CMT Musculoskeletal Anatomy & Pathophysiology 2 — Questions and Answers
Question 1: Which type of cartilage covers the articular surfaces of synovial joints?
- Fibrocartilage
- Elastic cartilage
- Hyaline cartilage (Correct answer)
- Calcified cartilage
Correct answer: Hyaline cartilage
Hyaline cartilage covers articular surfaces, providing a smooth, low-friction surface for joint movement.
Question 2: The anterior cruciate ligament (ACL) primarily prevents which motion at the knee?
- Posterior tibial translation
- Anterior tibial translation (Correct answer)
- Valgus stress
- Varus stress
Correct answer: Anterior tibial translation
The ACL primarily resists anterior translation of the tibia on the femur and also limits internal rotation.
Question 3: Which muscle is responsible for depression and protraction of the scapula?
- Trapezius (upper fibers)
- Serratus anterior (Correct answer)
- Rhomboid major
- Levator scapulae
Correct answer: Serratus anterior
Serratus anterior protracts and upwardly rotates the scapula while also holding it flat against the thorax.
Question 4: In osteoarthritis, the primary pathological change occurs in which tissue?
- Synovial membrane
- Subchondral bone only
- Articular cartilage (Correct answer)
- Joint capsule
Correct answer: Articular cartilage
Osteoarthritis is characterized by progressive degradation of articular cartilage, leading to joint space narrowing and pain.
Question 5: The rotator cuff muscle that initiates shoulder abduction by depressing the humeral head is the:
- Supraspinatus (Correct answer)
- Infraspinatus
- Teres minor
- Subscapularis
Correct answer: Supraspinatus
Supraspinatus initiates the first 15–30 degrees of abduction and works to depress the humeral head in the glenoid.
Question 6: Which nerve passes through the carpal tunnel and is commonly compressed in carpal tunnel syndrome?
- Ulnar nerve
- Radial nerve
- Median nerve (Correct answer)
- Anterior interosseous nerve
Correct answer: Median nerve
The median nerve travels through the carpal tunnel and innervates the thenar muscles and lateral three-and-a-half digits.
Question 7: A Grade II ligament sprain is defined by:
- Microscopic tearing with no functional loss
- Partial tearing with some functional loss and laxity (Correct answer)
- Complete rupture with gross instability
- Periosteal avulsion at the ligament insertion
Correct answer: Partial tearing with some functional loss and laxity
A Grade II sprain involves partial tearing of ligament fibers, resulting in some functional loss, pain, swelling, and measurable but not gross laxity.
Which type of cartilage covers the articular surfaces of synovial joints?