NCBTMB Anatomy and Kinesiology 2 — Questions and Answers
Question 1: Which muscle is the prime mover for shoulder abduction between 90–180 degrees?
- Supraspinatus
- Deltoid
- Trapezius (upper) (Correct answer)
- Serratus anterior
Correct answer: Trapezius (upper)
Above 90 degrees of shoulder abduction, the upper trapezius and serratus anterior rotate the scapula to complete the movement.
Question 2: The thoracolumbar fascia connects which two major structures?
- Spinous processes and iliac crest
- Latissimus dorsi and gluteus maximus (Correct answer)
- Erector spinae and sacrum
- Quadratus lumborum and transverse abdominis
Correct answer: Latissimus dorsi and gluteus maximus
The thoracolumbar fascia is a key force-transfer structure linking the latissimus dorsi to the contralateral gluteus maximus.
Question 3: Which carpal bone is most commonly fractured due to a fall on an outstretched hand?
- Lunate
- Trapezium
- Scaphoid (Correct answer)
- Pisiform
Correct answer: Scaphoid
The scaphoid is the most frequently fractured carpal bone and risks avascular necrosis due to its blood supply entering distally.
Question 4: What type of joint is the sternoclavicular joint?
- Hinge joint
- Saddle joint (Correct answer)
- Ball-and-socket joint
- Plane (gliding) joint
Correct answer: Saddle joint
The sternoclavicular joint is a saddle joint, allowing elevation, depression, protraction, retraction, and rotation of the clavicle.
Question 5: The femoral triangle is bounded superiorly by which structure?
- Inguinal ligament (Correct answer)
- Sartorius muscle
- Adductor longus muscle
- Iliacus muscle
Correct answer: Inguinal ligament
The inguinal ligament forms the superior (base) boundary of the femoral triangle, while sartorius and adductor longus form its lateral and medial walls.
Question 6: Which nerve innervates the diaphragm?
- Intercostal nerves (T1–T6)
- Vagus nerve (CN X)
- Phrenic nerve (C3–C5) (Correct answer)
- Thoracic splanchnic nerves
Correct answer: Phrenic nerve (C3–C5)
The phrenic nerve (C3–C5) is the motor innervation to the diaphragm; the mnemonic 'C3, 4, 5 keeps the diaphragm alive' is commonly used.
Question 7: Plantarflexion is primarily produced by which muscle group?
- Tibialis anterior and extensor digitorum longus
- Gastrocnemius and soleus (Correct answer)
- Peroneus longus and peroneus brevis
- Flexor digitorum longus and tibialis posterior
Correct answer: Gastrocnemius and soleus
The gastrocnemius and soleus (triceps surae) are the primary plantarflexors, inserting via the Achilles tendon onto the calcaneus.
Which muscle is the prime mover for shoulder abduction between 90–180 degrees?