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Human Anatomy — Biology 255 Final Exam Note: Final exams are not returned! All exam copies will be shredded on the Monday of week #2 of winter term. If you want to see your final exam you must stop into my office to see the exam. However, you cannot keep your copy of the exam. Please print your name clearly on the back of the last page of this exam. Please read the instructions preceding each section carefully. You must answer all questions on this exam. Statistics demonstrate that, on average, between 2-5 objective questions on every exam are ambiguous enough to come out “aberrant” on an item analysis. Therefore, the total number of points possible on this exam is 106. However, grades will be calculated out of a possible 100 points, assuming that 2-3 objective questions on this exam are aberrant. Section 1: Brachial plexus. If the following statements are true place a (+) in the space provided; if the statement is false place a (O) in the space provided. (2 points each) _____ 1. In the brachial plexus the roots of C5 and C6 form the superior (upper) trunk, the roots of C8 and T1 form the inferior (lower) trunk, and the root of C7 forms the middle trunk. _____ 2. The radial nerve innervates all of the extensors of the arm and forearm. The radial nerve is a branch off of the posterior cord of the brachial plexus. Every root of the brachial plexus helps contribute to the formation of the radial nerve. _____ 3. The lateral cord forms the musculocutaneous nerve and part of the median nerve. Therefore the nerves that innervate all of the flexors of the arm, most of the flexors of the forearm and some of the muscles of the hand can ultimately be traced back to one or more of the roots of the brachial plexus that are formed by spinal nerves C5 to C8. _____ 4. The flexor carpi ulnaris and the lateral portion of the flexor digitorum superficialis, as well as most of the muscles of the hand are innervated by a nerve that is ultimately formed by a nerve that branches off of the roots of the brachial plexus that are formed by spinal nerves C8 and T1. _____ 5. All of the flexors of the arm are innervated by a nerve of the brachial plexus that can be traced back to the roots of the brachial plexus that are formed by spinal nerves C5 to C7. 2 Section 2: Extrinsic muscles of the shoulder. Place the most appropriate letter in the space provided. (2 points each) ____ 6. Origins on the external occipital protuberance, spines of vertebrae C7 to T12, and the ligamentum nuchae, insertions on the clavicle, acromion and coracoid processes of the scapula, and the spine of the scapula best describes which of the following muscles? a. trapezius b. latissimus dorsi c. rhomboideus (major and minor) d. pectoralis major e. pectoralis minor f. deltoid g. serratus anterior h. more than one of the above. i. all of the above. j. none of the above _____ 7. Depression and downward rotation of the scapula are at least two of the actions of which of the following muscles? a. trapezius b. latissimus dorsi c. rhomboideus (major and minor) d. pectoralis major e. pectoralis minor f. deltoid g. serratus anterior h. more than one of the above. i. all of the above. j. none of the above _____ 8. Abduction and upward rotation of the scapula are at least two of the actions of which of the following muscles? a. trapezius b. latissimus dorsi c. rhomboideus (major and minor) d. pectoralis major e. pectoralis minor f. deltoid g. serratus anterior h. more than one of the above. i. all of the above. j. none of the above 3 _____ 9. Which of the following muscles is innervated by the medial pectoral nerve? a. trapezius b. latissimus dorsi c. rhomboideus (major and minor) d. pectoralis major e. pectoralis minor f. deltoid g. serratus anterior h. more than one of the above. i. all of the above. j. none of the above _____ 10. An origin on the sternum and ribs 2 through 6, insertion on the lesser tubercle of the humerus, innervation by the medial and lateral pectoral nerves, actions of adduction, medial rotation, flexion of an extended humerus and extension of an flexed humerus best describes which of the following muscles? a. trapezius b. latissimus dorsi c. rhomboideus (major and minor) d. pectoralis major e. pectoralis minor f. deltoid g. serratus anterior h. more than one of the above. i. all of the above. j. none of the above _____ 11. Which of the following muscles is not an extrinsic muscle of the shoulder? a. trapezius b. latissimus dorsi c. rhomboideus (major and minor) d. pectoralis major e. pectoralis minor f. deltoid g. serratus anterior h. more than one of the above. i. all of the above. j. none of the above (all are extrinsic muscles) 4 Section 3. Intrinsic muscles of the shoulder. Place the most appropriate letter in the space provided. (2 points each) _____ 12. An origin on the scapula, insertion on the lesser tubercle of the humerus, innervated by the axillary nerve, and actions of lateral rotation and adduction of the humerus best describes which of the following muscles? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 13. Which of the muscles listed below is a lateral rotator of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 14. Which of the following muscles is an abductor of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above 5 _____ 15. Which of the following is an adductor of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 16. Which of the following is a flexor of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 17. Which of the following is an extensor of the humerus a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above 6 _____ 18. Which of the following is innervated by the axillary nerve? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 19. Which of the following is innervated by the lower subscapular nerve? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 20. Which of the following is innervated by the suprascapular nerve? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above 7 _____ 21. Which of the following muscles has either an origin or an insertion on the lesser tubercle of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 22. Which of the following muscles has either an origin or an insertion on the intertubercular groove of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 23. Which of the following has either an origin or an insertion on the greater tubercle of the humerus? a. deltoid b. serratus anterior c. infraspinatus d. supraspinatus e. subscapularis f. teres minor g. teres major h. more than one of the above i. all of the above j. none of the above _____ 24. Relax, collect two points by drawing your best picture of a ghost in the space provided. 8 Section 4: Muscles of the arm. If the following statements are true place a (+) in the space provided; if the statement is false place a (O) in the space provided. (2 points each) _____ 25. The coracobrachialis is a flexor and abductor of the humerus. _____ 26. The short head of the biceps brachii originates on the supraglenoid tubercle of the scapula. _____ 27. The short head of the biceps brachii originates on the acromion process of the scapula. _____ 28. The biceps brachii flexes the forearm, laterally rotates the ulna around the radius, and flexes the humerus. _____ 29. The brachialis originates on the humerus and inserts onto the olecranon of the ulna. _____ 30. The triceps brachii has three heads. The long head originates on the supraglenoid tubercle of the scapula, and the medial and lateral heads originate from the humerus. These three heads all insert onto the olecranon of the ulna. The triceps brachii extends the humerus. Section 5: Muscles of the anterior compartments of the forearm. If the following statements are true place a (+) in the space provided; if the statement is false place a (O) in the space provided. (2 points each) _____ 31. The pronator teres originates from the medial epicondyle of the humerus and the coracoid process of the ulna. This muscle flexes the humerus and medially rotates the radius around the ulna. It is innervated by the median nerve. _____ 32. The palmaris longus originates from the medial epicondyle of the humerus and inserts onto the flexor retinaculum and the palmar aponeurosis. This muscle is innervated by the median and ulnar nerves, and flexes the wrist. _____ 33. The flexor carpi radialis originates from the medial epicondyle of the humerus and inserts onto the 2nd, 3rd and 4th metacarpals. _____ 34. The flexor carpi ulnaris originates from the medial epicondyle of the humerus and also from the coronoid process of the ulna. _____ 35. The flexor carpi ulnaris is innervated by the median and ulnar nerves. _____ 36. The flexor digitorum superficialis is innervated by the median and ulnar nerves. 9 _____ 37. The flexor digitorum profundus is innervated by the median and ulnar nerves. _____ 38. The flexor carpi ulnaris inserts onto the pisiform, hamate, triquetrum, and 5th metacarpal bones of the hand. _____ 39. The flexor pollicis longus originates from the radius and the interosseous membrane. _____ 40. The pronator quadratus is innervated by the median nerve. Section 6: Muscles of the posterior compartment of the forearm. If the following statements are true place a (+) in the space provided; if the statement is false place a (O) in the space provided. (2 points each) _____ 41. All of the superficial muscles of the posterior surface of the forearm originate only from the lateral epicondyle of the humerus. _____ 42. None of the deep muscles of the posterior surface of the forearm have an origin on the radius. _____ 43. The extensor indicis, extensor pollicis longus, extensor pollicis brevis, and supinator all have an origin on the interosseous membrane of the forearm. _____ 44. The supinator has an origin on the lateral epicondyle of the humerus and the ulna. _____ 45. OK — since this is your last exam from me this term pick up two free more points and sign your initials in the space provided. Section 7: Muscle identification in a cross sectional view of the arm. On the next page is a cross section of a middle portion of the arm. If a muscle on the following page is labeled place the proper letter in the appropriate space. However, if a muscle is not labeled place XX in the space provided. (NOTE LABELING OF ANTERIOR AND MEDIAL) (2 points each) _____ 46. brachialis _____ 47. coracobrachialis _____ 48. lateral head of triceps brachii 10 Section 8: Muscle identification in a cross section of the forearm. On the next page is a cross section of a middle portion of the forearm. If a muscle on the following page is labeled place the proper letter in the appropriate space. However, if a muscle is not labeled place XX in the space provided. (NOTE LABELING OF ANTERIOR AND MEDIAL) (2 points each) _____ 49. flexor digitorum superficialis _____ 50. flexor digitorum profundus _____ 51. brachioradialis _____ 52. extensor digitorum _____ 53. flexor carpi ulnaris