Multiple Choice Questions – Scapular Region

Surface Landmarks (1–8)

Q1. The spine of scapula corresponds to which vertebra?
A. T2
B. T3
C. T4
D. T5
→ Answer: B. T3

Q2. The inferior angle of scapula corresponds to:
A. T5
B. T6
C. T7
D. T8
→ Answer: C. T7

Q3. Posterior axillary fold is formed by:
A. Trapezius and deltoid
B. Latissimus dorsi and teres major
C. Supraspinatus and infraspinatus
D. Pectoralis major and minor
→ Answer: B. Latissimus dorsi and teres major

Q4. Which process of scapula is felt below clavicle, lateral to acromion?
A. Coracoid process
B. Spine of scapula
C. Inferior angle
D. Supraglenoid tubercle
→ Answer: A. Coracoid process

Q5. The acromion process is continuous with:
A. Clavicle
B. Scapular spine
C. Coracoid process
D. Humerus
→ Answer: B. Scapular spine

Q6. Supraspinous fossa contains:
A. Supraspinatus
B. Infraspinatus
C. Teres major
D. Teres minor
→ Answer: A. Supraspinatus

Q7. Infraspinous fossa contains:
A. Subscapularis
B. Teres minor
C. Infraspinatus
D. Supraspinatus
→ Answer: C. Infraspinatus

Q8. Coracoid process gives attachment to all EXCEPT:
A. Pectoralis minor
B. Short head of biceps
C. Coracobrachialis
D. Supraspinatus
→ Answer: D. Supraspinatus

Muscles of Scapular Region (9–20)

Q9. Chief abductor of shoulder joint from 15°–90° is:
A. Supraspinatus
B. Deltoid
C. Infraspinatus
D. Subscapularis
→ Answer: B. Deltoid

Q10. Which muscle initiates abduction (0–15°)?
A. Deltoid
B. Supraspinatus
C. Infraspinatus
D. Teres minor
→ Answer: B. Supraspinatus

Q11. Nerve supply of deltoid is:
A. Radial nerve
B. Axillary nerve
C. Musculocutaneous nerve
D. Suprascapular nerve
→ Answer: B. Axillary nerve

Q12. Nerve supply of supraspinatus and infraspinatus?
A. Axillary nerve
B. Dorsal scapular nerve
C. Suprascapular nerve
D. Thoracodorsal nerve
→ Answer: C. Suprascapular nerve

Q13. Nerve supply of teres minor?
A. Axillary nerve
B. Radial nerve
C. Suprascapular nerve
D. Dorsal scapular nerve
→ Answer: A. Axillary nerve

Q14. Nerve supply of subscapularis?
A. Thoracodorsal nerve
B. Axillary nerve
C. Upper & lower subscapular nerves
D. Radial nerve
→ Answer: C. Upper & lower subscapular nerves

Q15. Nerve supply of teres major?
A. Thoracodorsal nerve
B. Upper subscapular nerve
C. Lower subscapular nerve
D. Axillary nerve
→ Answer: C. Lower subscapular nerve

Q16. Which muscles cause lateral rotation of arm?
A. Supraspinatus, infraspinatus
B. Infraspinatus, teres minor
C. Teres major, subscapularis
D. Deltoid, latissimus dorsi
→ Answer: B. Infraspinatus, teres minor

Q17. Which muscle causes medial rotation of arm?
A. Subscapularis
B. Infraspinatus
C. Teres minor
D. Supraspinatus
→ Answer: A. Subscapularis

Q18. Posterior fold of axilla is contributed by:
A. Trapezius and rhomboid
B. Latissimus dorsi and teres major
C. Deltoid and teres minor
D. Supraspinatus and infraspinatus
→ Answer: B. Latissimus dorsi and teres major

Q19. Muscle commonly involved in rotator cuff tears?
A. Teres minor
B. Subscapularis
C. Infraspinatus
D. Supraspinatus
→ Answer: D. Supraspinatus

Q20. Painful arc syndrome is due to lesion of:
A. Teres major
B. Supraspinatus tendon
C. Subscapularis
D. Deltoid
→ Answer: B. Supraspinatus tendon

Intermuscular Spaces (21–32)

Q21. Quadrangular space contents are:
A. Radial nerve, profunda brachii artery
B. Axillary nerve, posterior circumflex humeral vessels
C. Circumflex scapular artery
D. Subscapular nerve and artery
→ Answer: B. Axillary nerve, posterior circumflex humeral vessels

Q22. Boundaries of quadrangular space include all EXCEPT:
A. Teres minor (above)
B. Teres major (below)
C. Long head of triceps (medial)
D. Lateral head of triceps (lateral)
→ Answer: D. Lateral head of triceps (lateral)

Q23. Contents of upper triangular space are:
A. Radial nerve
B. Axillary nerve
C. Circumflex scapular artery
D. Profunda brachii artery
→ Answer: C. Circumflex scapular artery

Q24. Contents of lower triangular space (interval) are:
A. Radial nerve, profunda brachii artery
B. Axillary nerve, circumflex humeral artery
C. Dorsal scapular nerve, vessels
D. Thoracodorsal nerve
→ Answer: A. Radial nerve, profunda brachii artery

Q25. Injury to axillary nerve occurs commonly in which space?
A. Quadrangular space
B. Upper triangular space
C. Lower triangular space
D. None of the above
→ Answer: A. Quadrangular space

Q26. Posterior circumflex humeral artery is found in:
A. Upper triangular space
B. Lower triangular space
C. Quadrangular space
D. Suprascapular notch
→ Answer: C. Quadrangular space

Q27. Circumflex scapular artery is found in:
A. Quadrangular space
B. Upper triangular space
C. Lower triangular space
D. Deltoid muscle
→ Answer: B. Upper triangular space

Q28. Radial nerve is found in:
A. Quadrangular space
B. Upper triangular space
C. Lower triangular space (interval)
D. Supraspinous fossa
→ Answer: C. Lower triangular space (interval)

Q29. Injury in triangular interval leads to:
A. Wrist drop
B. Claw hand
C. Ape thumb deformity
D. Winged scapula
→ Answer: A. Wrist drop

Q30. Quadrangular space syndrome leads to:
A. Ulnar nerve palsy
B. Axillary nerve compression → deltoid weakness, badge anesthesia
C. Radial nerve compression → wrist drop
D. Suprascapular nerve palsy
→ Answer: B. Axillary nerve compression → deltoid weakness, badge anesthesia

Axillary Nerve & Rotator Cuff (33–44)

Q31. Root value of axillary nerve is:
A. C4–C5
B. C5–C6
C. C6–C7
D. C7–C8
→ Answer: B. C5–C6

Q32. Axillary nerve is a branch of:
A. Lateral cord
B. Medial cord
C. Posterior cord
D. Middle trunk
→ Answer: C. Posterior cord

Q33. Axillary nerve supplies:
A. Deltoid, teres minor
B. Supraspinatus, infraspinatus
C. Subscapularis, teres major
D. Pectoralis major, minor
→ Answer: A. Deltoid, teres minor

Q34. Sensory supply of axillary nerve is:
A. Medial cutaneous nerve of arm
B. Upper lateral cutaneous nerve of arm (regimental badge area)
C. Radial nerve
D. Suprascapular nerve
→ Answer: B. Upper lateral cutaneous nerve of arm

Q35. Injury to axillary nerve causes:
A. Wrist drop
B. Claw hand
C. Flattening of shoulder, loss of abduction >15°
D. Winged scapula
→ Answer: C. Flattening of shoulder, loss of abduction >15°

Q36. Rotator cuff muscles stabilize:
A. Elbow joint
B. Shoulder joint
C. Sternoclavicular joint
D. Acromioclavicular joint
→ Answer: B. Shoulder joint

Q37. Which muscle is tested by lift-off test?
A. Deltoid
B. Supraspinatus
C. Subscapularis
D. Infraspinatus
→ Answer: C. Subscapularis

Q38. Which muscle is tested by empty can test?
A. Supraspinatus
B. Infraspinatus
C. Teres minor
D. Deltoid
→ Answer: A. Supraspinatus

Q39. Which muscle is tested by external rotation test?
A. Supraspinatus
B. Infraspinatus and teres minor
C. Subscapularis
D. Teres major
→ Answer: B. Infraspinatus and teres minor

Q40. Which tendon is most prone to degeneration in rotator cuff syndrome?
A. Supraspinatus tendon
B. Infraspinatus tendon
C. Teres minor tendon
D. Subscapularis tendon
→ Answer: A. Supraspinatus tendon

Scapular Anastomosis & Clinical (45–50)

Q41. Arteries involved in scapular anastomosis include all EXCEPT:
A. Suprascapular
B. Dorsal scapular
C. Circumflex scapular
D. Superior thoracic
→ Answer: D. Superior thoracic

Q42. Which artery connects subclavian and axillary via scapular anastomosis?
A. Suprascapular
B. Dorsal scapular
C. Circumflex scapular
D. All of the above
→ Answer: D. All of the above

Q43. Clinical importance of scapular anastomosis is:
A. Provides collateral flow if axillary artery ligated
B. Supplies vertebral column
C. Drains venous blood from scapula
D. None
→ Answer: A. Provides collateral flow if axillary artery ligated

Q44. Painful abduction between 60°–120° is characteristic of:
A. Axillary nerve injury
B. Rotator cuff tear (supraspinatus tendon)
C. Clavicle fracture
D. Deltoid weakness
→ Answer: B. Rotator cuff tear (supraspinatus tendon)

Q45. Regimental badge anesthesia is due to lesion of:
A. Radial nerve
B. Axillary nerve
C. Suprascapular nerve
D. Musculocutaneous nerve
→ Answer: B. Axillary nerve

Q46. Weakness of initiation of abduction suggests lesion of:
A. Deltoid
B. Supraspinatus
C. Subscapularis
D. Infraspinatus
→ Answer: B. Supraspinatus

Q47. Weakness of external rotation but normal abduction suggests lesion of:
A. Infraspinatus/teres minor
B. Supraspinatus
C. Deltoid
D. Subscapularis
→ Answer: A. Infraspinatus/teres minor

Q48. Weakness of medial rotation with lift-off test positive suggests lesion of:
A. Subscapularis
B. Infraspinatus
C. Teres minor
D. Supraspinatus
→ Answer: A. Subscapularis

Q49. Shoulder flattening after dislocation is due to paralysis of:
A. Deltoid (axillary nerve injury)
B. Latissimus dorsi
C. Rhomboids
D. Serratus anterior
→ Answer: A. Deltoid (axillary nerve injury)

Q50. Wrist drop due to injury in scapular region occurs in:
A. Quadrangular space
B. Upper triangular space
C. Lower triangular space (interval)
D. None
→ Answer: C. Lower triangular space (interval)