Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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Which abdominal muscle creates the “washboard” look?
a. | rectus abdominis | b. | external oblique | c. | internal
oblique | d. | transverse abdominis |
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2.
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Which abdominal muscle runs vertically from the rib cage to the pubic crest?
a. | rectus abdominis | b. | external oblique | c. | internal
oblique | d. | transverse abdominis |
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3.
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Which is the origin of the rectus abdominis?
a. | anterior superior iliac spine (ASIS) | b. | pubic line of pelvis | c. | superior ramus of
the ischium | d. | pubic crest, pubic symphysis |
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4.
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Which of the following is an action of the internal oblique?
a. | extend vertebral column | b. | rotate vertebral column to the opposite
side | c. | rotate vertebral column to the same side | d. | laterally flex
vertebral column to the opposite side |
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5.
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Which of the following is an action of the transverse abdominis?
a. | flex the vertebral column | b. | compress abdominal contents | c. | laterally flex the
vertebral column | d. | rotate the vertebral column to the same side |
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6.
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The ribs will ____________ when exhaling deeply.
a. | Elevate | b. | Depress | c. | Vascillate | d. | Remain still |
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7.
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Where will the massage therapist’s fingertips need to be located to access
the spinal rotatores?
a. | Lamina groove of vertebral column | b. | Transverse processes along
iliocostalis | c. | Tips of spinous processes of vertebral bones | d. | Upon the posterior
sacral base unit |
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8.
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First addressing Spinalis, second addressing Longissimus and third addressing
Iliocostalis is working the Erector Spinae group in which order?
a. | Lateral to medial | b. | Medial to lateral | c. | Superior to
inferior | d. | Inferior to superior |
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9.
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Strain at the inferior attachment of Quadratus Lumborum will be witnessed at the
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a. | 12th rib | b. | L2 bone | c. | Iliac
crest | d. | Sacrum bone |
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10.
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Interrupted signals along the Iliohypogastric nerve will impede nerve supply to
the –
a. | Rectus Abdominus | b. | External Oblique | c. | Internal
Oblique | d. | Splenius Capitus |
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11.
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A massage therapist needs to be cautious of the _____________ when working
deeply into the body’s core.
a. | Abdominal aporneurosis | b. | Ligamentum nuchae | c. | Abdominal
aorta | d. | Linea alba |
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12.
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When throwing a ball, which muscle is responsible for bringing my arm backwards
before it swings forward?
a. | Deltoid | b. | Pectoralis Major | c. | Subscapularis | d. | Serratus
Anterior |
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13.
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Which muscle engages strongest when I press my arms against the sides of my
body?
a. | Latissimus Dorsi | b. | Iliocostalis | c. | Rhomboid
Major | d. | Trapezius |
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14.
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Which scapular landmark is felt most lateral upon the scapula bone?
a. | Acromion | b. | Lateral margin | c. | Coracoid
process | d. | Inferior angle |
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15.
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Forcefully using a screwdriver will require extra usage of the -
a. | Triceps Brachii | b. | Biceps Brachii | c. | Pectoralis
Minor | d. | Pectoralis Major |
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16.
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Which arm movement does not involve the Deltoid muscle in a primary or synergist
fashion?
a. | Lifting arm sideways | b. | Rowing arms backwards | c. | Bringing arms to my
sides | d. | Swinging arm forward |
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17.
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The upper fibers of Trapezius engage with which of these motions?
a. | Pressing shoulders downwardly | b. | Bringing arms sideways from
body | c. | Squeezing scapula bones together | d. | Swinging head
backwards |
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18.
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A client states “I feel pain in my mid-back after moving my arms backwards
to pull a heavy weight towards me.” A strain likely occurred at which scapular
landmark?
a. | Superior angle | b. | Suprascapular fossa | c. | Medial
margin | d. | Glenoid cavity |
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19.
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A tennis player reports feeling a pain “behind their shoulder” after
performing a back hand stroke during their game. Which muscle is most likely strained?
a. | Subscapularis | b. | Teres Major | c. | Infraspinatus | d. | Serratus
Anterior |
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20.
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Subacromial bursitis may directly impact which muscle?
a. | Infraspinatus | b. | Supraspinatus | c. | Serratus
Anterior | d. | Pectoralis Minor |
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21.
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A client suffering a “kink in their neck” after sleeping awkwardly
on their pillow will witness injury to the –
a. | Serratus Anterior | b. | Pectoralis Minor | c. | Rhomboid
Minor | d. | Levator Scapulae |
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22.
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When working a client’s upper fibers of serratus anterior, the therapist
must beware of the
a. | Supraspinatus tendon | b. | Axillary nerve | c. | Breast
tissue | d. | Brachial artery |
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23.
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The costal fibers of the Pectoralis Major will aid in a client with
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a. | Throwing a bowling ball | b. | Typing on a computer | c. | Pushing someone away
from you | d. | Texting on one’s phone |
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24.
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As you follow the biceps brachii belly proximally, it becomes deep to which
muscle?
a. | deltoid | b. | pectoralis major | c. | pectoralis
minor | d. | coracobrachialis |
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25.
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Which is the insertion of the biceps brachii?
a. | coronoid process of the ulna and aponeurosis of biceps brachii | b. | shaft of the ulna
and aponeurosis of biceps brachii | c. | head of the radius and aponeurosis of biceps
brachii | d. | tuberosity of radius and aponeurosis of biceps
brachii |
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26.
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Which of the following is an action of the biceps brachii?
a. | flex the elbow | b. | pronate the forearm | c. | depress the
scapula | d. | abduct the shoulder |
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27.
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Which movement would lengthen the fibers of the coracobrachialis?
a. | elbow flexion | b. | shoulder flexion | c. | medial rotation of
the shoulder | d. | shoulder abduction |
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28.
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Which is the insertion of the coracobrachialis?
a. | deltoid tuberosity | b. | medial surface of mid-humeral
shaft | c. | lateral surface of mid-humeral shaft | d. | lateral epicondyle of
humerus |
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29.
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Which shoulder movement would lengthen the anterior fibers of the
deltoid?
a. | extension | b. | flexion | c. | medial
rotation | d. | horizontal adduction |
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30.
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Which is the origin of the deltoid?
a. | shaft of clavicle, acromion and superior angle of scapula | b. | medial two-thirds of
clavicle, angle of acromion and spine of scapula | c. | lateral one-third of clavicle, acromion and
spine of scapula | d. | medial one-third of clavicle, lateral border of
scapula |
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31.
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Which of the following is an action of all fibers of the deltoid?
a. | abduct the shoulder | b. | extend the shoulder | c. | pronate the
shoulder | d. | medially rotate the shoulder |
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32.
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During what activity is the diaphragm’s central tendon pulled
inferiorly?
a. | exhalation | b. | rotation | c. | inhalation | d. | digestion |
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33.
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Which of the following is a part of the origin of the spinalis?
a. | posterior surface of ribs 1 - 10 | b. | transverse processes of the upper lumbar and
lower thoracic vertebrae | c. | spinous processes of the upper lumbar and lower
thoracic vertebrae | d. | posterior surface of ribs 4 -
12 |
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34.
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Which of the following is a part of the insertion of the spinalis?
a. | spinous processes of cervicals, except C-1 | b. | transverse processes
of cervicals, except C-1 | c. | spinous processes of all cervical
vertebrae | d. | transverse processes of all cervical vertebrae |
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35.
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Which of the following is a part of the origin of the longissimus?
a. | transverse processes of upper five thoracic vertebrae | b. | posterior surfaces
of ribs 1 – 12 | c. | posterior surfaces of ribs 3 -
9 | d. | spinous processes of upper five thoracic vertebrae |
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36.
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Which of the following is a part of the insertion of the longissimus?
a. | spinous processes of cervical vertebrae | b. | mastoid process of
temporal bone | c. | posterior surfaces of ribs 1 - 12 | d. | spinous processes of thoracic
vertebrae |
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37.
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Which of the following is an action of the longissimus?
a. | depress the thoracic cavity | b. | rotate vertebral column to the same
side | c. | laterally flex vertebral column to the same side | d. | flex the vertebral
column |
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38.
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To contract the lower fibers of the erector spinae group from a prone position,
you could ask your partner to perform what action?
a. | flex and extend ankles | b. | raise and lower head | c. | abduct and adduct
arms | d. | alternately raise and lower feet |
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39.
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When exploring between the scapulae, through which muscle tissue must you
palpate to access the erector spinae fibers?
a. | trapezius and rhomboids | b. | latissimus dorsi | c. | serratus anterior
and posterior | d. | rotatores and multifidi |
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40.
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Which is the origin of the external and internal intercostals?
a. | superior border of the rib above | b. | inferior border of the rib
above | c. | manubrium and sternum | d. | fascia surrounding the
lungs |
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41.
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Through which muscle tissue must you palpate to isolate the intercostals?
a. | pectoralis major | b. | external oblique | c. | latissimus
dorsi | d. | all of the above |
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42.
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Which portion of the latissimus dorsi is easiest to grasp?
a. | superior portion | b. | inferior portion | c. | middle portion next
to the lateral border | d. | medial portion next to head of
humerus |
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43.
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Which muscle is a complete synergist with the latissimus dorsi and is sometimes
called “lat’s little helper?”
a. | teres minor | b. | teres major | c. | infraspinatus | d. | trapezius |
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44.
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With your partner in a prone position, what movement of the shoulder can he
perform to create a strong contraction of the latissimus dorsi?
a. | horizontal abduction and adduction | b. | resisted flexion | c. | resisted medial
rotation | d. | resisted lateral rotation |
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45.
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Which is the insertion of the levator scapula?
a. | superior angle of scapula | b. | upper region of lateral border of the
scapula | c. | medial border of scapula, between superior angle and superior portion of spine of
scapula | d. | acromion of the scapula and superior portion of spine of
scapula |
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46.
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Which of the following is an action of the levator scapula?
a. | rotate head and neck to the opposite side | b. | upwardly rotate the
scapula | c. | elevate the scapula | d. | depress the
scapula |
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47.
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What action can you ask your partner to perform to enable you to feel the
levator scapula contract?
a. | depress the scapula | b. | rotate head to the opposite
side | c. | flex the head | d. | elevate the
scapula |
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48.
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Which of the following muscles is completely superficial?
a. | supraspinatus | b. | rhomboids | c. | deltoid | d. | infraspinatus |
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49.
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Which muscle acts as a synergist with teres minor during lateral rotation of the
shoulder?
a. | teres major | b. | infraspinatus | c. | latissimus
dorsi | d. | subscapularis |
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50.
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Which muscle helps to create downward rotation of the scapula?
a. | levator scapula | b. | trapezius | c. | subscapularis | d. | teres minor |
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51.
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Which of the following muscles of the spine are the most superficial?
a. | suboccipitals | b. | splenius muscles | c. | transversospinalis | d. | erector spinae |
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52.
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Which muscle acts as an antagonist to the multifidi during extension of the
vertebral column?
a. | spinalis | b. | rectus abdominis | c. | quadratus
lumborum | d. | iliocostalis |
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53.
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Which muscle acts as an antagonist to the rotatores during rotation of the
vertebral column to the right side?
a. | multifidi on the left side | b. | external oblique on the left
side | c. | internal oblique on the left side | d. | internal oblique on the right
side |
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54.
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Which muscle acts as a synergist with the quadratus lumborum during lateral
flexion of the vertebral column to the right?
a. | iliocostalis on right side | b. | internal oblique on left
side | c. | external oblique on left side | d. | intertransversarii on left
side |
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55.
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What movement of the shoulder provides better access to the coracoacromial
ligament?
a. | flexion | b. | extension | c. | medial
rotation | d. | abduction |
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56.
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What superficial ligament can be felt between the spinous processes of the
thoracic and lumbar vertebrae?
a. | supraspinous ligament | b. | thoracolumbar fascia | c. | posterior
longitudinal ligament | d. | ligamentum
nuchae |
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57.
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The abdominal aorta is located where in relationship to the psoas major?
a. | deep | b. | inferior | c. | medial | d. | posterior |
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58.
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Which muscle is divided into three segments: clavicular, sternal and costal?
a. | trapezius | b. | pectoralis minor | c. | pectoralis
major | d. | serratus anterior |
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59.
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Which muscle is an antagonist to itself?
a. | pectoralis major | b. | pectoralis minor | c. | serratus
anterior | d. | rhomboid major |
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60.
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Which of the following is a part of the origin of the pectoralis major?
a. | cartilage of ribs 7 - 12 | b. | medial half of clavicle and
sternum | c. | sternum, xiphoid process and linea alba | d. | lateral half of
clavicle and coracoid process |
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61.
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If you follow the fibers of pectoralis major laterally, they blend with the
fibers of which muscle?
a. | deltoid | b. | subscapularis | c. | latissimus
dorsi | d. | pectoralis minor |
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62.
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The pectoralis minor is located deep to which muscle?
a. | serratus anterior | b. | pectoralis major | c. | deltoid | d. | trapezius |
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63.
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Which is the origin of the quadratus lumborum?
a. | spinous processes of lumbar vertebrae | b. | eleventh rib | c. | posterior iliac
crest | d. | anterior iliac crest |
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64.
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Which is the insertion of the quadratus lumborum?
a. | transverse processes of 2nd – 4th lumbar vertebrae | b. | last rib, transverse
processes of 1st – 4th lumbar vertebrae | c. | spinous processes of 1st – 4th lumbar
vertebrae | d. | last rib, spinous processes of 1st – 4th lumbar
vertebrae |
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65.
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Which of the following is an action of the quadratus lumborum?
a. | laterally tilt the pelvis | b. | laterally flex the vertebral column to the
opposite side | c. | flex the vertebral column | d. | elevate the lower seven ribs during
inhalation |
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66.
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Which of the following is actually an abdominal muscle located on the posterior
side of the thorax?
a. | transverse abdominis | b. | latissimus dorsi | c. | iliocostalis | d. | quadratus
lumborum |
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67.
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Which muscle is located in the space between the vertebral column and scapula?
a. | serratus anterior | b. | rhomboids | c. | levator
scapula | d. | latissimus dorsi |
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68.
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In which movement of the scapula do the rhomboids and trapezius always act as
synergists?
a. | downward rotation | b. | adduction | c. | upward
rotation | d. | depression |
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69.
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Which is the insertion of the rhomboid minor?
a. | lower portion of medial border of scapula | b. | upper portion of
medial border of scapula, across from spine of scapula | c. | entire length of medial border of
scapula | d. | spine of scapula |
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70.
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Which is the origin of the rhomboid minor?
a. | lateral border of scapula | b. | spinous processes of T-2 to
T-5 | c. | transverse processes of cervical vertebrae | d. | spinous processes of
C-7 and T-1 |
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71.
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Which rotator cuff muscle is not involved in rotation of the shoulder?
a. | supraspinatus | b. | infraspinatus | c. | teres
minor | d. | subscapularis |
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72.
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Which muscle is a synergist with teres minor in lateral rotation of the
shoulder?
a. | supraspinatus | b. | infraspinatus | c. | teres
major | d. | subscapularis |
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73.
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Which muscle is an antagonist to teres minor in rotation of the humerus?
a. | infraspinatus | b. | teres major | c. | supraspinatus | d. | posterior fibers of
deltoid |
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74.
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Which is the origin of the supraspinatus?
a. | supraspinous fossa of scapula | b. | lesser tubercle of humerus | c. | supraspinous crest
of scapula | d. | greater tubercle of humerus |
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75.
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Which is the insertion of the supraspinatus?
a. | coracoid process of scapula | b. | greater tubercle of humerus | c. | lesser tubercle of
humerus | d. | angle of the acromion |
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76.
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Which is the origin of the infraspinatus?
a. | inferior half of lateral border of scapula | b. | spine of the
scapula | c. | infraspinous fossa of scapula | d. | medial border of
scapula |
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77.
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Which is the origin of the subscapularis?
a. | subscapular fossa of scapula | b. | greater tubercle of humerus | c. | supraspinous fossa
of scapula | d. | medial border of scapula |
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78.
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If you follow the fibers of the infraspinatus laterally, they converge
underneath which muscle?
a. | trapezius | b. | teres minor | c. | deltoid | d. | latissimus
dorsi |
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79.
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Sliding laterally off the lateral border of the scapula, you can feel the
tube-shaped belly of which muscle?
a. | teres minor | b. | infraspinatus | c. | rhomboid
major | d. | subscapularis |
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80.
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Which action shortens the fibers of the serratus anterior?
a. | medial rotation of the shoulder | b. | adduction of the scapula | c. | abduction of the
humerus | d. | depression of the scapula |
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81.
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Which of the following is an action of the serratus posterior inferior?
a. | flex the vertebral column | b. | elevate ribs during
inhalation | c. | downwardly rotate the scapula | d. | depress ribs during
exhalation |
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82.
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Which is the origin of the splenius capitis?
a. | transverse processes of upper thoracic vertebrae and spinous processes of C-7 to
T-4 | b. | spinous processes of upper thoracic vertebrae | c. | lamina groove of
upper thoracic vertebrae | d. | inferior one-half of ligamentum nuchae and
spinous processes of C-7 to T-4 |
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83.
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Which of the following is an action of the splenius capitis?
a. | elevate upper ribs | b. | rotate head and neck to same
side | c. | rotate head and neck to opposite side | d. | flex the head and
neck |
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84.
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To distinguish the trapezius fibers from the splenius capitis fibers, you could
ask your partner to perform what movement of the head and neck?
a. | extension | b. | flexion | c. | rotation toward the
side you are palpating | d. | rotation away from the side you are
palpating |
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85.
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Which movement of the head and neck would shorten the fibers of the rectus
capitis posterior major on the right side of the body?
a. | flexion | b. | lateral flexion to the left | c. | rotation to the
right | d. | rotation to the left |
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86.
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Which is the insertion of the rectus capitis posterior major?
a. | inferior nuchal line of the occiput | b. | external occipital
protuberance | c. | superior nuchal line of the occiput | d. | styloid process of the temporal
bone |
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87.
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Which is the origin of the rectus capitis posterior minor?
a. | transverse process of the atlas (C-1) | b. | spinous process of the axis
(C-2) | c. | spinous process of the atlas (C-1) | d. | tubercle of the posterior arch of the atlas
(C-1) |
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88.
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Which of the following is an action of the oblique capitis superior?
a. | rotate the head to the same side | b. | rock and tilt the head back into
extension | c. | flex the head | d. | rotate the head to the opposite
side |
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89.
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Which of the following is an action of the oblique capitis inferior?
a. | rotate the head to the same side | b. | laterally flex the head | c. | rock and tilt the
head back into extension | d. | rotate the head to the opposite
side |
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90.
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Which are the only muscles with fibers that lie across the posterior surface of
the sacrum?
a. | quadratus lumborum | b. | multifidi | c. | spinalis | d. | rotatores |
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91.
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Which movement of the vertebral column will lengthen the fibers of the multifidi
on the right side of the body?
a. | rotation to the right | b. | rotation to the left | c. | extension | d. | lateral flexion to the
right |
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92.
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Which of the following is an action of the rotatores?
a. | flex the vertebral column | b. | rotate the vertebral column to the opposite
side | c. | rotate the vertebral column to the same side | d. | laterally flex the
vertebral column to the opposite side |
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93.
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The rotatores span between how many vertebrae?
a. | only three | b. | one to two | c. | two to
four | d. | only two |
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94.
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Which is the origin of the semispinalis capitis?
a. | transverse processes of cervical vertebrae | b. | posterior surfaces
of ribs 3 - 7 | c. | spinous processes of cervical vertebrae | d. | transverse processes
of C-4 to T-5 |
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95.
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Which is the insertion of the semispinalis capitis?
a. | between the superior and inferior nuchal lines of occiput | b. | mastoid process of
temporal bone | c. | transverse processes of upper cervicals | d. | external occipital
protuberance |
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96.
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Which of the following is an action of the trapezius?
a. | upwardly rotate the scapula | b. | abduct the humerus | c. | downward rotation of
the scapula | d. | rotate the head and neck to the same side |
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97.
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To feel the middle fibers of the trapezius contract, you could ask your prone
partner to perform which action?
a. | “Lift your arm above your head” | b. | “Raise your
head up slightly.” | c. | “Bring your shoulder up off the
table.” | d. | “Place your hand in the small of your
back.” |
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98.
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The long head of the triceps brachii weaves between which two muscles before
attaching at the infraglenoid tubercle?
a. | subscapularis and infraspinatus | b. | teres major and minor | c. | latissimus dorsi and
teres major | d. | pectoralis major and coracobrachialis |
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99.
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Which is the insertion of the triceps brachii?
a. | olecranon process of ulna | b. | tuberosity of radius | c. | medial epicondyle of
humerus | d. | shaft of ulna |
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100.
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What resisted action could you ask your partner to perform to feel the
contraction of the long head of the triceps brachii?
a. | shoulder extension | b. | shoulder abduction | c. | elbow
flexion | d. | shoulder flexion |
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Completion
Complete each
statement.
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Please identify the following structure(s).
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101.
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A
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Please identify the following structure(s).
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102.
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A
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Please identify the following structure(s).
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103.
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B
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Please identify the muscle.
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104.
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________________________
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Please identify the muscle.
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105.
|
________________________
|
|
|
Please identify the muscle.
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|
106.
|
________________________
|
|
|
Please identify the muscle.
|
|
|
107.
|
________________________
|
|
|
Please identify the following structure(s).
|
|
|
108.
|
F
|
|
|
109.
|
J
|
|
|
Please identify the following structure(s).
|
|
|
110.
|
C
|
|
|
Please identify the following structure(s).
|
|
|
111.
|
D
|
|
|
Please identify the following structure(s).
|
|
|
112.
|
D
|
|
|
Please identify the following structure(s).
|
|
|
113.
|
A
|
|
|
Please identify the following structure(s).
|
|
|
114.
|
A
|
|
|
Please identify the following structure(s).
|
|
|
115.
|
C
|
|
|
116.
|
E
|
|
|
Please identify the following structure(s).
|
|
|
117.
|
H
|
|
|
Please identify the muscle.
|
|
|
118.
|
________________________
|
|
|
Please identify the muscle.
|
|
|
119.
|
________________________
|
|
|
Please identify the muscle.
|
|
|
120.
|
________________________
|
|
|
Please identify the muscle.
|
|
|
121.
|
________________________
|
|
|
Please identify the following structure(s).
|
|
|
122.
|
H
|
|
|
Please identify the following structure(s).
|
|
|
123.
|
A
|
|
|
124.
|
J
|
|
|
Please identify the following structure(s).
|
|
|
125.
|
E
|
|
|
Please identify the following structure(s).
|
|
|
126.
|
F
|
|
|
Please identify the following structure(s).
|
|
|
127.
|
D
|
|
|
128.
|
F
|
|
|
Please identify the following structure(s).
|
|
|
129.
|
E
|
|
|
Please identify the following structure(s).
|
|
|
130.
|
A
|
|
|
131.
|
C
|
|
|
Please identify the following structure(s).
|
|
|
132.
|
D
|
|
|
Please identify the following structure(s).
|
|
|
133.
|
D
|
|
|
Please identify the following structure(s).
|
|
|
134.
|
C
|
|
|
Please identify the following structure(s).
|
|
|
135.
|
B
|
|
|
Please identify the following structure(s).
|
|
|
136.
|
B
|
|
|
137.
|
F
|
|
|
Please identify the following structure(s).
|
|
|
138.
|
A
|
|
|
139.
|
C
|
|
|
140.
|
D
|
|
|
Please identify the following structure(s).
|
|
|
141.
|
A
|
|
|
142.
|
Passive elevation of the scapula would __________________ the trapezius’
upper fibers.
|
|
|
143.
|
Passive abduction of the shoulder would ____________________ the
supraspinatus.
|
|
|
144.
|
Passive downward rotation of the scapula would ____________________ the levator
scapula.
|
|
|
145.
|
Not that you could easily do this, but passive elevation of the first rib would
____________________ the subclavius.
|
|
|
146.
|
Passive abduction of the shoulder would ____________________ the
coracobrachialis.
|
|
|
147.
|
Passive flexion of the shoulder would ____________________ the triceps
brachii.
|
|
|
148.
|
Passive flexion of the spine would ____________________ the iliocostalis.
|
|
|
149.
|
Passive rotation of the spine to the opposite side would ____________________
the rotatores.
|
|
|
150.
|
Passive rotation of the vertebral column to the opposite side would
____________________ the internal oblique.
|