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Chapter 5: Shoulder Complex
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The primary purpose of the shoulder complex is to:
a. | lift and push objects |
b. | assist with forced inspirations and expirations |
c. | place the hand in position for function |
d. | elevate the body |
____ 2. The shoulder complex as a whole primarily relies on ___________ for stability.
a. | bony geometry |
b. | active and passive restraints |
c. | negative intra-articular pressure |
d. | external load-compression of articular surfaces |
____ 3. The shoulder complex is attached to the axioskeleton at which joint?
a. | Acromioclavicular |
b. | Glenohumeral |
c. | Scapulothoracic |
d. | Sternoclavicular |
____ 4. The glenoid labrum adds approximately _____ % more surface area to the depth and curve of the glenoid fossa.
a. | 25 |
b. | 50 |
c. | 75 |
d. | 100 |
____ 5. Relative to the distal humeral condyles, the humeral head is rotated _________ in the ___________ plane.
a. | anterior; sagittal |
b. | anterior; transverse |
c. | posterior; sagittal |
d. | posterior; transverse |
____ 6. Motion at the scapulothoracic joint is a result of combined motion from which joint(s)?
a. | Acromioclavicular and sternoclavicular |
b. | Sternoclavicular and glenohumeral |
c. | Glenohumeral and acromioclavicular |
d. | Only the acromioclavicular |
____ 7. Medial and lateral tilting of the scapula occurs about a(n) _________ axis.
a. | anterior-posterior |
b. | medial-lateral |
c. | superior-inferior |
d. | coronal |
____ 8. As the arm is elevated in the scapular plane (particularly during higher angles of elevation), which combination of tilts at the scapula occur?
a. | Anterior and medial |
b. | Anterior and lateral |
c. | Posterior and medial |
d. | Posterior and lateral |
____ 9. Which motions of the scapula occur when an individual places his or her upper extremity behind his or her back (functional medial rotation)?
a. | Anterior and medial tilt |
b. | Posterior and medial tilt |
c. | Anterior and lateral tilt |
d. | Posterior and lateral tilt |
____ 10. How many degree(s) of angular freedom are present at the sternoclavicular joint?
a. | One |
b. | Two |
c. | Three |
d. | Four |
____ 11. During protraction at the sternoclavicular joint, the ___________ clavicle glides ____________ on the sternum.
a. | concave; anterior |
b. | convex; anterior |
c. | concave; posterior |
d. | convex; posterior |
____ 12. Tension in this ligament facilitates posterior rotation of the clavicle during elevation of the upper extremity:
a. | acromioclavicular |
b. | coracoclavicular |
c. | coracoacromial |
d. | coracohumeral |
____ 13. The sternoclavicular joint is classified as a _______________ joint.
a. | ball and socket |
b. | gliding |
c. | sellar |
d. | pivot |
____ 14. Elevation at the sternoclavicular joint takes place between:
a. | the sternal end of the clavicle and articular disc |
b. | the articular disc and the sternum (manubrium) |
c. | both the sternal end of clavicle and articular disc and between the disc and sternum |
d. | the acromial end of the clavicle and the acromion |
____ 15. The acromioclavicular joint is classified as a ___________ joint.
a. | ball and socket |
b. | gliding |
c. | sellar |
d. | pivot |
____ 16. The acromioclavicular joint is thought to contribute approximately _________° to upward rotation of the scapula.
a. | 30 |
b. | 60 |
c. | 90 |
d. | 120 |
____ 17. The scapulothoracic joint is classified as a _____________ joint.
a. | synovial |
b. | syndesmosis |
c. | amphiarthrosis |
d. | pseudo |
____ 18. Protraction of the sternoclavicular joint occurs in the _____________ plane.
a. | sagittal |
b. | frontal |
c. | coronal |
d. | transverse |
____ 19. Upward rotation of the scapula occurs primarily about a(n) ____________ axis.
a. | anterior-posterior |
b. | medial-lateral |
c. | superior-inferior |
d. | vertical |
____ 20. On average during elevation of the arm, a ____ ratio of glenohumeral to scapular motion exists.
a. | 1:2 |
b. | 2:1 |
c. | 2:2 |
d. | 1:3 |
____ 21. The glenohumeral joint is classified as a ___________ joint.
a. | ball and socket |
b. | gliding |
c. | sellar |
d. | pivot |
____ 22. The humeral head is approximately _____ times the size of the glenoid fossa.
a. | 2 |
b. | 3 |
c. | 4 |
d. | 5 |
____ 23. Which ligament is primarily responsible to resist gravity’s downward pull on the humeral head with the arm in the resting position?
a. | Coracoacromial |
b. | Coracoclavicular |
c. | Coracohumeral |
d. | Middle glenohumeral |
____ 24. The tendon of the long head of the biceps is considered to be:
a. | intra-articular and intrasynovial |
b. | intra-articular and extrasynovial |
c. | extra-articular and intrasynovial |
d. | extra-articular and extrasynovial |
____ 25. A strong contraction of the biceps with the elbow flexed and shoulder abducted to 90°, promotes _________ and prevents _________ translation of the glenohumeral joint.
a. | compression; superior |
b. | compression; inferior |
c. | distraction; superior |
d. | distraction; inferior |
____ 26. Which of the following is a structural cause of subacromial impingement syndrome?
a. | Muscle imbalances |
b. | Muscle fatigue |
c. | Poor posture |
d. | Hooked or angled acromion |
____ 27. The anterior capsule of the glenohumeral joint becomes taut with extreme ___________ and ___________.
a. | lateral rotation; flexion |
b. | lateral rotation; extension |
c. | medial rotation; flexion |
d. | medial rotation; extension |
____ 28. The normal limitation or “end feel” for all motions of the glenohumeral joint is:
a. | firm |
b. | bone to bone |
c. | soft tissue approximation |
d. | springy |
____ 29. During lateral rotation of the glenohumeral joint, the humerus rolls _________ and glides or slides __________.
a. | anterior; anterior |
b. | anterior; posterior |
c. | posterior; anterior |
d. | posterior; posterior |
True/False
Indicate whether the statement is true or false.
____ 30. The glenoid fossa’s alignment is tipped a few degrees inferior relative to the scapula’s vertebral border.
____ 31. Anterior tilting of the scapula occurs when the superior border of the scapula tilts forward with its inferior angle moving away from the thorax.
____ 32. The majority of clavicular elevation occurs in the second 90° of humeral elevation.
____ 33. With the upper extremities in a closed kinetic chain, depression of the scapula will cause elevation of the trunk and body.
____ 34. During scapular elevation, small adjustments at the acromioclavicular joint allow the vertebral border of the scapula to remain essentially vertical in alignment.
____ 35. During abduction, the humerus must rotate medially so the greater tuberosity can “clear” the acromion.
____ 36. Lateral rotation of the glenohumeral joint is greater at 90° of abduction compared with when the arm is at 0° of abduction (resting by the side).
____ 37. The resting or loose packed position of the glenohumeral joint is full abduction and lateral rotation.
____ 38. During upward rotation of the scapula, the axis of rotation of the scapula migrates laterally.
____ 39. As the upper extremity progresses to higher levels of elevation, the moment arm for the lower trapezius to upwardly rotate the scapula becomes larger.
____ 40. The deltoid muscle is essential to fully abduct the arm.
Chapter 5: Shoulder Complex
Answer Section
MULTIPLE CHOICE
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TRUE/FALSE
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