Gross Anatomy #8 Arm (Brachium) & Cubital Fossa 1) In a cross section of the arm, what nerve would be found

d in the space between the brachialis muscle and the long head of the biceps brachii muscle? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 2) The tendon of what muscle runs through the bicipital groove of the humeral head? a) Lateral head of triceps brachii b) Medial head of triceps brachii c) Long head of triceps brachii d) Short head of biceps brachii e) Long head of biceps brachii 3) Which of the following describes the anastomoses of the ulnar recurrent arteries? a) Anterior anastomosis with posterior, Superior anastomosis with inferior b) Anterior anastomosis with superior, Inferior anastomosis with posterior c) Anterior anastomosis with inferior, Superior anastomosis with posterior 4) Which of the following veins runs on the lateral aspect of the arm? a) Cephalic vein b) Basilic vein c) Median cubital vein d) Axillary vein e) External jugular vein 5) A patient presents with a midshaft humerus fracture. What nerve is the most likely to be damaged? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 6) Which of the following is in the correct order from lateral to medial within the cubital fossa? (Brachial artery, median nerve, biceps tendon) a) Tendon, artery, nerve b) Artery, nerve, tendon c) Nerve, tendon, artery d) Nerve, artery, tendon e) Artery, tendon, nerve 7) The biceps tendon reflex mainly tests what nerve root? a) C8 b) C7 c) C6 d) C5 e) C4 Gross Anatomy Part 1 Quiz

Version: 13Jul2008 Page 24 of 45 8) The brachioradialis reflex mainly tests what nerve root? a) C8 b) C7 c) C6 d) C5 e) C4 9) The triceps reflex mainly tests what nerve root? a) C8 b) C7 c) C6 d) C5 e) C4 10) Wrist flexion mainly involves what nerve root? a) C5 b) C6 c) C7 d) C8 e) T1 11) Finger flexion mainly involves what nerve root? a) C5 b) C6 c) C7 d) C8 e) T1 Gross Anatomy #9 Forearm (Antebrachium) 1) A patient presents with a minor crush injury to the forearm. They are complaining of pain out of proportion to the injury. A S.T.I.C. catheter is inserted into the forearm and high pressure is found within the affected fascial compartment. Which of the following structures is the first to lose function in compartment syndrome? a) Nerves b) Veins c) Arteries d) Bones e) Kidneys 2) What muscle makes up the floor of the cubital fossa and is the primary flexor of the forearm? a) Palmaris longus b) Pronator teres c) Biceps brachii d) Brachioradialis e) Brachialis 3) What muscle is the primary supinator of the forearm? a) Palmaris longus b) Pronator teres c) Biceps brachii

d) Brachioradialis e) Brachialis Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 25 of 45 4) A patient presents with damage to tendons of his right forearm. The clinician asks the patient to touch their left thumb and left pinky together and slightly flex their wrist. The maneuver enhances visualization of which of the following, whose function is minor and can be used to replace the damaged tendons of the other forearm? a) Flexor digitorum superficialis b) Flexor carpi ulnaris c) Flexor carpi radialis d) Pronator teres e) Palmaris longus 5) Injury to the median nerve would affect which of the following muscles? a) Biceps brachii b) Flexor carpi ulnaris c) Supinator d) Pronator quadratus e) Brachioradialis 6) A patient is asked to flex their wrists and put the tops (posterior aspect) of their hands together for 90 seconds. After a positive test, surgery is scheduled to make a transverse incision through the flexor retinaculum. This will relieve pressure on what nerve passing through this structure? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 7) Which of the following extends the pinky finger only? a) Extensor carpi radialis longus b) Extensor carpi radialis brevis c) Extensor digitorum d) Extensor digiti minimi e) Extensor carpi ulnaris 8) Which of the following is found at the elbow and works to extend the elbow? a) Abductor pollicis longus b) Extensor pollicis brevis c) Extensor pollicis longus d) Extensor indicis e) Supinator f) Anconeus 9) A patient presents after falling off a skateboard onto an outstretched hand. The clinician presses into the anatomic snuff box near the thumb and pain is felt. An MRI is scheduled of the scaphoid bone and measures are made to prevent avascular necrosis. What tendon lies in the middle of the area that was palpated?

a) Abductor pollicis longus b) Extensor pollicis brevis c) Extensor pollicis longus d) Extensor indicis e) Extensor carpi radialis Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 26 of 45 10) Prior to performing a puncture for an arterial blood gas sample, the clinician performs an Allen test to ensure patency to the superficial palmar arch of the hand. What two arteries contribute to this arch? a) Anterior interosseous and deep radial b) Superficial radial and Superficial ulnar c) Deep ulnar and anterior interosseous d) Anterior and posterior interosseous e) Radial recurrent and superficial ulnar 11) Which of the following best describes the distribution of a common palmar digital (superficial) artery? a) Lateral aspect of middle finger and lateral aspect of ring finger b) Medial aspect of middle finger and medial aspect of ring finger c) Lateral aspect of middle finger and medial aspect of ring finger d) Medial aspect of middle finger and lateral aspect of ring finger e) Lateral and medial aspect of middle finger 12) What nerve runs between the two heads of the pronator teres muscle? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 13) What nerve runs deep, piercing the supinator muscle? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 14) The ulnar nerve runs between the two heads of what muscle? a) Extensor carpi radialis longus b) Extensor carpi radialis brevis c) Extensor digitorum d) Extensor digiti minimi e) Extensor carpi ulnaris Gross Anatomy #10 & 11 Hand 1) Which of the following attaches to the distal phalanx? a) Flexor digitorum superficialis b) Flexor digitorum profundus

c) Flexor retinaculum d) Fibrous flexor sheath e) Interossei muscles 2) Which of the following finger infections involves the pulp space of the finger tip pad? a) Paronychia b) Felon Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 27 of 45 c) Herpetic whitlow d) Cellulitis e) Flexor tendosynovitis 3) A 40-year-old male presents with lost function of the left ring finger. History reveals presence of a tender bump on the palm which has progressed and now pulls the ring finger into flexion. Which of the following is the most likely? a) Erb-Duchenne Palsy b) Dejerine-Klumpke Palsy c) Parsonage-Turner Syndrome d) Hand of Benediction e) Thoracic Outlet Syndrome f) Volkmann Contracture g) Dupuytren Contracture 4) Which of the following is NOT a muscle of the thenar eminence? a) Lumbrical b) Opponens pollicis c) Abductor pollicis brevis d) Flexor pollicis brevis e) Adductor pollicis 5) The dorsal and palmar interossei move fingers away from midline, centered around what digit? a) Digit 1 b) Digit 2 c) Digit 3 d) Digit 4 e) Digit 5 6) Most of the fingers are supplied by what artery? a) Radial artery of the superficial palmar arch b) Ulnar artery of the superficial palmar arch c) Radial artery of the deep palmar arch d) Ulnar artery of the deep palmar arch 7) The palmar branch of the median nerve travels through the carpal tunnel. a) True b) False

8) What nerve provides sensation over the region of the anatomic snuff box? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 9) A bicyclist presents with deficits of the hand. The clinician suspects Guyon canal syndrome. What nerve passes through the tunnel of Guyon? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 28 of 45 e) Ulnar nerve 10) A patient presents with a claw-like appearance of the hand. When asked to hold a piece of paper between their finger and thumb, they flex their thumb at the interphalangeal joint (Froment sign). Which of the following nerves is likely damaged? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 11) A patient presents with deficits of the hand. When asked to hold their arm out parallel to the ground, they are unable to move their fingers to the ceiling (wrist-drop). What nerve is likely damaged? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 12) A patient presents with deficits of the hand. When asked to make a fist, they are only able to fully flex digits 4 and 5 (Hand of Benediction). Which of the following nerves is most likely damaged? a) Proximal radial nerve b) Distal radial nerve c) Proximal median nerve d) Distal median nerve e) Proximal ulnar nerve

f) Distal ulnar nerve 13) A patient presents with inability to extend their fingers. The patient states they were throwing an opponent during a Judo competition and the opponent did not let go, thus pulling hard on the patients outstretched arm. Examination reveals loss of sensation along the medial aspect of the arm and an inability to span the fingers. Which of the following is most likely? a) Erb-Duchenne Palsy b) Dejerine-Klumpke Palsy c) Parsonage-Turner Syndrome d) Hand of Benediction e) Thoracic Outlet Syndrome f) Volkmann Contracture g) Dupuytren Contracture Gross Anatomy #12 Articulations (Upper Limb) 1) When falling onto an outstretched arm, which of the following is the most likely? a) Sternoclavicular joint dislocation b) Humerus fracture c) Clavicle fracture d) Posterior shoulder dislocation e) Acromion fracture Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 29 of 45 2) Which of the following joints is the weakest? a) Sternoclavicular (SC) b) Acromioclavicular (AC) c) Coracoclavicular (CC) 3) In addition to the coracohumeral ligament, there is/are ____ glenohumeral ligament(s), acting to strengthen the joint capsule. a) 1 b) 2 c) 3 d) 4 e) 5 4) Which of the following rotator cuff muscles attaches to the inferior tubercle of the humerus? a) Supraspinatus b) Infraspinatus c) Teres minor d) Subscapularis

5) A patient presents with fractured bone. History reveals the patient was defending them self from an attack with a metal pipe. Which of the following bones is the most likely to be involved? a) Proximal phalanx of first digit b) Humerus c) Radius d) Ulna e) Scaphoid 6) A preschool-aged girl presents with history of being swung around by the arms by a by their father to mimic Superman. Examination reveals difficulty with pronation and supination movement. The arm is flexed and pronated and the child refuses to use the limb. Which ligament near the cubital fossa is most likely involved? a) Radial collateral ligament b) Ulnar collateral ligament c) Anular ligament of radius 7) Which of the following carpal bones is closest to the thumb? a) Scaphoid b) Trapezoid c) Pisiform d) Lunate e) Trapezium 8) Which of the following best describes the 1st carpometacarpal joint (thumb)? a) Synovial saddle b) Synovial condyloid c) Synovial hinge d) Synovial plane e) Synovial ellipsoid 9) Which of the following best describes the metacarpophalangeal (MCP) joints? a) Synovial saddle Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 30 of 45 b) Synovial condyloid c) Synovial hinge d) Synovial plane e) Synovial ellipsoid Gross Anatomy #13 Correlations (Upper Limb) 1) What nerve root is associated with the ability to hold a dollar bill between your fingers without it slipping out? a) C5 b) C6 c) C7

d) C8 e) T1 2) Which of the following muscle grades is described as motion against the force of gravity? a) Grade 0 b) Grade 1 c) Grade 2 d) Grade 3 e) Grade 4 f) Grade 5 3) A patient presents with neurologic deficits. They have difficulty pushing outward with their arm (abduction) and flexing their elbow. Their bicep reflex is diminished and they have some lost sensation on the lateral aspect of the upper arm. Which of the following discs would account for these findings if it were herniated? a) C2-C3 b) C3-C4 c) C4-C5 d) C5-C6 e) C6-C7 4) A young child presents with motor deficits of the right arm. The arm appears to be in a Waiters Tip or Secret Smoker position with arm extended, internally rotated, and wrist flexed. Which of the following likely occurred during birth? a) Radial nerve lesion b) Ulnar nerve lesion c) Median nerve lesion d) Upper brachial plexus lesion e) Lower brachial plexus lesion 5) Which of the following types of fractures occurs from falling on an outstretched hand and gives a dinner fork appearance? a) Scaphoid b) Lunate c) Colles d) Greenstick e) Radial head Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 31 of 45 6) A patient presents with radial deviation, minor clawing of the hand, and loss of sensation over the 5th digit. Which of the following nerves is most likely injured? a) Proximal radial nerve

b) Distal radial nerve c) Proximal median nerve d) Distal median nerve e) Proximal ulnar nerve f) Distal ulnar nerve 7) A volleyball player presents after trying to block a spike and jamming their finger (as shown). The clinician believes the extensor digitorum tendon was hyperextended. Which of the following is most likely? a) Trigger finger b) Mallet finger c) Swan-neck finger d) Boutonnire finger