Posted by lae2 on October 01, 2009 at 21:31:59:
In Reply to: Re: Extensor Region of Forearm and Dorsum of Hand: True/False posted by pete on September 28, 2009 at 21:42:00:
: : Extensor Region of Forearm and Dorsum of Hand: Learning Objectives and Review Questions
: : * True/False
: : * Short Answer and Definitions
: : * Essay
: : * Comments and Suggestions
: : True/False
: : 1. The fiber direction of the interosseous membrane is from distal ulnar to proximal radial.
: True
True is the intended answer. This direction resists proximal displacement.
: : 2. The nerve that circles the radius deep to the supinator muscle is the deep radial nerve.
: True
True is the intended answer.
: : 3. The radial nerve divides within the cubital fossa into a superficial radial nerve and a deep radial nerve (this is true).
: True
True is the intended answer.
: : 4. The innervation to the muscles of the "outcropping" and the extensor indicis is provided by the posterior interosseus nerve.
: True - what is the outcropping?
True is the intended answer. The outcropping refers to those muscles that have the appearance of an outcropping; tautological I know. The muscles that contribute the boundaries of the anatomical snuff box.
: : 5. Despite that adbductor pollicis longus does not cross the MB joint is is still agonistic to thumb extension.
: True
True is the intended answer. I don't remember what inspired me to write this. It might be from Hollinshead.
: : 6. Extensor indicis extends the index finger independent of extensor digitorum.
: True
True is the intended answer. EI is not tethered to ED.
: : 7. The anatomical snuff box has the extensor pollicis longus as the anterolateral border.
: False - the medial border
FALSE is the intended answer. The posterior medial border. Note anatomical postition.
: : 8. Anterior to the radial artery, within the anatomical snuffbox, is the scaphoid bone.
: True
True is the intended answer.
: : 9. The dorsal carpal arch (rete) receives blood from the anterior interosseous artery.
: True
True is the intended answer. Counterintuitive, eh? I spent time in Canada.
: : 10. Dorsal metacarpal arteries pass the posterior surfaces of the dorsal interosseous muscles.
: True
True is the intended answer.
: : 11. Palmar metacarpal arteries pass the anterior surfaces of the palmar interosseous muscles.
: True
True is the intended answer.
: : 12. A branch of the superficial radial nerve can be palpated as it crosses the tendon of extensor pollicis longus as this tendon provides a border for the antomical snuffbox.
: True
True is the intended answer. Roll this nerve around your tendon.
: : 13. The muscles taking orgin from the common extensor tendon (lateral humeral epicondyle) extend at the elbow.
: True - weakly
True is the intended answer.
: : 14. The extensor carpi radialis longus and brevis muscles are inneravated by the deep radial nerve.
: False - just brevis
True is the intended answer. This is a nightmare. Know an account.
: : 15. The extensor carpi ulnaris muscle is innervated by the posterior interosseus nerve.
: True
FALSE is the intended answer. Nevertheless, this is a mess and will not be a deal breaker on your examination.
: : 16. The supinator muscle is innervated by the posterior interosseous nerve.
: False - deep radial N.
FALSE is the intended answer.
: : 17. The extensor pollicis longus muscle is innervated by the deep radial nerve).
: False - post. interosseous N
FALSE is the intended answer.
: : 18. The extensor carpi radialis longus is considered primaritly a wrist extensor while the extensor carpi radialis brevis is a radial devator (abductor).
: False - reversed, longus more of a radial deviator bc attaches more radial
FALSE is the intended answer.
: : 19. The princips pollicis artery is a content of the anatomical snuff box.
: False - dives ant. through 1st dorsal inteross muscle
FALSE is the intended answer.
: : 20. The anterior interosseous artery is located on the posterior surface of the distal interosseous membrane.
: True - dives through IOM distally to anatomose with the post IO artery, and contributes to dorsal carpal arch
True is the intended answer. You did your homework here.
: : 21. The anterior interosseous artery contributes to the dorsal rete.
: True
True is the intended answer. The dorsal carpal rete or arch.
: : 22. There is a superior free edge of the interosseous membrane and superior to that is the oblique cord.
: True
True is the intended answer. Thus, carefull about suggesting that the posterior interosseous artery pierces the IO.
: : 23. The posterior interosseous artery travels with the deep radial nerve to arrive in the posterior compartment of the forearem.
: False - after passing the post border of the supinator, the deep radial N becomes the post IO artery
FALSE is the intended answer. The artery passes medial to the radius. The nerve passes lateral to the radius. The nerve does not become the artery.
: : 24. The interosseous recurrent artery passes through the heads of origin of the flexor carpi ulnaris.
: False - passes deep to the anconeous, the ant. ulnar recurrent passes through the heads of origin
FALSE is the intended answer. The posterior ulnar recurrent does this (FCU).
: : 25. The tendon(s) of abductor pollicis longus are immediately anterior to the tendons of extensor pollicis brevis when at the level of the anatomical snuff box.
: True
True is the intended answer.
: : 26. The finger that has a dorsal interosseous on the radial (lateral) side and a palmar interosseous on the ulnar (medial) side is the ring finger.
: False - the index finger
FALSE is the intended answer.
: : 27. The finger that nearly always has five tendons attaching to the extensor hood is the middle finger.
: False - ?? don't know about this, seems like i can only count 4 on every digit, except digiti minimi (3)
FALSE is the intended answer. The index finger has two long tendons and three intrinsic tendons.
: : 28. The fiber direction of the interosseous membrane resists proxmal movement of the radius.
: True
True is the intended answer.
: : 29. The anconeus muscle crosses the elbow joint.
: True
True is the intended answer.
: : 30. A lesion of the radial nerve at the spiral (radial) groove would paralyze the anconeus muscle.
: True
True is the intended answer.
: : 31. The interosseous recurrent artery is deep to the anconeus muscle.
: True
True is the intended answer.
: : 32. The posterior recurrent ulnar artery passes through the heads of origin of the extensor carpi radialis longus muscle.
: False - on so many levels
FALSE is the intended answer.
: : 33. The posterior interosseous artery and the posterior interosseous nerve are usually separated from each other by the extensor indicis and the muscles of the outcropping.
: False - ?
True was the intended answer. Open to debate?
: : 34. The extensors of the forearm are, in a sense, agonistic to the flexors of the forearm in mediating a firm grip.
: True
True is the intended answer.
: : 35. A lesion of the deep radial nerve as it spirals around the radius deep to supinator would cause the resting wrist position to be flexed and abducted.
: False - flexed yes but aDDucted
FALSE is the intended answer.
: : 36. A lesion of the superficial radial nerve would cause anesthesia of the nail beds of the radial 2.5 fingers.
: False - nail beds inn. by median
FALSE is the intended answer.
: : 37. The radial collateral ligament of the elbow contributes support to the anular ligament.
: True
True is the intended answer.
: : 38. The radial notch of the ulna resists proximal and distal dislocation of the radius.
: False - just proximanl
????? Why did I write this question? I just don't remember.
: : 39. A total lesion of the posterior interosseous nerve (think snuff box and outcropping) would cause uncompensated loss of extension of the thumb.
: True
True was the intended answer. At least in the old days when nerves were nerves and books were scholarly.
: : 40. A total lesion of the posterior interosseous nerve (think snuff box and outcropping) would cause uncompensated loss of abduction of the thumb.
: False - compensation from thenar and median N.
FALSE is the intended answer.
: : 41. The tendons of extensor digitorum are secured to the metacarpal bones by vincula long and brevia.
: False - tendons of flexors
FALSE is the intended answer. The phalanges. Plus, they are mesotendons. Not the best tissue for providing security.
: : 42. Tendon sheaths for the long extensors/adbuctor of the forearm pass deep to the extensor retinaculum.
: True
:
True is the intended answer.