Upper Limb

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brenda4pa
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56698
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Upper Limb
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2010-12-21 22:00:04
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Gross Anatomy
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  1. A 21 year old patient has a lesion of the upper trunk of the brachial plexus (Erb-Duchenne paralysis). Which of the following is the most likely diagnosis?

    A. Paralysis of the rhomboid major
    B. Inability to elevate the arm above the horizontal
    C. Arm tending to lie medial rotation
    D. Loss of sensation on the medial side of the arm
    E. Inability to adduct the thumb
    C. Arm tending to lie medial rotation
  2. A patient comes in with a gunshot wound and requires surgery in which his thoracoacromial trunk needs to be ligated. Which of the following arterial branches would maintain normal blood flow?

    A. Acromial
    B. Pectoral
    C. Clavicular
    D. Deltoid
    E. Super thoracic
    E. Super thoracic
  3. A 29 year old man comes in with a stab wound, cannot raise his arm above horizontal, and exhibits a condition known as "winged scapula". Which of the following structures of the brachial plexus would most likely be damaged?

    A. Medial cord
    B. Posterior cord
    C. Lower trunk
    D. Roots
    E. Upper trunk
    D. Roots
  4. A 16 year old patient has weakness flexing the metacarpophalangeal joint of the ring finger and is unable to adduct the same finger. Which of the following muscles is most likely paralyzed?

    A. Flexor digitorum profundus
    B. Extensor digitorum
    C. Lumbrical
    D. Dorsal Interosseous
    E. Palmar Interosseous
    E. Palmar Interosseous
  5. A 27 year old patient presents with an inability to draw the scapula forward and downward because of paralysis of the pectoralis minor. Which of the following would most likely be a cause of his condition?

    A. Fracture of the clavicle
    B. Injury to the posterior cord of the brachial plexus
    C. Fracture of the coracoid process
    D. Axillary nerve injury
    E. Defects in the posterior wall of the axilla
    C. Fracture of the coracoid process
  6. A 22 year old patient received a stab wound in the chest that injured the intercostobrachial nerve. Which of the following conditions results from the described lesion the nerve?

    A. Inability to move the ribs
    B. Loss of tactile sensation on the lateral aspect of the arm
    C. Absence of sweating on the posterior aspect of the arm
    D. Loss of sensory fibers from the second intercostal nerve
    E. Damage to the sympathetic preganglionic fibers
    D. Loss of sensory fibers from the second intercostal nerve
  7. A 16 year old boy fell from a motorcycle, and his radial nerve was severly damaged because of a fracture of the midshaft of the humerus. Which of the following conditions would most likely result from this accident?

    A. Loss of wrist extension leading to wrist drop
    B. Weakness in pronating the forearm
    C. Sensory loss over the ventral aspect of the base of the thumb
    D. Inability to oppose the thumb
    E. Inability to abduct the fingers
    A. Loss of wrist extension leading to wrist drop
  8. A patient comes in complaining that she cannot flex her proximal interphalangeal joints. Which of the following muscles appear(s) to be paralyzed on further examination of her finger?

    A. Palmar interossei
    B. Dorsal interossei
    C. Flexor digitorum profundus
    D. Flexor digitorum superficialis
    E. Lumbricals
    C. Flexor digitorum profundus
  9. A 21 year old woman walks in with a shoulder and arm injury after falling during horseback riding. Examination indicates that she cannot adduct her arm because of paralysis of which of the following muscles?

    A. Teres minor
    B. Suprasinatus
    C. Latissimus dorsi
    D. Infraspinatus
    E. Serratus anterior
    C. Latissimus dorsi
  10. A 35 year old man walks in with a stab would to the most medial side of the proximal portion of the cubital fossa. Which of the following structures would most likely be damaged?

    A. Biceps brachii tendon
    B. Radial nerve
    C. Brachial artery
    D. Radial recurrent artery
    E. Mediam nerve
    E. Median nerve
  11. The police bring in a murder suspect who has been in a gunfight with a police officer. The suspect was struck by a bullet in the arm; his median nerve has been damaged. Which of the following symptoms is likely produced by this nerve damage?

    A. Waiter's tip hand
    B. Claw hand
    C. Wrist drop
    D. Ape hand
    E. Flattening of the hypothenar eminence
    D. Ape hand
  12. An automobile body shop worder has his middle finger crushed while working on a transmission. Which of the following muscles is most likely to retain function?

    A. Extensor digitorum
    B. Flexor digitorum profundus
    C. Palmar interosseous
    D. Dorsal interosseous
    E. Lumbrical
    C. Palmar interosseous
  13. A 14 year old boy falls on his outstretched hand and has a fracture of the scaphoid bone. The fracture is most likely accompanied by a rupture of which of the following arteries?

    A. Brachial artery
    B. Ulnar artery
    C. Deep palmar arterial arch
    D. Radial artery
    E. Princeps pollicis artery
    D. Radial artery
  14. A 12 year old boy walks in; he fell out of a tree and fractured the upper portion of his humerus. Which of the following nerves are intimately related to the humerus and are most likely to be injured by such a fracture?

    A. Axillary and musculocutaneous
    B. Radial and ulnar
    C. Radial and axillary
    D. Median and musculocutaneous
    E. Median and ulnar
    C. Radial and axillary
  15. A man injures his wrist on broken glass. Which of the following structures entering the palm superficial to the flexor retinaculum may be damaged?

    A. Ulnar nerve and median nerve
    B. Median nerve and flexor digitorum profundus
    C. Median nerve and flexor pollicis longus
    D. Ulnar artery and ulnar nerve
    E. Ulnar nerve and flexor digitorum superficialis
    D. Ulnar artery and ulnar nerve
  16. A patient with Bennett's fracture (a fracture of the base of the first metacarpal bone) experiences an impaired thumb movement. Which of the following intrinsic muscles of the thumb is most likely injured?

    A. Abductor pollicis brevis
    B. Flexor pollicis brevis (superficial head)
    C. Opponens pollicis
    D. Adductor pollicis
    E. Flexor pollicis brevis (deep head)
    C. Opponens pollicis
  17. A 27 year old pianist with a known carpar tunnel syndrome experiences difficulty in finger movements. Which of the following intrinsic muscles of her hand is paralyzed?

    A. Palmar interossei and adductor pollicis
    B. Dorsal interossei and lateral two lumbricals
    C. Lateral two lumbricals and opponens pollicis
    D. Abductor pollicis brevis and palmar interossei
    E. Medial two and lateral two lumbricals
    C. Lateral two lumbricals and opponens pollicis
  18. A 31 year old roofer walks in with tenosynovitis resulting from a deep penetrated wound in the palm by a big nail. Examination indicates that he has an infection in the ulnar bursa. This infection most likely resulted in necrosis of which of the following tendons?

    A. Tendon of the flexor carpi ulnaris
    B. Tendon of the flexor pollicis longus
    C. Tendon of the flexor digitorum profundus
    D. Tendon fo the flexor carpi radialis
    E. Tendon of the palmaris longus
    C. Tendon of the flexor digitorum profundus
  19. An 18 year old boy involved in an automobile accident presents with arm that cannot abduct. His paralysis is caused by damage to which of the following nerves?

    A. Suprascapular and axillary
    B. Thoracodorsal and upper subscapula C. Axillary and musculocutaneous
    D. Radial and lower subscapular
    E. Suprascapular and dorsal scapular
    C. Axillary and musculocutaneous
  20. A 17 year old boy with a stab wound received multiple injuries on the upper part of the arm and required surgery. If the brachial artery were ligated at its origin, which of the following arteries would supply blood to the profunda brachii artery?

    A. Lateral thoracic
    B. Subscapular
    C. Posterior humeral circumflex
    D. Superior ulnar collateral
    E. Radial recurrent
    C. Posterior humeral circumflex
  21. A 23 year old woman who receives a deep cut to her ring finger by a kitchen knife is unable to move the metacarpophalangeal joint. Which of the following pairs of nerves was damaged?

    A. Median and ulnar
    B. Radial and median
    C. Musculocutaneous and ulnar
    D. Ulnar and radial
    E. Radial and axillary
    D. Ulnar and radial
  22. A 27 year old baseball player is hit on his forearm by a high-speed ball during the World series, and the muscles that form the floor of the cubital fossa appear to be torn. Which of the following groups of muscles has lost thier functions?

    A. Brachioradialis and supinator
    B. Brachialis and supinator
    C. Pronator teres and supinator
    D. Supinator and pronator quadratus
    E. Brachialis and pronator teres
    B. Brachialis and supinator
  23. A 23 year old man complains of numbness on the medial side of the arm following a stab wound in the axilla. On examination, he is diagnosed with an injury of his medial brachial cutaneous nerve. In which of the following structures are the cell bodies of the damaged nerve involved in numbness located?

    A. Sympathetic chain ganglion
    B. Dorsal root ganglion
    C. Anterior horn of the spinal cord
    D. Lateral horn of the spinal cord
    E. Posterior horn of the spinal cord
    B. Dorsal root ganglion
  24. A 38 year old homebuilder was involved in an accident and is unable to supinate his forearm. Which of the following nerves are most likely damaged?

    A. Suprascapular and axillary
    B. Musculocutaneous and median
    C. Axillary and radial
    D. Radial and musculocutaneous
    E. Median and ulnar
    D. Radial and musculocutaneous
  25. A 31 year old patient complains of sensory loss over the anterior and posterior surfaces of the medial third of the hand and the medial on and one-half fingers. He is diagnosed by a physician as having "funny bone" symptoms. Which of the following nerves is injured?

    A. Axillary
    B. Radial
    C. Median
    D. Ulnar
    E. Musculocutaneous
    D. Ulnar
  26. A patient with a deep stab wound in the middle of the forearm hias impaired movement of the thumb. Examination indicates a lesion of the anterior interosseous nerve. Which of the following muscles is paralyzed?

    A. Flexor pollicis longus and brevis
    B. Flexor pollicis longus and opponens pollicis
    C. Flexor digitorum profundus and pronator quadratus
    D. Flexor digitorum profundus and superficialis
    E. Flexor pollices brevis and pronator quadratus
    C. Flexor digitorum profundus and pronator quadratus
  27. A 29 year old patient comes in; he cannot flex the distal interphalangeal joint of teh index finger. His physician determines that he has never damage from a supracondylar fracture. Which of the following conditions is also a sympton of this nerve damage?

    A. Inability to flex the distal interphalangeal (DIP) joint of the index finger
    B. Atrophy of the hypothenar eminence
    C. Loss of sensation over the distal part of the second digit
    D. Paralysis of all the thumb muscles
    E. Loss of supination
    C. Loss of sensation over the distal part of the second digit
  28. A 27 year old man with cubital tunnel syndrom complains of numbness and tingling in the ring and little finger and back and sides of his hand because of damage to a nerve in the tunnel at the elbow. Which of the following muscles is most likely to be paralyzed?

    A. Flexor digitorum superficialis
    B. Opponens pollicis
    C. Two medial lumbricals
    D. Pronator teres
    E. Supinator
    C. Two medial lumbricals
  29. A secretary comes in to your office complaining of pain in her wrist from typing all day. You determine that she likely has carpal tunnel syndrome. Which of the following conditions would help you to determine the diagnosis?

    A. Inability to adduct the little finger
    B. Inability to flex the distal interphalangeal joint of the ring finger
    C. Flattened thenar eminence
    D. Loss of skin sensation of the medial one and one-half fingers
    E. Atrophied adductor pollicis muscle
    C. Flattened thenar eminence
  30. A man is unable to hold typing paper between his index and middle fingers. Which of the following nerves was likely injured?

    A. Radial nerve
    B. Median nerve
    C. Ulnar nerve
    D. Musculocutaneous nerve
    E. Axillary nerve
    C. Ulnar nerve
  31. The victim of an automobile accident has a destructive injury of the proximal row of carpal bones. Which of the following bones is most likely damaged?

    A. Capitate
    B. Hamate
    C. Trapezium
    D. Triquetrum
    E. Trapezoid
    D. Triquetrum
  32. A patient has a torn rotator cuff of the shoulder joint as the result of an automobile accident. Which of the following muscle tendons is intact and has normal function?

    A. Suprasinatus
    B. Subscapularis
    C. Teres major
    D. Teres minor
    E. Infraspinatus
    C. Teres major
  33. A patient complains of having pain with repeated movements of his thumb (claudication). His physician performs the Allen test and finds an insuffiency of the radial artery. Which of the following conditions would be a result of the radial artery stenosis?

    A. A marked decrease in the blood flow in the superficial palmar arterial arch
    B. Decreased pulsation in the artery passing superficial to the flexor retinaculum
    C. Ischemia of the entire extensor muscles of the forearm
    D. A marked decrease in the blood flow in the princeps pollicis artery
    E. A low blood pressure in the anterior interosseous artery
    D. A marked decrease in the blood flow in the princeps pollicis artery
  34. A patient bleeding from the should secondary to a kinfe wound is in fair condition because there is vascular anastomsis around the shoulder. Which of the following arteries is most likely a direct branch of the subclavian artery that is involved in the anastomosis?

    A. Dorsal scapular artery
    B. Thoracoacromial artery
    C. Circumflex scapular artery
    D. Transverse cervical artery
    E. Suprascapular artery
    A. Dorsal scapular artery
  35. During a breast examination of a 56 year old woman, the physician found a palpable mass in her breast. Which of the following characterisitics of breast cancer and its diagnosis is correct?

    A. Elevated nipple
    B. Polymastia
    C. Shortening of the clavipectoral fascia
    D. Dimpling of the overlying skin
    E. Enlargement of the breast
    D. Dimpling of the overlying skin
  36. A patient with a stab wound receives a laceration of the musculocutaneous nerve. Which of the following conditions is most likely to have occurred?

    A. Lack of sweating on the lateral side of the forearm
    B. Inability to extend the forearm
    C. Paralysis of brachioradialis muscle
    D. Loss of tactile sensation on the arm
    E. Constriction of blood vessels on the hand
    A. Lack of sweating on the lateral side of the forearm
  37. A 20 year old man fell from the parallel bar during the Olympic trail. A neurologic examination reveals that he has a lesion of the lateral cord of the brachial plexus. Which of the following muscles is most likely weakened by his injury?

    A. Subscapularis
    B. Teres major
    C. Latissimus dorsi
    D. Teres minor
    E. Pectoralis major
    E. Pectoralis major
  38. A 24 year old carpenter suffers a crush injury of his entire little finger. Which of the following muscles is most likely to be spared?

    A. Flexor digitorum profundus
    B. Extensor digitorum
    C. Palmar interossei
    D. Dorsal interossei
    E. Lumbricals
    D. Dorsal interossei
  39. A 7 year old boy falls from a tree house and is brought to the emergency room of a local hospital. On examination, he has weakness in rotating his arm laterally because of an injury of a nerve. Which of the following conditions is most likely to cause a loss of this nerve function?

    A. Injurt to the lateral cord of the brachial plexus
    B. Fracture of the anatomic neck of the humerus
    C. Knife wound on the teres major muscle
    D. Inferior dislocation of the head of the humerus
    E. A tumor in the triangular space in the shoulder region
    D. Inferior dislocation of the head of the humerus
  40. A 49 year old woman is diagnosed as having a large lump in her right breast. Lymph fromt he cancerous breast drains primarily into which of the following nodes?

    A. Apical nodes
    B. Anterior (pectoral) nodes
    C. Parasternal (internal thoracic) nodes
    D. Supraclavicular nodes
    E. Nodes of the anterior abdominal wall
    B. Anterior (pectoral) nodes
  41. A 17 year old boy fell from his motorcycle and complains of numbness of the lateral part of the arm. Examination reveals that the axillary nerve is severed. Which of the following types of axons is most likely spared?

    A. Postganglionic sympathetic axons
    B. Somatic afferent axons
    C. Preganglionic sympathetic axons
    D. General somatic efferent axons
    E. General visceral afferent axons
    C. Preganglionic sympathetic axons
  42. A construction worker suffers a destructive injury of the structures related to the anatomic snuffbox. Which of the following structures would most likely be damaged?

    A. Triquetral bone
    B. Trapezoid bone
    C. Extensor indicis tendon
    D. Abductor pollicis brevis tendon
    E. Radial artery
    E. Radial artery
  43. A rock climber falls on his shoulder, resulting in a chipping off the lesser tubercle of the humerus. Which of the following structures would most likely have structural and functional damage?

    A. Supraspinatus muscle
    B. Infraspinatus muscle
    C. Subscapularis muscle
    D. Teres minor muscle
    E. Coracohumeral ligament
    C. Subscapularis muscle
  44. A 22 year old female Macarena dancer fell fromthe stage and complains of elbow pain and inability to supinate her forearm. Which of the following nerves are most likely injured from this accident?

    A. Median and ulnar nerves
    B. Axillary and radial nerves
    C. Radial and musculocutaneous nerves
    D. Ulnar and axillary nerves
    E. Musculocutaneous and median nerves
    C. Radial and musculocutaneous nerves
  45. Scenario: A 37 year old female patient has a fracture of the clavicle. The junction of the middle and lateral thirds of the bone exhibits overriding of the medial and lateral fragments. The arm is rotated medially, but it is not rotated laterally.

    Question: The lateral portion of the fractured clavicle is displaced downward by which of the following?

    A. Deltoid and trapezius muscles
    B. Pectoralis major and deltoid muscles
    C. Pectoralis minor muscle and gravity
    D. Trapezius and pectoralis minor muscles
    E. Deltoid muscle and gravity
    E. Deltoid muscle and gravity
  46. Scenario: A 37 year old female patient has a fracture of the clavicle. The junction of the middle and lateral thirds of the bone exhibits overriding of the medial and lateral fragments. The arm is rotated medially, but it is not rotated laterally.

    Question: Which of the following muscles causes upward displacement of the medial fragment?

    A. Pectoral major
    B. Deltoid
    C. Trapezius
    D. Sternocleidomastoid
    E. Scalenus anterior
    D. Sternocleidomastoid
  47. Scenario: A 37 year old female patient has a fracture of the clavicle. The junction of the middle and lateral thirds of the bone exhibits overriding of the medial and lateral fragments. The arm is rotated medially, but it is not rotated laterally.

    Question: Which of the following conditions is most likely to occur secondary to the fractured clavicle?

    A. A fatal hemorrhage from the brachiocephaic vein
    B. Thrombosis of the subclavian vein, causing a pulmonary embolism
    C. Thrombosis of the subclavian artery, causing an embolism in the ascending aorta
    D. Damage to the upper trunk of the brachial plexus
    E. Damage to the long thoracic nerve, causing the winged scapula
    B. Thrombosis of the subclavian vein, causing a pulmonary embolism
  48. Scenario: A 21 year old man injures his right arm in an automobile accident. Radiographic examination reveals a fracture of the medial epicondyle of the humerus.

    Question: Which of the following nerves is most likely injured as a result of this accident?

    A. Axillary
    B. Musculocutaneous
    C. Radial
    D. Median
    E. Ulnar
    E. Ulnar
  49. Scenario: A 21 year old man injures his right arm in an automobile accident. Radiographic examination reveals a fracture of the medial epicondyle of the humerus.

    Question: Which of the following muscles is most likely paralyzed as a result of this accident?

    A. Extensor pollicis brevis
    B. Abductor pollicis longus
    C. Abductor pollicis brevis
    D. Adductor pollicis
    E. Opponens pollicis
    D. Adductor pollicis
  50. Scenario: A 21 year old man injures his right arm in an automobile accident. Radiographic examination reveals a fracture of the medial epicondyle of the humerus.

    Question: After this injury, the patient is unable to do which of the following?

    A. Flex the proximal interphalangeal joint of his ring finger
    B. Flex the distal interphalangeal joint of his index finger
    C. Feel sensation on his middle finger
    D. Abduct his thumb
    E. Adduct his index finger
    E. Adduct his index finger
  51. Scenario: A 10 year old boy falls off his bike, has difficulty in moving his shoulder, and is brought to an emergency room. His radiogram and angiogram reveal fracture of the surgical neck of the humerus and bleeding from the point of the fracture.

    Question: Which of the following nerves is most likely injured as a result of this accident?

    A. Musculocutaneous
    B. Axillary
    C. Radial
    D. Median
    E. Ulnar
    B. Axillary
  52. Scenario: A 10 year old boy falls off his bike, has difficulty in moving his shoulder, and is brought to an emergency room. His radiogram and angiogram reveal fracture of the surgical neck of the humerus and bleeding from the point of the fracture.

    Question: Following the accident, the damaged nerve causes difficulty in abduction, extension, and lateral rotation of his arm. Cell bodies of the injured nerve involved in movement of his arm are located in which of the following structures?

    A. Dorsal root ganglion
    B. Sympathetic chain ganglion
    C. Anterior horn of the spinal cord
    D. Lateral horn of the spinal cord
    E. Posterior horn of the spinal cord
    C. Anterior horn of the spinal cord
  53. Scenario: A 10 year old boy falls off his bike, has difficulty in moving his shoulder, and is brought to an emergency room. His radiogram and angiogram reveal fracture of the surgical neck of the humerus and bleeding from the point of the fracture.

    Question: The damaged nerve causes numbness of teh lateral side of the arm. Cell bodies of th injured nerve fibers involved in sensory loss are located in which of the following structures?

    A. Anterior horn of the spinal cord
    B. Posterior horn of the spinal cord
    C. Lateral horn of the spinal cord
    D. Dorsal root ganglion
    E. Sympathetic chain ganglia
    D. Dorsal root ganglion
  54. Scenario: A 10 year old boy falls off his bike, has difficulty in moving his shoulder, and is brought to an emergency room. His radiogram and angiogram reveal fracture of the surgical neck of the humerus and bleeding from the point of the fracture.

    Question: The accident most likely leads to damage of which of the following arteries?

    A. Axillary
    B. Deep brachial
    C. Posterior humeral circumflex
    D. Superior ulnar collateral
    E. Scapular circumflex
    C. Posterior humeral circumflex
  55. Scenario: A 10 year old boy falls off his bike, has difficulty in moving his shoulder, and is brought to an emergency room. His radiogram and angiogram reveal fracture of the surgical neck of the humerus and bleeding from the point of the fracture.

    Question: Following the accident, the boy has weakness in rotating his arm laterally. Which of the following muscles are paralyzed?

    A. Teres major and teres minor
    B. Teres minor and deltoid
    C. Infraspinatus and deltoid
    D. Spraspinatus and subscapularis
    E. Teres minor and infraspinatus
    B. Teres minor and deltoid
  56. Scenario: A 64 year old man with a history of liver cirrhosis has been examined for hepatitis A, B, and C viruses. In an attempt to obtain a blood sample from the patient's median cubital vein, a registered nurse inadvertently procures arterial blood.

    Question: The blood most likely comes from which of the following arteries?

    A. Brachial
    B. Radial
    C. Ulnar
    D. Common intersosseous
    E. Superior ulnar collateral
    A. Brachial
  57. Scenario: A 64 year old man with a history of liver cirrhosis has been examined for hepatitis A, B, and C viruses. In an attempt to obtain a blood sample from the patient's median cubital vein, a registered nurse inadvertently procures arterial blood.

    Question: During the procedure, the needle hits a nerve medial to the artery. Which of the following nerves is most likely damaged?

    A. Radial
    B. Median
    C. Ulnar
    D. Lateral antebrachial
    E. Medial antebrachial
    B. Median
  58. Scenario: A 17 year old boy is injured in an automobile accident. He has a fracture of the shaft of the humerus.

    Question: Which of the following nerves is most likely damaged?

    A. Axillary nerve
    B. Radial nerve
    C. Musculocutaneous nerve
    D. Median nerve
    E. Ulnar nerve
    B. Radial nerve
  59. Scenario: A 17 year old boy is injured in an automobile accident. He has a fracture of the shaft of the humerus.

    Question: As a result of this fracture, the patient shows lack of sweating on the back of the arm and forearm. Cell bodies of the damaged nerve fibers involved in sweating are located in which of the following structures?

    A. Anterior horn of the spinal cord
    B. Posterior horn of the spinal cord
    C. Lateral horn of the spinal cord
    D. Sympathetic chain ganglion
    E. Dorsal root ganglion
    D. Sympathetic chain ganglion
  60. Scenario: A 17 year old boy is injured in an automobile accident. He has a fracture of the shaft of the humerus.

    Question: Following the accident, the patient has no cutaneous sensation in which of the following areas?

    A. Medial aspect of the arm
    B. Lateral aspect of the forearm
    C. Palmar aspect of the second and third digits
    D. Area of the anatomic snuffbox
    E. Medial one and one-half fingers
    D. Area of the anatomic snuffbox
  61. Scenario: A 17 year old boy is injured in an automobile accident. He has a fracture of the shaft of the humerus.

    Question: Which of the following arteries may be damaged?

    A. Brachial artery
    B. Posterior humeral circumflex artery
    C. Profunda brachii artery
    D. Radial artery
    E. Radial recurrent artery
    C. Profunda brachii artery
  62. Scenario: A 17 year old boy is injured in an automobile accident. He has a fracture of the shaft of the humerus.

    Question: After this accident, supination is still possible through contraction of which of the following muscles?

    A. Supinator
    B. Pronator teres
    C. Brachioradialis
    D. Biceps brachii
    E. Suprasinatus
    D. Biceps brachii
  63. Scenario: An 11 year old boy falls down the stairs. A physician examines a radiograph of the boy's shoulder region.

    Question: If the structure indicated by the letter A is calcified, which of the following muscles is most likely paralyzed?


    A. Deltoid
    B. Teres major
    C. Teres minor
    D. Infraspinatus
    E. Subscapularis
    D. Infraspinatus
  64. Scenario: An 11 year old boy falls down the stairs. A physician examines a radiograph of the boy's shoulder region.

    Question: If the structure indicated by the letter B is fractured, which of the following structures is most likely injured?


    A. Musculocutaneous nerve
    B. Radial nerve
    C. Deep brachial artery
    D. Posterior humeral circumflex artery
    E. Scapular circumflex artery
    D. Posterior humeral circumflex artery
  65. Radiograph of the elbow joint.

    Destruction of this area would most likely cause weakness of supination and flexion of the forearm.

    B.
  66. Radiograph of the elbow joint.

    Destruction of this area would most likely cause weakness of pronation of the forearm and flexion of the wrist joints.
    E.
  67. Radiograph of the elbow joint.

    A lesion of the radial nerve would most likely cause paralysis of muscles that are attached to this area.
    D.
  68. Radiograph of the wrist and hand.

    Destruction of the structure indicated by the letter E most likely causes weakness of which of the following muscles?



    A. Flexor carpi radialis
    B. Palmaris longus
    C. Flexor carpi ulnaris
    D. Brachioradialis
    E. Flexor digitorum superficialis
    C. Flexor carpi ulnaris
  69. Radiograph of the wrist and hand.

    If the floor of the anatomic snuffbox and origin of the abductor pollicis brevis are damaged, which of the following bones is most likely to be involved?
    B.
  70. MRI scan through the middle of the palm of a woman's right hand.

    The patient is unable to abduct her middle finger because of paralysis of this structure.
    D.
  71. MRI scan through the middle of the palm of a woman's right hand.

    A lesion of the median nerve causes paralysis of this structure.

    A.
  72. MRI scan through the middle of the palm of a woman's right hand.

    The patient is unable to adduct her little finger because of paralysis of this structure.

    G.
  73. MRI scan through the middle of the palm of a woman's right hand.

    Atrophy of this structure impairs extension of both the metacarpophalangeal and interphalangeal joints.

    E.

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