MCQ Upper & Lower Limb 2

Clinical Anatomy

Dr.Metwally Shaheen ( FRCS)

Ortho. Consultant

1. The distal attachment (insertion) of the

triceps brachii muscle is:

A. coronoid process of the ulna

B. olecranon process of ulna

C. styloid process of ulna

D. radial notch of ulnar

1. The distal attachment (insertion) of the

triceps brachii muscle is:

A. coronoid process of the ulna

B. olecranon process of ulna

C. styloid process of ulna

D. radial notch of ulnar

E. ulnar tuberosity

2. Which of these structures passes deep to

the flexor retinaculum at the wrist?

A. tendon of the palmaris longus

B. ulnar artery

C. median nerve

D. palmar branch of the ulnar nerve

E. radial artery

2. Which of these structures passes deep to

the flexor retinaculum at the wrist?

A. tendon of the palmaris longus

B. ulnar artery

C. median nerve

D. palmar branch of the ulnar nerve

E. radial artery

The Carpal tunnel



Stractures passing

deep to the flexor

retinaculum:











3. The thumb action that is totally affected

by radial nerve trauma is:

A. abduction

B. adduction

C. extension

D. flexion

3. The thumb action that is totally affected

by radial nerve trauma is:

A. abduction

B. adduction

C. extension

D. flexion

4. If you slide a piece of paper between a patients fingers and asked the patient to hold onto the paper when you try to pull it from the fingers, and the patient is unable to perform this action, which nerve is suspected to be nonfunctional?

A. radial

B. median recurrent C. ulnar

D. deep radial

4. If you slide a piece of paper between a patients fingers and asked the patient to hold onto the paper when you try to pull it from the fingers, and the patient is unable to perform this action, which nerve is suspected to be nonfunctional?

A. radial

B. median recurrent C. ulnar

D. deep radial

5. Which of these muscles of the forearm

has a double innervation?

A. flexor digitorum profundus

B. flexor digitorum superficialis

C. pronator teres

D. flexor pollicis longus

E. pronator quadratus

5. Which of these muscles of the forearm

has a double innervation?

A. flexor digitorum profundus

B. flexor digitorum superficialis

C. pronator teres

D. flexor pollicis longus

E. pronator quadratus

6. Numbness to the skin on the lateral ( radial )

half of the palm of the hand would be caused

by a lesion to which nerve?

A. ulnar

B. radial

C. median

D. superficial radial

6. Numbness to the skin on the lateral ( radial )

half of the palm of the hand would be caused

by a lesion to which nerve?

A. ulnar

B. radial

C. median

D. superficial radial

7. The nerve most likely to be injured in

fractures of the medial epicondyle is the :

A. radial

B. axillary

C. ulnar

D. median

7. The nerve most likely to be injured in

fractures of the medial epicondyle is the :

A. radial

B. axillary

C. ulnar

D. median

8. A 25 years old male patient sustained anterior dislocation of his right shoulder after beeing

involved in a car accident , that was reduced in the E.R 2 weeks ago. Which nerve is probably damaged if a patient cannot abduct the arm beyond 25 degrees? A. axillary B. radial C. musculocutaneous D. median E. ulnar

8. A 25 years old male patient sustained anterior dislocation of his right shoulder after beeing

involved in a car accident , that was reduced in the E.R 2 weeks ago. Which nerve is probably damaged if a patient cannot abduct the arm beyond 25 degrees? A. axillary B. radial C. musculocutaneous D. median E. ulnar

9. Loss of pronation of the hand suggests a

lesion of the:

A. median nerve

B. radial nerve

C. ulnar nerve

D. intercostobrachial nerve

E. musculocutaneous nerve

9. Loss of pronation of the hand suggests a

lesion of the:

A. median nerve

B. radial nerve

C. ulnar nerve

D. intercostobrachial nerve

E. musculocutaneous nerve

10. After a time, when a motor nerve to a

muscle is sectioned, the muscles will

atrophy (get smaller). If you notice that the

thenar muscles are atrophied, which nerve

would you suppose has been injured?

A. musculocutaneous

B. ulnar

C. radial

D. median

10. After a time, when a motor nerve to a

muscle is sectioned, the muscles will

atrophy (get smaller). If you notice that the

thenar muscles are atrophied, which nerve

would you suppose has been injured?

A. musculocutaneous

B. ulnar

C. radial

D. median

11. The clavicle is one of the most fractured bones. When the clavicle has been fractured at about the junction of the middle and distal thirds. the proximal end has been pulled

upward. Which of the following muscles is responsible for this ?

A. anterior deltoid fibers B. trapezius

C. subclavius

D. sternocleidomastoid E. pectoralis major

11. The clavicle is one of the most fractured bones. When the clavicle has been fractured at about the junction of the middle and distal thirds. the proximal end has been pulled

upward. Which of the following muscles is responsible for this ?

A. anterior deltoid fibers B. trapezius

C. subclavius

D. sternocleidomastoid

12. In Klumpke's palsy the lesion involves

A. C5, C6, C7

B. C5, C6

C. C8, Tl

D. C5, C6, C7, C8, Tl

E. C4, C5, C6

12. In Klumpke's palsy the lesion involves

A. C5, C6, C7

B. C5, C6

C. C8, Tl

D. C5, C6, C7, C8, Tl

E. C4, C5, C6

13.In Klumpke's palsy, the deformity seen is

A. Policeman's or waiter's tip position of

upper limb

B. Claw hand

C. Ape hand

D. Wrist drop

13.In Erb's palsy, the deformity seen is

A. Policeman's or waiter's tip position of

upper limb

B. Claw hand

C. Ape hand

D. Wrist drop

14. Paralysis of the triceps muscle will

occur if radial nerve is injured

A. In the axilla

B. In the spiral (radial groove)

C. Above the lateral epicondyle

D. In the cubital fossa

E. In the posterior compartment of the

forearm

14. Paralysis of the triceps muscle will

occur if radial nerve is injured

A. In the axilla

B. In the spiral (radial groove)

C. Above the lateral epicondyle

D. In the cubital fossa

E. In the posterior compartment of the

forearm

15. The most disabling injury to the hand is due to injury to A. Ulnar nerve B. Median nerve C. Musculocutaneous nerve D. Axillary nerve E. Radial nerve

15. The most disabling injury to the hand is due to injury to A. Ulnar nerve B. Median nerve C. Musculocutaneous nerve D. Axillary nerve E. Radial nerve

16. Inability to flex the distal phalanx of the

middle finger indicates injury to which of

these muscles?

A.lumbrical

B.dorsal interosseous

C.flexor digitorum superficialis

D.flexor digitorum profundus

E.palmar interosseous

16. Inability to flex the distal phalanx of the

middle finger indicates injury to which of

these muscles?

A. lumbrical

B. dorsal interosseous

C. flexor digitorum superficialis

D. flexor digitorum profundus

E. palmar interosseous

17. Loss of opposition of the thumb is a

symptom associated with lesion of which

nerve?

A. radial

B. ulnar

C. musculocutaneous

D. median

E. posterior interosseous

17. Loss of opposition of the thumb is a

symptom associated with lesion of which

nerve?

A. radial

B. ulnar

C. musculocutaneous

D. median

E. posterior interosseous

18. The only rotator cuff muscle that does

not contribute to rotation of the arm is the:

A. teres minor

B. infraspinatus

C. supraspinatus

D. subscapularis

18. The only rotator cuff muscle that does

not contribute to rotation of the arm is the:

A. teres minor

B. infraspinatus

C. supraspinatus

D. subscapularis

19. The nerve most likely to be traumatized

with a fracture of the surgical neck of the

humerus is the:

A. median

B. axillary

C. radial

D. ulnar

E. profunda brachii

19. The nerve most likely to be traumatized

with a fracture of the surgical neck of the

humerus is the:

A. median

B. axillary

C. radial

D. ulnar

E. profunda brachii

20. A 9 years old child brought to the E.R in your hospital with painfull swelling of his left elbow after fall on outstretched hand while playing football . x. ray revealed presence of supracondylar fracture

The child was unable to flex his index or to make a circle by the index and thumb. The nerve most

likely to be injuried is : A. ulnar nerve. B. median nerve. C. radial nerve. D. musculocutaneous nerve. E. axillary nerve.

20. A 9 years old child brought to the E.R in your hospital with painfull swelling of his left elbow after fall on outstretched hand while playing football . x. ray revealed presence of supracondylar fracture

The child was unable to flex his index or to make a circle by the index and thumb. The nerve most

likely to be injuried is : A. ulnar nerve. B. median nerve. C. radial nerve. D. musculocutaneous nerve. E. axillary nerve.

1. Hip fractures, especially in the elderly, often do not heal adequately. What type of femoral

fracture in adults is most likely to result in avascular necrosis of the femoral head?

a. Acetabular

b. Cervical (neck).

c. Intertrochanteric (between the trochanters) d. Subtrochanteric

1. Hip fractures, especially in the elderly, often do not heal adequately. What type of femoral

fracture in adults is most likely to result in avascular necrosis of the femoral head?

a. Acetabular

b. Cervical (neck).

c. Intertrochanteric (between the trochanters) d. Subtrochanteric

2. Paresthesia, hyperesthesia, or even painful

sensation in the anterolateral region of the thigh may occur in obese persons. It results from an abdominal panniculus adiposus that bulges over the inguinal ligament and compresses which of the following underlying nerves?

a. Femoral branch of the genitfemoral nerve b. Femoral nerve

c. Iliohypogastric nerve d. Ilioinguinal nerve

2. Paresthesia, hyperesthesia, or even painful

sensation in the anterolateral region of the thigh may occur in obese persons. It results from an abdominal panniculus adiposus that bulges over the inguinal ligament and compresses which of the following underlying nerves?

a. Femoral branch of the genitfemoral nerve b. Femoral nerve

c. Iliohypogastric nerve d. Ilioinguinal nerve

3. The process of unlocking the fully extended knee in preparation for flexion requires initial contraction of which of the following?

a. Gastrocnemius, soleus, and plantaris muscles b. Hamstring muscles

c. Popliteus muscle

d. Quadriceps femoris muscle

e. Sartorius muscle and short head of the biceps femoris muscle

3. The process of unlocking the fully extended knee in preparation for flexion requires initial contraction of which of the following?

a. Gastrocnemius, soleus, and plantaris muscles b. Hamstring muscles

c. Popliteus muscle

d. Quadriceps femoris muscle

e. Sartorius muscle and short head of the biceps femoris muscle

4. A patient experienced a prolonged stay in one

position during a recent surgery and postoperative recovery that resulted in compression of

the common fibular (peroneal) nerve against the fibular head. Which of the following motor deficits would be most likely to occur?

a. Loss of extension at the knee b. Loss of plantar flexion

c. Loss of flexion at the knee d. Loss of eversion

4. A patient experienced a prolonged stay in one

position during a recent surgery and postoperative recovery that resulted in compression of

the common fibular (peroneal) nerve against the fibular head. Which of the following motor deficits would be most likely to occur?

a. Loss of extension at the knee b. Loss of plantar flexion

c. Loss of flexion at the knee

d. Loss of eversion

5. The muscles of the anterior compartment

of the leg are innervated primarily by which

of the following nerves?

a. Deep peroneal.

b. Lateral sural cutaneous

c. Saphenous

d. Superficial fibular

e. Sural

5. The muscles of the anterior compartment

of the leg are innervated primarily by which

of the following nerves?

a. Deep peroneal.

b. Lateral sural cutaneous

c. Saphenous

d. Superficial peroneal.

e. Sural

6. A 72-year-old female suffered a hip

dislocation when she fell down the steps

to here garage. Which of the following

stractures is most significant in resisting

hyperextension of the hip joint ?

A.

Pubofemoral ligament.

B.

Ischiofemoral ligament .

C.

Iliofemoral ligament.

D.

Negative pressure in the acetabular fossa.

6. A 72-year-old female suffered a hip

dislocation when she fell down the steps

to here garage. Which of the following

stractures is most significant in resisting

hyperextension of the hip joint ?

A.

Pubofemoral ligament.

B.

Ischiofemoral ligament .

C.

Iliofemoral ligament.

D.

Negative pressure in the acetabular fossa.

7. A 19-year old football player was hit on the lateral side of his knee just as he put that foot on the

ground . Unable to walk without assistance , he is

taken to the hospital .An MRI examination reveales a torn medial collateral ligament . Which stracture

would most likely also be injured due to its attachment to this ligament ?

A.

B.

C.

D.

7. A 19-year old football player was hit on the lateral side of his knee just as he put that foot on the

ground . Unable to walk without assistance , he is

taken to the hospital .An MRI examination reveales a torn medial collateral ligament . Which stracture

would most likely also be injured due to its attachment to this ligament ?

A.

B.

C.

D.

8. In a presurgical patient, the great saphenous vein was cannulated in the vicinity of the ankle. During the procedure, the patient experienced severe pain that radiated along the medial border of the foot. Which of the following nerves was accidentally included in a

ligature during this procedure?

a. Medial femoral cutaneous nerve b. Saphenous nerve

c. Superficial fibular nerve d. Sural cutaneous nerve e. Tibial nerve

8. In a presurgical patient, the great saphenous vein was cannulated in the vicinity of the ankle. During the procedure, the patient experienced severe pain that radiated along the medial border of the foot. Which of the following nerves was accidentally included in a

ligature during this procedure?

a. Medial femoral cutaneous nerve

b. Saphenous nerve

c. Superficial fibular nerve d. Sural cutaneous nerve e. Tibial nerve

Saphenous cutdown

Great Saphenous vein Saphenous nerve

9. A pulse in the dorsalis pedis artery may be palpated in which of the following ways?

a. Between the tendons of the extensor digitorum longus and fibularis (peroneus) tertius muscles

b. Between the tendons of the extensor hallucis and extensor digitorum muscles

c. Between the tendons of the tibialis anterior and extensor hallucis longus

muscles

d. Immediately anterior to the lateral malleolus e. Immediately posterior to the medial malleolus

9. A pulse in the dorsalis pedis artery may be palpated in which of the following ways?

a. Between the tendons of the extensor digitorum longus and fibularis (peroneus) tertius muscles

b. Between the tendons of the extensor hallucis and extensor digitorum muscles

c. Between the tendons of the tibialis anterior and extensor hallucis longus

muscles

d. Immediately anterior to the lateral malleolus e. Immediately posterior to the medial malleolus

10 . A 12-year-old boy is brought to the

emergency room by his mother following being pushed out of the neighbor’s tree house, about 10 ft off the ground. He can walk but his right

heel hurts every time he puts weight on it. When you examine his foot it is tender to pressure on both the medial and lateral aspects of the heel inferior to the tibia. You order plain films of his right lower extremity because you suspect he has fractured which of the following?

a. Calcaneus b. Fibula

c. Tibia

d. Navicular e. Cuneiform

10 . A 12-year-old boy is brought to the

emergency room by his mother following being pushed out of the neighbor’s tree house, about 10 ft off the ground. He can walk but his right

heel hurts every time he puts weight on it. When you examine his foot it is tender to pressure on both the medial and lateral aspects of the heel inferior to the tibia. You order plain films of his right lower extremity because you suspect he has fractured which of the following?

a. Calcaneus

b. Fibula c. Tibia

d. Navicular e. Cuneiform

11. A 45-year-old man has trouble walking.

At his physician's clinic, when he is

asked to stand on his right foot, his left

hip drops. Which of the following nerves

is most likely damaged, causing his

problem?

a. Left inferior gluteal b. Right inferior gluteal c. Left superior gluteal d.Right superior gluteal

11. A 45-year-old man has trouble walking.

At his physician's clinic, when he is

asked to stand on his right foot, his left

hip drops. Which of the following nerves

is most likely damaged, causing his

problem?

a. Left inferior gluteal b. Right inferior gluteal c. Left superior gluteal

Glutesus medius & minimus

12. Saphenous ‘cut down’ is carried out to

give intravenous infusion to patients in

whom the other superficial veins in the

body are either collapsed or invisible. In

such situations, which of the following

should be the site of incision to have an

access to the vein?

a. In front of the medial malleolus b. Behind the medial malleolus

c. In front of the lateral malleolus d. Behind the lateral malleolus

12. Saphenous ‘cut down’ is carried out to

give intravenous infusion to patients in

whom the other superficial veins in the

body are either collapsed or invisible. In

such situations, which of the following

should be the site of incision to have an

access to the vein?

a. In front of the medial malleolus

b. Behind the medial malleolus c. In front of the lateral malleolus d. Behind the lateral malleolus

Saphenous cutdown

Great Saphenous vein Saphenous nerve

13. A 45-year-old woman arrives at the

casualty after being injured in an

automobile collision. Her right foot is in

a dorsiflexed and everted position. If a

nerve injury is suspected, which of the

following has most likely been injured?

a. Common peroneal b. Superficial peroneal c. Deep peroneal

13. A 45-year-old woman arrives at the

casualty after being injured in an

automobile collision. Her right foot is in

a dorsiflexed and everted position. If a

nerve injury is suspected, which of the

following has most likely been injured?

a. Common peroneal b. Superficial peroneal c. Deep peroneal

14.

demonstrate significant anterior movement of the tibia in relation to the femur. Which of the following structures is most likely torn?

a. Anterior cruciate ligament b. Posterior cruciate ligament c. Fibular collateral ligament d. Tibial collateral ligament e. Lateral meniscus

14.

demonstrate significant anterior movement of the tibia in relation to the femur. Which of the following structures is most likely torn?

a. Anterior cruciate ligament

b. Posterior cruciate ligament c. Fibular collateral ligament d. Tibial collateral ligament e. Lateral meniscus

15. A 77-year-old woman has difficulty

climbing stairs because of weakness in

her limb. Her knee jerk reflex is normal

and she is able to stand on her heels

and on the "balls" of her feet. Injury to

which of the following nerves is the

most likely cause of these findings?

A. Tibial

B. Obturator

C. Inferior gluteal D. Femoral

15. A 77-year-old woman has difficulty

climbing stairs because of weakness in

her limb. Her knee jerk reflex is normal

and she is able to stand on her heels

and on the "balls" of her feet. Injury to

which of the following nerves is the

most likely cause of these findings?

A. Tibial

B. Obturator

C. Inferior gluteal

D. Femoral

16.All the followings are true about the tibial nerve except ?

A. it lies on tibialis post. In the upper half. B. descends through the calf between flexor

digitorum longus medially and flexor hallucis longud laterally.

C. innervates both medial and lateral heads of gastrocnemius.

D. innervates the skin over the back of the leg and the lateral border of the foot through its sural

branch.

16.All the followings are true about the tibial nerve except ?

A. it lies on tibialis post. In the upper half. B. descends through the calf between flexor

digitorum longus medially and flexor hallucis longud laterally.

C. innervates both medial and lateral heads of gastrocnemius.

D. innervates the skin over the back of the leg and the lateral border of the foot through its sural

branch.

17. A 12-year-old girl is brought to the

emergency department after falling on the

sharp edge of a tin can. She has a deep

cut, which has injured a tendon

immediately posterior to the medial

malleolus. The tendon of which of the

following muscles is injured in this case?

a. Flexor hallucis longus b. Flexor digitorum longus c. Tibialis posterior

17. A 12-year-old girl is brought to the

emergency department after falling on the

sharp edge of a tin can. She has a deep

cut, which has injured a tendon

immediately posterior to the medial

malleolus. The tendon of which of the

following muscles is injured in this case?

a. Flexor hallucis longus b. Flexor digitorum longus

c. Tibialis posterior

18. A 30-year-old man has numbness of the

anterolateral surface of his right leg and

dorsum of his right foot when he wears

tight, knee-high boots during his dance

routine. Which of the following nerves is

most likely compressed?

a. Tibial

b. Saphenous

c. Medial plantar d. Femoral

18. A 30-year-old man has numbness of the

anterolateral surface of his right leg and

dorsum of his right foot when he wears

tight, knee-high boots during his dance

routine. Which of the following nerves is

most likely compressed?

a. Tibial

b. Saphenous

c. Medial plantar d. Femoral

19. Housemaid’s knee is associated with

the inflammation of which of the

following bursae?

a. Suprapatellar

b. Subcutaneous infrapatellar

c. Prepatellar

19. Housemaid’s knee is associated with

the inflammation of which of the

following bursae?

a. Suprapatellar

b. Subcutaneous infrapatellar

c. Prepatellar

20.All the followings are true about the common fibular ( peroneal ) nerve except?

a. it divides in the substance of the peroneus longus.

b. Is subcutaneous as it corosses the neck of the fibula.

c. Supplies the three peroneal muscles through its superficial peroneal branch.

d. Supplies the skin over the medial border of the hallux.

20.All the followings are true about the common fibular ( peroneal ) nerve except?

a. it divides in the substance of the peroneus longus.

b. Is subcutaneous as it corosses the neck of the fibula.

c. Supplies the three peroneal muscles through its superficial peroneal branch.

d. Supplies the skin over the medial border of the hallux.