Upper Limb Anatomy
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Questions and Answers

What is the primary function of the biceps brachii muscle?

  • Abduction of the shoulder
  • Extension of the forearm
  • Supination of the forearm (correct)
  • Adduction of the shoulder

Which nerve gives rise to the lateral cutaneous nerve of forearm?

  • Radial nerve
  • Median nerve
  • Axillary nerve
  • Musculocutaneous nerve (correct)

What is the result of a lesion of the musculocutaneous nerve on flexion at the shoulder?

  • Flexion is completely lost
  • Flexion is unaffected
  • Flexion is weakened, but can still occur (correct)
  • Flexion is strengthened

Which muscle is responsible for supination of the affected limb in cases of musculocutaneous nerve lesions?

<p>Supinator muscle (C)</p> Signup and view all the answers

What is the result of a lesion of the musculocutaneous nerve on sensation in the forearm?

<p>Loss of sensation over the lateral side of the forearm (B)</p> Signup and view all the answers

What is the innervation area of the superior lateral cutaneous nerve of arm?

<p>Skin over the lower deltoid (A)</p> Signup and view all the answers

What is the primary function of the rotator cuff muscles?

<p>To stabilise the glenohumeral joint (B)</p> Signup and view all the answers

What is the origin of the upper lateral cutaneous nerve of the arm?

<p>The posterior terminal branch of the axillary nerve (D)</p> Signup and view all the answers

What is the typical presentation of a patient with axillary nerve damage?

<p>Impaired sensation at the regimental badge area and paraesthesia in the distribution of the axillary nerve (A)</p> Signup and view all the answers

What is the most common cause of axillary nerve damage?

<p>Fracture of the proximal humerus (A)</p> Signup and view all the answers

What is the function of the deltoid muscle?

<p>To perform abduction of the upper limb at the glenohumeral joint (C)</p> Signup and view all the answers

What is the innervation of the deltoid muscle?

<p>Anterior terminal branch of the axillary nerve (A)</p> Signup and view all the answers

What is the primary location where the median nerve enters the forearm?

<p>Via the cubital fossa (A)</p> Signup and view all the answers

What is the main function of the palmar cutaneous nerve?

<p>Innervates the skin of the lateral palm (B)</p> Signup and view all the answers

What is the most common cause of carpal tunnel syndrome?

<p>Idiopathic factors (A)</p> Signup and view all the answers

What is the typical pain distribution in carpal tunnel syndrome?

<p>Radiating to the forearm (B)</p> Signup and view all the answers

What is a common symptom of carpal tunnel syndrome that affects the patient's daily life?

<p>Waking the patient from their sleep (A)</p> Signup and view all the answers

What is the outcome of untreated carpal tunnel syndrome?

<p>Weakening and atrophy of the thenar muscles (A)</p> Signup and view all the answers

Which of the following muscle is innervated by the ulnar nerve?

<p>Flexor digitorum profundus (medial half) (A)</p> Signup and view all the answers

What is the primary function of the muscles innervated by the median nerve in the hand?

<p>Pronation of the forearm, flexion of the wrist and flexion of the digits (D)</p> Signup and view all the answers

What is the purpose of holding the wrist in flexion for 60 seconds during physical examination?

<p>To elicit numbness or pain in the median nerve distribution (A)</p> Signup and view all the answers

What is the primary treatment for carpal tunnel syndrome if a splint does not provide relief?

<p>Corticosteroid injections into the carpal tunnel (B)</p> Signup and view all the answers

Which branch of the median nerve innervates the lateral two lumbricals?

<p>Palmar digital branch (D)</p> Signup and view all the answers

Which nerve arises from the median nerve and supplies the deep flexors?

<p>Anterior interosseous nerve (B)</p> Signup and view all the answers

What is the effect of a lesion of the median nerve at the elbow on the flexor carpi ulnaris?

<p>It is spared (A)</p> Signup and view all the answers

Which nerve innervates the muscles in the anterior forearm and hand, except for those innervated by the median nerve?

<p>Ulnar nerve (D)</p> Signup and view all the answers

What is the significance of Tinel's sign in physical examination?

<p>It is used to elicit pain in the median nerve distribution (C)</p> Signup and view all the answers

What is the purpose of surgical decompression of the carpal tunnel?

<p>To relieve symptoms of carpal tunnel syndrome (B)</p> Signup and view all the answers

Which branch of the median nerve does not pass through the carpal tunnel?

<p>Palmar cutaneous branch (A)</p> Signup and view all the answers

What is the result of a lesion of the median nerve at the elbow on the pronators and flexors in the forearm?

<p>They are paralyzed, except for the flexor carpi ulnaris (C)</p> Signup and view all the answers

What is the typical outcome of an untreated Erb's palsy?

<p>Partial paralysis of the affected limb (A)</p> Signup and view all the answers

Which of the following nerves is NOT affected in Erb's palsy?

<p>Ulnar nerve (B)</p> Signup and view all the answers

What is the primary cause of Erb's palsy?

<p>Excessive stretching of the neck and shoulder (B)</p> Signup and view all the answers

Which of the following muscles is NOT innervated by the nerve roots affected in Erb's palsy?

<p>Flexor digitorum profundus (A)</p> Signup and view all the answers

What is the primary symptom of Erb's palsy?

<p>Weakness in the affected limb (A)</p> Signup and view all the answers

Which of the following nerves is responsible for innervating the muscles affected in Erb's palsy?

<p>C5 and C6 nerve roots (C)</p> Signup and view all the answers

What is the primary function of the nerves formed by the anterior divisions of spinal nerves C5-T1?

<p>Innervate the skin and musculature of the upper limb (A)</p> Signup and view all the answers

What is the anatomical location where the roots of the brachial plexus converge to form three trunks?

<p>At the base of the neck (D)</p> Signup and view all the answers

Which spinal nerves form the brachial plexus?

<p>C5, C6, C7, C8, and T1 (D)</p> Signup and view all the answers

What is the mnemonic used to remember the parts of the brachial plexus?

<p>Randy Travis Drink Cold Bear (A)</p> Signup and view all the answers

What is the term for the beginning of the brachial plexus?

<p>Roots (A)</p> Signup and view all the answers

What is the pathway through which the nerves of the brachial plexus pass initially?

<p>Between the anterior and medial scalene muscles (C)</p> Signup and view all the answers

What is the characteristic position of the forearm in Erb's palsy?

<p>Pronated (C)</p> Signup and view all the answers

Which nerves are affected in a lower brachial plexus injury?

<p>Ulnar and median nerves (C)</p> Signup and view all the answers

What is the primary symptom of a lower brachial plexus injury?

<p>Loss of sensation on the medial side of the arm (B)</p> Signup and view all the answers

What is the typical posture of the affected limb in Erb's palsy?

<p>Medially rotated and adducted (B)</p> Signup and view all the answers

Which muscles are paralyzed in a lower brachial plexus injury?

<p>All the small muscles of the hand (C)</p> Signup and view all the answers

What is the characteristic joint position in a lower brachial plexus injury?

<p>Metacarpophalangeal joints are hyperextended and interphalangeal joints are flexed (A)</p> Signup and view all the answers

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