MGA Exam 2 Review Questions

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1.

The following arteries are involved in the collateral circulation in the shoulder region, except
a. Deep branch of the transverse cervical artery
b. Superficial branch of the transverse cervical artery
c. Suprascapular artery
d. Circumflex scapular artery
e. Subscapular artery

2. The lymphatic drainage from the 5th digit of the hand is likely to first pass through ___ nodes
a. Pectoral nodes
b. Deltopectoral nodes
c. Supratrochlear nodes
d. Subscapular nodes
e. Apical nodes

3. A patient presents with paresthesia over the lateral aspect of his right upper arm. He has a 2-
year history of shoulder pain, which worsened over the past few months. He has difficulty lifting
his right arm from 15-20 degree to about 90-10 degree. Magnetic resonance imaging reveals
atrophy of the teres minor and deltoid muscles. Which of the followings is most likely to be
involved in this patient’s condition?
a. Avulsion of lower and upper subscapular nerves
b. Compression of suprascapular nerve
c. Stenosis of profundal brachii artery
d. Some blockage of posterior circumflex humeral artery

4. A 45 y/o female patient presents with some weakness in her ability to flex the right forearm.
However, he ability to abduct the right arm to 100-110 degree or lateral rotation of arm is intact
and there is no sensory loss of her both lateral and medial aspect of the right arm and forearm.
There are some other function weaknesses reported as well. However, based on this limited
information, which of the following areas of her right forearm or hand may experience
numbness (anesthesia)?
a. Thumb
b. 3rd digit (middle finger)
c. 5th digit (little finger)
d. Medial epicondyle
e. Lateral epicondyle

5. Based on the T1 spinal cord cross-section above, which of the following statements is true?
a. Lesion to the structure labeled with a letter ‘B’ will affect the sensory transmitted by the
medial cutaneous nerve of the forearm (points to ventral root)
b. Lesion to the structure labeled ‘E’ will result in a loss of sensation in the T1 dermatome
(points to grey rami communicante)
c. Lesion to the structure labeled ‘A’ will cause muscular (motor) deficits to the flexor carpi
ulnaris muscle (points to dorsal root)
d. Lesion to the structure labeled ‘C’ will affect the function of axillary nerve (points to
ventral ramus)
e. None of the above

6. In the distal arm, name the nerve that passes between the brachialis and biceps brachii muscles.
a. Musculocutaneous
b. Superficial branch of the radial nerve
c. Radial nerve
d. Median nerve
e. Medial cutaneous nerve of the forearm

7. The pulse of the radial artery at the wrist is felt immediately lateral to which superficial tendon?
a. Abductor pollicis longus muscle
b. Extensor pollicis longus muscle
c. Flexor carpi radialis muscle
d. Flexor digitorum profundus muscle
e. Palmaris longus muscle

8. What is the insertion site for the muscle that makes up the posterior (medial) margin of the
anatomical snuffbox?
a. Distal phalanx of the thumb
b. Proximal phalanx of the thumb
c. Base of the 1st metacarpal
d. Base of the 2nd metacarpal
e. Base of the 3rd metacarpal

9. During a routine physical examination, Kirtan Patel was asked to pinch a piece of paper between
the digits of his right hand. Kirtan was able to hold the piece of paper against the pull from the
physician based on the knowledge you gained from gross anatomy, kirtan was using which of
the following muscles to complete such as task?
a. Palmar interossei muscles only
b. Dorsal interossei muscles only
c. Lumbrical muscles only
d. Lumbrical and palmar interossei muscles
e. Dorsal and palmar interossei muscles

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