Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬

Dr Ahmed Nabil Elnaggar. ‫د أحمد نبيل النجار‬

1st Exam shoulder joint

13/07/2017

Q1: Enumerate A, B and C and write its type then complete this schedule: (12 marks)

A:……………………………………….. B: …………………………………… C:………………………………………

ITS TYPE: ……………………………. Its type: ………………………… Its type:…………………………….

1: ………………………………………. 1: …………………………………… 1: ……………………………………..

2: ………………………………………. 2: …………………………………… 2: ……………………………………..

3: ………………………………………. 3: …………………………………… 3: ……………………………………..

4: ……………………………………….

5: ……………………………………….

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 Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬
Dr Ahmed Nabil Elnaggar. ‫د أحمد نبيل النجار‬

Q2: This image reminds you by ……………………………………………..

Enumerate these numbers in the image? (4 marks)
1- ……………………………………….
2- ……………………………………….
3- ……………………………………….
4- ……………………………………….

Q3: Elevation of the scapula is done mainly by all of these muscles except: (1 mark)
1- Upper fibers of trapezius.
2- Sternocledomastoid.
3- Levator scapulae.
4- None of the above.

Q4: Forward rotation of scapula is necessary in shoulder flexion in phase no,….. with
assistance of …………….? (2 marks)
1- No 1 with middle deltoid and upper trapezius.
2- No 2 with middle trapezius and subscapularis.
3- No 2 with pectoralis major clavicular head and anterior deltoid.
4- No 1 with anterior deltoid and pectoralis major sternal head.

Q5: Protraction of scapulae is done by none of these except: (1 mark)

1- Middle trapezius.
2- Rhomboids major and minor.
3- Serratus anterior.
4- Gravity.

Q6: Depression of scapula is done by all of these except: (1 mark).

1- Gravity.
2- Middle fibers of serratus anterior.
3- Pectoralis minor.
4- Lower fibers of serratus anterior.

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 Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬
Dr Ahmed Nabil Elnaggar. ‫د أحمد نبيل النجار‬

Q7: Name of this muscle and its nerve supply? (4

marks)
1- Name of ms:
……………………………………………..
2- Nerve supply:
……………………………………………
3- Origin:…………………………………
…………………………………

4- Insertion: ……………………………………
…………………………………

Q8: Upper fibers of trapezius is coming from all of these except? (1 mark).
1- Medial part of superior nuchal line.
2- Ligamentum nuchae.
3- External occipital protuberance.
4- Lateral part of clavicle.

Q9: If trapezius ms works bilaterally, I will produce ………….. of neck (cervical

spine) (1 mark).
1- Flexion.
2- Extension.
3- Side pending.
4- Lateral rotation.

Q10: Action of serratus anterior muscle is none of these except: (1 mark).

1- Downward rotation of scapula by its lower fibers.
2- Retraction of scapula.
3- Protraction of scapula.
4- Elevation of scapula.

Q11: Insertion of pectoralis minor muscle is? ( 1 mark).

1- Lateral lip of bicipital groove.
2- Upper 1/3 of greater tubercle of humerus.
3- Coracoid process of scapula.
4- Acromion of scapula.

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 Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬
Dr Ahmed Nabil Elnaggar. ‫د أحمد نبيل النجار‬

Q12: Nerve supply of rhomboids major is? (1 mark).

1- Dorsal scapular nerve C4,5.
2- Upper subscapular nerve C5,6,7.
3- Axillary nerve C5,6.

Q13: In phase 1 flexion of shoulder, the movement is coming mainly from …………?
(1 mark).
1- Glenohumeral joint.
2- Sternoclavicular joint.
3- Acromioclavicular joint.
4- Hip joint.

Q14: In phase 2 shoulder flexion (60-120) which of these muscles work? (1 mark).
1- Pect., mj clavicular head, Ant., Deltoid, coracobrachialis.
2- 1 + upper trapezius.
3- Upper trapezius and lower serratus ms.
4- 1+ upper trapezius and lower serratus ant ms.

Q15: Anterior deltoid is coming from? (1 mark).

1- Medial part of clavicle.
2- Lateral clavicle.
3- Acromion process.
4- Spine of scapula.

Q16: Shoulder flexion from full extension of humerus is done by? (1 mark).
1- Sternocostal head of pectoralis minor ms.
2- Clavicular head of pectoralis major ms.
3- Sternal head of pectoralis major ms.
4- Long head of biceps ms.

Q17: Insertion of coracobrachialis ms? (1 mark).

1- Medial border of the mid-shaft of the humerus.
2- Lateral border of the mid-shaft of the humerus.
3- Floor of bicipital groove.
4- Tip of coracoid process.

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 Physical therapy and Rehabilitation Center ‫مركز العالج الطبيعي والتأهيل‬
Dr Ahmed Nabil Elnaggar. ‫د أحمد نبيل النجار‬

Q18: The main function of biceps ms is: (1 mark).

1- Supination and flexion of the elbow
2- Flexion shoulder.
3- Extension shoulder.
4- Medial rotation of shoulder.

Q19: Extension of shoulder is done mainly by none of these muscles except? (1

mark).
1- Anterior deltoid with teres minor.
2- Posterior deltoid with teres major.
3- Posterior deltoid with teres minor.
4- Middle trapezius and deltoid.

Q20: If extension commences from a position of full flexion, the following muscles
are said to be active: (1 mark).
1- Clavicular head of pectoralis major and latissimus dorsi.
2- Sternal head of pectoralis major with latissimus dorsi.
3- Long head of biceps.
4- Upper trapezius and lower serratus anterior.

Q21: In phase 3 shoulder abduction (150-180), the associated action of vertebral

column is…..? ( 1 mark).
1- Vertebral side bending ipsilateral.
2- Vertebral side bending contralaterally.
3- Lumbar extension.
4- Thoracic flexion.

Q22: In bilateral abduction of upper limbs, the lumbar associated movement is……..?
(1mark)
1- Lumbar extension.
2- Lumbar flexion.
3- Lumbar side bending ipsilaterally.
4- Lumbar side bending contralaterally.

Finished, thank you…..

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