Jan 13, 2023 Upper Limb Long Exam PDF

# Jan 13, 2023 UPPER LIMB LONG EXAM March Batch * Required Then you submit this form, the owner will see your name and email address. 1. Last Name * 2. First Name * 3. Email * 4. Exam Code * ## 5. A 40 year old carpenter who has been working as a carpenter for 10 years is suffering from pain in t...

# Jan 13, 2023 UPPER LIMB LONG EXAM March Batch * Required Then you submit this form, the owner will see your name and email address. 1. Last Name * 2. First Name * 3. Email * 4. Exam Code * ## 5. A 40 year old carpenter who has been working as a carpenter for 10 years is suffering from pain in the palm side of the forearm which is localized in the little finger, pain becomes worse if he grips a chair when he attempts to sit, he sought consultation and upon examination pain is more prominent on the medial side of the flexor tendons. Pain on the lateral epicondyle is absent. What will be the closest diagnosis for this patient ? * (1 Point) - Tennis Elbow - Golfer's elbow - Cubital Tunnel syndrome ## 6. Deep vein of the forearm * (1 Point) - ulnar vein - Basilic vein - Cephalic Vein ## 7. TRUE or FALSE: The palm has 2 eminences * (1 Point) - True - False - Maybe ## 8. Claw hand is characteristic of lesion in the * (1 Point) - C5-C6 - C6-C8 - C8 and T1 - C3-C5 ## 9. Axillary artery begins at * (1 Point) - lateral border of the 1st rib - inferior border of the 1st rib - medial border of the 1st rib - superior border of the 1st rib ## 10. Atrophy of biceps brachii & brachioradialis is brought about by a lesion of * (1 Point) - C3-C5 - C5-C6 - C8 and T1 - C6-C8 ## 11. Which of the following comprises the acromioclavicular joint? * (1 Point) - acromial end of the clavicle and the manubrium of sternum - sternal end of the clavicle and acromion of the scapula - sternal end of the clavicle and manubrium of the sternum - acromial end of the clavicle and acromion of the scapula ## 12. Which is TRUE about the Medial Cord of the Brachial Plexus? * (1 Point) - anterior division of interior trunk - posterior division of interior trunk - posterior division of all 3 trunks - anterior superior trunk + anterior middle trunks ## 13. The main extensor of the arm * (1 Point) - biceps brachii - brachialis - deltoid - triceps ## 14. TRUE statement regarding the bones of the hand: * (1 Point) - Radiographs of the wrist and hand can be used to assess skeletal age - By age 7, ossification centers of all carpal bones are visible - The shaft of each metacarpal begins to ossify at > 1 year - It is composed of four metacarpals ## 15. Sensory nerve to the radial side of the forearm * (1 Point) - Radial Nerve - Median Nerve - Musculocutaneous nerve - Medial Antebrachial nerve ## 16. Which of the following is true of the latissimus dorsi? * (1 Point) - all of the above - major roles in downward rotation of the scapula - widest back muscle - strongest adductor of the humerus ## 17. Waiter's tip position of the hand is characteristic of lesion in the * (1 Point) - C5-C6 - C6-C8 - C3-C5 - C8 and T1 ## 18. TRUE or FALSE: From lateral to medial the arrangement of the distal row is: Trapezium, Trapezoid, Capitate, Hamate * (1 Point) - True - False - Maybe ## 19. Which of the following is considered main muscle for lateral rotation of shoulder? * (1 Point) - biceps - supraspinatus - infraspinatus - teres major ## 20. TRUE or FALSE: From lateral to medial the arrangement of the proximal row is: Scaphoid, Lunate, Pisiform, triquetrum * (1 Point) - Maybe - False - True ## 21. injury at the extensor digitorum tendon at DIP joint * (1 Point) - claw hand - Boutonnière deformity - MALLET FINGER DEFORMITY - Swan neck deformity ## 22. This anterior forearm muscle is deep in location * (1 Point) - Flexor carpi ulnaris - Pronator teres - Flexor digitorum superficialis - Flexor Digitorum profundus ## 23. Which nerve is affected in carpal tunnel syndrome? * (1 Point) - Ulnar Nerve - Median Nerve - Radial Nerve - Anterior Interosseous nerve ## 24. True about the glenohumeral ligament * (1 Point) - all of the above - main source of stability of the shoulder. - connects the humerus to glenoid fossa - prevents the shoulder from dislocatin anteriorly ## 25. Which of the following statement is true about humerus? * (1 Point) - it is the smallest bone of the upper limb. - the shaft of the humerus has only 1 tuberosity - It has a surgical neck but no anatomical neck - Its primary blood supply comes from the anastomoses between the anterior and posterior circumflex humeral arteries ## 26. This carpal bone is the largest bone in the carpus * (1 Point) - Trapezoid - Capitate - Lunate - Hamate ## 27. Which of the following is a branch of the 2nd part of the Axillary artery? * (1 Point) - Humeral Artery - Superior Thoracic Artery - Suprascapular artery - Lateral Thoracic artery ## 28. A branch of the Brachial artery which supplies the medial aspect of the forearm * (1 Point) - Radial Artery - Ulnar artery - Deep Palmar arch ## 29. Which of the following is true of the scapula * (1 Point) - all of the above - it has a convex costal surface - it has a concave costal surface - triangular flat bone lies at the anterior aspect of the thorax ## 30. Which nerve is affected if there is paresthesia in the lateral 3 1/2 fingers? * (1 Point) - Anterior Interosseous nerve - Median Nerve - Ulnar Nerve - Radial Nerve ## 31. Muscles of the anterior forearm are held in place by the? * (1 Point) - Flexor retinaculum - Thoracolumbar fascia - Tensor fascia lata - Extensor Retinaculum ## 32. A moon shaped bone that articulates with the radius * (1 Point) - Pisiform - Lunate - Triquetrum - Scaphoid ## 33. Which of the following is true about the shoulder joint? * (1 Point) - it is a ball and socket type of joint - it connects the scapula to the ribs - it is also calle scapulothoracic joint - it is rigid and not mobile ## 34. Which of the following is considered main muscle for shoulder adduction? * (1 Point) - deltoid - supraspinatus - Pectoralis minor - pectoralis major ## 35. All of the following are Supraclavicular part of the Brachial plexus EXCEPT * (1 Point) - nerve to the subclavius - dorsal scapular nerve - suprascapular nerve - long thoracic nerve - thoracodorsal nerve ## 36. This is a wedge shaped bone on the medial side of the hand that articulates with capitate and has a dinstinctive hooked process * (1 Point) - Hamate - Trapezoid - Capitate - Lunate ## 37. This bone connects the upper limb to the trunk * - none of the above - clavicle - scapula - humerus ## 38. WHich are the test/s used to evaluate carpal tunnel syndrome? * (1 Point) - Phalen's Test - Tinnel's test - All of the above - None of the above ## 39. the main flexor of the arm: * (1 Point) - brachialis - biceps brachii - triceps - deltoid ## 40. Brachial plexus is * (1 Point) - formed by the union of the anterior rami of the C6–T1 nerves - formed by the union of the posterior rami of the C5-T1 nerves - formed by the union of the anterior rami of the C5-T1 nerves - formed by the union of the anterior rami of the C6-T1 nerves ## 41. Thoracodorsal artery is a branch of * (1 Point) - a branch from the 3rd part of the axillary artery - a branch from the 1st part of the axillary artery - a branch from the 2nd part of the axillary artery - a branch of the subclavian artery ## 42. Which of the following provides direct attachment of the pctoral girdle to the trunk? * (1 Point) - trapezius - levator scapula - latissimus dorsi - rhomboids ## 43. An incomplete fracture with cortical disruption and periosteal tearing on the convex side resulting to bowing of the long bone * (1 Point) - Transverse fracture - Comminuted fracture - Greenstick fracture - Spiral fracture ## 44. Which of the following is considered main muscle for shoulder adduction? * (1 Point) - supraspinatus - pectoralis minor - deltoid - pectoralis major ## 45. TRUE or FALSE: Skeleton of the wrist is composed of eight bones * (1 Point) - Maybe - True - False ## 46. A boat shaped bone that articulates proximally with the radius and has a prominent tubercle * (1 Point) - Lunate - Scaphoid - Triquetrum - Pisiform ## 47. Ruptured biceps tendon on its attachment to the radius may present as EXCEPT * (1 Point) - Injury involves weakness in both elbow flexion and rotation - Resistance of injury is by Elbow flexion