Page Numbers Based on BD (Vol 1 Edition'8th)
Group 1:
Clavical (pg# 06)
Sternoclavicular joint and Acromioclavicular Joint (pg# 155)
Breast (blood supply, nerve supply and lymphatic drainage) pg# 38
Scapula (pg# 08)
Muscle Tables
1) Pectoral region (pg# 45)
2) Scapular region (pg# 74)
3) Muscles of back (pg# 69)
4) Serratus anterior (pg# 48) & Deltoid (pg# 73)
Facia; Deep facia (pg# 47) ; Superficial Facia (pg# 37)
Axilla (Boundries, content and lymph nodes) pg# 51
Axillary vessels (pg# 54)
Brachial plexus (pg# 60)
Humerus (pg# 13)
Clavipectorial facia (pg# 47)
Questions Based on Group 1.
Q) Define epiphysis and mention the laws of ossification.
Q) Give the ossification of clavicle and its clinical applications.
Q) What is Greenstick fracture of Clavicle?
Q) Give the origin, insertion, nerve supply and actions of muscles attaching
upper limb to vertebral column.
Q) Classify sternoclavicular and acromioclavicular joints.
Q) Enlist the movements at the shoulder girdle with the names of muscles
performing these movements.
Q) In a road traffic accident, a 20 yr old man was thrown from the motor cycle
and had a fall on the shoulder with undue separation of the head. The patient
held his upper limb at his side with the arm medially rotated and the hand
pronated. The rounded contour of shoulder was lost.
a) Name the site, nerves and muscles involved in this injury.
b) Draw and label brachial plexus.
Q) A 40 yrs old lady came in OPD with mass in right upper quadrant of breast.
On physical examination, it was found that there was retraction of the nipple
and peau'd orange appearance of that skin.
a) Give the anatomical reason for the above-mentioned signs and organs
involved in this cancer.
b) Enumerate the axillary lymph nodes and mention the structures related to
each of them along with area of drainage of each group.
Q) Draw and label clavicle along with its attachment?
Q) Give the ossification of clavicle and its clinical applications.
Q) What is Greenstick fracture of Clavicle?
Q) Mention the attachments of clavipectoral fascia along with the structures
piercing it.
Q) Name the climbing muscle along with their attachments, actions and nerve
supply.
Q) Mention the origin, course and tributaries of axillary vein.
Q) Mention the relations of 3rd part of axillary artery.
Q) In a road traffic accident, a 20 yr old man was thrown from the motor cycle
and had a fall on the shoulder with undue separation of the head. The patient
held his upper limb at his side with the arm medially rotated and the hand
pronated. The rounded contour of shoulder was lost.
a) Name the site, nerves and muscles involved in this injury.
b) Mention the normal actions of the muscles involved.
c) Draw and label brachial plexus.
Q) 10 yrs old lady came in OPD with mass in right upper quadrant of breast. On
physical examination, It was found that there was retraction of the nipple and
peau'd orange appearance of that skin.
a) Give the anatomical reason for the above-mentioned signs and organs
involved in this cancer.
b) Enumerate the axillary lymph nodes and mention the vessels related to each
of them along with area of drainage of each group.
c) Draw blood supply of breast.
Group 2:
Scapular anastomisis ( pg# 80)
Shoulder joint (pg# 168)
Rotator cuff (pg# 74)
Shoulder girdle (pg# 156)
Scapular movements (pg#162)
Front of Arm:
Muscle (pg# 96)
Nerves (Musculocutaneous, Ulnar, Radial, Median) pg# 95-99
Back of Arm:
Triceps brachii (pg#106)
Radial Nerve (pg# 107)
Cubital fossa (pg# 103)
Brachial artery (pg# 100)
Intermuscular spaces of Arm (pg#79)
Triangle of auscultation & Lumber triangle of Petit (pg# 71)
Based on Topics under Group 2.
Q) 40 year old woman fell down the stairs and was admitted to the emergency
department. On examination, her right shoulder showed loss of normal round
curvature and evidence of a slight swelling below the right clavicle. Any
attempt at active or passive movement of the shoulder joint was stopped by
severe pain in the shoulder. A diagnosis of dislocation of right shoulder joint
was made:
a) Mention the location of the displacement. Which nerve is likely to be injured
in this above scenario.
b) Mention the movements at the shoulder joint with the names of muscles
performing these movements.
c) Name the bursae related to this joint.
Q) (a) Give in tabulated form the origins, insertions and actions of the muscles
of anterior compartment of arm.
b) Mention the sensory and motor loss after injury to the nerve supply of these
muscles.
Q) Mention the origin, course, termination and branches of brachial artery.
Q) Names the muscles forming the boundaries of cubital fossa and its contents
along with clinical significance of this region.
Q) Define shoulder girdle and enumerate the joints involved with one extrinsic
ligament of each of them.
a) Enumerate 3 movements of the girdle with their axis of rotation.
b) Draw and label scapular anastomoses
Q) A patient came in emergency after road traffic accident with a history of
blunt trauma to the shaft of humerus. On x ray, fracture of the shaft was
observed. After 2 weeks he came in OPD with a condition of wrist drop
a) Name the most likely structure injured in this case
b) Mention the motor and sensory loss observed by this injury.
Q) Mention the boundaries and contents of lower triangular space
Q) Mention the type, ligaments and bursae of shoulder joint.
Q) Enlist the movements at the shoulder joint with the names of muscles
performing these movements also mention their nerve supply.
Q) Give in tabulated form the attachments, nerve supply and actions of muscles
of anterior compartment of arm.
Q) Mention the epiphysis, metaphysis and growing end of humerus. What are
laws of ossification.
Q) Mention the origin, course, termination and branches of brachial artery
Q) Draw the cubital fossa with respect to their boundaries and contents also
mention clinical significance of this region.
Q) Draw and label arterial anastomosis around scapula and mention its
significance.
Q) Mention the origin, course and branches of radial nerve
Q)A patient came in emergency after road traffic accident (RTA) with a history
of blunt trauma to the shaft of humerus. On x ray, fracture of the shaft was
observed. After 2 weeks he came in OPD with a condition of wrist drop.
a) Name the most likely structure injured in this case.
b) Mention the motor and sensory loss observed by this injury_
c) What is rotator cuff tendonitis. Also mention the muscles involved in it
Group 3:
Radius (pg# 18)
Ulna (pg# 22)
Elbow Joint (pg# 164)
Anastomosis around elbow joint (pg# 101)
Superior and Inferior RadioUlnar joints (pg# 168)
Flexor Retinaculum (pg# 124)
Extersor Retinaculum (pg# 145)
Names of Carpal bones
Wrist Joint (pg# 170)
Front of Forearm:
Muscles; Superficial (pg# 116), Deep (pg# 118)
Arteries; Radial (pg# 119), Ulnar (pg# 120)
Nerves; Median, Radial and Ulnar (pg# 122)
Back of Forearm:
Muscles; Superficial (pg# 147), Deep (pg# 148)
Artery; Posterior interroseous (pg# 150)
Nerve; Posterior interroseous (pg# 149)
Based on Topics under Group 3.
Q) Give in tabulated form the attachments, actions and nerve supply of the
deep muscles of anterior compartment of the forearm
Q) What is carrying angle; also mention its significance.
Q) Draw and label the anastomosis around the elbow joint.
Q) What is the Volkmann's ischaemic contracture and why it is caused.
Q) A 40 year person presented in OPD with history of tingling and burning
sensations on lateral 3 and half fingers which became worse after awakening in
the morning
a) Diagnose the condition, define it and enlist different factors contributing to
this condition.
b) Give the attachment of flexor retinaculum and anterior and posterior relations
of this structure.
Q) Give the type and articulating structures forming the wrist joint. Mention its
movements along with the muscles producing them.
b) Give the ligaments of the wrist joint with their attachments
Q) Define anastomosis. Explain its various types and give examples of each
type.
b) Write down the functions of arterio-venous anastomoses.
Q) Give in tabulated form the attachments, actions and nerve supply of the deep
muscles of anterior compartment of the forearm.
Q) What is carrying angle; also mention its significance.
Q) Draw and label the anastomosis around the elbow joint.
Q) What is the Volkmann's ischaemic contracture and why it is caused.
Q) Give the type and articulating structures forming the wrist Joint. Mention its
movements along with the muscles
b) Give the ligaments of the wrist joint with their attachments.
Q) Mention the course, relations and branches of the main nerve of front of the
forearm, which controls the coarse movements of the hand; also show it with
the help of diagram.
Q) Give the attachment of flexor retinaculum and anterior and posterior
relations of this structure.
Q) An elderly woman with the history of the fall on the out stretched hand
developed localised pain and swelling on the dorsal expect of his right wrist.
Movements of the wrist were painful and X- rays showed the fracture of the
lower end of the radius.
a) Mention the name and the level of this fracture and typical deformity seen as
a result of this fracture. And why the normal relationship of styloid processes of
radius and ulna are disturbed.
b) Give the ossification of the radius.
Group 4:
Palmer aponeorosis (pg # 125)
Muscles of hand; thenar, hypothenar and intrinsic (pg # 130)
Spaces of hand (pg # 141)
Nerves of hand: Median, Ulnar and Radial (pg # 136)
Anatomical snuff box (pg # 144)
Blood vessels of hand, palmer and dorsal arches (pg # 133)
1st Carpometacarpal joint (pg # 174)
Dermatomes and cutaneous innervation of upper limb (pg # 85)
Veins and lymphatics of upper limb (pg # 88)
Based on Topics under Group 4.
Q) A patient complains of intense pain on movement of wrist and tenderness
over area of anatomical snuff box
a) Enlist the boundaries and content of anatomical snuff box. And why it is
called snuff box?
b) Give the formation of deep palmar arch, with the help of diagram. Mention
its branches.
Q) A 40 year person presented in OPD with history of tingling and burning
sensations on lateral 3 and half fingers which became worse after awakening in
the morning.
a) Diagnose the condition, define it and enlist different factors contributing to
this condition.
b) Give the distribution of nerve involved in this scenario with the help of
diagram.
Q) Classify the first carpometacarpal joint. Mention its articulating surfaces and
movements along with the muscles producing them.
b) What is dorsal digital expansion.
Q) Mention the attachments of palmar aponeurosis. What is dupuytren's
contracture and how it is caused.
Q) Draw and label cutaneous innervation of upper limb.
Q)A laborer hurts his little finger by rusty nail, presented to surgical CPD with
swelling and pain of hand
a) Mention the spread of infection in this case. Give boundaries and content of
midpalmar space.
b) Give the attachments, actions and nerve supply of lumbricals of hand
Q) Give in tabulated form the attachments and nerve supply of intrinsic muscles
of thenar eminence.
Q) What is dupuytren's contracture and how it is caused.
Q) Give the type and articulating structures forming the first carpometacarpal
joint. Mention its movements along with the muscles producing them.
Q) Give the distribution of nerve which passes superficial to the flexor
retinaculum in the hand.
Q) Draw and label dermatomes of upper limb
Q) Give the boundaries of the midpalmar space. What is whitlow.
Q) A patient complains of intense pain on movement of wrist and tenderness
over area of anatomical snuff box.
a) Enlist the boundaries and content and significance of anatomical snuff box.
b) Give the formation of superficial palmar arch. Mention its branches.
Q) A10 year person presented in OPD with history of tingling and burning
sensations on lateral 3 and half fingers which became worse after awakening in
the morning.
a) Diagnose the condition, define it and mention its motor losses.
b) Mention three differences between somatic and autonomic nervous system.
Based on Upper Limb complete topics
Q) Give in tabulated form the origins, insertions, actions and nerve supply of
the muscles of thenar eminence
Q) What is dupuytren's contracture.
Q) Classify the joints involved in shoulder girdle.
Q) Enlist the movements at the shoulder girdle with the names of muscles
performing these movements.
Q) A patient came in emergency after road traffic accident with a history of
blunt trauma to medial epicondyle of his right arm. On X ray, fracture of medial
epicondyle was observed. After 2 weeks he came in OPD with a condition of
claw hand deformity.
a) Write the origin, course, termination and branches of the nerve involved, in
the forearm. mention the motor and sensory losses observed in this iniury.
b) Mention the boundaries of quadrangular space along with the structures
passing through it. What happens if nerve passing through is damaged.
Q) Draw and label brachial plexus.
Q) Draw and label the anastomosis around the elbow joint.
Q) What is the Volkmann's ischaemic contracture and why it is caused.
Q) Name the sites where you can feel arterial pulsations in upper limb
Q) Give in tabulated form the origins, insertions, actions and nerve supply of
the muscles connecting the upper limb to the vertebral column.
Q) Define shoulder girdle. Mention the joints with their types and ligaments in
shoulder girdle.
Q) Enlist the movements at the shoulder girdle with the names of muscles
performing these movements_ 3
Q) A patient came in emergency after road traffic accident with a history of
blunt trauma to medial epicondyle of his right arm. On X ray, fracture of medial
epicondyle was observed. After 2 weeks he came in OPD with a condition of
claw hand defomity.
a) Write the origin, course, termination and branches of the nerve involved, in
the forearm.
b) Mention the motor and sensory losses observed in this injury.
Q) Draw and label cutaneous innervation of upper limb.
Q) Explain the lymphatic drainage of upper limb.
Q) Give the formation of deep palmar arch with the help of diagram. Also
mention its branches.
Q) What is dorsal digital expansion. Also mention its anatomical attachments
with the help of diagram.
Q) Draw and label attachments on the clavicle. Give its ossification and clinical
applications.
Q) Mention the movements of shoulder girdle; Name the muscles performing
these movements.
Q) In a road traffic accident, a 24 yr old man was thrown from the motor cycle
and had hit his shoulder against a tree. The patient held his upper limb at his
side with the arm medially rotated and the hand pronated. The rounded contour
of shoulder was lost.
a) Name the site, nerve and muscles involved in this injury.
b) Draw and label brachial plexus; also mention the root value of each nerve.
Q) Classify shoulder joint. Name the ligaments and bursae of shoulder joint.
b) Mention its movements along with the axis and muscles performing those
movements
Q) Give the course and branches of brachial artery. Mention its clinical
importance.
Q) Mention the sites at which we can feel arterial pulsations in the upper limb.
Q) Define anastomosis. What are types of arterial anastomosis. Give one
example of each.
Q) Draw and label the anastomosis around the elbow joint.
Q) Give in tabulated form the origin, insertions, actions a u nerve supply of long
flexors of digits.
Q) What is the Volkmann's ischaemic contracture and why it is caused?
Q) A patient came in emergency after road traffic accident with a history of
blunt trauma to the shaft of humerus. On x ray, fracture of the shaft was
observed. After 2 weeks he came in OPD with a condition o! waist drop
a) Name the most likely structure injured in this case
b) Mention the motor and sensory loss observed by this injury
Q) What is rotator cuff tendonitis. Also mention the muscles involved in it.
Q) What is palmar aponeurosis. Give its attachments.
Q) What is dupuytren's contracture and how it is caused.
Q) Draw and label dermatomes of upper limb.
Q) Give the boundaries of tne midpalmar space. What is whitlow.
Q) A 40 year person presented in OPD with history of tingling and burning
sensations on lateral 3,and half fingers which became worse after awakening in
the morning.
a) Diagnose the condition, define it and enlist different factors contributing to
this condition.
b) what is flexor retinaculum. Name the structures passing superficial and deep
to it.
Q) In a road traffic accident, a 20 yr old man was thrown from the motor cycle
and had hit his shoulder against a tree, The patient held his upper limb at his
side with the arm medially rotated and the hand pronated. The rounded contour
of shoulder was lost.
a) Name the site, nerve and muscles involved in this injury.
b) Draw and label brachial plexus.
Q) A 45 yrs old lady came in OPD with mass in right upper quadrant of breast.
On physical examination, it was found that there was inverted nipple and peau'd
orange appearance of that skin.
a) Give the anatomical reason for the above-mentioned signs and give the
modes of spread of this Cancer.
b) What is venous drainage of breast. Give its clinical importance.
Q) Classify shoulder joint. Name the ligaments and bursae of shoulder joint.
Q) What is superstabilizer of this joint. Mention its attachments.
Q) Define anastomoses. What is potential anastomoses.
Q)Draw and label the anastomosis around the elbow joint.
Q) Give the origin, insertion, nerve supply and action of long flexors of middle
finger.
Q) What is carrying angle; also mention its significance.
Q)What is palmar aponeurosis. Give its attachments.
Q)What is dupuytren's contracture and how it is caused.
Q) Give the type and articulating structures forming the first carpometacarpal
joint.
a) Mention its movements along with the axis and muscles performing those
movements.
Q) Give the attachment of extensor retinaculum and mention the structures
passing through its Compartments.
Q) Give the formation of deep palmar arch with the help of diagram. Also
mention its branches.
Q) What is carpal tunnel syndrome; mention its consequences.
Q) What is dorsal digital expansion. Name the muscles joined to this expansion.
Q) Sternoclavicular joint is synovial, compound , complex and saddle joint.
Briefly explain.
Q) What are the movements of shoulder girdle. Name the muscles performing
those movements.
Q) Mention the SITS muscles along with their actions and nerve supply.
Q) Mention the muscles connecting scapula to humerus also mention their
actions.
Q) An athlete during discus throwing in international competition developed
shoulder pain. His clinicians after examination revealed tear in
musculotendinous rotator cuff.
a) what is musculotendinous rotator cuff?
b)Write nerve supply and actions of all components forming this rotator cuff in
tabulated form.
Q) Neurophysician examined deformed left hand of the patient and diagnosed it
is as a case of CLAW HAND.
What is claw hand? Write important anatomical changes in this condition.
Q) What is Biceps tendon reflex? What is its clinical significance.
_EZ_ UPPER LIMB Imp Questions
By; Ehtesham ZAHOOR.
RMDC Lahore.
