Practice Test 2 Upper Limb
Practice Test 2 Upper Limb
Practice Test 2 Upper Limb
Upper Limb
1. The axillary sheath investing the neurovascular bundle in the axilla is continuous in the posterior
triangle of the neck with the:
a. investing layer of deep cervical fascia
b. prevertebral fascia
c. visceral fascia
d. a and b
3. What do the trapezius muscle and the sternocleidomastoid muscle have in common?
a. the investing layer of deep cervical fascia envelopes both muscles
b. they both are innervated by the spinal accessory nerve
c. both
d. neither
5. The branch of the subclavian artery that is a major supply to the central nervous system is the:
a. costocervical trunk
b. internal thoracic
c. thyrocervical trunk
d. vertebral artery
e. none are major contributors
6. The rami that make up the cervical plexus contain fibers which:
a. travel in the posterior root
b. travel in an anterior root
c. innervate the skin over the posterior triangle of the neck
d. a and c
e. a, b and c
10. When placing a central line in the subclavian vein which of the following must the student
think about:
a. if the needle is inserted too deeply the visceral pleura of the cupola would be violated
causing a pneumothorax
b. that the subclavian artery lies posterior to the vein and care must be taken not to let the
needle go too deep
c. if not careful the vein would be missed and the needle would penetrate into the scalenus
medius muscle
d. if placement of the line is on the right side the thoracic duct could be damaged by the
needle penetrating too close to the internal jugular vein
12. A knife wound to the medial border of the cubital fossa that completely transects the origins of the
pronator teres muscle will probably also:
a. lacerate the median nerve
b. puncture the ulnar artery
c. impair the patient's ability to pronate the hand
d. reduce blood flow to the superficial palmar arch
e. all the above
15. A deep wound in the cubital fossa, cutting both the radial and median nerves would totally
denervate (both sensory and motor) the thumb.
a. true
b. false
16. You go out in the cold without gloves. The skin on your fifth digit blanches. Which of the
structures below carries a sympathetic fiber which would cause this effect?
a. radial nerve
b. gray ramus communicating of C8
c. white ramus communicating of C6
d. median nerve
17. Which of the following statement/s concerning the sympathetic system is CORRECT?
a. all spinal nerves have white and gray communicating rami
b. the gray communicating rami contain preganglionic fibers and sensory fibers
c. postganglionic fibers to the smooth muscle and glands in the skin are found in
gray communicating rami
d. b and c
e. none of the above is correct
19. The distal row of carpal bones contains the capitate bone.
a. true
b. false
21. The little finger is innervated by C7 and the proper digital nerves of the ulnar nerve.
a. true
b. false
A chemist running from his lab had the glass door swing back in his face. In an attempt to stop the door
he put his right hand out to catch the door. Instead of catching the door's edge his hand smashed through
the glass door. He fell to the floor with his hand bleeding profusely. After wrapping the hand in a towel
he was taken to the emergency room. There he was found to have a superficial laceration on the medial
side of the anterior aspect of his wrist. Examination revealed the following:
1. There was a sensory loss on the palmar aspect of one-half of the ring finger and the little finger
of the right hand.
2. When a piece of paper was place between his index and middle fingers he was unable to grip it
when the physician attempted to pull it out.
3. The patient had difficulty making a fist even though the long flexors appeared to be intact.
23. Why was the sensation on the palmar lateral one-half of the ring finger intact?
a. The skin is innervated by the median nerve, which was not affected
b. The skin is innervated by the ulnar nerve, which was not affected
c. The skin is innervated by the radial nerve, which was not affected
24. What caused the patient to be unable to grip the piece of paper between the fingers?
a. innervation to the lumbrical muscle to the index finger was lost
b. innervation to the dorsal interosseous muscle of the index finger was lost
c. innervation to the palmar interosseous muscle of the index finger was lost
d. innervation to the palmar interosseous muscle of the middle finger was lost