Arthrology, Myology- Part 1

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Is the medial meniscus frequently injured?

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Tags & Description

Shoulder, arm, elbow, gluteal, pelvis, thigh and knee regions

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Is the medial meniscus frequently injured?

Yes

Under the patella. Can be injured by blunt force e.g falling on your knees. Made out of fibrocartilage. There is a medial and lateral meniscus.

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Does the atlas articulate with the occipital bone by means of a round flat facet?

No

The atlas articulates with the Atlanto occipital joint

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Does the atlas move with the occipital bone on rotation of the head

Yes

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Does the ulnar nerve have any branches in the arm?

No

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Does the circumflex scapular artery anastomose with the suprascapular artery?

Yes

Anastomose: where two channels (vessels) meet. On the dorsal surface, joins the dorsal scapular artery

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Does the supraspinatous muscle use the fascia spanning the area from the spine to the superior border of the scapula?

Yes

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Are the muscles on the thigh subdivided into anterior, posterior and lateral groups?

No

No lateral (where the iliotibial tract), replaced with medial

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What are the intervertebral discs composed of?

Fibrocartilage

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Is the axillary vein: A- Single B- Paired C- Plexiform vein

A- Single

Deep veins are usually pained, axillary vein is an exception

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Which joint allows the least amount of movement?

Suture

Found in the skull

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Which joint allows the most movement?

Ball and socket

Found in the shoulder and hip

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Which of the following a hinge joint: A- Hip B- Knee C- Neck D Knuckle

B- Knee and D- Knuckle

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A hinge joint can only move what direction?

Up and down

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A saddle joint helps us to do what?

Pick up tiny objects

(Carpo metacarpal joint in the thumb)

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A pivot joint is located where?

At the top of the spinal column (aka the neck)

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A gliding joint is located where?

In between the vertebrae (Aka the spine)

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Which is not a type of a joint in our skeleton: A- Hinge B- Ball and socket C- Pivot D- Swinging

Swinging (laugh out loud what is a swinging joint)

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Which two joints move the same way in our skeleton?

Knee joints and Elbow joints

They’re both hinge joints

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Give an example of an immovable joint?

Skull

Suture joint

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Where is the ball-and-socket joint located?

Shoulder

And hip

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Which of these body parts uses a pivot joint? A- Spine B- Neck C- Finger D- Shoulder

B- Neck (Top of the spinal column)

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Where might you find a gliding joint?

Spine (In between the vertebrae)

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What connects bones to each other at the joints?

Ligaments

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Which type of joint allows the most movement?

Ball and Socket

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What protects bones from being worn down?

Cartilage

Firm protective connective tissue

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If the head of a femur is dislocated postero-medially, compression of which nerve is likely to result?

Sciatic Nerve

most posterior

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Action of pectoralis major: A- Flexion of humerus B- Medial Rotation of humerus C- Adduction of humerus D- All of the above E- only A and B

D- All of the above (flexion, medial rotation and adduction of humerus)

Pectoralis major attaches to the intertubercular sulcus

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The humerus may be rotated laterally by:

The Deltoid muscle

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The muscle pair which assists in elevating the arm above the head is the:

Trapezius and Serratus anterior

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The nerve trunk most intimately related to the capsule of the shoulder joint is:

Axillary (nerve)

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To avoid the sciatic nerve, an injection into the buttock is best given into:

Upper and outer quadrant

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Which of the following is a muscle from the anterior group of thigh muscles: A- Gluteus maximus B- Sartorius C- Pectineus D- Gracilils E- Iliacus

B- Sartorius

Gluteus maximus (posterior) Pectineus (anterior and medial) Gracilils (medial- adductor compartment) Iliacus (hip compartment)

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The cephalic: A- passes between the deltoid and pectoralis major muscles in its proximal part B- superiorly passes through the deltopectoral triangle, where it empties into the subclavian vein C- ends by joining the brachial vein D- is medial to the biceps muscle in the upper arm E- has no valves

A- passes between the deltoid and pectoralis major muscles in its proximal part

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The posterior group of muscles of the arm is innervated by:

N.radialis

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An open arterial anastomosis in the shoulder occurs between the suprascapular artery and which other artery?

Circumflex scapular

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The nerve which passes through the quadrangular space of the posterior shoulder innervates which muscle?

Deltoid (Axiallary nerve)

Two that leave axillary nerve posterior circumflex humeral artery

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In the axilla the pectoralis minor is a landmark, being closely related to all of the following structures except: A- Cephalic vein B- Infraspinatus C- Subscapularis D- Supraspinatous E- teres major

A- Cephalic Vein

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The axillary nerve arises directly from which part of the brachial plexus?

Prosterior Cord

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Which of the following is not a direct branch of the axillary artery? A- anterior circumflex humeral B- posterior circumflex humeral C- thoracoacromial D- thoracodorsal E- subscapular

Thoracodorsal (teradactyl)

Axiallary artery- superior thoracic artery - thoracoacromial artery (has 4 branches) - lateral thoracic artery - subscapular artery- anterior circumflex humeral artery- posterior circumflex humeral artery

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If the second part of the axillary artery was interrupted, collateral blood flow could pass from branches of the thyrocervical trunk into which artery?

Circumflex Scapular

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In a fracture of the SURGICAL NECK of the humerus, which artery may be injured?

Posterior Humeral circumflex

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While riding a bike, a patient fell against a tree (lame) and fractured the shaft of the humerus at mid length. What nerve may be injured because of its close proximity to the injury?

Radial Nerve (Curves around the shaft of the humerus)

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In a fracture of the MID SHAFT of the humerus, which artery is mostly likely to be injured?

Deep Brachial Artery

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Which muscle is the strongest medial rotator of the arm?

Subscapularis

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The rotator cuff is composed of all the following muscles except: A- infraspinatus B- subscapularis C- supra spinatus D- teres major E- teres minor

D- Teres Major

-has more movement related to the latissimus dorsi

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The patient was unable to retract his scapula because of paralysis of the trapezius and…?

Rhomboids

Retracts and rotates scapula

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The team doctor tells a football player that he has “a pulled hamstring” muscle. This results from a tearing of the origin of a hamstring muscle from the:

(Where does the hamstring muscle originate?)

Ischial tuberosity

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What muscle passes through the lesser sciatic foramen?

Obturator internus

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How many perforating arteries do you find in the thigh?

3

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What does the femoral canal contain:

Deep inguinal lymph node(s)

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Which movement would fail in case of paralysis of the quadriceps femoris muscle?

Extension at the knee

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Which structure does NOT enter or leave the inguinal region by passing deep to the inguinal ligament? A- femoral artery B- femoral nerve C- femoral vein D- psoas major muscle E- round ligament of the uterus

E- Round Ligament of the Uterus

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When walking, the action of the iliopsoas muscle results in what motion at the hip joint?

Flexion

Iliacus and psoas major becomes a unit and are responsible for hip flexion

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The pulse of the femoral artery is best felt at which superficial reference point?

Femoral triangle

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At which site could one expect to enter the femoral vein with a simple percutaneous (through the skin) introduction of an instrument?

Medial to the femoral arterial pulse

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What anterior thigh muscle must be retracted to expose the adductor canal and it’s contents?

Sartorius

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An obturator hernia that compresses the obturator nerve in the obturator canal may affect the function of all of the following EXCEPT? A- adductor brevis B- adductor longus C- gracilis D- obturator externus E- pectineus

E- Pectineus

(Not innervated by the obturator nerve, it is only innervated by the femoral nerve)

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Which of the following is NOT located within the adductor canal? A-Saphenous nerve B- femoral artery C- nerve to vastus medialis D- femoral vein E- deep femoral artery

E- deep femoral artery

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Inability to extend the knee and loss of cutaneous sensation over the anterior surface of the thigh would indicate a lesion or compression of the…?

Femoral Nerve

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Which statement is true? A- The femoral artery lies medial to the femoral vein B- The femoral vein lies medial to the femoral artery C- The external iliac veins join to form the inferior vena cava D-The inferior vena cava cannot be imaged radiographically E- A and C

B- The femoral vein lies medial to the femoral artery.

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The femoral artery enters the popliteal fossa (becoming the popliteal artery) by passing through the:

Adductor hiatus

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When the femur is fractured, the broken distal end often turns posteriorly to enter the popliteal fossa due to muscle traction. Because of its position deepest in the fossa, which structure is most vulnerable to laceration?

Popliteal artery

because it is the deepest structure in the femur

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The deep femoral artery is the principle blood source for the muscles in which compartment of the thigh?

Posterior (hamstrings)

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A fracture of the ischial tuberosity might be expected to most directly affect the muscles that produce which lower limb movement?

Flexion at the knee.

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An elderly patient complains of difficulty in walking up stairs. Tests by her doctor reveal weakness in extension at her hip, but no change in hip flexion, or flexion or extension of the knee. Based upon these results, what muscle is most likely not functioning properly.

Gluteus maximus

Important for powerfully extending the thigh

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Weakness in climbing stairs or jumping would indicate a lesion of which nerve?

Inferior gluteal nerve.

Inferior = gluteus maximus Superior = medius and minimus

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The lateral antebrachial cutaneous nerve comes from the…?

Musculocutaneous Nerve

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In withdrawing a blood sample from the median cubical vein the needle passes slightly deep and medial; which nerve might possible be injured?

Medial antebrachial cutaneous

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The vein of choice for withdrawing blood is the: A- Basilic B- Cephalic C- Median antebrachial D- Median Cubital

D- Median Cubital

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Which of the following statements for the knee joint is true? A- is synovial joint B- Can do flexion and extension C- the knee cap (patella) takes part in this joint D- possesses synovial pockets called bursae E- Medial meniscus gets 10 times more frequently injured

A- Is synovial joint C- the knee cap takes part in this joint D- Possesses synovial pockets called bursae E- Medial meniscus gets 10 times more frequently injured

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Which of the following nerves are directly related to the humerus? A- radial nerve B- median nerve C- ulnar nerve D- axillary (circumflex) nerve E- musculocutaneous nerve

A, C, D (radial, ulnar, axillary (circumflex) nerves)

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Which is/are true for the Shaft of the Humerus? A- has lateral head of the triceps muscle attached to its upper posterior part B- has a nutrient foramen directed downwards C- has the radial nerve posterior to it D- has the brachialis muscle attached to its anterior surface E- in the adult contains red bone marrow

A- Has the lateral head (an median head) of the triceps muscle attached to its upper posterior part B- has a nutrient foramen directed downwards C- has the radial nerve posterior to it D- has the brachial is muscle attached to it’s anterior surface

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Which is/are true for the Basilic Vein? A- begins on the medial side of the back of the wrist B- becomes deep about the middle of the upper arms C- ends by joining the subclavian vein D- is medial to the biceps muscle in the upper arm E- ends after piercing the clavipectoral fascia

A- begins on the medial side of the back of the wrist, B- becomes deep about the middle of the upper arms D- is medial to the biceps muscle in the upper arm

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Which is/are true for the Upper End of the Humerus? A- has the subscapularis muscle attached to the greater tuberosity B- has the teres major muscle attached to the floor of the intertubercular sulcus (bicipital groove) C- Has three epiphyses which fuse separately with the shaft D- has the capsular ligament of the Glenn humeral attached to the whole of the anatomical neck E- is the growing end of the humerus

E- is the growing end of the humerus

Because of the epiphyseal plate

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Which is/are true for the Cephalic Vein? A- begins in the region of the anatomical snuff box B- at the elbow is deep to the lateral cutaneous nerve of the forearm C- ends by joining the brachial vein D- is medial to the biceps muscle in the upper arm E- has no valves

A- begins in the region of the anatomical snuff box

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Which is/are true for the Medial Cord of the Brachial Plexus? A- gives a branch to the pectoralis major muscle B- gives origin to the ulnar nerve c_ forms part of the median nerve D- Contains fibres of the fifth cervical spinal nerve E- lies medial to the axillary artery

A- gives a branch to the pectoralis major muscle B- gives origin the the ulnar nerve C- forms part of the median nerve E- lies medial to the axillary artery

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Which is/are true for the Axillary Nerve? A- has no cutaneous branches B- supplies the deltoid and teres minor muscles C- passes backwards inferior to the teres major muscle D- contains fibres from the fifth and sixth cervical spinal nerves E- is medial to the long head of the triceps muscle

B- supplies the deltoid and teres minor muscles D- contains fibres from the fifth and sixth cervical spinal nerves

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Which is/are true for the Pectoralis Major Muscle? A- is attached to the floor of the intertubercular sulcus (bicipital groove) B- is supplied by branches of the three cords of the brachial plexus C- is a lateral rotator of the upper arm at the glenohumeral joint D- is involved in flexion of the upper arm at the glenohumeral joint E- is used in climbing a rope by means of the upper limbs.

D- is involved in felcion of the upper arm at the glenohumeral joint E- is used in climbing a rope by means of the upper limbs

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Which is/are true for the Posterior Cord of the Brachial Plexus? A- contains fibres from only the seventh and eighth cervical spinal nerves B- gives off a branch which joins the median nerve C- is posterior to the axillary artery D- gives off branches which supply the subscapularis, teres major and latissimus dorsi muscles E- contains fibres which supply the muscles on the back of the forearm.

C- is posterior to the axillary artery D- gives off branches which supply the subscapularis, teres major and latissimus dorsi muscles E- contains fibres which supply the muscles on the back of the forearm.

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Which is/are true- The deltoid muscle (or part of it) can be used in: A- medial rotation of the upper arm at the glenohumeral (shoulder) joint B- abduction of the upper arm at the glenohumeral joint C- lateral rotation of the upper arm at the glenohumeral joint D- adduction of the upper arm at the glenohumeral joint E- flexion of the upper arm at the glenohumeral joint.

A, B, C, E: medial, lateral rotation, flexion and abduction of the upper arm at the glenohumeral joint

Pectoralis major adducts

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Which is/are true for The lower end of the Humerus? A- has part of the supinator muscle attached to it B- has the ulnar nerve running posterior to its lateral part C- usually has its four separate epiphyses by 12 years. D- fuses with the shaft before the upper end fuses with the shaft E- has part of the pronator teres muscle attached to it.

A- has part of the supinator muscle attached to it C- usually has its four separate epiphyses by 12 years. D- fuses with the shaft before the upper end fuses with the shaft E- has part of the pronator teres muscle attached to it.

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Which is/are true for the Flexion of the upper limb at the shoulder through 180° from the anatomical position? A- requires the contraction of the sternocostal head of the pectoralis major muscle B- involves the contraction of the anterior part of the deltoid muscle C- involves a muscle supplied by the musculocutaneous nerve D- involves the contraction of the serratus anterior muscle E- involves muscles supplied mainly by the eighth cervical spinal nerve.

B- involves the contraction of the anterior part of the deltoid muscle C- involves a muscle supplied by the musculocutaneous nerve D- involves the contraction of the serratus anterior muscle

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Which is/are true: In the cubital (antecubital) fossa A- the ulnar nerve is on the medial side B- the radial nerve is on the lateral side C- the median nerve passes downwards on the lateral side of the brachial artery D- all the superficial veins are deep to the cutaneous nerves E- the brachial artery is lateral to the tendon of the biceps muscle.

B- the radial nerve is on the lateral side

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Which is/are true for the Deltoid Muscle: A- is supplied solely by the axillary (circumflex) nerve B- is supplied solely by the sixth and seventh cervical spinal nerves C- is associated with contraction of the supraspinatus muscle in abduction of the upper arm at the glenohumeral (shoulder) joint D- is attached to the posterior surface of the clavicle E- is attached to the humerus just distal to the lesser tuberosity.

A- is supplied solely by the axillary (circumflex) nerve C- is associated with contraction of the supraspinatus muscle in abduction of the upper arm at the glenohumeral (shoulder) joint

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