MCQS OF UPPER LIMB

Discussion in 'MRCS Forum' started by MOHD, Jul 31, 2004.

  1. MOHD

    MOHD Guest

    HI ALL,

    THESE ARE SOME MCQS OF UPPER LIMB FOR THOSE WHO HAVE COMPLETED UPPER LIMB


    ALSO IF YOU FIND THAT WHAT YOU STUDIED WAS NOT ENOUGH OR YOU COULD NOT ANSWER THESE QUESTIONS.....DO NOT WORRY JUST SOLVE THESE AND KNOW THAT THESE ARE THE IMPORTANT POINTS YOU SHOULD PAY PARTICULAR ATTENTION TO.....

    Q1. AT THE SHOULDER

    A.THE SUBSCAPULARIS BURSA COMMUNICATES WITH THE SHOULDER JOINT CAVITY....TRUE

    B.THE SUBACROMIAL BURSA IS SUPERIOR TO THE SUPRASPINATUS TENDON....TRUE

    C.SECTION OF LONG THORACIC NERVE WOULD PREVENT PLACING THE HAND ON THE HEAD ....TRUE

    D.DAMAGE TO THE UPPER TRUNK OF BRACHIAL PLEXUS WOULD IMPAIR ABDUCTION....TRUE

    E.SECTION OF NERVE RELATED TO SURGICAL NECK OF HUMERUS WOULD PARALYSE TERES MINOR MUSCLE...TRUE....


    Q2. IN THE FOREARM AND HAND

    A.IN THE CUBITAL FOSSA THE MEDIAN NERVE IS MEDIAL TO BRACHIAL ARTERY...TRUE

    B.THE SCAPHOID AND LUNATE ARTICULATE WITH THE RADIUS...TRUE

    C.THE DORSAL CUTANEOUS BRANCH OF ULNAR NERVE IS GIVEN OFF IN FOREARM....TRUE

    D.WASTING OF THENAR MSCS. MAY OCCUR IN CARPAL TUNNEL SYNDROME...TRUE

    E.THE COMMON FLEXOR SYNOVIAL SHEATH(ULNAR BURSA) NORMALLY EXTENDS INTO INDEX FINGER...FALSE

    Q3. IN THE UPPER LIMB

    A.SECTION OF RADIAL NERVE IN RADIAL GROOVE IS LIKELY TO LEAD TO MARKED WEAKNESS OF EXTENSION OF ELBOW JOINT....FALSE

    B.PROXIMAL HUMERAL EPIPHYSES FUSES AT 12 YEARS...FALSE(ANSWER IS 20 YEARS)

    C.PROXIMAL RADIOULNAR JOINT DOES NOT COMMUNICATE WITH ELBOW JOINT...FALSE

    D.LOWER TRUNK LESIONS OF BRACHIAL PLEXUS WILL AFFECT ABDUCTION OF FINGERS...TRUE

    E.ULNAR ARTERY IS THE MAIN SUPPLY OF FOREARM...TRUE


    Q4.SHOULDER ABDUCTION FROM 0 TO 180 DEGREES DEPENDS UPON INTEGRITY OF THE

    A.DELTOID MUSCLE....TRUE

    B.SPINAL ACCESSORY...11TH CRANIAL NERVE...TRUE

    C.THORACO DORSAL NERVE...FALSE

    D.INFRASPINATUS MUSCLE...FALSE

    E.UPPER TRUNK OF BRACHIAL PLEXUS....TRUE

    Q5.FRACTURE OF FOLLOWING PARTS OF HUMERUS MAY RESULT IN STATED CONDITIONS...

    A.SURGICAL NECK....WEAKNESS OF TRICEPS...FALSE

    B.SURGICAL NECK.....DAMAGE TO POSTERIOR CIRCUMFLEX HUMERAL ARTERY...TRUE

    C.MID SHAFT...WEAKNESS OF HYPOTHENAR MUSCLES....FALSE

    D.MID SHAFT...WRIST DROP...TRUE

    E.MEDIAL EPICONDYLE....SENSORY LOSS OVER FOREARM FLEXOR MUSCLES....FALSE

    Q6.CONCERNING WRIST AND HAND

    A.INABILITY TO FLEX THE DISTAL INTERPHALANGEAL JOINT WOULD RESULT FROM RUPTURE OF TENDON OF FDP...TRUE

    B.LYMPH FROM THUMB DRAINS TO EPITROCHLEAR NODES...FALSE

    C.THE CAPITATE MAY HAVE BEGUN TO OSSIFY AT BIRTH...TRUE

    D.TENDERNESS IN ANATOMICAL SNUFF BOX WOULD SIGIFY A FRACTURED LUNATE...FALSE

    E.WASTING OF BOTH THENAR AND HYPOTHENAR EMINENCES WOULD SIGNIFY A MEDIAN NERVE LESION...FALSE

    Q7.CONCERNING FEMALE BREAST

    A.IT IS FIRMLY ATTACHED TO PECT. MAJOR MSC......FALSE

    B.THERE IS A SUBAREOLAR LYMPH PLEXUS...TRUE

    C.AXILLARY LYMPH NODES RECEIVE MORE THAN HALF THE LYMPH FROM BREAST...TRUE

    D. LYPH FROM LATERAL PART OF BREAST MAY DRAIN TO PARA STERNAL NODES....TRUE

    E.90 PERCENT LYMPH MAY PASS TO POST.IC NODES....TRUE

    Q8.IN THE ARM
    A.THE PROFUNDA BRACHII ARTERY IS CLOSELY RELATED TO SURGICAL NECK OF HUMERUS....FALSE

    B.ABDUCTION OF SHOULDER WOULD BE LOST IN T1 ROOT LESIONS...FALSE

    C.MIDSHAFT HUMERAL FRACTURES MAY DAMAGE THE RADIAL NERVE....TRUE

    D.BICEPS BRACHII SUPINATES AND FLEXES...TRUE

    E.THE BRACHIAL ARTERY MAY BE PALPATED JUST MEDIAL TO BICEPS MUSCLE...TRUE

    Q9.IN THE FOREARM AND AT WRIST
    A.THE SUPERIOR RADIOULNAR JOINT COMMUNICATES WITH THE ELBOW JOINT...TRUE

    B.MEDIAN NERVE SUPPLIES MOST OF SUPERFICIAL FOREARM FLEXOR MUSCLE...TRUE

    C.IN CUBITAL FOSSA MEDIAN NERVE IS MEDIAL TO BRACHIAL ARTERY....TRUE

    D.AT WRIST ULNAR NERVE IS MEDIAL TO ULNAR ARTERY....TRUE

    E.SCAPHOID AND LUNATE ARTICUALTE WITH RADIUS...TRUE

    Q10.CONCERNING THUMB AND THENAR EMINENCE

    A.DORSAL CUTANEOUS BR. OF ULNAR NERVE IS GIVEN OFF IN FOREARM...TRUE

    B.WASTING OF THENAR MSCS. MAY OCCUR AS A RESULT OF CARPAL TUNNEL SYNDROME...TRUE

    C.1ST METACARPAL ARTICULATES WITH TRAPEZOID...FALSE

    D.SCAPHOID MAY BE PALPATED IN ANATOMICAL SNUFFBOX..TRUE

    E.SYNOVIAL SHEATH OF FPL COMMUNICATES WITH RADIAL BURSA...TRUE

    Q11.IN AXILLA

    A.PECTORAL L/N DRAIN CHIEFLY THE UPPER LIMB...FALSE

    B.POST. CORD OF BRACHIAL PEXUS LIES POST TO 1ST PART OF AXILAARY ARTERY...FALSE

    C.TENDON OF LATISSIMUS DORSI LIES ANTERIOR TO TERES MAJOR TENDON...TRUE

    D.LONG THORACIC NERVE CAN BE DAMAGED IN MASTECTOMY..TRUE

    E.DAMAGE TO INTERCOSTOBRACHIAL NERVE CAUSES SENSORY LOSS OVER MEDIAL PART OF ARM...TRUE


    Q12.CONCERNING SURFACE ANATOMY

    A.AT THE ELBOW MEDIAN NERVE LIES TO ULNAR SIDE OF BICEPS TENDON...TRUE


    Q13.CONCERNING NERVES OF UPPER LIMB

    A.TRACTION INJURY OF T1 RESULT IN WRIST DROP...FALSE

    B.MUSCULOCUTANEOUS NERVE IS SENSORY TO FOREARM ..TRUE

    C.ULNAR NERVE IS SENSORY TO FOREARM...FALSE

    D.IN CTS SENSATION IS PRESERVED OVER HYPOTHENAR EMINENCE...TRUE

    E.RADIAL NVE. SUPPLIES MSCS IN HAND...FALSE

    Q14.SCAPHOID

    A.MAY BE PALPATED IN ANATOMICAL SNUFF BOX...TRUE

    B.HAS A NARROW WAIST WHICH MAY FRACTURE...TRUE

    C.ARTICUALTE WITH TRAPEZIUM AND RADIUS...TRUE

    D.HAS A TUBERCLE TO WHICH IS ATTACHED THE EXTENSOR RETINACULUM..FALSE

    E.ARTICULATE WITH TRIQUETRAL BONE...FALSE

    Q15.AT THE SHOULDER JOINT

    A.SECTION OF NERVE RELATED TO SURGICAL NECK OF HUMERUS WOULD PARALYZE TERES MINOR MSC.....TRUE

    B.SUBACROMIAL BURSA COMMUNICATE WITH THE SHOULDER JOINT CAVITY...FALSE

    C.TRICEPS TENDON IS INTRACAPSULAR...FALSE

    D.POST DISLOCATION OF SHOULDER JOINT IS COMMONEST AMONG DISLOCATION OF SHOULDER JOINT...FALSE

    E.CAPSULE IS POORLY SUPPORTED INFERIORLY...TRUE

    Q16.IN HAND

    A.OPPOSITION OF THUMB TEST OPPONENS POLLICIS...TRUE

    B.ULNAR BURSA COMMUNICATE WITH WRIST JOINT...FALSE

    C.DIGITAL NERVES LIE ON MEDIAN PLANE OF FINGERS...FALSE

    D.FRACTURE OF LUNATE BONE MAY COMPRESS MEDIAN NERVE....TRUE

    E.PALMAR APONEUROSIS ATTACHED TO SKIN...TRUE



    Q17.IN AXILLA

    A.T2 SUPPLIES SENSATION TO SKIN OF LATERAL WALL...TRUE

    B.AXILLARY ARTERY LIES ANTERIOR TO PECT. MINOR...FALSE

    C.A RICH ANASTOMOSIS PERMIT THE 2 ND PART OF AXILLARY ARTERY TO BE LIGATED...TRUE

    D.SECTION OF LONG THORACIC NERVE WILL AFFECT ADDUCTION...FALSE

    E.LYMPH NODES MAY BE ENLARGED DUE TO AN ABSCESS IN EPIGASTRIC REGION OF ABDOMINAL WALL...TRUE

    F. C3 IS ADJACENT TO T3...TRUE

    G.C5 IS ADJACENT TO T1...TRUE

    H.C4 IS ADJACENT TO T2...TRUE



    Q18.FOLLOWING ARE ASSOCIATED

    A.ULNAR NERVE DAMAGE///FLEXION OF DISTAL IP JOINT...TRUE

    B.MEDIAN NERVE DAMAGE///PARALYSIS OF ADDUCTOR POLLICIS...FALSE

    C.MEDIAN NERVE PALSY////WEAKNESS IN ADDUCTORS OF FINGERS....FALSE

    D.SUPRACONDYLAR FRACTURE OF HUMERUS ////DISAPPEARANCE OF RADIAL PULSE....TRUE



    Q19.
    A.MEDIAN NERVE IS ON RADIAL SIDE OF FLEXOR CARPI RADIALIS AT WRIST....FALSE

    B. INJURY OF LONG THORACIC NERVE AFFECT ABDUCTION...TRUE

    C.MEDIAN NERVE IS ON ULNAR SIDE OF BICEPS TENDON...TRUE


    Q20.IN FOREARM AND HAND

    A.DEEP ULNAR NERVE SUPPLY ALL LUMBRICALS....FALSE

    B.T1 TRACTION CAUSES WRIST DROP...FALSE

    C.CUT OF T1 CAUSES LOOS OF SENSATION ON HYPOTHENAR EMINENCE...FALSE

    D.ULNA ARTICULATES WITH TRIQUETRAL BONE.....FALSE

    E.FDS FLEX DISTAL IP JOINT..FALSE

    F. BREAST DRAIN TO APICAL L/N....TRUE


    Q21.LESION OF T1 LEADS TO

    A.NUMBNESS OF HAND...FALSE

    B.ERB DUCHENNE PALSY...FALSE

    C.WRIST DROP...FALSE

    D.LOSS OF FLEXION OF IP JOINT..FALSE



    Q22.AT SHOULDER JOINT

    A.SUBSCAPULARIS BURSA LIES DEEP TO CORACOACROMIAL LIGAMENT...FALSE

    B.LONG HEAD OF BICEPS ARISE FROM SUPRGLENOID TUBERCLE...TRUE

    C.BICEPS MSC IS INTRACAPSULAR AND EXTRA SYNOVIAL...TUE

    D.CEPHALIC VEIN PASSES THRU DELTOPECTORAL GROOVE...TRUE

    E.AXILLARY NERVE PASSES WITH POST CIRCUMFLEX HUMERAL ARTERY IN SURGICAL NECK...TRUE


    Q23.REGARDING SHOULDER JOINT

    A.ROTATOR CUFF MSCS ARE ATTACHED TO CAPSULE WHICH IS DEFICIENT INFERIORLY...TRUE

    B.SUPRASPINATUS IS ACTIVE IN ABDUCTION...TRUE

    C.SUBACROMIAL BURSA COMMUNICATES TO SHOULDER JOINT....FALSE

    D.NERVE TO SERRATUS ANTERIOR ROOT OF BRACHIAL PEXUS...TRUE

    E.SUBSCAPULAR NERVE ARISES FROM POST CORD...TRUE


    Q24.REGARDING U.L.

    A.MEDIAL PART OF FOREARM IS SUPPLIED BY T1...TRUE

    B.ALL MSCS OF HAND SUPPLIED BY T1...TRUE

    C.HYPOTHENAR MSCS R SUPPLIED BY ULNAR NERVE...TRUE

    D.SUP. PALMAR ARCH LIES LATERAL TO HOOK OF HAMATE...TRUE

    E.TRAPEZIUM ARTICULATES WITH 1ST METACARPAL...TRUE

    Q25.IN AXILLA

    A.THE SUBSCAPULAR ARTERY IS A BR OF 3 RD PART OF AXILLARY ARTERY...TRUE

    Q26.A.THE RADIAL NERVE

    A.SUPPLIES SENSATION TO MEDIAL SIDE OF DORSUM OF HAND...FALSE

    B.ARISES FROM UPPER AND MIDDLE TRUNKS OF BRACHIAL PLEXUS...FALSE

    C.MAY BE DAMAGED BY FRACTURES OF MIDSHAFT OF HUMERUS...TRUE

    D.SUPPLIES EXTENSOR MSCS...TRUE

    E.GIVES A BR IMMEDIATELY RELATED TO NECK OF RADIUS...TRUE

    Q27.IN SCAPHOID
    A.HAS AN ARTERIAL SUPPLY WHICH ENTERS BONE DISTALLY...TRUE

    Q28.IN HAND

    A.DEEP BR OF ULNAR NERVE SUPPLIES ALL LUMBRICALS...FALSE

    B.RADIAL AND ULNAR BURSA RARELY COMMUNICATE...FALSE

    C.OPPOSITION OF THUMB TESTS ULNAR NERVE...FALSE

    D.DIGITAL NERVE SLIE ON DORSUM OF FINGERS...FALSE

    E.ANT DISLOCATION OF LUNATE MAY COMPRESS EMDIAN NERVE...TRUE

    Q29.CONCERNING SURFACE ANATOMY

    A.AT WRIST MEDIAN NEVRE LIES TO ULNAR SIDE OF FCR...TRUE

    B.AT ELBOW MEDIAN NERVE LIES TO ULNAR SIDE OF BICEPS TENDON...TRUE
  2. Guest

    Guest Guest

    Thanks
  3. Guest

    Guest Guest

    Traction injury and wrist drop

    Traction injury to the upper limb is a potential cause of wrist drop.
  4. Guest

    Guest Guest

    THANKES

    thankes for that Q
  5. gayathri

    gayathri Guest

    doubt

    in the third question
    the injury of the radial n in the radial groove affects the extension is true .?because radial nerve supplies the triceps which causes the extension at the elbow joint .
    am i right
    if wrong please correct me
  6. Guest

    Guest Guest

    no injury of radial nerve in radial groove will not effect extension coz it gives branches to the heads of triceps muscle in the axilla therefore the only effect will be on the extensors of forearm causing wrist drop also known as saturday night palsy
  7. Guest

    Guest Guest

    nice one
    i hope to post other MCQS in anatomy term

    thnx
  8. Guest

    Guest Guest

    thank you sooooooooooooooooo much

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