UHST

OPI
CWI
SEPAS
TPAPE
RS
(
2009-
2018)
S
ubj
ect
:Ana
tomy
S
EQS:
UPPE
RLI
MB

T
OPI
C:AXI
LLA

QNO.
1
Giv
et heexte
nt(beginni
ngande nd)oftheaxil
l
ary
ar
ter
y,wha tarerel
ati
onsofthesecondpartofthi
s
ar
ter
y?Namet hebranchesofthi
snerve.Al
sonamet he
br
anchesgi
ve nfr
omt hesecondpar
t? (UHS2013)

QNO.
2
Gi
veboundr
iesofa
xil
l
a?(NUMS
)

QNO.
3
E
xlpa
int
hecour
sea
ndwha
tar
ebr
anc
hesofa
xil
l
ary
a
rte
ry?(NUMS )

QNO.
4
Dr
awa
ndl
abe
lthebr
achi
alpl
exus
? (
NUMS
)
QNO.
5
Whatar
edif
fer
entgr
oupsofa
xil
l
aryl
ymphnode
sal
so
g
ivet
hei
rdra
inag
ea r
ea? (
NUMS )

QNO.
6
Ex
pla
indif
fer
entt
ype
sofi
nj
uri
esofbr
achi
alpl
exuswi
tht
hei
r
pr
esent
ati
on? (
NUMS)

T
OPI
C:PE
CTORALRE
GION
QNO1.
A35y earol dl
adypr esent
e dtohe rphysi
ci
a nwitha
compl aintofha r
dirregula
rma s
sint hesuperi
orlate
ral
qua drantofhe rri
ghtbr ea
st. One xaminat
ion,thebreast
wa sfixeda ndnipplewa sretr
ateda nddeviat
ed.The
phy si
cianlabeledthes ki
na sPEAUDORANGE. Usi
ngy our
cl
inico-a natomicalknowledge, answerthefol
lowing
que st
ions : (UHS2017)
(a)
Wha ti
smeantbyt
het
ermPE
AUDORANGEa
ndi
ts
under
lyi
ngca
use?
(b)Whatist
her
eas
onf
orf
ix
ati
on,
dev
iat
iona
ndr
etr
act
ion
ofnippl
e?
(
c)Whati
sther
outeofs
pre
adofme
tas
tas
ist
ove
rte
bra
,
crani
umandbra
in?
QNO2.
A60yea
rsol
dladyamassi
nle
ftbrea
st.
Thebiops
yre
vea
led
I
ntr
aduc
tal
Carc
innoma
: (UHS2015)
(a
)Wha
tly
mphnode
sar
emos
tli
kel
ytobea
ffe
cte
d?
(b)Whata
nat
omi
cal
str
uct
ure
sde
fine
sthel
eve
lofl
ymph
nodes
?
(
c)Gi
vea
nac
countofl
ymphdr
aina
gef
rombr
eas
t?

QNO.
3
Wr
it
eanot
eonc
lav
ipe
ctor
alf
asc
ia? (NUMS
)

QNO.
4
Gi
vet
hea
rte
ria
lsuppl
yoft
hebr
eas
t? (NUMS
)

QNO.
5
E
nume
rat
ethes
truc
tur
espi
erc
ingt
hec
lav
ipe
ctor
alf
asc
ia?
(NUMS
)
QNO.
6
A45y earpatie
ntatt
ende dthes ur
gicalOPDwi t
hc ompl ai
nt
ofhardpainl
e s
slumpinhe rrig
htbre a
s t
.One xaminationthe
l
umpwa sfoundtobec onti
nue dtotheuppe rl
a t
eral
quadrantofthebreas
t.Thes ki
nov erthebreastwa spitt
ed
edema t
ousa ndthei
rwa sl
ossofmobi lit
yofthebre astover
thechestwall.
Thenipplewa sretr
actede nl
arg
e daxil
lary
l
ymphnode
swe
repa
lpa
bleont
her
ights
ide
. (
NUMS
)
(
a)Wha
tanat
omi
cal
str
uct
urei
sre
spons
ibl
eforc
aus
ing
pi
tt
edski
n.
(b)Gi
vei
nde
tai
ll
ympha
ticdr
aina
geofbr
eas
t?

T
OPI
C:Bone
swi
tht
hei
rMus
cle
sat
tac
hme
nts

QNO1.
Nametwomus c
lesofupperl
i
mbk nownasCli
mbingMusc
les
.
Wri
tethei
rnamea ndnerv
esuppl
y.Namethecontent
sof
de
ltopec
tor
algr
oov e
? (UHS2009)
QNO.
2
(a)Namethenerv
eandmus cl
ethati
smostcommonly
i
njure
dinfr
act
ureofs
urgic
alneckofHume
r us.
Li
stt
he
re
sult
sofdamagetot
hisnerv
e.
(
b)Cla
ssi
fyt
he1stcar
pomet
acar
palj
oi
nt.Namethe
a
rti
cul
ati
ngbones
.Whichmusc
lesa
reinv
olve
dinfl
exi
onand
e
xtensi
onoft
hisj
oint
? (UHS2017)

QNO.
3
Achi
ldfel
lonoutstret
chedhandwit
htheelbowpa rt
ial
l
y
f
lex
ed.Wha tpos
siblef
rac
ture
softhedi
sta
l endofthe
Humeruscanocc
ur ?Menti
onthestr
uct
uresaff
ecte
dbyt hi
s
i
nj
ury
? (UHS2016)

QNO.
4
Apa t
ientcompl
a i
nedofpaininhi
sri
ghtshoul
derespe
c i
al
ly
atthestar
tofrai
singhisar
m. Hi
sphys
ici
annoti
cedthati
fhe
i
sa ss
ist
edi nt
heiniti
alphas
eofofrai
si
nghisarmthenhe
caneasil
yabducthisar
mt o90degre
e. (UHS2012)
(a
)Na met
heabduct
orsofshoulde
rjoi
nti
nvol
vedi
nthe
pa
tie
ntandwr
itethe
irner
ves uppl
y?
(
b)Writ
ethea
tta
chme
ntoft
hemus
clewhi
chi
sinj
ure
din
t
hisc
ase?

QNO.
5
(
a) Dr
awa ndla
beldi
agr
amsofc
lavi
cl
etoshow
at
tac
hme nt
sofmuscl
esa
ndli
gament
s?
(
b) Wha ti
stheroleofthesemus c
lesandli
game ntsaf
ter
fr
actureofcl
avicl
eoccurs
?Whi chisthewe a
k es
tpart
ofthesemuscl
e sandli
game nt
sa f
terfr
actur
eof
cl
avicl
eoccur
s?Whi chisthewe ake
stpartofthe
cl
avicl
e? (UHS2010)

QNO6.
E
nume
rat
ethemus
cle
sca
usi
ngpr
ona
tiona
nds
upi
nat
ion?
 (
NUMS
)
QNO7.
T
abul
atet
hemusc
lesofanter
iorc
ompar
tmentofa
rmwit
h
t
hei
rat
tac
hment
s,nervesupplya
ndac
ti
on?(NUMS )

QNO.
8
Wr
it
eanot
eonos
sif
ic
ati
onofc
lav
icl
e? (
NUMS
)

QNO9.
Dr
awalabeldi
agra
mofc
lav
icl
esupe
riora
spe
ctshowi
ng
musc
lea
tta
chme nt
s? (NUMS)

QNO.
10
Gi
vethea
ttac
hme nt
sofpal
mera
poneur
osi
s?Namei
ts
i
nfl
ammator
ycondit
iona
ndhowitr
epre
sent
s?(
NUMS)
QNO.
11
E
numerat
ethemuscl
esofl
aye
rsofha
ndwi
tht
hei
rne
rve
s
uppl
yandact
ion?
(
NUMS
)
QNO.
12
Giv
eatt
achment
sofext
ensorr
eti
na c
ulumwit
hits
compa
rtment
sandst
ruct
urespas
singthr
oug
ht he
se?
(
NUMS
)
QNO.
13
Givet
heatt
achmentsoff
lex
orre
tina
culumofwri
st
.Na
me
thest
ruc
tur
espas
singdeepandsuper
fasc
ial
toi
t?
(
UHS2014)
QNO.
14
Wha
tar
eboundr
iesofa
nat
omi
cal
snuf
fbox
? (
NUMS
)

QNO.
15
Wha
tisdor
sal
dig
ita
lex
pans
iong
ivei
tsa
tta
chme
nts
?
(
NUMS
)

QNO.
16
Gi
vethemechani
smofforc
etr
ans
mis
sionwhe
nape
rson
f
all
sonout
str
etchedofha
nd? (
NUMS )

T
OPI
C:S
capul
arRe
gion
QNO1.
(
a) Desc
ribetheboundri
esoftheQuadr
ang
ula
rSpa
ce.
Enume r
atethecont
entsofspa
ce.
(
b) Desc
ribethec
our
sea
nda
reaofs
uppl
yofthener
vein
thes
pa ce
? (
UHS2018)
QNO.
2
Def
ineRota
torCuf
f,enumer
atet
hemus
cle
swhi
cha
re
i
nvolv
edinit
sfor
ma t
ion? (NUMS
)

QNO.
3
A45Y earoldthrowba ll
,coachc ametohisphysi
ci
anwi t
h
ofcompl aintofpaini ntheS houlderduri
ngthr
ow. The
pati
e ntgav eahistoryofincreasedpa i
nduri
ngthelater
al
rota
t i
ona nda bduc t
ionoft hea r
m. Thephysi
ci
anafter
exami na
tion&i nve sti
gati
onss uspectedi
nfl
amma t
ionand
ruptureofRot atorCuf fMus cl
es. (NUMS )
(
a) Namet hemuscl
espart
ic
ipat
inginf
ormat
ionof
rot
atorcuf
f.Gi
vethe
irnerv
es uppl
yandatt
achme
nts
.
(
b) Oneofthemuscl
esi
nrotat
orcuf
fhast
heappe
ara
nce
ofmanyfea
the
rscover
ingtowar
dsasi
ngl
epoi
nt,t
ell
thet
ypeandnameofmus c
le.
(
c) Whyre
cur
renti
nfl
amma
tiona
ndt
ear
sar
ecommoni
n
s
uchpl
aye
rs?

T
OPI
C:J
OINT
SofUPPE
RLI
MB
QNO1.
Apers
onr eport
edi
noutdoorpat
ientdepa
rtmentwi
th
compl
aintoflos
sofha
ndpowe r&flexi
ondefor
mit
yofhi
s
f
inger
sofri
ghthand.Hegavepas
this
toryoff
ract
ureofhi
s
f
orear
mbone swithprof
usebl
eedi
ngfromma j
orblood
v
e s
sel
sofhi
srightfor
ear
m. (UHS2012)
(
a) Wri
tetheana
tomi
cal
bas
isoft
hisde
for
mit
yand
di
sabi
l
ity
?
(
b) E
nli
stt
hebonyj
oi
ntspa
lpa
blei
nana
tomi
cal
snuf
fbox
?

QNO.
2
Na
mea
llf
lex
orsofE
lbowJ
oint? (
UHS2011)

QNO.
3
Gi
vet
hec
ont
ent
sandboundr
iesofc
ubi
tal
fos
sa?
(
NUMS
)

QNO.
4
Dr
awa
ndl
abe
lana
stomos
isa
roundt
hes
houl
derJ
oint
?
(
NUMS
)

QNO.
5
Dr
awa
rte
ria
lana
stomos
isa
roundt
hee
lbowj
oi
nt?
(
NUMS
)
QNO.
6
Whataretheli
ga ment
sres
ponsi
bl
eofmaintai
ni
ngthe
st
abi
li
tyofshoulderj
oi
nt?Inwhi
chdi
rec
ti
ont he
di
sl
ocati
onofitscommonlygi
veanat
omic
a l
reason?
(
NUMS
)
QNO.
7
T
abul
atethemoveme
ntsats
houl
derj
oi
ntwi
thmusc
les
c
ausi
ngthesemov
ements
? (
NUMS )

QNO.
8
Ex
plai
ntheatt
achment
sofl
i
game
ntsofe
lbowj
oi
nt&
def
ineca
rry
ingangl
e? (NUMS)

T
OPI
C:NE
RVES
UPPL
YOFUPPE
RLI
MB&i
tsI
njur
ies
QNO1.
Apa t
ientc
ametot hesur
gic
aloutdoorwit
htheringand
l
it
tlefi
ngerofl
efthandfi
xedatthemetaca
rpophala
ngeal
j
oints
: (UHS2018)
(
a) Whati
stheprobabl
edi
agnos
is?Expl
ainthepr
oce
ss
ofi
tsf
ormat
ionandhowcanitber
eli
eved?
(
b) De
scr
ibepa
lme
rapone
uros
is.
Wha
tisi
tsf
unc
ti
on?
QNO.
2
(
a) Whati
sthec
ause&cl
ini
cal
mani
fes
tat
ionof
Dupuy
tre
nCont
rac
tur
e?
(
b) HowdoesMe
dia
nnerveenterfor
earm&ha
nd?Gi
ve
i
tsbr
anc
hesa
nddis
tri
but
ionsinnfor
ear
m?
(
UHS2016)
QNO.
3
(
a)L
istthener
veswhicha
rei
ndi
rec
tcont
actwi
tht
he
va
riouspa
rtsofhumer
us.
Whi
choneofthemca
use
WRISTDROP?
(
b) Wri
tethea
nat
omi
cal
&cl
i
nic
alf
eat
uresofWRIS
T
DROP? (UHS2014)

QNO.
4
F
romwhe retheMus c
ulocut
ane
ousNerveori
gi
nate
s?What
a
rebranc
he soft
hisnerve
?Wha ta
reaofski
niss
uppli
edby
t
hisne
rve? (UHS2013)
QNO.
5
Namethene r
vessupply
inga l
lfl
exor
sofel
bowj oi
nt.
Ift
he
ne
rvetothechi
effl
exorisinj
uredinapat
ient,whic
hpartof
hi
supperli
mbwill
ha vesensoryl
oss? (UHS2011)

QNO.
6
Ayoungboyfel
lontheground&fra
ctur
edme dia
l
epi
condyl
eofhisr
ighta
rm. Hedi
dnotgett
reatmenta
nd
l
aterdev
elope
dClawHa nddefor
mit
y. (UHS2010)
(
a) Whi
chne
rveha
sbe
eni
nj
uri
edi
nthi
sfr
act
ure
?
(
b) Wri
tet
heor
igi
nandc
our
seoft
hisne
rvei
nthe
f
ore
arm.
(
c) Whic
hmus c
lesa
rer
espons
ibl
eforhi
sCl
awHa
nd
de
formi
ty?

QNO.
7
Whataredi
ff
erentner
vest
hatar
eas
soci
ate
dwi t
hdiffer
ent
ar
easofhumerusandwhatwoul
dbethemanif
esta
tionsin
l
esi
onofeachofnerv
e? (NUMS)

QNO.
8
(
a) Wha
tisCa
rpe
lTunne
l?&Ca
rpe
ltunne
lSy
ndr
ome
?
 (
b) E
numerat
ethestr
uct
ure
spa
ssi
ngunder
nea
ththe
f
lex
orr
eti
nacul
um. (NUMS)

T
OPI
C:Ar
ter
ial
&Ve
nousS
uppl
yOFUPPE
RLI
MB

QNO.
1
Gi
vethec
ours
eofRadi
alAr
ter
ywi
thit
sbr
anche
s&
ar
eaofdi
st
ri
buti
on? (NUMS)

QNO.
2
Gi
vet
hec
our
seofCe
pha
li
cVe
in. (
NUMS
)

T
OPI
C:Cut
ane
ousNe
rveS
uppl
y;De
rma
tome
s
QNO1.
(
a) Def
ineade
rmat
ome,
axi
all
i
ne&wr
it
ethe
irc
li
ni
cal
i
mporta
nce?
(
b) Dr
awdia
gra
mss
howi
ngde
rma
tome
soffor
earm&
ha
nd? (UHS2009)
QNO.
2
(
a) De
fineDe
rma
tome
.
(
b) Dr
aw&l
abe
lthede
rma
tome
sofUppe
rLi
mb?
(
UHS2015)

T
OPI
C:Pa
lme
rAs
pec
tofWr
is
t&Ha
nd

QNO1.
Whatar
etheboundr
iesofMi
dpa
lma
r&T
henars
pacewi
th
t
hei
rconte
nts
? (
NUMS )

QNO2.
Whatar
ethedi
ff
erentPal
ma rs
paces?g
ivet
hei
rboundr
ies
ex
tenta
ndthei
rcl
i
nicals
igni
fi
canc
e? (NUMS)

QNO.
3
(
a) Writ
ea nat
omica
lfe
atur
es&f
unc
ti
onsofPa
lma
r
Aponeuros
is.
(
b) Wha
tisDupuy
tre
nsc
ont
rac
tur
e.
(
UHS2011)