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</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</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</p> Signup and view all the answers

    What is the primary function of the rotator cuff muscles?

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

    What is the most common cause of axillary nerve damage?

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

    What is the innervation of the deltoid muscle?

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

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

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

    What is the most common cause of carpal tunnel syndrome?

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

    What is the typical pain distribution in carpal tunnel syndrome?

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

    What is the outcome of untreated carpal tunnel syndrome?

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

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

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

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

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

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

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

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

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

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

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

    What is the primary cause of Erb's palsy?

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

    What is the primary symptom of Erb's palsy?

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

    Which spinal nerves form the brachial plexus?

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

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

    <p>Roots</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</p> Signup and view all the answers

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

    <p>Pronated</p> Signup and view all the answers

    Which nerves are affected in a lower brachial plexus injury?

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

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