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Q1. The vertebra prominens is:
A. C6
B. C7
C. T1
D. L1
→ Answer: B. C7
Q2. The spine of scapula corresponds to which vertebra?
A. T2
B. T3
C. T4
D. T5
→ Answer: B. T3
Q3. The inferior angle of scapula corresponds to which vertebra?
A. T5
B. T6
C. T7
D. T8
→ Answer: C. T7
Q4. The highest point of iliac crest corresponds to:
A. L2
B. L3
C. L4
D. L5
→ Answer: C. L4
Q5. Posterior superior iliac spine (PSIS) dimples correspond to:
A. L3
B. L4
C. S1
D. S2
→ Answer: D. S2
Q6. Sacral hiatus is a landmark for:
A. Spinal anesthesia
B. Caudal epidural anesthesia
C. Lumbar puncture
D. Disc herniation
→ Answer: B. Caudal epidural anesthesia
Q7. Intercristal line (Tuffier’s line) passes through:
A. T12
B. L2
C. L4
D. S2
→ Answer: C. L4
Q8. Which landmark corresponds to termination of spinal cord in adults?
A. L1–L2
B. L2–L3
C. L3–L4
D. L4–L5
→ Answer: A. L1–L2
Q9. The vertebral level of inferior angle of scapula in anatomical position is:
A. T6
B. T7
C. T8
D. T9
→ Answer: B. T7
Q10. Lumbar puncture is commonly done at:
A. L1–L2
B. L2–L3
C. L3–L4 or L4–L5
D. L5–S1
→ Answer: C. L3–L4 or L4–L5
Q11. Skin of back is supplied by:
A. Ventral rami
B. Dorsal rami
C. Both
D. Sympathetic nerves only
→ Answer: B. Dorsal rami
Q12. Which layer of fascia is thickened in lumbar region?
A. Superficial fascia
B. Deep fascia (thoracolumbar fascia)
C. Endothoracic fascia
D. Perivertebral fascia
→ Answer: B. Deep fascia (thoracolumbar fascia)
Q13. Which muscle takes origin from thoracolumbar fascia?
A. Latissimus dorsi
B. Internal oblique
C. Transversus abdominis
D. All of the above
→ Answer: D. All of the above
Q14. Thoracolumbar fascia posterior layer attaches to:
A. Spinous processes
B. Transverse processes
C. Ribs
D. Sternum
→ Answer: A. Spinous processes
Q15. Which cutaneous condition follows dermatomes on back?
A. Acne
B. Shingles (Herpes zoster)
C. Cellulitis
D. Psoriasis
→ Answer: B. Shingles (Herpes zoster)
Q16. Why is skin of back prone to sebaceous cysts?
A. Thick skin
B. High density of sebaceous glands
C. Weak fascia
D. Absent sweat glands
→ Answer: B. High density of sebaceous glands
Q17. Deep fascia of cervical region continues as:
A. Nuchal ligament
B. Thoracolumbar fascia
C. Supraspinous ligament
D. Both A and B
→ Answer: D. Both A and B
Q18. Which nerve supplies trapezius muscle?
A. Accessory nerve
B. Dorsal scapular nerve
C. Thoracodorsal nerve
D. Long thoracic nerve
→ Answer: A. Accessory nerve
Q19. Which nerve supplies latissimus dorsi?
A. Dorsal scapular
B. Thoracodorsal
C. Accessory
D. Long thoracic
→ Answer: B. Thoracodorsal
Q20. Which nerve supplies rhomboids and levator scapulae?
A. Dorsal scapular
B. Thoracodorsal
C. Accessory
D. Median
→ Answer: A. Dorsal scapular
Q21. Which muscle elevates scapula?
A. Trapezius (upper fibers), Levator scapulae
B. Latissimus dorsi
C. Rhomboids
D. Pectoralis minor
→ Answer: A. Trapezius (upper fibers), Levator scapulae
Q22. Which muscle depresses scapula?
A. Rhomboids
B. Trapezius (lower fibers)
C. Serratus anterior
D. Levator scapulae
→ Answer: B. Trapezius (lower fibers)
Q23. Which muscle retracts scapula?
A. Trapezius (middle fibers), Rhomboids
B. Latissimus dorsi
C. Serratus anterior
D. Levator scapulae
→ Answer: A. Trapezius (middle fibers), Rhomboids
Q24. Which muscle rotates scapula upward for overhead abduction?
A. Trapezius + Serratus anterior
B. Latissimus dorsi
C. Rhomboids
D. Levator scapulae
→ Answer: A. Trapezius + Serratus anterior
Q25. Action of latissimus dorsi?
A. Flexion of arm
B. Extension, adduction, medial rotation of arm
C. Abduction of arm
D. Lateral rotation of arm
→ Answer: B. Extension, adduction, medial rotation of arm
Q26. Which muscle is known as climbing muscle?
A. Trapezius
B. Latissimus dorsi
C. Rhomboid major
D. Serratus anterior
→ Answer: B. Latissimus dorsi
Q27. Which muscles are accessory muscles of respiration?
A. Serratus posterior superior & inferior
B. Latissimus dorsi
C. Rhomboids
D. Splenius muscles
→ Answer: A. Serratus posterior superior & inferior
Q28. Splenius capitis is supplied by:
A. Ventral rami
B. Dorsal rami
C. Accessory nerve
D. Thoracodorsal nerve
→ Answer: B. Dorsal rami
Q29. Which muscle forms the posterior axillary fold?
A. Latissimus dorsi + Teres major
B. Pectoralis major
C. Trapezius
D. Rhomboids
→ Answer: A. Latissimus dorsi + Teres major
Q30. Which nerve injury leads to lateral displacement of scapula?
A. Dorsal scapular nerve (rhomboid paralysis)
B. Long thoracic nerve
C. Accessory nerve
D. Thoracodorsal nerve
→ Answer: A. Dorsal scapular nerve
Q31. Erector spinae group includes:
A. Iliocostalis, longissimus, spinalis
B. Semispinalis, multifidus, rotatores
C. Splenius capitis, splenius cervicis
D. Interspinales, intertransversarii
→ Answer: A. Iliocostalis, longissimus, spinalis
Q32. Transversospinalis group includes:
A. Iliocostalis, longissimus, spinalis
B. Semispinalis, multifidus, rotatores
C. Splenius capitis, splenius cervicis
D. Interspinales, intertransversarii
→ Answer: B. Semispinalis, multifidus, rotatores
Q33. Which muscle group is the main extensor of vertebral column?
A. Erector spinae
B. Transversospinalis
C. Splenius
D. Interspinales
→ Answer: A. Erector spinae
Q34. Which muscles assist fine movements and posture adjustment?
A. Interspinales, intertransversarii
B. Latissimus dorsi
C. Trapezius
D. Serratus posterior inferior
→ Answer: A. Interspinales, intertransversarii
Q35. Which muscles rotate vertebral column?
A. Transversospinalis group
B. Erector spinae
C. Splenius group
D. Trapezius
→ Answer: A. Transversospinalis group
Q36. Splenius capitis and cervicis action?
A. Rotate head to opposite side
B. Rotate head to same side and extend neck
C. Flex head
D. Depress scapula
→ Answer: B. Rotate head to same side and extend neck
Q37. Which muscles are called postural muscles?
A. Intrinsic back muscles
B. Extrinsic back muscles
C. Serratus muscles
D. Pectoral muscles
→ Answer: A. Intrinsic back muscles
Q38. Nerve supply of intrinsic muscles of back?
A. Ventral rami
B. Dorsal rami
C. Accessory nerve
D. Sympathetic trunk
→ Answer: B. Dorsal rami
Q39. Which muscles are enclosed by thoracolumbar fascia?
A. Erector spinae
B. Splenius
C. Transversospinalis
D. Rhomboids
→ Answer: A. Erector spinae
Q40. Which muscle group extends head and neck?
A. Splenius
B. Erector spinae
C. Transversospinalis
D. All of the above
→ Answer: D. All of the above
Q41. Injury to accessory nerve leads to paralysis of:
A. Latissimus dorsi
B. Trapezius
C. Rhomboids
D. Serratus posterior
→ Answer: B. Trapezius
Q42. Injury to thoracodorsal nerve leads to weakness of:
A. Climbing and rowing movements
B. Shrugging shoulder
C. Retraction of scapula
D. Neck rotation
→ Answer: A. Climbing and rowing movements
Q43. Injury to dorsal scapular nerve leads to paralysis of:
A. Latissimus dorsi
B. Rhomboids and levator scapulae
C. Trapezius
D. Erector spinae
→ Answer: B. Rhomboids and levator scapulae
Q44. Lumbago is:
A. Infection of vertebrae
B. Acute strain of erector spinae
C. Tuberculosis of spine
D. Herniation of disc
→ Answer: B. Acute strain of erector spinae
Q45. Tuberculosis of vertebrae is called:
A. Lumbago
B. Pott’s spine
C. Scoliosis
D. Kyphosis
→ Answer: B. Pott’s spine
Q46. Lateral curvature of spine with rotation is called:
A. Kyphosis
B. Lordosis
C. Scoliosis
D. Pott’s disease
→ Answer: C. Scoliosis
Q47. Pain radiating from back to lower limb is due to:
A. Disc herniation compressing nerve roots
B. Lumbago
C. Erector spinae strain
D. TB spine
→ Answer: A. Disc herniation compressing nerve roots
Q48. Herpes zoster affects:
A. Dorsal root ganglion
B. Spinal cord
C. Ventral horn cells
D. Sympathetic chain
→ Answer: A. Dorsal root ganglion
Q49. Which back muscle is used in reconstructive flap surgery?
A. Trapezius
B. Latissimus dorsi
C. Rhomboid major
D. Erector spinae
→ Answer: B. Latissimus dorsi
Q50. Reflex spasm of paravertebral muscles occurs in:
A. Disc herniation
B. Vertebral fracture
C. TB spine
D. All of the above
→ Answer: D. All of the above
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