diff --git a/libcst/metadata/scope_provider.py b/libcst/metadata/scope_provider.py
index bcea03c2e..3eb79d359 100644
--- a/libcst/metadata/scope_provider.py
+++ b/libcst/metadata/scope_provider.py
@@ -699,9 +699,20 @@ def visit_Attribute(self, node: cst.Attribute) -> Optional[bool]:
 
     def visit_Call(self, node: cst.Call) -> Optional[bool]:
         self.__top_level_attribute_stack.append(None)
+        if any(
+            qn.name == "typing.TypeVar"
+            for qn in self.scope.get_qualified_names_for(node)
+        ):
+            node.func.visit(self)
+            self.__in_annotation.add(node)
+            for arg in node.args[1:]:
+                arg.visit(self)
+            return False
+        return True
 
     def leave_Call(self, original_node: cst.Call) -> None:
         self.__top_level_attribute_stack.pop()
+        self.__in_annotation.discard(original_node)
 
     def visit_Annotation(self, node: cst.Annotation) -> Optional[bool]:
         self.__in_annotation.add(node)
@@ -709,12 +720,38 @@ def visit_Annotation(self, node: cst.Annotation) -> Optional[bool]:
     def leave_Annotation(self, original_node: cst.Annotation) -> None:
         self.__in_annotation.discard(original_node)
 
+    def visit_SimpleString(self, node: cst.SimpleString) -> Optional[bool]:
+        self._handle_string_annotation(node)
+        return False
+
+    def visit_ConcatenatedString(self, node: cst.ConcatenatedString) -> Optional[bool]:
+        self._handle_string_annotation(node)
+        return False
+
+    def _handle_string_annotation(
+        self, node: Union[cst.SimpleString, cst.ConcatenatedString]
+    ) -> None:
+        if self.__in_annotation:
+            value = node.evaluated_value
+            if value:
+                mod = cst.parse_module(value)
+                mod.visit(self)
+
+    def visit_Subscript(self, node: cst.Subscript) -> Optional[bool]:
+        if any(
+            qn.name == "typing.Literal"
+            for qn in self.scope.get_qualified_names_for(node.value)
+        ):
+            node.value.visit(self)
+            return False
+        return True
+
     def visit_Name(self, node: cst.Name) -> Optional[bool]:
         # not all Name have ExpressionContext
         context = self.provider.get_metadata(ExpressionContextProvider, node, None)
         if context == ExpressionContext.STORE:
             self.scope.record_assignment(node.value, node)
-        elif context in (ExpressionContext.LOAD, ExpressionContext.DEL):
+        elif context in (ExpressionContext.LOAD, ExpressionContext.DEL, None):
             access = Access(node, self.scope, is_annotation=bool(self.__in_annotation))
             self.__deferred_accesses.append(
                 (access, self.__top_level_attribute_stack[-1])
diff --git a/libcst/metadata/tests/test_scope_provider.py b/libcst/metadata/tests/test_scope_provider.py
index bee13d505..b05ee8314 100644
--- a/libcst/metadata/tests/test_scope_provider.py
+++ b/libcst/metadata/tests/test_scope_provider.py
@@ -1013,22 +1013,56 @@ def g():
     def test_annotation_access(self) -> None:
         m, scopes = get_scope_metadata_provider(
             """
-                from t import T
-                def f(t: T):
+                from typing import Literal, TypeVar
+                from a import A, B, C, D, E, F
+                def x(a: A):
                     pass
+                def y(b: B):
+                    pass
+                def z(c: Literal["C"]):
+                    pass
+                DType = TypeVar("DType", bound=D)
+                EType = TypeVar("EType", bound="E")
+                FType = TypeVar("F")
             """
         )
         imp = ensure_type(
-            ensure_type(m.body[0], cst.SimpleStatementLine).body[0], cst.ImportFrom
+            ensure_type(m.body[1], cst.SimpleStatementLine).body[0], cst.ImportFrom
         )
         scope = scopes[imp]
-        assignments = list(scope["T"])
-        assignment = assignments[0]
+
+        assignment = list(scope["A"])[0]
+        self.assertIsInstance(assignment, Assignment)
+        self.assertEqual(len(assignment.references), 1)
+        references = list(assignment.references)
+        self.assertTrue(references[0].is_annotation)
+
+        assignment = list(scope["B"])[0]
+        self.assertIsInstance(assignment, Assignment)
+        self.assertEqual(len(assignment.references), 1)
+        references = list(assignment.references)
+        self.assertTrue(references[0].is_annotation)
+
+        assignment = list(scope["C"])[0]
+        self.assertIsInstance(assignment, Assignment)
+        self.assertEqual(len(assignment.references), 0)
+
+        assignment = list(scope["D"])[0]
         self.assertIsInstance(assignment, Assignment)
         self.assertEqual(len(assignment.references), 1)
         references = list(assignment.references)
         self.assertTrue(references[0].is_annotation)
 
+        assignment = list(scope["E"])[0]
+        self.assertIsInstance(assignment, Assignment)
+        self.assertEqual(len(assignment.references), 1)
+        references = list(assignment.references)
+        self.assertTrue(references[0].is_annotation)
+
+        assignment = list(scope["F"])[0]
+        self.assertIsInstance(assignment, Assignment)
+        self.assertEqual(len(assignment.references), 0)
+
     def test_node_of_scopes(self) -> None:
         m, scopes = get_scope_metadata_provider(
             """