1.
Which muscle originates on the humeral medial epicondyle and proximal ulna and spans the elbow anteriorly to attach on the lateral surface of the radius near its midpoint?
Correct Answer
C. Pronator teres
Explanation
The pronator teres muscle originates from the humeral medial epicondyle and proximal ulna. It spans the anterior aspect of the elbow and attaches to the lateral surface of the radius near its midpoint. This muscle facilitates forearm pronation, enabling movements like turning a screwdriver or opening a jar.
2.
Which muscle originates on the lateral epicondyle of the humerus and inserts on the anterior surface of the proximal radius?
Correct Answer
D. Supinator
Explanation
The muscle that originates on the lateral epicondyle of the humerus and inserts on the anterior surface of the proximal radius is the Supinator.
3.
Which muscle originates on the humeral lateral condyle and inserts on the radial styloid process?
Correct Answer
A. Brachioradialis
Explanation
The muscle that originates on the humeral lateral condyle and inserts on the radial styloid process is the brachioradialis. This muscle is located in the forearm and is responsible for flexing the forearm at the elbow joint. It is innervated by the radial nerve and plays a role in stabilizing the wrist during certain movements.
4.
Which muscles originate on the distal half of the humerus( anterior surface) and inserts on the coronoid process and the ulnar tuberosity of the ulna?
Correct Answer
C. Brachialis
Explanation
The Brachialis muscle originates on the distal half of the humerus (anterior surface) and inserts on the coronoid process and the ulnar tuberosity of the ulna.
5.
Which of the following groups are the prime movers in elbow flexion?
Correct Answer
D. Brachialis, Biceps, and Brachioradialis
Explanation
The prime movers in elbow flexion are the muscles responsible for initiating and carrying out the movement. In this case, the brachialis, biceps, and brachioradialis are the primary muscles involved in flexing the elbow joint. These muscles work together to contract and shorten, causing the forearm to move towards the upper arm. The biceps muscle is the most well-known and prominent muscle in this group, but the brachialis and brachioradialis also play important roles in elbow flexion.
6.
The triceps are responsible for which of the following actions?
Correct Answer
C. Elbow Extension
Explanation
The triceps are responsible for elbow extension, which is the action of straightening the arm at the elbow joint. When the triceps contract, they pull on the forearm bone (ulna), causing it to extend and the angle between the upper arm (humerus) and the forearm to increase. This movement is the opposite of elbow flexion, which is the action of bending the arm at the elbow joint. Therefore, the correct answer is "Elbow Extension".
7.
The Muscle that would act on the forearm to neutralize forearm supination would be which of the following muscles?
Correct Answer
B. Pronator teres and Pronator Quadratus
Explanation
The muscles that would act on the forearm to neutralize forearm supination are the pronator teres and pronator quadratus. These muscles work together to rotate the forearm inward, counteracting the outward rotation of supination. The triceps and anconeus muscles are responsible for extending the forearm, while the brachialis and brachioradialis muscles are involved in flexion of the forearm. Therefore, the correct answer is pronator teres and pronator quadratus.
8.
The elbow flexor that is most effective (strongest) with the forearm in the neutral position is which of the following muscles?
Correct Answer
C. Brachialis
Explanation
The brachialis muscle is the most effective (strongest) elbow flexor with the forearm in the neutral position. This is because the brachialis muscle is located deep to the biceps brachii and attaches to the ulna, which allows it to generate a greater force for flexion. The biceps brachii is also a strong elbow flexor, but it is more effective when the forearm is supinated (turned palm up). The brachioradialis and coracobrachialis muscles are also elbow flexors, but they are not as strong as the brachialis.
9.
Which ligament spans the elbow longitudinally (long ways) on the little finger side of the elbow?
Correct Answer
C. Medial collateral ligament
Explanation
The medial collateral ligament spans the elbow longitudinally on the little finger side of the elbow. It is responsible for providing stability to the inner side of the elbow joint and preventing excessive side-to-side movement.
10.
The bony end landmark of the ulna, which forms the prominent posterior point of the elbow is which of the following?
Correct Answer
B. Olocranon Process
Explanation
The bony end landmark of the ulna that forms the prominent posterior point of the elbow is the olecranon process. This bony projection can be easily palpated and is important for the attachment of muscles and ligaments involved in elbow movement. The olecranon process acts as a lever during extension of the forearm and provides stability to the elbow joint. The other options mentioned, such as the olecranon fossa, coronoid process, and radial head, are not the correct answer as they are different anatomical structures within the elbow joint.
11.
The broad, flat membrane located at the posterior lateral side of the radius at the distal end is called the?
Correct Answer
C. Interosseous membrane
Explanation
The interosseous membrane is a broad, flat membrane located at the posterior lateral side of the radius at its distal end. It serves as a connection between the radius and ulna bones in the forearm, providing stability and support to the joint. The interosseous membrane helps to distribute forces between the two bones during movement and also allows for slight rotation of the radius around the ulna.
12.
The bony landmark located at the posterior lateral side of the radius at the distal end is called the?
Correct Answer
D. Styloid process
Explanation
The bony landmark located at the posterior lateral side of the radius at the distal end is called the styloid process.
13.
The weakness of the pronator teres muscle could indicate trauma to which of the following nerves?
Correct Answer
B. Median Nerve
Explanation
The weakness of the pronator teres muscle could indicate trauma to the Median Nerve. The pronator teres muscle is innervated by the Median Nerve, which means that damage or trauma to this nerve can result in weakness or paralysis of the muscle. The other nerves listed (Musculocutaneous, Ulnar, and Radial) do not innervate the pronator teres muscle, so damage to these nerves would not cause weakness in this specific muscle.
14.
The weakness of the biceps brachii muscle could indicate Trauma to which of the following nerves?
Correct Answer
A. Musculocutaneous Nerve
Explanation
The weakness of the biceps brachii muscle suggests trauma to the musculocutaneous nerve. The musculocutaneous nerve innervates the biceps brachii muscle, which is responsible for flexing the elbow joint. If there is weakness in this muscle, it indicates damage or trauma to the musculocutaneous nerve, which supplies the motor function to the biceps brachii muscle.
15.
The weakness of the Triceps brachii muscle could indicate trauma to which of the following nerves?
Correct Answer
D. Radial Nerve
Explanation
Weakness in the Triceps brachii muscle may indicate trauma to the radial nerve. The radial nerve innervates the Triceps brachii, responsible for extending the elbow joint. Damage to this nerve can lead to weakness or paralysis of the Triceps brachii muscle, affecting elbow extension and overall arm function.
16.
The carrying angle at the elbow exists because of which of the following phenomena at the distal end of the humerus?
Correct Answer
B. The medial stuctures extend farther distally the the lateral structures
Explanation
The carrying angle at the elbow exists because the medial structures extend farther distally than the lateral structures. This anatomical difference causes the forearm to naturally angle away from the body when the arm is fully extended.
17.
Elbow extension occurs in which plane and through which Axis?
Correct Answer
C. Sagittal plane through a frontal axis
Explanation
Elbow extension occurs in the sagittal plane through a frontal axis. The sagittal plane divides the body into left and right halves, while the frontal axis runs from side to side. Elbow extension refers to straightening or extending the elbow joint, which involves the movement of the forearm away from the upper arm in the sagittal plane around the frontal axis.
18.
Measured from the position of the forearm in neutral or mid-position, which of the following is true regarding normal ROM for pronation and supination?
Correct Answer
A. There is more supination than pronation
Explanation
The correct answer is "There is more supination than pronation." This means that the forearm has a greater range of motion in the supination direction compared to pronation.
19.
The position of the elbow and shoulder that could potentially make the biceps brachii muscle actively insufficient would be which of the following?
Correct Answer
C. Shoulder flexion and elbow flexion
Explanation
When the shoulder is flexed and the elbow is flexed, the biceps brachii muscle is in a shortened position. This means that the muscle is already contracted, and further flexion at both joints would not allow the muscle to generate a strong contraction. This is known as active insufficiency, where the muscle is unable to produce an optimal force due to being in a shortened position at both joints. Therefore, shoulder flexion and elbow flexion would potentially make the biceps brachii muscle actively insufficient.
20.
When you have a patient do a chair push up to strengthen the elbow triceps, what type of kinetic chain activity is this?
Correct Answer
B. Closed Chain
Explanation
When a patient performs a chair push up to strengthen the elbow triceps, it is considered a closed chain activity. In a closed chain activity, the distal segment of the body (in this case, the hands) is fixed or in contact with a stable surface (the chair), while the proximal segment (the upper body) moves. In this exercise, the hands are fixed on the chair while the upper body moves up and down, making it a closed chain activity.
21.
A common elbow pathology often caused by repetitive wrist extension activities is which of the following?
Correct Answer
B. Lateral epicondylitis
Explanation
Lateral epicondylitis, also known as tennis elbow, is a common elbow pathology caused by repetitive wrist extension activities. It is characterized by inflammation and pain on the outer side of the elbow. This condition is commonly seen in individuals who engage in activities such as tennis, painting, or typing, which involve repetitive use of the wrist and forearm muscles. Medial epicondylitis, on the other hand, refers to inflammation and pain on the inner side of the elbow, and is caused by repetitive wrist flexion activities. Tendonitis of the biceps tendon and Volkmann's ischemic contracture are unrelated conditions.
22.
Your patient has point tenderness at the common flexor origin at the elbow. Given this symptom, which diagnosis is likely?
Correct Answer
A. Medial epicondylitis
Explanation
Point tenderness at the common flexor origin at the elbow is a characteristic symptom of medial epicondylitis, also known as golfer's elbow. This condition is caused by inflammation or irritation of the tendons that attach to the medial epicondyle, resulting in pain and tenderness on the inner side of the elbow. Lateral epicondylitis, also known as tennis elbow, would cause pain on the outer side of the elbow. Tendonitis of the biceps tendon would cause pain in the front of the elbow, and Volkmann's ischemic contracture is a condition characterized by muscle and nerve damage due to decreased blood flow, which would not typically present with point tenderness at the common flexor origin.