Download Chapter 006 The Shoulder Joint

Chapter 006 The Shoulder Joint
True / False Questions
1. The bones of the shoulder joint include the scapula and the clavicle.
True False
2. The bony landmarks of the greater and lesser tubercles are separated by the bicipital
groove.
True False
3. The glenohumeral joint is a ginglymus joint.
True False
4. The rotator cuff is comprised of the supraspinatus, teres minor, infraspinatus, and teres
major.
True False
5. The rotator cuff, as a group, stabilizes the head of the humerus for the shoulder joint.
True False
6. The location of the muscles of the shoulder joint has nothing to do with the actions of the
joint.
True False
7. The muscles of the shoulder joint are all innervated by the nerves from the brachial plexus.
True False
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Chapter 006 The Shoulder Joint
8. The thick tendon of subscapularis can be palpated between the coracoid process and the
lesser tubercle of the humerus.
True False
9. Adhesive capsulitis is a painless condition that an individual can recover from very
quickly.
True False
10. The aponeurosis of the latissimus dorsi connects the muscle to the thoracic vertebrae from
T6 or T7 to all the spinous processes of the lumbar vertebrae and sacrum to the iliac crest.
True False
Multiple Choice Questions
11. The infraspinatus inserts on the
A. middle facet of the greater tubercle.
B. superior facet of the greater tubercle.
C. inferior facet of the greater tubercle.
D. lesser tubercle.
12. The anterior deltoid originates on the
A. deltoid tuberosity.
B. spine of the scapula.
C. lateral third of the clavicle.
D. coracoid process.
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Chapter 006 The Shoulder Joint
13. The middle deltoid originates on the
A. deltoid tuberosity.
B. lateral acromion.
C. spine of the scapula.
D. greater tubercle.
14. The posterior deltoid originates on the
A. spine of the scapula.
B. lateral acromion.
C. anterior lateral clavicle.
D. greater tubercle.
15. The insertion of the deltoid muscle is on the
A. greater tubercle.
B. lesser tubercle.
C. bicipital groove.
D. deltoid tuberosity.
16. The supraspinatus originates on the
A. subscapular fossa.
B. supraspinous fossa.
C. infraspinous fossa.
D. upper axillary border of the scapula.
17. The infraspinatus originates on the
A. infraspinous fossa.
B. greater tubercle.
C. supraspinous fossa.
D. upper axillary border of the scapula.
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Chapter 006 The Shoulder Joint
18. The teres minor muscle originates on the
A. inferior angle of the scapula.
B. upper axillary border of the scapula.
C. greater tubercle.
D. spine of the scapula.
19. The supraspinatus inserts on the
A. inferior facet of the greater tubercle.
B. lesser tubercle.
C. middle facet of the greater tubercle.
D. superior facet of the greater tubercle.
20. The subscapularis originates on the
A. infraspinous fossa.
B. inferior angle of the scapula.
C. subscapular fossa.
D. three to five ribs.
21. The subscapularis inserts on the
A. lesser tubercle.
B. greater tubercle.
C. inferior angle of the scapula.
D. deltoid tuberosity.
22. The subscapularis tendon can be palpated between the
A. clavicle and the coracoid process.
B. coracoid process and the lesser tubercle of the humerus.
C. acromion and the humerus.
D. superior angle of the scapula and the seventh cervical vertebrae.
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Chapter 006 The Shoulder Joint
23. Three muscles that attach to different parts of the bicipital groove are the
A. supraspinatus, teres minor, and subscapularis.
B. latissimus dorsi, teres minor, and pectoralis major.
C. latissimus dorsi, teres major, and pectoralis major.
D. latissimus dorsi, subscapularis, and pectoralis major.
24. The supraspinatus performs weak
A. abduction of the humerus.
B. adduction of the humerus.
C. flexion of the humerus.
D. extension of the humerus.
25. The infraspinatus and posterior deltoid are
A. stabilizers only.
B. neutralizers.
C. synergists.
D. antagonists.
26. The teres major originates on the
A. posterior inferior angle of the scapula.
B. axillary border of the scapula.
C. upper nine ribs.
D. spine of the scapula.
27. The only muscle of the shoulder joint that is named for both of its attachments is
A. teres minor.
B. pectoralis major.
C. coracobrachialis.
D. latissimus dorsi.
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Chapter 006 The Shoulder Joint
28. Teres major works with the ________________ as a synergist.
A. trapezius
B. latissimus dorsi
C. levator scapulae
D. rhomboids
29. The muscles of the shoulder joint that perform medial rotation are anterior deltoid,
subscapularis, latissimus dorsi, teres major, and ______________.
A. infraspinatus
B. teres minor
C. pectoralis major
D. posterior deltoid
30. The coracobrachialis performs
A. extension, lateral rotation, and abduction.
B. flexion, adduction, and horizontal adduction.
C. extension, adduction, and horizontal adduction.
D. flexion, adduction, and horizontal abduction.
31. In order for the shoulder joint muscles to perform adduction the shoulder girdle muscles
must perform ___________ of the scapula.
A. upward rotation
B. elevation
C. abduction
D. downward rotation
32. In order for the shoulder joint muscles to perform internal rotation the shoulder girdle
muscles must perform __________ of the scapula.
A. adduction
B. abduction
C. downward rotation
D. depression
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Chapter 006 The Shoulder Joint
33. When palpating the clavicular head of the pectoralis major one can feel a strong
contraction with __________________.
A. horizontal adduction
B. horizontal abduction
C. abduction
D. extension
34. When the shoulder joint muscles perform external rotation the shoulder girdle muscles
___________________ must perform ___________________ of the scapula.
A. levator scapulae and pectoralis minor; abduction
B. middle and lower trapezius, rhomboids; adduction
C. serratus anterior and rhomboids; abduction
D. rhomboids and levator scapulae; elevation
35. The action of flexion of the humerus requires _______________ of the scapula.
A. downward rotation
B. adduction
C. depression
D. upward rotation
36. Like the latissimus, the teres major may be strengthened by
A. latissimus dorsi pulls.
B. biceps curls.
C. chest flys.
D. push ups.
37. Lateral rotation of the humerus stretches the
A. teres minor.
B. supraspinatus.
C. subscapularis.
D. triceps.
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Chapter 006 The Shoulder Joint
38. The biceps brachii and triceps brachii (long head) are also involved in glenohumeral
movements as
A. only prime movers.
B. agonists and antagonists.
C. only synergists.
D. rotators.
39. Specific stretching is extremely beneficial in healing inflamed
A. tissue.
B. extremities.
C. bursae.
D. bone.
40. To stretch the anterior deltoid, take the humerus into extreme
A. rotation.
B. abduction.
C. adduction.
D. hyperextension.
41. The acronym _______ may be used in learning the names supraspinatus, infraspinatus,
teres minor, and subscapularis.
A. STS
B. SITS
C. STA
D. SIST
42. This is a breakdown of collagen fibers within the tendon.
A. Tendonitis
B. Epicondylitis
C. Matrix collapse
D. Tendonosis
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Chapter 006 The Shoulder Joint
43. This muscle is often called the "briefcase" or "suitcase" muscle.
A. Subscapularis
B. Supraspinatus
C. Teres minor
D. Latissimus dorsi
44. Stretching the infraspinatus is accomplished with
A. horizontal adduction and rotation.
B. extension and rotation.
C. medial rotation and extreme horizontal adduction.
D. flexion with rotation.
45. The coracobrachialis is best strengthened by
A. lat pulls.
B. push ups.
C. dead lifts.
D. chest flys.
46. A good way to strengthen the supraspinatus is
A. deltoid lifts.
B. shoulder shrugs.
C. the "empty can" exercise.
D. extension.
47. When performing shoulder routines with weight, the eccentric phase should always be
A. fast.
B. slow and controlled.
C. limited.
D. stopped and started.
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Chapter 006 The Shoulder Joint
48. _________ dumbbell raises are excellent for strengthening the lateral deltoid.
A. Thumb down
B. Angled
C. Posterior
D. Side-arm
49. The trapezius muscle ________ the scapula as the deltoid pulls on the humerus.
A. moves
B. stabilizes
C. rotates
D. abducts
50. Horizontal adduction stretches many of the
A. anterior muscles.
B. rotators.
C. deltoid muscles.
D. anti-gravity muscles.
Fill in the Blank Questions
51. Another name commonly given to adhesive capsulitis is ___________.
________________________________________
52. The ____________ is a cartilaginous ring that surrounds the glenoid fossa just inside its
periphery.
________________________________________
53. The __________________ in conjunction with the latissimus dorsi and the ______ forms
the posterior axillary fold.
________________________________________
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Chapter 006 The Shoulder Joint
54. Latissimus dorsi means ____________________.
________________________________________
55. The glenohumeral joint is a(n) ______________________ joint.
________________________________________
56. Rotator cuff injuries could include inflammation of a tendon called ________.
________________________________________
57. A condition that is defined as a breakdown of collagen fibers is called _________.
________________________________________
58. The rotator cuff as a whole is considered to __________________ the head of the
humerus.
________________________________________
59. The teres minor performs similar actions to another rotator cuff muscle the
____________.
________________________________________
60. The subscapularis opposes abduction by assisting in ________________.
________________________________________
61. The latissimus dorsi has a very large thin tissue called the ____________ that is a part of
its broad attachment to the spine.
________________________________________
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Chapter 006 The Shoulder Joint
62. The latissimus dorsi performs _______________, medial rotation, horizontal abduction,
and adduction.
________________________________________
63. The latissimus dorsi and the ______________ intertwine before they insert on their
respective positions on the _____________.
________________________________________
64. Teres major literally means ______________ muscle.
________________________________________
65. The anterior axillary fold is primarily the ______________ muscle.
________________________________________
66. The two heads of the pectoralis major are called the _____________ head and the
_____________ head.
________________________________________
67. The structure that enters the upper extremity in close quarters to the coracobrachialis is the
______________.
________________________________________
68. The anterior and posterior deltoid perform _________ actions.
________________________________________
69. The lesser tubercle is the attachment site for the _________________ muscle.
________________________________________
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Chapter 006 The Shoulder Joint
70. The subscapularis is located on the ________________ aspect of the scapula.
________________________________________
71. When the shoulder joint performs extension the scapula must _________ and/or
____________.
________________________________________
72. If the scapula was frozen in place and did not move the shoulder joint would have
________________ range of motion.
________________________________________
73. The entire deltoid muscle inserts on the _________________.
________________________________________
74. The latissimus dorsi, teres major, infraspinatus, and teres minor are located on the
_____________ side of the human body.
________________________________________
75. The deltoid has three divisions to the entire muscle, but all three parts of the muscle
together perform _______________ of the shoulder joint.
________________________________________
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Chapter 006 The Shoulder Joint Key
True / False Questions
1. The bones of the shoulder joint include the scapula and the clavicle.
FALSE
The bones of the shoulder joint include the humerus as well.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-2
Learning Outcome: 6-3
Learning Outcome: 6-6
2. The bony landmarks of the greater and lesser tubercles are separated by the bicipital
groove.
TRUE
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-2
Learning Outcome: 6-3
3. The glenohumeral joint is a ginglymus joint.
FALSE
The glenohumeral joint is a ball-and-socket joint not a hinge joint.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-5
Learning Outcome: 6-6
6-14
Chapter 006 The Shoulder Joint Key
4. The rotator cuff is comprised of the supraspinatus, teres minor, infraspinatus, and teres
major.
FALSE
The rotator cuff does not include the teres major as it does not insert on the greater or lesser
tubercles. The subscapularis was left out of this statement.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
Learning Outcome: 6-8
5. The rotator cuff, as a group, stabilizes the head of the humerus for the shoulder joint.
TRUE
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-6
Learning Outcome: 6-8
6. The location of the muscles of the shoulder joint has nothing to do with the actions of the
joint.
FALSE
The position of the muscles and points of attachment has everything to do with action. The
line of pull is better understood if the student has knowledge of the location of the muscle.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-4
Learning Outcome: 6-5
Learning Outcome: 6-8
6-15
Chapter 006 The Shoulder Joint Key
7. The muscles of the shoulder joint are all innervated by the nerves from the brachial plexus.
TRUE
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
8. The thick tendon of subscapularis can be palpated between the coracoid process and the
lesser tubercle of the humerus.
TRUE
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
9. Adhesive capsulitis is a painless condition that an individual can recover from very
quickly.
FALSE
Adhesive capsulitis is a very painful condition that takes months and sometimes years to
completely recover to original range of motion in the shoulder joint.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
10. The aponeurosis of the latissimus dorsi connects the muscle to the thoracic vertebrae from
T6 or T7 to all the spinous processes of the lumbar vertebrae and sacrum to the iliac crest.
TRUE
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
Learning Outcome: 6-4
Learning Outcome: 6-7
6-16
Chapter 006 The Shoulder Joint Key
Multiple Choice Questions
11. The infraspinatus inserts on the
A. middle facet of the greater tubercle.
B. superior facet of the greater tubercle.
C. inferior facet of the greater tubercle.
D. lesser tubercle.
The rotator cuff muscles line up superior to inferior on the greater tubercle and the
infraspinatus occupies the middle facet.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
12. The anterior deltoid originates on the
A. deltoid tuberosity.
B. spine of the scapula.
C. lateral third of the clavicle.
D. coracoid process.
The anterior deltoid is position on the anterior lateral third of the clavicle.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
6-17
Chapter 006 The Shoulder Joint Key
13. The middle deltoid originates on the
A. deltoid tuberosity.
B. lateral acromion.
C. spine of the scapula.
D. greater tubercle.
The middle deltoid is in between the anterior and posterior sections of the deltoid muscle and
can only originate at the lateral acromion.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
14. The posterior deltoid originates on the
A. spine of the scapula.
B. lateral acromion.
C. anterior lateral clavicle.
D. greater tubercle.
Out of the above choices the posterior portion of the deltoid muscle must come from the spine
of the scapula.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
6-18
Chapter 006 The Shoulder Joint Key
15. The insertion of the deltoid muscle is on the
A. greater tubercle.
B. lesser tubercle.
C. bicipital groove.
D. deltoid tuberosity.
The insertion on the humerus is named after its muscle.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-4
Learning Outcome: 6-7
16. The supraspinatus originates on the
A. subscapular fossa.
B. supraspinous fossa.
C. infraspinous fossa.
D. upper axillary border of the scapula.
The cavity that houses the supraspinatus is named after it.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-4
Learning Outcome: 6-7
17. The infraspinatus originates on the
A. infraspinous fossa.
B. greater tubercle.
C. supraspinous fossa.
D. upper axillary border of the scapula.
Inferior to the supraspinatus the infraspinatus literally means below the spine of the scapula.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
6-19
Chapter 006 The Shoulder Joint Key
18. The teres minor muscle originates on the
A. inferior angle of the scapula.
B. upper axillary border of the scapula.
C. greater tubercle.
D. spine of the scapula.
As one of the rotator cuff group, the teres minor comes from the upper axillary border of the
scapula; it is the most inferior muscle to insert on the posterior portion of the humerus.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
19. The supraspinatus inserts on the
A. inferior facet of the greater tubercle.
B. lesser tubercle.
C. middle facet of the greater tubercle.
D. superior facet of the greater tubercle.
The supraspinatus literally means above the spine of the scapula and holds the superior
position of the rotator cuff group. It attaches to the superior facet of the greater tubercle.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
6-20
Chapter 006 The Shoulder Joint Key
20. The subscapularis originates on the
A. infraspinous fossa.
B. inferior angle of the scapula.
C. subscapular fossa.
D. three to five ribs.
The origin of the subscapularis is named for its location on the anterior scapula.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
21. The subscapularis inserts on the
A. lesser tubercle.
B. greater tubercle.
C. inferior angle of the scapula.
D. deltoid tuberosity.
The subscapularis is the only rotator cuff muscle that inserts on the lesser tubercle.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
22. The subscapularis tendon can be palpated between the
A. clavicle and the coracoid process.
B. coracoid process and the lesser tubercle of the humerus.
C. acromion and the humerus.
D. superior angle of the scapula and the seventh cervical vertebrae.
The large tendon of the subscapularis can be palpated anteriorly between the coracoid process
and the lesser tubercle.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
6-21
Chapter 006 The Shoulder Joint Key
23. Three muscles that attach to different parts of the bicipital groove are the
A. supraspinatus, teres minor, and subscapularis.
B. latissimus dorsi, teres minor, and pectoralis major.
C. latissimus dorsi, teres major, and pectoralis major.
D. latissimus dorsi, subscapularis, and pectoralis major.
Both latissimus dorsi and teres major attach to the bicipital groove; the latissimus dorsi has
more of the floor of the groove whereas the teres major attaches to the medial lip of the
bicipital groove. The pectoralis major spans over the top of these two insertions and it
attaches to the lateral lip of the groove.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
Learning Outcome: 6-4
Learning Outcome: 6-7
24. The supraspinatus performs weak
A. abduction of the humerus.
B. adduction of the humerus.
C. flexion of the humerus.
D. extension of the humerus.
Located at the superior portion of the shoulder when this muscle contracts it can only do weak
abduction of the humerus.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-6
6-22
Chapter 006 The Shoulder Joint Key
25. The infraspinatus and posterior deltoid are
A. stabilizers only.
B. neutralizers.
C. synergists.
D. antagonists.
The infraspinatus and posterior deltoid both perform extension, lateral rotation, and horizontal
abduction of the humerus and are therefore synergists.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-6
Learning Outcome: 6-8
26. The teres major originates on the
A. posterior inferior angle of the scapula.
B. axillary border of the scapula.
C. upper nine ribs.
D. spine of the scapula.
As this muscle forms the axillary fold, its location can only come from the inferior angle of
the scapula.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-7
6-23
Chapter 006 The Shoulder Joint Key
27. The only muscle of the shoulder joint that is named for both of its attachments is
A. teres minor.
B. pectoralis major.
C. coracobrachialis.
D. latissimus dorsi.
Coracobrachialis is named for its two attachments the coracoid process and brachialis, which
means arm.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
28. Teres major works with the ________________ as a synergist.
A. trapezius
B. latissimus dorsi
C. levator scapulae
D. rhomboids
Out of all the muscles listed, the latissimus dorsi is the only shoulder joint muscle; teres major
and the latissimus dorsi assist each other in actions of the shoulder joint.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-5
Learning Outcome: 6-8
6-24
Chapter 006 The Shoulder Joint Key
29. The muscles of the shoulder joint that perform medial rotation are anterior deltoid,
subscapularis, latissimus dorsi, teres major, and ______________.
A. infraspinatus
B. teres minor
C. pectoralis major
D. posterior deltoid
Only the pectoralis major of the listed muscles could perform medial rotation of the humerus.
The other muscles could not perform medial rotation in their line of pull.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-4
Learning Outcome: 6-5
Learning Outcome: 6-8
30. The coracobrachialis performs
A. extension, lateral rotation, and abduction.
B. flexion, adduction, and horizontal adduction.
C. extension, adduction, and horizontal adduction.
D. flexion, adduction, and horizontal abduction.
In its location the coracobrachialis contracts and assists flexion, adduction, and draws the arm
over the chest in horizontal adduction.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
6-25
Chapter 006 The Shoulder Joint Key
31. In order for the shoulder joint muscles to perform adduction the shoulder girdle muscles
must perform ___________ of the scapula.
A. upward rotation
B. elevation
C. abduction
D. downward rotation
When the arm is drawn back to the side of the body the downward rotators of the scapula
draw the scapula closer to the spine in downward rotation.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-6
Learning Outcome: 6-8
32. In order for the shoulder joint muscles to perform internal rotation the shoulder girdle
muscles must perform __________ of the scapula.
A. adduction
B. abduction
C. downward rotation
D. depression
When the humerus twists internally, the scapula must roll away from the spine for more range
of motion of the humerus.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-6
Learning Outcome: 6-8
6-26
Chapter 006 The Shoulder Joint Key
33. When palpating the clavicular head of the pectoralis major one can feel a strong
contraction with __________________.
A. horizontal adduction
B. horizontal abduction
C. abduction
D. extension
Out of all the actions listed the only one that inspires contraction is drawing the arm across the
body in horizontal adduction.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-5
Learning Outcome: 6-8
34. When the shoulder joint muscles perform external rotation the shoulder girdle muscles
___________________ must perform ___________________ of the scapula.
A. levator scapulae and pectoralis minor; abduction
B. middle and lower trapezius, rhomboids; adduction
C. serratus anterior and rhomboids; abduction
D. rhomboids and levator scapulae; elevation
As the humerus externally rotates, the scapula would have to retreat toward the spine. The
muscles that perform adduction of the scapulae are the middle and lower trapezius and
rhomboids.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-6
Learning Outcome: 6-8
6-27
Chapter 006 The Shoulder Joint Key
35. The action of flexion of the humerus requires _______________ of the scapula.
A. downward rotation
B. adduction
C. depression
D. upward rotation
The inferior angle of the scapula moves away from the spine when the humerus performs
flexion.
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-6
36. Like the latissimus, the teres major may be strengthened by
A. latissimus dorsi pulls.
B. biceps curls.
C. chest flys.
D. push ups.
The lats can also be strengthened by rowing movements.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-9
37. Lateral rotation of the humerus stretches the
A. teres minor.
B. supraspinatus.
C. subscapularis.
D. triceps.
Lateral rotation also stretches pectoralis major and teres major.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-9
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Chapter 006 The Shoulder Joint Key
38. The biceps brachii and triceps brachii (long head) are also involved in glenohumeral
movements as
A. only prime movers.
B. agonists and antagonists.
C. only synergists.
D. rotators.
Primarily, the biceps brachii assists in flexing and horizontally adducting the shoulder,
whereas the long head of the triceps brachii assists in extension and horizontal abduction.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-8
39. Specific stretching is extremely beneficial in healing inflamed
A. tissue.
B. extremities.
C. bursae.
D. bone.
Therapists must use caution and avoid using compressive techniques that can irritate the
subdeltoid bursa.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-9
40. To stretch the anterior deltoid, take the humerus into extreme
A. rotation.
B. abduction.
C. adduction.
D. hyperextension.
Stretching the deltoid requires varying positions, depending on the fibers to be stretched.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-9
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Chapter 006 The Shoulder Joint Key
41. The acronym _______ may be used in learning the names supraspinatus, infraspinatus,
teres minor, and subscapularis.
A. STS
B. SITS
C. STA
D. SIST
These muscles, which are not very large in comparison with the deltoid and pectoralis major,
must possess not only adequate strength, but also a significant amount of muscular endurance
to ensure their proper functioning.
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
42. This is a breakdown of collagen fibers within the tendon.
A. Tendonitis
B. Epicondylitis
C. Matrix collapse
D. Tendonosis
Stretching is extremely helpful in healing tendonosis.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
43. This muscle is often called the "briefcase" or "suitcase" muscle.
A. Subscapularis
B. Supraspinatus
C. Teres minor
D. Latissimus dorsi
This muscle is important for shoulder stability.
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
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Chapter 006 The Shoulder Joint Key
44. Stretching the infraspinatus is accomplished with
A. horizontal adduction and rotation.
B. extension and rotation.
C. medial rotation and extreme horizontal adduction.
D. flexion with rotation.
This exercise protracts the scapula, stretching the infraspinatus as a horizontal abductor.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-9
45. The coracobrachialis is best strengthened by
A. lat pulls.
B. push ups.
C. dead lifts.
D. chest flys.
This muscle is stretched the same way pectoralis major is.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Difficulty: Medium
Learning Outcome: 6-9
46. A good way to strengthen the supraspinatus is
A. deltoid lifts.
B. shoulder shrugs.
C. the "empty can" exercise.
D. extension.
The empty can exercise is also a way to assess strength in this muscle.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-9
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Chapter 006 The Shoulder Joint Key
47. When performing shoulder routines with weight, the eccentric phase should always be
A. fast.
B. slow and controlled.
C. limited.
D. stopped and started.
Slow return phase of movements support muscle hypertrophy.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Difficulty: Medium
Learning Outcome: 6-9
48. _________ dumbbell raises are excellent for strengthening the lateral deltoid.
A. Thumb down
B. Angled
C. Posterior
D. Side-arm
The deltoid may be strengthened by moving forward, back, and side.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-9
49. The trapezius muscle ________ the scapula as the deltoid pulls on the humerus.
A. moves
B. stabilizes
C. rotates
D. abducts
This is an important muscle to strengthen for stability of the shoulder.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Difficulty: Medium
Learning Outcome: 6-9
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Chapter 006 The Shoulder Joint Key
50. Horizontal adduction stretches many of the
A. anterior muscles.
B. rotators.
C. deltoid muscles.
D. anti-gravity muscles.
This movements targets the upper shoulder muscles that help sustain good posture.
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-9
Fill in the Blank Questions
51. Another name commonly given to adhesive capsulitis is ___________.
frozen shoulder
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
52. The ____________ is a cartilaginous ring that surrounds the glenoid fossa just inside its
periphery.
glenoid labrum
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
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Chapter 006 The Shoulder Joint Key
53. The __________________ in conjunction with the latissimus dorsi and the ______ forms
the posterior axillary fold.
subscapularis; teres major
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
Learning Outcome: 6-4
Learning Outcome: 6-7
54. Latissimus dorsi means ____________________.
broad flat back
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
55. The glenohumeral joint is a(n) ______________________ joint.
ball-and-socket
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
Learning Outcome: 6-5
56. Rotator cuff injuries could include inflammation of a tendon called ________.
tendonitis
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
57. A condition that is defined as a breakdown of collagen fibers is called _________.
tendonosis
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
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Chapter 006 The Shoulder Joint Key
58. The rotator cuff as a whole is considered to __________________ the head of the
humerus.
stabilize
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
59. The teres minor performs similar actions to another rotator cuff muscle the
____________.
infraspinatus
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-5
Learning Outcome: 6-6
Learning Outcome: 6-8
60. The subscapularis opposes abduction by assisting in ________________.
adduction
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-5
Learning Outcome: 6-8
61. The latissimus dorsi has a very large thin tissue called the ____________ that is a part of
its broad attachment to the spine.
aponeurosis
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
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Chapter 006 The Shoulder Joint Key
62. The latissimus dorsi performs _______________, medial rotation, horizontal abduction,
and adduction.
extension
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-5
Learning Outcome: 6-8
63. The latissimus dorsi and the ______________ intertwine before they insert on their
respective positions on the _____________.
teres major; bicipital groove
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
Learning Outcome: 6-7
64. Teres major literally means ______________ muscle.
large round
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
65. The anterior axillary fold is primarily the ______________ muscle.
pectoralis major
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
Learning Outcome: 6-7
6-36
Chapter 006 The Shoulder Joint Key
66. The two heads of the pectoralis major are called the _____________ head and the
_____________ head.
clavicular; sternal
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-4
Learning Outcome: 6-7
67. The structure that enters the upper extremity in close quarters to the coracobrachialis is the
______________.
brachial plexus
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-1
68. The anterior and posterior deltoid perform _________ actions.
opposite
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-5
Learning Outcome: 6-8
69. The lesser tubercle is the attachment site for the _________________ muscle.
subscapularis
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-3
Learning Outcome: 6-4
Learning Outcome: 6-7
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Chapter 006 The Shoulder Joint Key
70. The subscapularis is located on the ________________ aspect of the scapula.
anterior
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-1
Learning Outcome: 6-4
Learning Outcome: 6-7
71. When the shoulder joint performs extension the scapula must _________ and/or
____________.
depress; downward rotate
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Hard
Learning Outcome: 6-5
Learning Outcome: 6-6
Learning Outcome: 6-8
72. If the scapula was frozen in place and did not move the shoulder joint would have
________________ range of motion.
limited
Bloom's: Application
Bloom's: Comprehension
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-6
Learning Outcome: 6-8
73. The entire deltoid muscle inserts on the _________________.
deltoid tuberosity
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-2
Learning Outcome: 6-3
Learning Outcome: 6-4
Learning Outcome: 6-7
6-38
Chapter 006 The Shoulder Joint Key
74. The latissimus dorsi, teres major, infraspinatus, and teres minor are located on the
_____________ side of the human body.
posterior
Bloom's: Application
Bloom's: Knowledge
Difficulty: Easy
Learning Outcome: 6-4
Learning Outcome: 6-7
75. The deltoid has three divisions to the entire muscle, but all three parts of the muscle
together perform _______________ of the shoulder joint.
abduction
Bloom's: Application
Bloom's: Knowledge
Difficulty: Medium
Learning Outcome: 6-4
Learning Outcome: 6-5
Learning Outcome: 6-6
Learning Outcome: 6-8
6-39