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AN10.1-13 | Axilla, Shoulder and Scapular region — Practice Quiz

Practice 12 questions · Untimed · Unlimited attempts

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Q1 AN10.1 1 pt

The apex of the axilla (cervicoaxillary canal) is bounded by the clavicle anteriorly, the scapula posteriorly, and which structure medially?

A Second rib
B First rib
C Sternum
D Coracoid process

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Q2 AN10.4 1 pt

The axillary artery is divided into three parts by the pectoralis minor muscle. How many branches arise from the third part?

A 1 branch
B 2 branches
C 3 branches
D 4 branches

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Q3 AN10.7 1 pt

During breast cancer surgery, the surgeon is concerned about metastasis to axillary lymph nodes. Which group of axillary lymph nodes receives lymph from the breast FIRST?

A Apical (infraclavicular) group
B Central group
C Anterior (pectoral) group
D Lateral group

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Q4 AN10.2 1 pt

During axillary lymph node clearance for breast cancer, the surgeon accidentally damages a nerve running on the medial wall of the axilla along the serratus anterior. The patient later cannot raise her arm above her head and shows a 'winged scapula'. Which nerve was damaged?

A Thoracodorsal nerve
B Long thoracic nerve
C Axillary nerve
D Lateral pectoral nerve

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Q5 AN10.3 1 pt

The brachial plexus is formed by the ventral rami of which spinal nerve roots?

A C4, C5, C6, C7, C8
B C5, C6, C7, C8, T1
C C5, C6, C7, C8, T1, T2
D C6, C7, C8, T1, T2

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Q6 AN10.3 1 pt

The three trunks of the brachial plexus are formed by specific combinations of roots. The upper trunk is formed by the union of:

A C5 and C6
B C7 alone
C C8 and T1
D C5, C6, and C7

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Q7 AN10.5 1 pt

A newborn delivered after difficult labour presents with the right arm hanging limply at the side, medially rotated, elbow extended, and forearm pronated. The hand grip is normal. This clinical picture is most consistent with injury to:

A Lower trunk of the brachial plexus (C8, T1)
B Posterior cord of the brachial plexus
C Upper trunk of the brachial plexus (C5, C6)
D All roots of the brachial plexus (C5-T1)

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Q8 AN10.6 1 pt

A patient who fell from a height and grabbed a branch presents with a claw hand deformity, loss of grip strength, sensory loss on the medial side of the hand, and ptosis with miosis on the same side. The most likely injury is to:

A Upper trunk — Erb's palsy
B Lower trunk — Klumpke's paralysis with Horner's syndrome
C Lateral cord injury
D Ulnar nerve injury at the elbow

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Q9 AN10.9 1 pt

The rotator cuff muscles are remembered by the mnemonic SITS. Which of the following is the correct order from superior to posterior to anterior?

A Subscapularis, Infraspinatus, Teres minor, Supraspinatus
B Supraspinatus, Infraspinatus, Teres minor, Subscapularis
C Supraspinatus, Infraspinatus, Subscapularis, Teres minor
D Subscapularis, Supraspinatus, Infraspinatus, Teres minor

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Q10 AN10.10 1 pt

A 55-year-old patient presents with shoulder pain and a 'painful arc' — pain specifically between 60° and 120° of arm abduction. Which rotator cuff muscle is most likely torn?

A Subscapularis
B Infraspinatus
C Supraspinatus
D Teres minor

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Q11 AN10.11 1 pt

The shoulder joint is the most commonly dislocated joint in the body. What is the most common direction of dislocation?

A Posterior
B Superior
C Anteroinferior
D Lateral

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Q12 AN10.12 1 pt

A 70-year-old woman falls on her outstretched hand and fractures the surgical neck of the humerus. On examination, she cannot abduct her arm beyond 15° and has loss of sensation over a patch of skin on the lateral aspect of the upper arm (regimental badge area). Which nerve is most likely injured?

A Radial nerve
B Musculocutaneous nerve
C Axillary nerve
D Long thoracic nerve

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