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Shoulder Quiz
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Questions in this quiz (91)
1A "winged" scapula occurs when [blank_start]serratus anterior[blank_end] is weakened/paralysed from an injury to the [blank_start]long thoracic nerve.[blank_end]
- Aserratus anterior
- Blong thoracic nerve
2Which muscles make up the rotator cuff?
- ASupraspinatus
- BTeres Minor
- CTeres Major
- DInfraspinatus
- EPosterior Deltoid
- FSubscapularis
- GAnterior deltoid
3A function of the Supraspinatus is:
- AAbduction
- BAdduction
- CExternal rotation
- DInternal rotation
- EShoulder retraction
- FShoulder elevation
4A function of the infraspinatus is:
- AAbduction
- BAdduction
- CExternal rotation
- DInternal rotation
- EShoulder retraction
- FShoulder elevation
5A function of Teres Minor is:
- AAbduction
- BAdduction
- CExternal rotation
- DInternal rotation
- EShoulder retraction
- FShoulder elevation
6A function of the subscapularis is:
- AAbduction
- BAdduction
- CExternal rotation
- DInternal rotation
- EShoulder retraction
- FShoulder elevation
7The Rhomboid Major and Rhomboid Minor function to [blank_start]retract[blank_end] the scapula. They are innervated by the [blank_start]dorsal scapular[blank_end] nerve.
- Aretract
- Bdorsal scapular
8The dorsal scapular nerve innervates which muscles
- ASupraspinatus
- BSubscapularis
- CTeres Minor
- DTeres Major
- ERhomboids (minor and major)
- FLatissimus Dorsi
- GLevator Scapulae
- HTrapezius
9The nerve most commonly injured in fractures around the proximal humerus is the [blank_start]axillary[blank_end] nerve.
- Aaxillary
10The primary extensors of the shoulder are:
- ATeres Minor
- BLong head of triceps
- CLatissimus dorsi
- DTrapezius
- EPosterior deltoid
- FTeres Major
11Serratus anterior is innervated by which nerve
- ADorsal scapula
- BThoracodorsal
- CAccessory
- DLong thoracic
12Rhomboid major is innervated by which nerve
- ADorsal scapula
- BThoracodorsal
- CAccessory
- DLong thoracic
13Latissimus dorsi is innervated by which nerve
- ADorsal scapula
- BThoracodorsal
- CAccessory
- DLong thoracic
14Trapezius upper fibres are innervated by which nerve
- ADorsal scapula
- BThoracodorsal
- CAccessory
- DLong thoracic
15The main support for the acromioclavicular joint, comes from which ligament
- ACoracoclavicular lig
- BCoracoacromial lig
- CGlenohumeral ligs
- DSternoclavicular lig
16The [blank_start]coracoclavicular ligament[blank_end] is the only non-contractile structure suspending the scapula from the clavicle
- Acoracoclavicular ligament
17The coracoclavicular ligament has 2 parts: the [blank_start]conoid[blank_end] and the [blank_start]trapezoid[blank_end] ligaments. It connects the [blank_start]clavicle[blank_end] and the [blank_start]coronoid process[blank_end].
- Aconoid
- Btrapezoid
- Cclavicle
- Dcoronoid process
18Fill out the labels
- ALevator Scapulae
- BRhomboid minor
- CInfraspinatus
- DRhomboid Major
- ELatissimus Dorsi
- FDeltoid
- GTrapezius
19Fill out the labels
- ASupraspinatus
- BTeres minor
- CInfraspinatus
20Fill in the label
- ASubscapularis
21Fill in the labels
- ACoracoacromial ligament
- BAcromioclavicular ligament
- CCoracoclavicular ligament
22The 3 structures that make up the coracoacromial arch are the [blank_start]acromion[blank_end], the [blank_start]coracoid process[blank_end], and the [blank_start]coracoacromial ligament[blank_end].
- Aacromion
- Bcoracoid process
- Ccoracoacromial ligament
23When the humerus elevates as part of normal shoulder biomechanics, the deltoid and the rotator cuff muscles are
- AA force couple
- BAntagonistic muscles
- CWorking in the same direction
24Coracobrachialis is innervated by which nerve
- ASubscapular
- BThoracodorsal
- CMusculocutaneous
- DFifth and sixth cervical nerves
- EDorsal scapular
25Subscapularis is innervated by which nerve
- ASubscapular
- BThoracodorsal
- CMusculocutaneous
- D5th and 6th cervical nerves
- EDorsal scapula
26Levator scapulae is innervated by which nerve
- ASubscapular
- BThoracodorsal
- CMusculocutaneous
- D5th and 6th cervical nerves
- EDorsal scapula
27Subclavius is innervated by which nerve
- ASubscapular
- BThoracodorsal
- CMusculocutaneous
- D5th and 6th cervical nerves
- EDorsal scapula
28Latissimus dorsi is innervated by which nerve
- ASubscapular
- BThoracodorsal
- CMusculocutaneous
- D5th and 6th cervical
- EDorsal scapula
29Which muscle does not contribute to horizontal abduction
- Ainfraspinatus
- Bposterior deltoid
- Cteres major
- Dteres minor
30What is the function of the coracobrachialis?
- AFlexion of GHj
- BExtension of GHj
- CAdduction GHj
- DAbduction GHj
31Which 2 nerves would be damaged if a patient has inhibited shoulder abduction?
- AMusculocutaneous
- BUpper and lower subscapularis
- CSuprascapula
- DLong thoracic
- EAxillary
- FSubscapular
32Which of the following actions occurs when the infraspinatus, subscapularis and teres minor all contract at the same time
- AInternal rotation
- BFlexion
- CExternal rotation
- DDepression of the humeral head in the glenoid fossa
33The [blank_start]radial[blank_end] nerve innervates the Anconeus muscle.
- Aradial
34The [blank_start]long thoracic[blank_end] nerve innervates the serratus anterior
- Along thoracic
35The [blank_start]subscapular[blank_end] nerve innervates the teres major
- Asubscapular
36The [blank_start]suprascapular[blank_end] nerve innervates the supraspinatus
- Asuprascapular
37During scapulothoracic rhythm, glenohumeral motion is much greater for the first [blank_start]30[blank_end] degrees of abduction than scapulothoracic motion.
- A30
38There are 3 types of acromion shapes. Type one is [blank_start]flat[blank_end]. Type two is [blank_start]curved[blank_end]. Type three is [blank_start]hooked[blank_end]. Types [blank_start]two[blank_end] and [blank_start]three[blank_end] are most often associated with rotator cuff tears due to impingement
- Aflat
- Bcurved
- Chooked
- Dtwo
- Ethree
39"Drop Arm Test" is a test where a patient's arm is passively abducted to 90 degrees, and externally rotated. Patient is asked to slowly lower arm back down in a controlled manner. The test is positive if the patient cannot do this in a controlled manner. Which muscles does this test test for?
- ASupraspinatus
- BInfraspinatus
- CSubscapularis
- DTeres Minor
40An arthogram is a spinal needle into the shoulder joint under fluoroscope followed by injection of a contrast medium to diagnose possible labral pathology?
- ATrue
- BFalse
41After arthroscope/mini open repair of supraspinatus tear, post op rehab should be:
- AAROM within first week after repair
- BImmobilise 6/52
- CPROM only for 3-6 weeks
- DAROM and PROM within 1/52 post repair
42After arthroscopic debridement, post op orders should be
- AAROM can begin immediately
- BImmobilise 6/52
- CPROM only
- DAROM and PROM immediately
43When subscapularis is repaired, which motions shoulder be limited post op
- AExternal rotation
- BExtension
- CInternal rotation
- DFlexion
44During a mini-open rotator cuff repair, the [blank_start]deltoid[blank_end] is split, not detached, making rehab more rapid compared to a standard open rotator cuff repair where the [blank_start]deltoid[blank_end] is detached
- Adeltoid
- Bdeltoid
45When treating a patient with RC tendinitis / impingement non operatively, which of the following shoulder be completed
- AStrengthen rotator cuff
- BStrengthen deltoid
- CStrengthen scapulothoracic stabilisers
- DStretching pectoralis minor
- EStretching rhomboids
- FStrengthen biceps/triceps
- GStretch glenohumeral joint capsule
- HStrengthen trapezius
46A SICK scapula is an asymmetrical, malpositioned, scapula caused by muscular overuse fatigue syndrome. The acronym stands for S[blank_start]capula[blank_end] I[blank_start]nfera[blank_end] C[blank_start]oracoid[blank_end] D[blank_start]yskinesis[blank_end]
- Acapula
- Bnfera
- Coracoid
- Dyskinesis
47The "Lift Off" test: patient places the dorsum of their hand on their lower back and tries to lift their hand away. If they cannot lift off, this indicates a [blank_start]subscapularis[blank_end] tear.
- Asubscapularis
48The apprehension test tests for [blank_start]anterior[blank_end] instability of the GH jt.
- Aanterior
49The Jobe relocation test (or empty can test) tests for [blank_start]anterior[blank_end] instability of the glenohumeral joint
- Aanterior
50Load and shift test: tests for [blank_start]anterior[blank_end] and [blank_start]posterior[blank_end] instability
- Aanterior
- Bposterior
51The Sulcus test tests for [blank_start]inferior[blank_end] instability
- Ainferior
52The Hawkins Test: [blank_start]Flex[blank_end] the shoulder to [blank_start]90 degrees[blank_end], and the elbow to [blank_start]90[blank_end] degrees. Passivly [blank_start]internally rotate[blank_end] the arm. Pain is indicative of [blank_start]shoulder impingement[blank_end].
- AFlex
- B90 degrees
- C90
- Dinternally rotate
- Eshoulder impingement
53Whipple test: Arm is [blank_start]flexed[blank_end] to [blank_start]90[blank_end] degrees, and [blank_start]adducted[blank_end] so that the hand is in front of the opposite shoulder, palm down, elbow straight. Patient resists a [blank_start]downwards[blank_end] force. A positive test indicates [blank_start]supraspinatus[blank_end] issue.
- Aflexed
- B90
- Cadducted
- Ddownwards
- Esupraspinatus
54Speed test: [blank_start]flex[blank_end] the shoulder to [blank_start]90[blank_end] degrees, elbow [blank_start]straight[blank_end], forearm [blank_start]supinated[blank_end]. Patient resists [blank_start]downwards[blank_end] pressure. Tests for [blank_start]bicipital tendonitis[blank_end]
- Aflex
- B90
- Cstraight
- Dsupinated
- Edownwards
- Fbicipital tendonitis
55Napoleon test: inability to bring the elbow [blank_start]anteriorly[blank_end] when hand pressed against the [blank_start]belly[blank_end]. Tests the [blank_start]subscapularis[blank_end].
- Aanteriorly
- Bbelly
- Csubscapularis
56Rotator cuff strengthening and scapular rotator strengthening are important in rehabilitation of shoulder [blank_start]impingement[blank_end].
- Aimpingement
57Neer test: stabilise the [blank_start]acromion[blank_end], [blank_start]internally[blank_end] rotate the shoulder and flex. Positive test is painful, and indicates [blank_start]shoulder impingement[blank_end]
- Aacromion
- Binternally
- Cshoulder impingement
58Bear Hug Test: Pt's hand on affected side is placed on the [blank_start]opposite shoulder[blank_end], shoulder flexed to [blank_start]90[blank_end] degrees, therapist tries to lift wrist off while the patient resists. Positive test is indicated by [blank_start]pain[blank_end], tests [blank_start]subscapularis[blank_end]
- Aopposite shoulder
- B90
- Cpain
- Dsubscapularis
59Which exercises are used to strengthen serratus anterior?
- APush up plus
- BDynamic hug with theraband
- Cside lying external rotation with a towel roll in axilla
- Dsupine straight arm punches towards the ceiling
60Jahnke test: Stretch the forward flexed arm [blank_start]posteriorly[blank_end] at [blank_start]90[blank_end] degrees of elevation in neutral rotation, the elevated arm is then brought into [blank_start]abduction[blank_end] and is pushed forward. Positive test = [blank_start]clunk[blank_end] in shoulder. Tests for subluxation injury to the [blank_start]glenohumeral[blank_end] joint.
- Aposteriorly
- B90
- Cabduction
- Dclunk
- Eglenohumeral
61Biceps tenodesis: A common treatment for [blank_start]biceps tendinosis[blank_end]. It is where the [blank_start]biceps[blank_end] is taken off it's [blank_start]insertion[blank_end] at the humeral head during surgery, and then [blank_start]anchored back on[blank_end].
- Abiceps tendinosis
- Bbiceps
- Cinsertion
- Danchored back on
62Biceps tenotomy: the [blank_start]biceps[blank_end] is surgically taken off it's [blank_start]insertion[blank_end], and then it is [blank_start]left to fall down into the upper arm[blank_end].
- Abiceps
- Binsertion
- Cleft to fall down into the upper arm
63Mumford procedure: [blank_start]distal clavicle excision[blank_end] commonly used in the treatment of [blank_start]rotator cuff dysfunction[blank_end]
- Adistal clavicle excision
- Brotator cuff dysfunction
64Capsular shift procedure: may be completed in a case of shoulder [blank_start]instability[blank_end], most commonly, [blank_start]multidirectional instability[blank_end].
- Ainstability
- Bmultidirectional instability
65Subacromial decompression ("acromioplasty"): alleviates [blank_start]rotator cuff[blank_end] problems cuased by subacromial spurs. [blank_start]Coracoacromial[blank_end] ligament forms a sharp edge over the coracoacromial arch and must be [blank_start]cut[blank_end] and [blank_start]detached[blank_end] from the acromion, thus removing pressure from a sensitive tendon.
- Arotator cuff
- BCoracoacromial
- Ccut
- Ddetached
66ASAD = stands for A[blank_start]rthroscopic[blank_end] S[blank_start]ub[blank_end]a[blank_start]cromial[blank_end] D[blank_start]ecompression[blank_end]
- Arthroscopic
- Bub
- Ccromial
- Decompression
67After ASAD, PROM are initiated [blank_start]immediately[blank_end], AROM initiated [blank_start]as soon as pain and motion allows[blank_end] which is usually [blank_start]4-5 days[blank_end]. Resistive ex should be added at [blank_start]3-4 weeks[blank_end]
- Aimmediately
- Bas soon as pain and motion allows
- C4-5 days
- D3-4 weeks
68Post biceps tenodesis: elbow is kept in flexed position at [blank_start]90[blank_end] degrees, for [blank_start]2-3 weeks[blank_end]. At [blank_start]2-3 weeks[blank_end], active extension with passive flexion can commence. Active flexion is allowed at [blank_start]4 weeks[blank_end]. Light resistance is allowed at [blank_start]2 months[blank_end]. Full ADLs at [blank_start]3-4 months[blank_end].
- A90
- B2-3 weeks
- C2-3 weeks
- D4 weeks
- E2 months
- F3-4 months
69The rotator interval is a space located between which 2 structures
- ATeres Minor
- BInfraspinatus
- CSupraspinatus
- DSubscapularis
- EDeltoid
- FPec Major
70Apprehension test: tests for [blank_start]posterior[blank_end] and [blank_start]anterior[blank_end] instability. The arm is [blank_start]externally[blank_end] rotated. Best done in [blank_start]supine[blank_end] position. The test is positive if [blank_start]apprehension[blank_end] is elicited by the patient.
- Aposterior
- Banterior
- Cexternally
- Dsupine
- Eapprehension
71O'Briens clinical test: assesses for SLAP (s[blank_start]uperior[blank_end] l[blank_start]abrum[blank_end] a[blank_start]nterior[blank_end] to p[blank_start]osterior[blank_end]) lesions. SLAP lesions occur where the [blank_start]biceps[blank_end] tendion anchors to the [blank_start]labrum[blank_end]. The O'Briens clinical test: shoulder [blank_start]flexed[blank_end] to [blank_start]90[blank_end] degrees, adduced to [blank_start]10-15[blank_end] degrees, elbow is extended, shoulder [blank_start]internally[blank_end] rotated, with thumb down. Patient resists a [blank_start]downwards[blank_end] force. Test is repeated with forearm in full [blank_start]supination[blank_end]. A positive test is when pain is elicited with test [blank_start]A[blank_end] and relieved with test [blank_start]B[blank_end].
- Auperior
- Babrum
- Cnterior
- Dosterior
- Ebiceps
- Flabrum
- Gflexed
- H90
- I10-15
- Jinternally
- Kdownwards
- Lsupination
- MA
- NB
72The Empty Can test: used to assess [blank_start]rotator cuff[blank_end] function. Elevate the shoulder to [blank_start]90[blank_end] degrees, with elbow straight and shoulder [blank_start]internally[blank_end] rotated, while the patient resists a [blank_start]downwards[blank_end] force. Test is positive when [blank_start]pain[blank_end] is elicited
- Arotator cuff
- B90
- Cinternally
- Ddownwards
- Epain
73Clunk/Crank test: [blank_start]rotate[blank_end] the flexed shoulder with elbow extended, [blank_start]internally[blank_end] and [blank_start]externally[blank_end]. A feeling of a [blank_start]clunk[blank_end] indicates a [blank_start]labral[blank_end] fragment is caught in the GHj,
- Arotate
- Binternally
- Cexternally
- Dclunk
- Elabral
74Bankart lesion: results from a traumatic [blank_start]anterior[blank_end] dislocation of the shoulder, and results in [blank_start]anterior[blank_end] instability of the GHj. The injury is a when the capsular-labral complex is torn from the [blank_start]glenoid rim[blank_end]. In a bankart repair, the anteroinferior [blank_start]labrum[blank_end] is repaired back to the [blank_start]glenoid rim[blank_end].
- Aanterior
- Banterior
- Cglenoid rim
- Dlabrum
- Eglenoid rim
75Post Bankart lesion repair, external rotation beyond 0 degrees is recommended at...
- A1 week
- B2-3 weeks
- C4 weeks
- D6 weeks
76Hill-Sachs lesion: an impaction [blank_start]fracture[blank_end] of the [blank_start]posterosuperior[blank_end] humeral head.It occurs during an [blank_start]anterior[blank_end] glenohumeral dislocation.
- Afracture
- Bposterosuperior
- Canterior
77After SLAP lesion repair, which motion/s should be delayed
- AShoulder flexion beyond 90 degrees
- BIR beyond 30 degrees
- CER beyond neutral
- DShoulder extension
78A swimmer experiencing pain with backstroke is most likely experiencing an [blank_start]anterior[blank_end] subluxation of the shoulder
- Aanterior
79AMBRII: A[blank_start]symmetrical[blank_end] M[blank_start]ultidirectional[blank_end] B[blank_start]ilateral[blank_end] R[blank_start]ehabilitation[blank_end] I[blank_start]nferior[blank_end] capsular shift and I[blank_start]nterval[blank_end] closure - and refers to instabilities that are atraumatic.
- Asymmetrical
- Bultidirectional
- Cilateral
- Dehabilitation
- Enferior
- Fnterval
80TUBS: T[blank_start]raumatic[blank_end] U[blank_start]nidirectional[blank_end] B[blank_start]ankart[blank_end] and S[blank_start]urgery[blank_end] - treatment of shoulder instability caused by trauma
- Araumatic
- Bnidirectional
- Cankart
- Durgery
81After an inferior capsular shift to address anterior-inferior shoulder instability, which of the following precautions is most accurate?
- ANo limitations to ER
- BLimit ER to neutral for 6 weeks
- CFull ER at 0 degrees abduction permitted but ER at 90 degrees abduction limited to 45 degrees for 6 weeks
- DLimit ER to 30 degrees for 6 weeks
82Non operative treatment of Multidirectional instability of the shoulder should include:
- AImmobilisation 4-6 weeks
- BCodmans exercises with weights after acute phase
- CWeighted exercises to create an inferior traction force on the shoulder after the acute phase
- DStrengthening of the RC muscles after the acute phase
83Non displaced SNOH # can be managed conservatively with...
- ASling 6 weeks
- BSling 3 weeks
- CSling 7-10 days
- DIt shouldnt be, it will need ORIF
84During glenohumeral arthroplasty (replacement), which muscle is transected and repaired
- ADeltoid
- BSubscapularis
- CSupraspinatus
- DPectorlais major
85The ideal GHj angular position for arthrodesis (fusion) is: Abduction: [blank_start]30[blank_end] degrees, flexion: [blank_start]30[blank_end] degrees, Internal rotation: [blank_start]30[blank_end] degrees
- A30
- B30
- C30
86A reverse total shoulder arthroplasty (rTSA): used in patients with irreperable [blank_start]rotator cuff[blank_end] damage, or complex [blank_start]fracture[blank_end]. The orientation of the shoulder is reversed, where a concave cup is made where the humeral head usually is, and a plate is used to make a glenoidsphere. After this procedure, the [blank_start]deltoid[blank_end] is the prime shoulder elevator, and individuals [blank_start]are[blank_end] able to raise their arm over their head
- Arotator cuff
- Bfracture
- Cdeltoid
- Dare
87After rTSA which motions should be protected the longest to avoid dislocation?
- AAbduction + ER
- BAdduction + IR
- CExtension + ER
- DNone, the rSTA is very stable
88The main observation of someone with adhesive capsulitis might be:
- APain with gentle passive ER
- BAROM limited but PROM is WFL
- CIR restricted the most, followed by abduction and ER
- DDecreased ROM but without pain
89During US for adhesive capsulitis, the arm should be [blank_start]abducted[blank_end], [blank_start]externally[blank_end] rotated, and the sound head should be directed towards the [blank_start]anteroinferior[blank_end] portion of the capsule
- Aabducted
- Bexternally
- Canteroinferior
90Distal clavicle fractures are classified in 4 types.
Type I: the [blank_start]coracoclavicular[blank_end] ligament is [blank_start]intact[blank_end], there is [blank_start]minimal[blank_end] displacement
Type II: the [blank_start]coracoclavicular[blank_end] ligament is [blank_start]disrupted[blank_end], and there is higher risk of [blank_start]non-union[blank_end]
Type III: is more distal and involves the [blank_start]acromioclavicular[blank_end] joint
Type IV: physeal separation
Type [blank_start]II[blank_end] usually requires surgery- Acoracoclavicular
- Bintact
- Cminimal
- Dcoracoclavicular
- Edisrupted
- Fnon-union
- Gacromioclavicular
- HII
91The Yergasons test:
tests for [blank_start]bicipital tendonitis[blank_end]
Positive if pain is elicited with resisted [blank_start]supination[blank_end] with the elbow [blank_start]flexed[blank_end] and slightly [blank_start]externally[blank_end] rotated- Abicipital tendonitis
- Bsupination
- Cflexed
- Dexternally
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- CHT hand therapy (Shoulder) Quiz on Shoulder Quiz, created by Rosie C on 29/08/2018.
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- Rosie C
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