Chapter 008 The Elbow and Radioulnar Joints True / False Questions 1. The scapula, humerus, and ulna serve as proximal attachments for the muscles that pronate and supinate the radioulnar joints. True False 2. The elbow joint is classified as a condyloid joint that allows only flexion and extension. True False 3. The ulnar collateral ligament is critical to providing medial support to prevent the elbow from abducting (not a normal movement of the elbow) when stressed in physical activity. True False 4. The two bones that allow supination and pronation are the ulna and the humerus. True False 5. When one holds a screwdriver in the right hand and attempts to fully tighten a screw, the movement consists of radioulnar supination, which usually involves laterally rotating and flexing the glenohumeral and elbow joints, respectively. True False 6. The brachialis assists in supination because it inserts on the radius. True False 7. The anconeus and the triceps brachii work synergistically to extend the elbow joint. True False 8-1 Chapter 008 The Elbow and Radioulnar Joints 8. The biceps brachii has three heads like the triceps brachii. True False 9. The median nerve innervates the triceps brachii. True False 10. The brachioradialis muscle performs flexion of the elbow joint in a neutral position. True False Multiple Choice Questions 11. The muscles of the elbow and radioulnar joints are all innervated from the median nerves, ___________________, and radial nerves of the brachial plexus. A. musculocutaneous nerves B. accessory nerves C. sciatic nerves D. long thoracic nerves 12. The radial nerve supplies innervation to the A. brachialis. B. biceps brachii. C. triceps brachii. D. pronator teres. 13. The short head of the biceps brachii attaches to the A. acromion process. B. coracoid process. C. spine of the scapula. D. lateral clavicle. 8-2 Chapter 008 The Elbow and Radioulnar Joints 14. A key bony landmark for the radius is the A. olecranon process. B. coronoid process. C. lateral epicondyle. D. radial tuberosity. 15. The two bones of the radioulnar joint provide the actions of ______________. A. flexion and extension B. supination and pronation C. flexion and abduction D. abduction and adduction 16. The pronator quadratus is a small muscle located __________ on the ________ end of the forearm. A. proximally; anterior B. proximally; posterior C. distally; anterior D. distally; posterior 17. The proximal end of the brachioradialis attaches to the A. styloid process. B. medial epicondyle. C. olecranon process. D. lateral supracondylar ridge of the humerus. 18. The pronator teres performs pronation, but also assists in weak A. flexion of the elbow joint. B. extension of the elbow joint. C. supination of the elbow joint. D. flexion of the glenohumeral joint. 8-3 Chapter 008 The Elbow and Radioulnar Joints 19. The pronator teres is able to perform pronation because it inserts on the A. ulna. B. humerus. C. radius. D. scapula. 20. The insertion of the supinator is on the A. coronoid process of the ulna. B. lateral surface of the upper third of the radius. C. radial tuberosity. D. olecranon process. 21. The anconeus, triceps brachii, and supinator are located on the A. anterior region of the upper extremity. B. lateral region of the upper extremity. C. posterior region of the upper extremity. D. distal end of the upper extremity. 22. The action that the brachioradialis, brachialis, biceps brachii, and pronator teres all have in common is A. flexion. B. extension. C. supination. D. pronation. 23. The biceps brachii performs flexion best in a(n) _______________ position. A. pronated B. supinated C. neutral D. extended 8-4 Chapter 008 The Elbow and Radioulnar Joints 24. The triceps brachii and the anconeus both insert on the _____________________. A. radial tuberosity of the radius B. coronoid process of the ulna C. corocoid process of the scapula D. olecranon process of the ulna 25. The triceps brachii and the anconeus are __________________. A. antagonists B. synergists C. neutralizers D. flexors of the elbow joint 26. The long head of the triceps is located on the A. infraglenoid tubercle of the scapula. B. supraglenoid tubercle of the scapula. C. coracoid process. D. acromion process. 27. The long head of the biceps brachii originates on the A. infraglenoid tubercle of the scapula. B. coracoid process. C. supraglenoid tubercle of the scapula. D. acromion process. 28. The brachialis performs true _________ as it inserts only on the _________. A. extension; radius B. flexion; radius C. extension; ulna D. flexion; ulna 8-5 Chapter 008 The Elbow and Radioulnar Joints 29. The brachioradialis inserts on the ____________________. A. styloid process of the radius B. coronoid process of the ulna C. radial tuberosity of the radius D. corocoid process of the scapula 30. The muscles that are actively contracted on the anterior position of the humerus during flexion of the elbow joint are A. triceps brachii and biceps brachii. B. triceps brachii and anconeus. C. biceps brachii and brachialis. D. brachioradialis and biceps brachii. 31. The pronator teres originates on the A. lateral epicondyle of the humerus and the radius. B. medial epicondyle of the humerus and the radius. C. medial epicondyle of the humerus and the ulna. D. lateral epicondyle of the humerus and the ulna. 32. The muscles that provide the opposite action to supination would be A. biceps brachii, triceps brachii, and anconeus. B. pronator teres, pronator quadratus, and brachioradialis. C. brachialis, biceps brachii, and brachioradialis. D. triceps brachii, brachialis, and anconeus. 33. The brachioradialis is unique as it performs both A. flexion and extension. B. abduction and adduction. C. supination and pronation. D. supination and extension. 8-6 Chapter 008 The Elbow and Radioulnar Joints 34. The supinator only performs A. flexion. B. extension. C. pronation. D. supination. 35. The only actions of the elbow joint are A. supination and pronation. B. flexion and extension. C. abduction and adduction. D. supination and flexion. 36. Due to the multiarticular orientation of the biceps brachii, all three joints must be positioned appropriately to achieve optimal _______. A. stretching B. angle of pull C. strength D. pull 37. This muscle is the only true flexor of the elbow. A. Triceps B. Brachioradialis C. Brachialis D. Pronator teres 38. Push-ups demand strenuous contraction of what muscle? A. Latissimus dorsi B. Triceps brachii C. Trapezius D. Serratus 8-7 Chapter 008 The Elbow and Radioulnar Joints 39. Some clinicians believe that this muscle may be a continuation of the triceps. A. Latissimus dorsi. B. Posterior deltoid. C. Anconeus. D. Trapezius. 40. What motion of the forearm can be performed with a dumbbell sleeve to develop the pronator teres muscle? A. Supination B. Extension C. Adduction D. Pronation 41. For shoulder stability, it is important to strengthen what part of the biceps brachii? A. Belly B. Distal C. Proximal D. Lateral 42. To stretch the short head of the biceps brachii, what position should the hands be in while moving into extension? A. Palms out B. Palms in C. Palms neutral D. Palms facing midline 43. Injury to this small elbow flexor can be extremely painful. A. Biceps brachii B. Brachialis C. Pronator teres D. Brachioradialis 8-8 Chapter 008 The Elbow and Radioulnar Joints 44. This muscle is one of three muscles on the lateral forearm sometimes known as the "mobile wad of three." A. Pronator teres B. Biceps brachii C. Brachioradialis D. Triceps brachii 45. This muscle's main action is forceful extension of the forearm. A. Anterior deltoid B. Triceps brachii C. Pectoralis minor D. Pronator teres 46. This muscle is strengthened the same way as triceps brachii. A. Latissimus dorsi B. Pectoralis major C. Anconeus D. Teres major 47. The elbow must be fully extended while taking the forearm into full supination to stretch this muscle. A. Brachialis B. Pronator teres C. Pronator quadratus D. Supinator 48. The pronator quadratus muscle moves the forearm in what way? A. Pronation B. Supination C. Adduction D. Flexion 8-9 Chapter 008 The Elbow and Radioulnar Joints 49. The muscle of the forearm is very deep and difficult to palpate. A. Brachioradialis B. Pronator quadratus C. Brachialis D. Supinator 50. Extending the elbow and ulnar flexing the wrist stretches what muscle? A. Triceps B. Pronator teres C. Supinator D. Brachialis Fill in the Blank Questions 51. The medial condyloid ridge, olecranon process, and coronoid process are all bony landmarks for the __________. ________________________________________ 52. The biceps brachii perform strong elbow flexion in a(n) _____________ position. ________________________________________ 53. As the elbow reaches full extension, the __________ of the ulna is received by the _____________ of the humerus. ________________________________________ 54. The radioulnar joint is classified as a(n) ____________ joint. ________________________________________ 8-10 Chapter 008 The Elbow and Radioulnar Joints 55. The biceps brachii and the triceps brachii are clearly _____________ muscles. ________________________________________ 56. To demonstrate ___________ the therapist would move the forearm of the client to the shoulder by bending the elbow to decrease its angle. ________________________________________ 57. To demonstrate ____________ the therapist would move the forearm of the client away from the shoulder by straightening the elbow to increase its angle. ________________________________________ 58. To demonstrate _____________ the therapist would medially rotate the client's radius on the ulna that would result in the hand moving from the palm-up to the palm-down position. ________________________________________ 59. To demonstrate ________________, the therapist would laterally rotate the client's radius on the ulna that would result in the hand moving from the palm-down to the palm-up position. ________________________________________ 60. The biceps brachii assists in ___________ with the supinator. ________________________________________ 61. The brachioradialis is innervated by the _____________ nerve. ________________________________________ 8-11 Chapter 008 The Elbow and Radioulnar Joints 62. The lateral head and medial head of the triceps brachii insert on the __________________________. ________________________________________ 63. The triceps brachii can be easily palpated on the _______________. ________________________________________ 64. The muscle that is located neutrally on the forearm from the styloid process of the radius to the supracondylar ridge of the humerus is called the ________________. ________________________________________ 65. The small muscle that assists the triceps brachii in extension of the elbow joint is the ____________. ________________________________________ 66. The muscle that is deep to the bicep brachii is called the _____________. ________________________________________ 67. The lower-half of the anterior shaft of the humerus is the origin of __________. ________________________________________ 68. The brachioradialis is repetitively used in the ________________ position. ________________________________________ 69. The _____________ nerve innervates the pronator teres. ________________________________________ 8-12 Chapter 008 The Elbow and Radioulnar Joints 70. The ___________________ originates on the distal fourth of the anterior ulna. ________________________________________ 71. In order for the action of supination to occur, muscles that supinate must insert on the _______________. ________________________________________ 72. The elbow joint is comprised of the ulna and the _____________. ________________________________________ 73. The biceps brachii insert on the _____________. ________________________________________ 74. Bony landmarks on the distal end of the humerus that are origins for the supinator and pronator teres are ______________ and _____________ respectively. ________________________________________ 75. The largest muscle in the forearm is the ________________. ________________________________________ 8-13 Chapter 008 The Elbow and Radioulnar Joints Key True / False Questions 1. The scapula, humerus, and ulna serve as proximal attachments for the muscles that pronate and supinate the radioulnar joints. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-2 Learning Outcome: 8-3 Learning Outcome: 8-6 2. The elbow joint is classified as a condyloid joint that allows only flexion and extension. FALSE The elbow joint is a ginglymus or hinge joint that allows only flexion and extension. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-2 Learning Outcome: 8-3 Learning Outcome: 8-8 3. The ulnar collateral ligament is critical to providing medial support to prevent the elbow from abducting (not a normal movement of the elbow) when stressed in physical activity. TRUE Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Hard Learning Outcome: 8-8 8-14 Chapter 008 The Elbow and Radioulnar Joints Key 4. The two bones that allow supination and pronation are the ulna and the humerus. FALSE The two bones that interact to allow supination and pronation are the ulna and the radius. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-2 Learning Outcome: 8-8 5. When one holds a screwdriver in the right hand and attempts to fully tighten a screw, the movement consists of radioulnar supination, which usually involves laterally rotating and flexing the glenohumeral and elbow joints, respectively. TRUE Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Hard Learning Outcome: 8-8 6. The brachialis assists in supination because it inserts on the radius. FALSE The brachialis inserts on the ulna and can only perform flexion of the elbow joint. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-2 Learning Outcome: 8-6 Learning Outcome: 8-8 8-15 Chapter 008 The Elbow and Radioulnar Joints Key 7. The anconeus and the triceps brachii work synergistically to extend the elbow joint. TRUE Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-7 Learning Outcome: 8-8 8. The biceps brachii has three heads like the triceps brachii. FALSE The biceps brachii has two heads, long head and short head both attaching to the scapula. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-4 Learning Outcome: 8-5 9. The median nerve innervates the triceps brachii. FALSE The radial nerve innervates the triceps brachii. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 10. The brachioradialis muscle performs flexion of the elbow joint in a neutral position. TRUE Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-8 8-16 Chapter 008 The Elbow and Radioulnar Joints Key Multiple Choice Questions 11. The muscles of the elbow and radioulnar joints are all innervated from the median nerves, ___________________, and radial nerves of the brachial plexus. A. musculocutaneous nerves B. accessory nerves C. sciatic nerves D. long thoracic nerves Only the musculocutaneous nerves travel to the upper extremity out of the list provided. The musculocutaneous nerves innervate the biceps brachii and the brachialis. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 12. The radial nerve supplies innervation to the A. brachialis. B. biceps brachii. C. triceps brachii. D. pronator teres. The biceps brachii and brachialis are supplied by the musculocutaneous nerve and the pronator teres is innervated by the median nerve. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 8-17 Chapter 008 The Elbow and Radioulnar Joints Key 13. The short head of the biceps brachii attaches to the A. acromion process. B. coracoid process. C. spine of the scapula. D. lateral clavicle. The short head of the biceps brachii does attach at the coracoid process. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 14. A key bony landmark for the radius is the A. olecranon process. B. coronoid process. C. lateral epicondyle. D. radial tuberosity. The olecranon process and coronoid process are bony landmarks for the ulna. The lateral epicondyle is on the distal end of the humerus. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-2 Learning Outcome: 8-3 8-18 Chapter 008 The Elbow and Radioulnar Joints Key 15. The two bones of the radioulnar joint provide the actions of ______________. A. flexion and extension B. supination and pronation C. flexion and abduction D. abduction and adduction The radioulnar joint is a pivot joint and provides supination and pronation of the radius. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-8 16. The pronator quadratus is a small muscle located __________ on the ________ end of the forearm. A. proximally; anterior B. proximally; posterior C. distally; anterior D. distally; posterior The pronator quadratus is a deep pronator that is on the distal anterior end of the forearm before the wrist. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 8-19 Chapter 008 The Elbow and Radioulnar Joints Key 17. The proximal end of the brachioradialis attaches to the A. styloid process. B. medial epicondyle. C. olecranon process. D. lateral supracondylar ridge of the humerus. The brachioradialis originates at the lateral supracondylar ridge of the humerus. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 18. The pronator teres performs pronation, but also assists in weak A. flexion of the elbow joint. B. extension of the elbow joint. C. supination of the elbow joint. D. flexion of the glenohumeral joint. The pronator teres assist is weak flexion of the elbow joint besides its major action of pronation. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-7 Learning Outcome: 8-8 8-20 Chapter 008 The Elbow and Radioulnar Joints Key 19. The pronator teres is able to perform pronation because it inserts on the A. ulna. B. humerus. C. radius. D. scapula. The radius moves against the ulna in a pivot joint. Supinators and pronators must attach to the radius in order to perform their actions. If they attach to the ulna, they will only perform flexion and extension. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-7 Learning Outcome: 8-8 20. The insertion of the supinator is on the A. coronoid process of the ulna. B. lateral surface of the upper third of the radius. C. radial tuberosity. D. olecranon process. The supinator must insert on the radius in order to perform supination. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-6 8-21 Chapter 008 The Elbow and Radioulnar Joints Key 21. The anconeus, triceps brachii, and supinator are located on the A. anterior region of the upper extremity. B. lateral region of the upper extremity. C. posterior region of the upper extremity. D. distal end of the upper extremity. The anconeus and triceps brachii are located on the posterior humerus and the supinator has a posterior position from the distal end of the humerus to the ulna and inserting on the lateral surface of the upper third of the radius. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-6 22. The action that the brachioradialis, brachialis, biceps brachii, and pronator teres all have in common is A. flexion. B. extension. C. supination. D. pronation. Flexion is the only common action of the listed muscles. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 Learning Outcome: 8-8 8-22 Chapter 008 The Elbow and Radioulnar Joints Key 23. The biceps brachii performs flexion best in a(n) _______________ position. A. pronated B. supinated C. neutral D. extended The biceps brachii inserts on the radial tuberosity, which promotes a strong flexion in supination. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-6 Learning Outcome: 8-7 Learning Outcome: 8-8 24. The triceps brachii and the anconeus both insert on the _____________________. A. radial tuberosity of the radius B. coronoid process of the ulna C. corocoid process of the scapula D. olecranon process of the ulna The triceps brachii and the anconeus both share attachments on the olecranon process. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 8-23 Chapter 008 The Elbow and Radioulnar Joints Key 25. The triceps brachii and the anconeus are __________________. A. antagonists B. synergists C. neutralizers D. flexors of the elbow joint The triceps brachii and the anconeus work synergistically to perform extension of the elbow joint. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 Learning Outcome: 8-8 26. The long head of the triceps is located on the A. infraglenoid tubercle of the scapula. B. supraglenoid tubercle of the scapula. C. coracoid process. D. acromion process. This attachment provides weak extension of the glenohumeral joint. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 8-24 Chapter 008 The Elbow and Radioulnar Joints Key 27. The long head of the biceps brachii originates on the A. infraglenoid tubercle of the scapula. B. coracoid process. C. supraglenoid tubercle of the scapula. D. acromion process. This attachment provides weak flexion of the glenohumeral joint and opposes weak extension of the triceps brachii. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 28. The brachialis performs true _________ as it inserts only on the _________. A. extension; radius B. flexion; radius C. extension; ulna D. flexion; ulna The brachialis performs true flexion as it inserts only on the coronoid process of the ulna. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 8-25 Chapter 008 The Elbow and Radioulnar Joints Key 29. The brachioradialis inserts on the ____________________. A. styloid process of the radius B. coronoid process of the ulna C. radial tuberosity of the radius D. corocoid process of the scapula This long muscle must have a distal attachment to perform movements from supination and pronation and be in the neutral position. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 30. The muscles that are actively contracted on the anterior position of the humerus during flexion of the elbow joint are A. triceps brachii and biceps brachii. B. triceps brachii and anconeus. C. biceps brachii and brachialis. D. brachioradialis and biceps brachii. Active flexion of the elbow joint would engage the biceps brachii and the brachialis. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-8 8-26 Chapter 008 The Elbow and Radioulnar Joints Key 31. The pronator teres originates on the A. lateral epicondyle of the humerus and the radius. B. medial epicondyle of the humerus and the radius. C. medial epicondyle of the humerus and the ulna. D. lateral epicondyle of the humerus and the ulna. The pronator teres is perfectly opposed to the supinator in its location of the opposite side of the joint. The two muscles are antagonists. Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 32. The muscles that provide the opposite action to supination would be A. biceps brachii, triceps brachii, and anconeus. B. pronator teres, pronator quadratus, and brachioradialis. C. brachialis, biceps brachii, and brachioradialis. D. triceps brachii, brachialis, and anconeus. The antagonists for supination would only be pronator teres, pronator quadratus, and the brachioradialis. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 Learning Outcome: 8-8 8-27 Chapter 008 The Elbow and Radioulnar Joints Key 33. The brachioradialis is unique as it performs both A. flexion and extension. B. abduction and adduction. C. supination and pronation. D. supination and extension. The brachioradialis performs supination from pronation and pronation from supination; it would be used turning a door knob or a screwdriver. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-8 34. The supinator only performs A. flexion. B. extension. C. pronation. D. supination. This muscle is named for its action. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-8 35. The only actions of the elbow joint are A. supination and pronation. B. flexion and extension. C. abduction and adduction. D. supination and flexion. The elbow joint is a hinge joint and can only perform flexion and extension. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-8 8-28 Chapter 008 The Elbow and Radioulnar Joints Key 36. Due to the multiarticular orientation of the biceps brachii, all three joints must be positioned appropriately to achieve optimal _______. A. stretching B. angle of pull C. strength D. pull The biceps is actually considered a three-joint (multiarticular) muscle—shoulder, elbow, and radioulnar. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-9 37. This muscle is the only true flexor of the elbow. A. Triceps B. Brachioradialis C. Brachialis D. Pronator teres The brachialis muscle is used along with other flexor muscles, regardless of pronation or supination. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 8-29 Chapter 008 The Elbow and Radioulnar Joints Key 38. Push-ups demand strenuous contraction of what muscle? A. Latissimus dorsi B. Triceps brachii C. Trapezius D. Serratus Overhead presses and triceps curls (elbow extensions from an overhead position) also emphasize the triceps. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-9 39. Some clinicians believe that this muscle may be a continuation of the triceps. A. Latissimus dorsi. B. Posterior deltoid. C. Anconeus. D. Trapezius. The chief function of the anconeus muscle is to pull the synovial membrane of the elbow joint out of the way of the advancing olecranon process during extension of the elbow. Bloom's: Knowledge Difficulty: Difficult Difficulty: Medium Learning Outcome: 8-6 40. What motion of the forearm can be performed with a dumbbell sleeve to develop the pronator teres muscle? A. Supination B. Extension C. Adduction D. Pronation Referred to as neutralizing, they contract to resist specific actions of other muscles. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-9 8-30 Chapter 008 The Elbow and Radioulnar Joints Key 41. For shoulder stability, it is important to strengthen what part of the biceps brachii? A. Belly B. Distal C. Proximal D. Lateral It is weak in shoulder joint actions, although it does assist in providing dynamic anterior stability to maintain the humeral head in the glenoid fossa. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 8-9 42. To stretch the short head of the biceps brachii, what position should the hands be in while moving into extension? A. Palms out B. Palms in C. Palms neutral D. Palms facing midline The palms out position internally rotates the humerus, isolating the short head during the stretch. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-9 8-31 Chapter 008 The Elbow and Radioulnar Joints Key 43. Injury to this small elbow flexor can be extremely painful. A. Biceps brachii B. Brachialis C. Pronator teres D. Brachioradialis Stretching this muscle by gentle extension of the elbow can help restore blood flow. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-9 44. This muscle is one of three muscles on the lateral forearm sometimes known as the "mobile wad of three." A. Pronator teres B. Biceps brachii C. Brachioradialis D. Triceps brachii The other two muscles are the extensor carpi radialis brevis and extensor carpi radialis longus, to which the brachioradialis lies directly anterior. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 8-32 Chapter 008 The Elbow and Radioulnar Joints Key 45. This muscle's main action is forceful extension of the forearm. A. Anterior deltoid B. Triceps brachii C. Pectoralis minor D. Pronator teres The golf and tennis swing would be impossible without the use of the triceps brachii. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 Learning Outcome: 8-9 46. This muscle is strengthened the same way as triceps brachii. A. Latissimus dorsi B. Pectoralis major C. Anconeus D. Teres major Any extension of the forearm exercise strengthens this muscle. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-9 47. The elbow must be fully extended while taking the forearm into full supination to stretch this muscle. A. Brachialis B. Pronator teres C. Pronator quadratus D. Supinator It can be stretched by holding a dumbbell sleeve or hammer handle. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-9 8-33 Chapter 008 The Elbow and Radioulnar Joints Key 48. The pronator quadratus muscle moves the forearm in what way? A. Pronation B. Supination C. Adduction D. Flexion It is commonly used in turning a screwdriver or in movements requiring extension and pronation. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-7 49. The muscle of the forearm is very deep and difficult to palpate. A. Brachioradialis B. Pronator quadratus C. Brachialis D. Supinator Because of the deep location of the pronator quadratus, specific therapeutic techniques are difficult. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-5 50. Extending the elbow and ulnar flexing the wrist stretches what muscle? A. Triceps B. Pronator teres C. Supinator D. Brachialis This muscle is strengthened the same way biceps brachii is. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-9 8-34 Chapter 008 The Elbow and Radioulnar Joints Key Fill in the Blank Questions 51. The medial condyloid ridge, olecranon process, and coronoid process are all bony landmarks for the __________. ulna Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-2 Learning Outcome: 8-3 52. The biceps brachii perform strong elbow flexion in a(n) _____________ position. supinated Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 Learning Outcome: 8-8 53. As the elbow reaches full extension, the __________ of the ulna is received by the _____________ of the humerus. olecranon process; olecranon fossa Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-2 Learning Outcome: 8-3 54. The radioulnar joint is classified as a(n) ____________ joint. trochoid or pivot-type Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 8-35 Chapter 008 The Elbow and Radioulnar Joints Key 55. The biceps brachii and the triceps brachii are clearly _____________ muscles. antagonistic Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 Learning Outcome: 8-8 56. To demonstrate ___________ the therapist would move the forearm of the client to the shoulder by bending the elbow to decrease its angle. flexion Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Hard Difficulty: Medium Learning Outcome: 8-8 57. To demonstrate ____________ the therapist would move the forearm of the client away from the shoulder by straightening the elbow to increase its angle. extension Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Hard Difficulty: Medium Learning Outcome: 8-8 58. To demonstrate _____________ the therapist would medially rotate the client's radius on the ulna that would result in the hand moving from the palm-up to the palm-down position. pronation Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Hard Difficulty: Medium Learning Outcome: 8-8 8-36 Chapter 008 The Elbow and Radioulnar Joints Key 59. To demonstrate ________________, the therapist would laterally rotate the client's radius on the ulna that would result in the hand moving from the palm-down to the palm-up position. supination Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Hard Difficulty: Medium Learning Outcome: 8-8 60. The biceps brachii assists in ___________ with the supinator. supination Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-7 61. The brachioradialis is innervated by the _____________ nerve. radial Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 62. The lateral head and medial head of the triceps brachii insert on the __________________________. posterior head of the humerus above and below the spiral groove Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-6 8-37 Chapter 008 The Elbow and Radioulnar Joints Key 63. The triceps brachii can be easily palpated on the _______________. posterior humerus Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-5 64. The muscle that is located neutrally on the forearm from the styloid process of the radius to the supracondylar ridge of the humerus is called the ________________. brachioradialis Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 65. The small muscle that assists the triceps brachii in extension of the elbow joint is the ____________. anconeus Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-7 66. The muscle that is deep to the bicep brachii is called the _____________. brachialis Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-4 Learning Outcome: 8-5 8-38 Chapter 008 The Elbow and Radioulnar Joints Key 67. The lower-half of the anterior shaft of the humerus is the origin of __________. brachialis muscle Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-4 Learning Outcome: 8-5 Learning Outcome: 8-6 68. The brachioradialis is repetitively used in the ________________ position. neutral Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-8 69. The _____________ nerve innervates the pronator teres. median Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 70. The ___________________ originates on the distal fourth of the anterior ulna. pronator quadratus Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-5 Learning Outcome: 8-6 8-39 Chapter 008 The Elbow and Radioulnar Joints Key 71. In order for the action of supination to occur, muscles that supinate must insert on the _______________. radius Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-1 Learning Outcome: 8-8 72. The elbow joint is comprised of the ulna and the _____________. humerus Bloom's: Knowledge Difficulty: Easy Learning Outcome: 8-1 Learning Outcome: 8-2 73. The biceps brachii insert on the _____________. radial tuberosity Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-5 Learning Outcome: 8-6 74. Bony landmarks on the distal end of the humerus that are origins for the supinator and pronator teres are ______________ and _____________ respectively. lateral epicondyle; medial epicondyle Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-2 Learning Outcome: 8-3 8-40 Chapter 008 The Elbow and Radioulnar Joints Key 75. The largest muscle in the forearm is the ________________. brachioradialis Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 8-4 Learning Outcome: 8-5 8-41