Gross Anatomy #5 Pectoral Region/Shoulder 1) Which of the following muscles inserts between the lateral and the medial

l lip of the intertubercule grove? a) Pectoralis major b) Pectoralis minor c) Teres major d) Teres minor e) Latissamus dorsi 2) An adolescent with difficulty breathing places their arms on a table to fix their scapula (tripod position). Which muscle attaches to ribs 3-5 and would be used to elevate the rib cage in this position? a) Pectoralis major b) Pectoralis minor c) Teres major d) Teres minor e) Latissamus dorsi 3) A tumor of the breast can put pressure on which of the following, giving the breast a dimpled appearance reminiscent of orange peel (peau dorange)? a) Suspensory ligaments (of Cooper) b) Sudoriferous (sweat) glands c) Areolar glands (of Montgomery) d) Lactiferous duct e) Axillary tail 4) Which of the following veins runs under the deltoclavicular triangle, pierces the costocoracoid membrane, and is sometimes cannulated for cardiac procedures? a) Axillary b) Subclavian c) Cephalic d) Internal jugular e) External jugular Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 19 of 45 5) Shoulder dislocations are most commonly ____ and can affect the ____ nerve, which is near the site of dislocation. a) Anterior; Radial b) Posterior; Radial c) Anterior; Ulnar d) Posterior; Ulnar 6) Which of the following is NOT a shoulder muscle of the rotator cuff? a) Supraspinatus b) Infraspinatus c) Teres major d) Subscapularis 7) A carpenter presents with complaints of difficulty carrying objects. When the patient carries paint buckets, the buckets constantly bump into his knees. What muscle is most likely affected? a) Subclavius b) Subscapularis c) Supraspinatus d) Teres major e) Teres minor 8) 180 degrees of shoulder abduction normally consist of ____ degrees of glenohumeral (GH) joint motion and ____ degrees of scapulothoracic (ST) joint motion, a ratio of ____.

a) 90; 90; 1 to 1 b) 120; 60; 2 to 1 c) 60; 120; 1 to 2 d) 135; 45; 3 to 1 e) 45; 135; 1 to 3 9) Which of the following is/are found within the quadrangular space of the shoulder? a) Posterior circumflex humeral artery b) Circumflex scapular artery c) Axillary nerve d) A & C e) B & C 10) Which of the following is found in the triangular interval (not triangular space) of the shoulder? a) Deep brachial profunda artery b) Circumflex scapular artery c) Radial nerve d) A & C e) B & C 11) Which of the following is true regarding the superior transverse scapular ligament? a) The suprascapular artery and nerve run above the ligament b) The suprascapular artery and nerve run under the ligament c) The suprascapular artery runs above and the nerve runs below the ligament d) The suprascapular artery runs below and the nerve runs above the ligament Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 20 of 45 12) A patient presents some time after a football injury to the side. They are having difficulty washing behind their ears. The patient is asked to push against a wall with their hands and their right scapula wings out. Which of the following is most likely involved? a) Pectoralis minor, medial pectoral nerve, roots C6-C8 b) Pectoralis minor, medial pectoral nerve, roots C8-T1 c) Serratus anterior, long thoracic nerve, roots C3-C5 d) Serratus anterior, long thoracic nerve, roots C5-C7 e) Pectoralis major, medial and lateral pectoral nerves, roots C5-T1 13) A patient presents with a shoulder injury after fall off of a motorcycle. Upon examination, the shoulder appears to step-off from the normal shoulder line. Palpation reveals a popping sensation as the joint shifts. An x-ray is scheduled to confirm the dislocation. Which of the following is most likely? a) Anterior shoulder dislocation b) Posterior shoulder dislocation c) Grade 1 acromioclavicular joint separation d) Grade 2 acromioclavicular joint separation e) Grade 3 acromioclavicular joint separation 14) A medical student compresses and blocks her axillary artery while sleeping on her side. Which of the following arteries provides an alternate route (anastomosis) to get blood flow past the shoulder joint? a) Dorsal scapular artery b) Suprascapular artery c) Transverse cervical artery d) Circumflex scapular artery e) Subclavian artery

Gross Anatomy #6 Axilla 1) Which of the following muscles does NOT border the axilla (axillary wall)? a) Subscapularis b) Serratus anterior c) Pectoralis major d) Teres major e) Trapezius 2) The axilla contains axillary lymph nodes, the axillary artery and nerve, the proximal heads of biceps brachii and coracobrachialis, and the ____ of the brachial plexus. a) Roots & Trunks b) Trunks & Divisions c) Divisions & Cords d) Cords & Branches 3) Which of the following axillary artery segments has two branches (thoracodorsal and circumflex scapular artery)? a) Supreme thoracic artery b) Thoracoacromial artery c) Lateral thoracic artery d) Anterior circumflex humeral artery e) Posterior circumflex humeral artery f) Subscapular artery Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 21 of 45 4) Which of the following is NOT a branch of the thoracoacromial artery? a) Acromial artery b) Clavicular artery c) Scapular artery d) Pectoral artery e) Deltoid artery 5) A patient presents with an infected cut on the medial side of her hand. Lymphangitis is seen as a red streak along the path of the basilic vein. Infection drainage is likely traveling to which of the following nodes? a) Supratrochlear nodes b) Humeral (lateral) axillary nodes c) Infraclavicular nodes d) Apical axillary nodes e) Inguinal nodes 6) Breast cancer will most likely metastasize through what lymph nodes, that initially take about 75-80% of breast lymph drainage? a) Pectoral (anterior) nodes b) Humeral (lateral) nodes c) Subscapular (posterior) nodes d) Apical nodes e) Supraclavicular nodes f) Parasternal nodes g) Abdominal nodes Gross Anatomy #7 Brachial Plexus 1) What nerve roots (anterior rami) correspond to the radial nerve? a) C5-C7 b) C5-T1 c) C6-T1 d) C7-T1 e) C8-T1

2) The brachial plexus is leaves the neck: a) Anterior to the anterior scalene muscle b) Between the anterior and middle scalene muscles c) Between the middle and posterior scalene muscles d) Posterior to the posterior scalene muscles e) After piercing the middle scalene muscle 3) Which section of the brachial plexus is named based on their location around the axillary artery? a) Roots b) Trunks c) Divisions d) Cords e) Branches Gross Anatomy Part 1 Quiz Version: 13Jul2008 Page 22 of 45 4) Which branch of the brachial plexus pierces the coracobrachialis muscle? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Median nerve e) Ulnar nerve 5) A patient with cardiac angina feels referred pain on the medial portion of their forearm. What nerve root is involved? a) C5 b) C6 c) C7 d) C8 e) T1 6) What nerve root corresponds to the outside deltoid region, also known as the regimental patch region? a) C5 b) C6 c) C7 d) C8 e) T1