerve palsy holding a piece of paper between the index and the middle finger is difficult. c) Clawing is more profound if the ulnar nerve is damaged at the wrist than it is damaged at the elbow. d) Ulnar nerve lies posterior to the medial epicondyle. e) Lies lateral to the ulnar artery. f) If damaged sensory loss of the medial side of the forearm. a) T b) T – paralysis of interossei & lumbricals c) T – clawing produced by unopposed action of finger extensors and of flexor digitorum profundus . when nerve is damaged at elbow , ulnar half of flexor digitorum profundus is out of action & can’t flex distal interphalangeal joints of ring & little fingers . clawing less profound when damaged at elbow d) T e) F – medial ( two arteries are on outer aspect relative to nerves ) f) F – supplied by medial cutaneous nerve of forearm 10. Regarding the flexor retinaculum
a) Apex of the palmar aponeurosis is attached to it. b) The tendon of flexor carpi radialis lies in a separate tunnel within it. c) Superficial palmar branch of the median nerve lies superficial to it. d) Ulnar nerve passes through it. e) Palmaris brevis partly arises from it. a) T b) T c) T d) F – superficially in guyon’s canal e) T 11. The elbow joint; a) Is a hinge joint. b) Capsule is weak medially and laterally. c) The synovial membrane is continuous with the proximal radio ulnar joint. d) Radial collateral ligament is attached to the annular ligament. e) Supplied by the nerves crossing it. a) T b) F - anteroposteriorly c) T d) T e) T 12. Regarding the mammary gland a) Secretory cells do not develop until puberty. b) Major lymph drainage is to the parasternal lymph nodes. c) Pectoral lymph nodes lie along the lateral thoracic artery. d) The axillary tail lies along the superficial fascia and the skin. e) Ducts are lined by stratified cuboidal epithelium. f) Venous drainage is to the vertebral venous plexus. a) T b) F – axillary lymph nodes (mainly anterior) about 75% c) T – another name for anterior axillary nodes . posterior nodes along subscapular artery d) F – may penetrate deep fascia
e)F – simple & stratified columnar f) F – not mainly (mainly to internal thoracic & axillary veins) 13. Regarding the thumb a) Flexor digitorum profundus only flexes the distal interphalangeal joint. b) Abductor pollicis longus is supplied by the dorsal interosseus nerve. c) Lumbricals extend the interphalangeal joints. d) Abductor pollicis is supplied by the deep branch of the ulnar nerve. e) Metacarpophalangeal movements are more marked in the thumb. f) First dorsal interosseus attached to its medial side of the extensor expansion. a) F – any long flexor flexes all other joints it crosses proximal to its insertion b) T – supplies all muscles of posterior compartment of forearm except anconeus , brachioradialis & extensor carpi radialis longus which are supplied by main trunk of radial nerve c) F – thumb has no lumbricals since it has no tendon of flexor digitorum profundus . other four fingers do d) F – adductor pollicis .abductor pollicis brevis (thenar eminence) – supplied by recurrent branch of medial nerve . abductor pollicis longus by dorsal interosseus nerve e) F – carpometacarpal movements f) F – lateral side since DAB (Dorsal interossei abduct) & attached to index finger 14. True or False a) Biceps supinates the forearm in the flexed position. b) Deltoid initiates abduction of arm. c) The whole breast lies in the superficial fascia. d) Most of the lymphatic drainage of the breast into the parasternal nodes. e) In radial nerve palsy there is no disturbance to flexion of fingers. f) You can palpate brachial artery lateral to the humerus. g) Brachial artery commences from the inferior border of the teres major. a) T b) F - supraspinatus c) F – tail may pierce deep fascia d) F – axillary lymph nodes (mainly anterior) 75% e) F f) F - medial g) T 15. In the axilla
a) Pectoral nodes lie along the subscapular artery. b) Axillary fascia is a continuation of the prevertebral fascia. c) Medial cord of the brachial plexus lies medial to the third part of the axillary artery. d) Complete destruction of the brachial plexus will not affect sensation over the shoulder region. e) Damage to axillary nerve results in the adduction of arm as seen in Erbs’ palsy. a) F – anterior / pectoral nodes along lateral thoracic artery . posterior nodes along subscapular artery b) F - part of pectoral fascia . axillary sheath is a continuation of prevertebral fascia c) F – no cord relations in third part . branches of cords d) T – supplied by supraclavicular nerves (C3 C4 C5) e) T 16. Regarding the arm a) Radial nerve supplies the extensor carpi radialis longus. b) Deep fibre of triceps inserted into the capsule of the elbow joint. c) Ulnar nerve does not give any branches. d) Superior ulnar collateral artery runs with the radial artery. e) T2,C5 & C6 supply the anterior compartment of the arm. a) T b) T c) T d) F – with ulnar nerve e) T 17. In the forearm a) Flexor digitorum profundus is supplied by the ulnar nerve. b) Anterior interosseous nerve supplies flexor digitorum superficialis. c) Radial nerve goes through the supinator muscle. d) Radial artery lies superficial to pronator teres. e) Ulnar artery is the main source of supply. a) T – medial half . lateral half by anterior interosseus nerve b) F – median nerve c) F – deep branch of radial nerve (posterior interosseus) d) T – as it courses forwards on lateral aspect of forearm e) T – via common interosseus branch which divides into anterior & posterior interosseus arteries
18. In the hand a) The median nerve supplies adductor pollicis muscle. b) The ulnar nerve supplies all the lumbricals. c) Mid palmar space is continuous with the lumbricus canal. d) Deep transverse metacarpal ligament extends between all five metacarpophalangeal joints. e) The principal movement of the thumb is at the first carpometacarpal joint. a) F – ulnar nerve . median nerve supplies abductor pollicis brevis b) F – only medial 2 (usually) c) T d) F – not present in thumb e) T – saddle joint 19. T/F regarding the breast a) It is a compound tubuloalveolar gland. b) The nipple has smooth muscles. c) It receives its main blood supply from subscapular artery. d) The axillary tail lies in relation to pectoral lymph nodes. e) Gynaecomastia is seen in XYY. a) T b) T c) F – lateral thoracic d) T e) F – XXY (klinefelter’s) 20. Regarding the ulnar nerve a) It does not give any branches in the arm. b) It can be felt at the shaft of the humerus. c) If damaged in the arm abduction and adduction of the middle four fingers are impaired. d) In the arm lies medial to the brachial artery. e) It comes from posterior cord of the brachial plexus. a) T b) F – at medial epicondyle c) T – paralysis of interossei (assuming question is regarding medial four fingers since middle four fingers ?? O.o ) d) T e) F – medial cord
21. Regarding the forearm a) All the tendons of the flexor digitorum profundus separate before entering the carpal tunnel. b) Posterior interosseous artery pierces the interosseus membrane. c) Median nerve enters the forearm between the two heads of pronator teres. d) The ulnar nerve lies deep to the flexor carpi ulnaris in the distal 1/3 of the forearm. e) Deep branch of the radial nerve supplies the extensor carpi radialis brevis before it enters the supinator muscle. a) F – tendon for index finger separate . tendons for others separate in palm b) F – passes backwards through the interosseus space between upper end of interosseus membrane and oblique cord c) T d) T e) T – also supinator 22. Regarding the axilla a) The pectoral lymph nodes are closely related to the lateral thoracic artery. b) During surgical removal of the breast the long thoracic nerve may get damaged. c) The intercostobrachial nerve is sensory to the floor of the axilla. d) The axillary vein receives the brachial vein inferiorly. a) T b) T – also thoracodorsal nerve c) F – medial side of forearm d) T 23. T/F regarding the nerves of the upper limb a) The cords of the brachial plexus lie posterior to the clavicle. b) The axillary nerve is a mixed nerve. c) The musculocutaneous nerve has oligodendrocytes forming its myelin sheath. d) The ulnar nerve supplies no structures in the arm. e) In the distal half of the arm the median nerve lies medial to the brachial artery. a) F –in axilla . divisions behind middle 1/3 of clavicle b) T c) F – Schwann cells d) T e) T – lateral to artery above level of insertion of coracobrachialis
24. True/False a) The brachial artery divides at the level of the neck of the radius. b) The radial artery is the principal source of blood to the forearm. c) The common interosseous artery pierces the interosseous membrane. d) The posterior interosseous artery supplies the median nerve. e) The nutrient arteries to the ulna and the radius arise from the anterior interosseous artery. a) T – at cubital fossa by dividing into radial and ulnar arteries b) F – ulnar artery c) F – anterior interosseus branch of common interosseus d) F – anterior interosseus e) T 25. True/False a) Palmar cutaneous branch of the median nerve passes superficial to the flexor retinaculum. b) The fibrous flexor sheath to the terminal phalanx. c) Extensor expansion is attached to the carpal bones. d) Lumbrical canals extend between the deep and superficial transverse metacarpal ligaments. e) The base of the extensor expansion is attached to the superficial transverse metacarpal ligaments. a) T – supplies skin over thenar eminence & central part of palm (sparing of this area in carpal tunnel syndrome) b) T - extends c) F – metacarpals & phalanges d) T - (although deep one is proximal) e) F – deep transverse metacarpal ligaments 26. Brachial artery a) Is crossed by the median nerve medial to lateral. b) Originates at the lower border of the teres major. c) Have concentric laminae in its tunica media. d) Can be compressed against the humerus in its upper 1/3. e) Is medial to the biceps tendon in the cubital fossa. a) F – lateral to medial b) T c) T d) F - midarm
e) T – M B B R 27. In the hand a) Damage to the radial nerve at the elbow causes weakness in flexion of fingers. b) Development starts in the sixth week. c) Deep palmar arch is superficial to the lumbricals. d) In median nerve damage touching the tip of the fingers is impossible. e) Ulnar nerve enters wrist lateral to the ulnar artery. a) F – no wristdrop since extensor carpi radialis longus is already supplied b) T c) F – deep to long flexor tendons . ( lumbricals arise from tendons of flexor digitorum profundus) d) T – paralysis of opponens pollicis e) F – medial (two arteries in forearm are on outer aspect relative to nerves) 28. The muscles supplied by the deep branch of the ulnar nerve include a) Lumbricals b) Adductor pollicis c) Adductor digiti minimi d) Opponens pollicis e) Dorsal interossei a) T – medial 2 b) T c) T d) F – recurrent branch of median nerve e) T 29. T/F regarding the hand a) Superficial branch of the median nerve supplies the thenar muscles. b) Superficial palmar arch is proximal to the deep palmar arch. c) Radial artery runs through the two heads of the adductor pollicis. d) Ulnar nerve supplies both sides of the hand. e) Polydactyly is associated with the Down syndrome. a) F – recurrent (muscular) branch b) F - distal c) T – first passes through two heads of 1st dorsal interosseus d) T – medial 1 ½ fingers & adjoining area of hand
e) F 30. T/F a) Head of the radius can be palpated immediately inferior to the lateral condyle. b) Anconeus assists in pronation. c) Superficial branch of the radial nerve is deep to the brachioradialis. d) Posterior compartment of the forearm is supplied by the ulnar artery. e) Thenar muscles are supplied by the superficial branch of the ulnar nerve. a) F - distal b) T – by moving distal end of ulna slightly posterolaterally c) T d) T – mainly by posterior interosseus artery e) F – recurrent (muscular) branch of median nerve 31. T/F regarding forearm a) All the muscles in the superficial compartment are supplied by the median nerve. b) Supinator muscle is the main supinator of the forearm. c) Ulnar artery is the main supply of the forearm. d) Median nerve gives off its palmar cutaneous branch in the carpal tunnel. e) Ulnar nerve and artery lie between the tendons of flexor carpi ulnaris and flexor digitorum superficialis at the wrist. a) F – flexor carpi ulnaris by ulnar nerve b) F - biceps c) T d) F – proximal to carpal tunnel & it passes above flexor retinaculum e) T 32. Regarding the elbow joint a) Ulnar nerve passes on the medial part of the ulnar collateral ligament. b) Pronation takes place at this joint. c) Muscles which extend the joint are supplied by the radial nerve. a) T b) F – at radioulnar joints c) T – Triceps 33. Shoulder joint a) Pain referred to the insertion of the deltoid. b) Dislocation damages axillary nerve.
c) Subacromial bursa lies beneath the deltoid. a) T b) T c) T – mainly inbetween coracoacromial ligament and supraspinatus tendon . extends under deltoid . rolled inwards when arm is abducted (Tenderness over greater tuberosity of humerus beneath deltoid , disapperaing when arm is abducted – feature of subacromial bursitis ) 34. T/F a) Dorsal axial line extends up to the wrist. b) Clavicle is liable to fracture frequently at the junction of middle & lateral third. c) Cords of the brachial plexus lie behind the clavicle. d) Posterior cutaneous nerve of the arm is a branch of the axillary nerve. e) There is a dermatome between 1st & 2nd which is supplied only by the radial nerve on the back of the hand. a) F – ventral . dorsal only upto elbow b) T – inbetween costoclavicular & coracoclavicular ligaments c) F – cords in axilla . divisions behind middle 1/3 of clavicle d) F – radial nerve . axillary nerve gives upper lateral cutaneous nerve of arm e) F – a small area overlying first dorsal interosseus 35. T/F a) The anterior and posterior interosseous arteries of the upper limb are branches of ulnar artery. b) Part of the interosseous tendons of the hand pass to the base of the proximal phalanx. c) Lumbricals flex the metacarpophalangeal joints. a) T b) T – rest into extensor expansion . lumbricals only into extensor expansion c) T – weak . extend both interphalangeal joints 36. Ulnar nerve a) Supplies no structures in the axilla. b) Leaves the anterior compartment of the arm at the level of insertion of coracobrachialis. c) Is sensory to the lateral 1/3 of the palm. d) Supplies all the lumbricals of the hand. e) Runs within the carpal tunnel. a) T b) T c) F – medial
d) F – lateral two by median nerve e) F – superficial to it in guyon’s canal 37. Regarding the shoulder joint/region a) Dislocation may be followed by wasting of deltoid. b) Acromion is the most lateral bony prominence. c) Abduction is initiated by the supraspinatus. d) C5 dermatome overlies the tip of the shoulder. e) Deltoid contributes to all movements of shoulder joint except abduction. a) T – damage to axillary nerve b) F – only when dislocated . normally greater tubercle of humerus c) T d) T e) F – main function is abduction 38. True or False regarding the hand a) Fibrous contraction of palmar aponeurosis causes Dupuytrens’ contracture. b) Lumbricals flex the metacarpophalangeal joints & extend the interphalangeal joints. c) Abductor pollicis brevis is always supplied by the median nerve. d) Ulnar artery is always the main source of blood supply. e) Clawing is less profound if the ulnar nerve is damaged at the wrist than at the elbow. a) T b) T – MP joint flexion weak c) T – flexor & opponens may have a double supply d) F – not always . usually e) F - clawing produced by unopposed action of finger extensors and of flexor digitorum profundus . when nerve is damaged at elbow , ulnar half of flexor digitorum profundus is out of action & can’t flex distal interphalangeal joints of ring & little fingers . clawing less profound when damaged at elbow 39. Regarding female breast a) Major lymph drainage is into the parasternal lymph nodes. b) Axillary tail of Spence lies between skin and superficial fascia. c) Venous drainage communicates with the vertebral venous plexus. d) Myoepitheliocytes are found around alveoli and ducts. e) Main blood supply is by the subscapular artery. a) F – axillary lymph nodes (mainly anterior) 75%
b) F – may pierce deep fascia c) T – through posterior intercostal veins d) T e) F – lateral thoracic 40. True or False a) Divisions of the brachial plexus lie deep to the lateral 1/3 of the clavicle. b) Pectoral lymph nodes lie closely related to the lateral thoracic artery. c) Scapular anastomoses establish a communication between 3rd part of the axillary artery and the subclavian artery which are dilated in coarctation of the aorta. d) Intercostobrachial nerve enters the arm by emerging through the medial wall of the axilla. a) F – middle 1/3 b) T – another name for anterior . posterior nodes related to subscapular artery c) T d) T 41. Regarding the anatomy of the hand a) The superficial palmar arch is deep to the tendons of profundus. b) Digital nerves are more palmar than dorsal. c) Lumbricals originate from the flexor digitorum superficialis. d) Necrosis of the distal part of the distal phalanx happens due to pulp space infection. e) Metacarpophalangeal joint lies on a line with distal palmar crease. a) F – superficial superficial . deep deep b) T c) F – flexor digitorum profundus d) T – distal branches of digital vessels travel through pulp space . proximal branches does not e) T 42. True or False regarding the arm a) Profunda brachii accompanies the radial nerve in the spiral groove. b) Musculocutaneous nerve pierces the brachioradialis. c) Radial nerve supplies extensor carpi radialis longus in this region. d) T2,C5 & C6 are dermatomes of the arm. e) Radial nerve gives no branches before it enters the spiral groove. a) T b) F
c) T d) T e) F – branches to long & medial heads of triceps and posterior cutaneous nerve of arm 43. Regarding elbow joint/cubital fossa a) Brachial artery lies between biceps tendon and median nerve. b) When the forearm is flexed main supinator is biceps brachii. c) Median nerve supplies flexor carpi radialis muscle within the cubital fossa. d) Joint capsule is weak medially and laterally. e) Infection of the thumb leads to inflammation of cubital lymph nodes. a) T – M B B R b) T – supinator when extended c) T – also to flexor digitorum superficialis & palmaris longus d) F - anteroposteriorly e) F – drains ulnar side of hand 44. Range of movement at the shoulder joint is enhanced by a) Lax capsule. b) Large humoral head improportionate to the glenoid cavity. c) Rotator cuff muscles. d) Greater tubercle of the humerus. e) Coracoacromial arch. a) T b) T c) F - stability d) F e) F - stability 45. Axillary nerve a) has no cutaneous branches. b) Passes inferior to teres major. c) Contains fibres from C2-C3 spinal nerves. d) Gives a branch to the shoulder joint. e) May be damaged in downward dislocation of the humerus. a) F – upper lateral cutaneous nerve of forearm b) F - superior
c) F – C5 C6 d) T – also by musculocutaneous & suprascapular nerves e) T – as it winds round surgical neck of humerus 46. At the wrist a) Ulnar nerve is medial to the ulnar artery. b) Radial artery lies between the tendons of flexor carpi radialis and brachioradialis. c) Ulnar nerve & artery are superficial to the flexor retinaculum. d) Deep branch of the radial nerve passes through the carpal tunnel. e) Median artery accompanies the mediannerve. a) T b) T c) T – in guyon’s canal d) F e) F – in forearm 47. Regarding the nerves of the upper limb a) Ulnar nerve pierces the medial intermuscular septum. b) Radial nerve passes anterior to the lateral epicondyle of the humerus. c) Radial nerve supplies the brachialis muscle. d) Musculocutaneous nerve continues as the lateral cutaneous nerve of the arm. e) Damage to the anterior interosseous nerve results in “pointing index” with a sensory loss over the thenar eminence. a) T – at level of insertion of coracobrachialis to enter posterior compartment b) T c) T – small lateral part of muscle .overall by musculocutaneous nerve d) F – lateral cutaneous nerve of forearm e) F – no sensory supply by anterior interosseus nerve . skin over thenar eminence supplied by palmar cutaneous branch of median nerve in forearm 48. What is the structure that does not pierce the clavipectoral fascia? a) Lateral pectoral nerve b) Thoraco acromial artery c) Cephalic vein d) Lymphatic vessels e) Medial pectoral nerve best choice – E
49. What is the nerve that is damaged when the radial head dislocates? a) Lower lateral cutaneous nerve of forearm b) Posterior cutaneous nerve of arm c) Superior cutaneous nerve of radial nerve d) Posterior interosseous nerve e) Anterior interosseous nerve best choice – D 50. Which of the following is a unipennate a) Rectus femoris b) Medial most lumbrical c) Flexor policis longus d) Dorsal interossei e) Deltoid best choice – C 51. The most stable position of the shoulderjoint . a) Abducted and medially rotated b) Anatomical position c) Adducted and medially rotated d) Flexed ,abducted and laterally rotated e) Flexed laterally rotated best choice – D (It is known as zero position) 52. Which answer gives the correct arrangement of the contents of the cubital fossa from medial to lateral? a) Brachial artery, median nerve, biceps tendon, radial nerve b) Median nerve, biceps tendon, radial nerve, brachioradialis c) Biceps tendon, median nerve, brachial artery, radial nerve d) Radial nerve, biceps tendon, brachial artery, median nerve e) Median nerve, brachial artery, biceps tendon, radial nerve best choice – E 53. What is the extent of the synovial sheath of middle finger? a) from mid palm to distal phalanx b) from mid palm to proximal phalanx c) from distal palm to distal phalanx d) from distal palm to proximal phalanx e) from proximal palm to proximal phalanx best choice – C 54. A female was presented in a clinic with a breast lump and the doctor asked her to keep her hands on her hips and press on the hip. What was the muscle can be test like that, a) Serratus Anterior b) Latissimus dorsi
c) Pectoralis major d) Trapezius e) Gluteus maximus best choice – C 55. A 40 yr patient is presented with a sensory loss in palmer and dorsal aspect of medial 1 ½ fingers. Flexion of the fingers are impaired. There is weak flexion of the interphalangeal joint of the thumb.Where is the lesion is located ? a) Axilla b) Mid arm c) Posterior to the medial epicondyle d) 10 cm distal to the elbow . e) wrist best choice – D ( suggests a lesion in ulnar and median nerves . if it is in axilla or midarm , the patient should present with far greater sensory loss . only ulnar nerve passes posterior to medial epicondyle . out of D & E , E can’t be true since all branches to long flexors have already been supplied by that point )
