ANATOMY final.doc

8/10/2019 ANATOMY final.doc

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CLINICAL ANATOMY for MEDICAL STUDENTS

By SNELL 6th edition

ANATOMY QUESTIONS

Choose the best answer

P 201 1. The superior boundary of the epiploic foramen:A. free border of the lesser omentum containing the portal triad

B. inferior vena cava

C. caudate process of the caudate lobe of the liver. first portion of the duodenum

P 2!0 2. "ess li#ely to produce ascites:

A. hepatic cirrhosis C. gastritisB. cancer of the ovary . congestive hear failure

P 2!$ %. &mportant factor in the production of an ulcer in the anterolateral 'all of the first part of

the duodenum:

A. acid chime s(uired as the stomach emptiesB. high level of pepsin

C. bile secretion after food inta#e

. digestive en)ymes e*creted out by the pancreasP 2!! +. ,hich of the follo'ing does notcontribute to 'hy the appendi* is prone to infection:

A. it has a large amount of lymphoid tissue in its 'all

B. the lumen has a tendency to become obstructed by hardened intestinal contentsC. it is supplied by a long small artery that does not anastomose 'ith any other artery

. it is a long narro' blind-ended tube 'hich encourages stasis of large bo'el contents

P 2!! $. ccurring at points 'here the circular muscle is 'ea#est. ,here the blood vessels pierce

the muscles/ herniation of the lining mucosa through the circular muscle bet'een taeniacoli occurs:

A. volvulus B. intussusception C. diverticulosis . achalasia

P 2+ !. ,hich is not true regarding aneurysm of the abdominal aorta:A. usually occur belo' the origin of the renal arteries

B. maority result from atherosclerosis 'hich 'ea#ens the 'all

C. occur most commonly in elderly 'omen. large aneurysms should be surgically e*cised and replaced 'ith a graft

P 2+ . Common cause of colic/ 3CPT:

A. compression of the inferior vena cavaB. intestinal obstruction

C. passage of gallstone in the biliary duct

. passage of the stone in the ureter

P 2!+ 4. Total gastrectomy for gastric cancer does not include the removal of:A. lo'er end of esophagus C. head of the pancreas

B. first part of duodenum . spleen

P 1+5 5. 6erniorrhaphy of an indirect inguinal hernia constitute the repair of the floor of theinguinal canal/ the floor is formed by:

A. internal obli(ue C. lateral umbilical ligament

B. inguinal ligament . e*ternal obli(ueP 4%+ 10. ,hile doing a spinal tap/ the spinal needle is inserted in bet'een the:

A. "1 and "2 vertebrae C. "% and "+ vertebrae

B. "2 and "% vertebrae . "+ and "$ vertebrae

P 1++ 11. The cresenteric inferior border of the posterior rectus sheath:A. 7pigelian line C. semilunar line

B. arcuate line of ouglas . linea albaP 15 1!. &ntraperitoneal organ:

A. lo'er third of rectum C. #idney

B. eunum . pancreas

P $%2 15. The femoral ring:A. is the medial opening of the inguinal canal

B. is the base of the femoral canal

C. forms the medial border of the 6esselbach8s triangle. contains the spermatic cord

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P !%4 21. &n the nec#:

A. the anterior rami of the C1-C+ spinal nerves supply the s#in antero-laterallyB. the investing layer of the deep cervical fascia forms the stylomandibular ligament

C. the pretracheal fascia is attached superiorly to the hyoid bone

. all of the above are correctP !++ 22. 9orms the floor of both the submental and the digastric triangle:

A. hyoglossus B. thyrohyoid C. mylohyoid . geniohyoid

P !+% 2%. 7urgical procedures at the digastric triangle could possibly inure the follo'ing nerves/

e*cept:A. vagus nerve C. hypoglossal nerve

B. spinal accessory nerve . glossopharyngeal nerve

P 51 2+. &n doing cricothyroidotomy/ hemorrhage can occur from accidental inury to branchesof:

A. thyroidea ima artery C. superior thyroid artery

B. superficial cervical artery . e*ternal laryngeal arteryP 5$ 2$. &n doing stellate ganglion bloc#/ the needle of the anesthetic syringe is inserted through

the s#in over the carotid tubercle this carotid tubercle is a part of:

A. cricoid cartilage B. 1strib C. hyoid bone . !th cervical vertebraP 40$ 2!. ue to the close pro*imity of their drainages in the nasal cavity/ frontal sinusitis nearly

al'ays involves this sinus:A. ma*illary C. anterior ethmoidal

B. posterior ethmoidal . sphenoidalP !!+ 2. The trigeminal nerve provides sensory innervation to the face e*cept for a small area

'hich is supplied by the:

A. )ygomaticotemporal nerve C. great auricular nerveB. lesser occipital nerve . auriculotemporal nerve

P !$ 24. n its 'ay to the tongue/ the chorda tympani:

A. passes through the mastoid 'all of the tympanic cavityB. enters the infratemporal fossa through the petrotympanic fissure

C. oin a branch of the posterior division of mandibular nerve

. all of the above are correctP !51 25. &n the living subect/ the foramen lacerum of the cranial fossa is closed inferiorly by

cartilage and fibrous tissue above this closed inferior opening/ foramen lacerum

receives the:

A. carotid canal C. foramen cecumB. condylar canal . inferior orbital fissure

P 0$ %0. The artery supplying the ;leg area< of the cerebral corte*:

A. is the biggest branch of the internal carotid arteryB. passes in the longitudinal fissure of the cerebrum

C. is a component of the circulus arteriosus

. all of the above are correct

P !!$ %2. The sensory nerve supplying the tip of the nose is the distal continuation of the:A. infraorbital nerve C. anterior ethmoidal nerve

B. long sphenopalatine nerve . buccal nerve

P 1% %%. The follo'ing e*traocular muscle is supplied by the most slender cranial nerve:

A. superior obli(ue B. superior rectus C. lateral rectus . none

P 2+ %+. The retina e*tends anteriorly as far as the:

A. ora serrata B. ciliary processes C. iris . limbusP 2 %$. True regarding the 'alls of the middle ear:

A. the inferior 'all transmits a branch from glossopharyngeal nerve

B. the roof separates the middle ear from the temporal lobe of cerebrumC. the posterior 'all contains the origin of stapedius

. all of the above are correctP 40$ %. pista*is usually occur upon rupture of the anastomosing branches of:

A. greater palatine and sphenopalatine arteries

B. sphenopalatine and superior labial arteries

C. greater palatine and ma*illary arteries

. facial and superior labial arteriesP + %4. The vestibular ligaments of the laryn* represent the inferior margin of the:

A. fibroelastic membrane of the laryn* C. (uadrangular membrane

B. cricothyroid ligament . false vocal cords

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P 5! +0. 9rey8s syndrome is due to damage to the follo'ing nerves:

A. auriculotemporal and )ygomaticotemporalB. )ygomaticotemporal and )ygomaticofacial

C. great auricular and auriculotemporal

. chorda tympani and buccal branch of facial nerveP 2%! +1. &n the pelvic cavity/ the ureter turns medially to enter the urinary bladder at the level of:

A. greater sciatic foramen C. ischial spine

B. sacral promontory . upper border of symphysis pubis

P %0! +2. &n the Cald'ell-=oloy pelvic classification/ a transversely 'ide pelvis is:A. gynecoid B.platypelloid C. android . anthropoid

P %1 +%. Components of anorectal ring/ e*cept:A. internal anal sphincter C. puborectalis

B. e*ternal anal sphincter >deep part? . valves of 6ouston

P 254 ++. The follo'ing branches of internal iliac artery pass through the greater sciatic foramen/ e*cept:

A. superior gluteal B. inferior gluteal C. internal pudendal . obturator

+$. &n the pelvic cavity/ this structure lies at the ape* of the @-shaped root of the sigmoidmesocolon:

A. left ureter C. superior rectal arteryB. origin of the internal iliac artery . sacral promontory

P 24! +!. Boundaries of pelvic inlet/ e*cept:A. sacral promontory B. symphysis pubis C. ischial spine . arcuate line

Boundaries of Pelvic Inlet:Posteriorly: sacral promontoryLaterally: Iliopectineal linesAnteriorly: Symphysis pubis

P %2% +5. @oluntary control of micturition is done at the level of:A. internal urethral meatus C. fossa navicularis

B. urogenital diaphragm . ape* of the urinary bladder

P %!% $0. The pudendal nerve:A. has % maor branches in the perineum

B. passes out from the pelvic cavity via the lesser sciatic foramen

C. enters the perineum via the greater sciatic foramen. none of the above is correct

This nerve leaves the pelvis through the greater sciatic foramen and enters the perineum through the lesser sciaticforamen.

$1. ,hich of the follo'ing components of the respiratory tract 'all increases in amount from

trachea to alveoli:

A. cilia B. elastic fibers C. smooth muscle . cartilage$2. The presence of iron deposits in the cytoplasm of 'hich of the follo'ing lung cell type is a

diagnostic feature of congestive heart failure:

A. oblet cell C. dust cellB. pneumocyte Type && . Clara cell

$%. &n hypersensitivity reactions/ this cell functions as an antigen-presenting cell in the s#in:

A. #eratinocyte B. "angerhan8s cell C. melanocytes . =er#el8s cell

$+. ,hich of the follo'ing cell types comprises the visceral layer of Bo'mann8s capsule affectedin glomerular filtration disorders:

A. endothelial cell C. mesangial cell

B. u*taglomerular cell . podocyte$$. ,hich of the follo'ing hormone is most li#ely affected in hypothalamic tumors:

A. A6 B. ACT6 C. 976 . T76

A. aorta C. thoracic ductB. medium si)ed artery . vena cava

$. iarrhea may result if 'hich of the follo'ing organs fails to carry out its primary role in

absorbing 'ater from the feces:A. anal canal B. colon C. eenum . ileum

$4. &ncrease a(ueous humor of the eye is due to the secretion by:

A. ciliary epithelium C. 7chlemm8s canal

B. choriocapillary layer . corneal endotheliumP $0+ $5. Contraction of the muscles of the forearm that commonly follo's fractures of the distal

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end of the humerus or fractures of the radius and ulna:

A. compartment syndrome of the forearmB. upuytren8s contracture

C. @ol#mann8s ischemic contracture

. Bontonniera deformityP $01 !0. 9racture of the distal end of the radius 'hich occurs from a fall on the bac# of the hand:

A. Colle8s fracture C. =onteggia8s fracture

B. 7mith8s fracture . Bennett8s fracture

P +5$ !1. A young boy sustained a superficial laceration in front of his right 'rist 'hich 'asbleeding profusely. 6e had sensory loss over the palmar aspect of the medial 1

fingers but normal sensation on the bac# of these fingers over the middle and pro*imal

phalanges. ,hich of the follo'ing statements about the patient is true:A. the radial artery 'as cut in front of the fle*or retinaculum

B. the loss of s#in sensation 'as caused by the inury to the ulnar nerve as it crossed

infront of the fle*or retinaculumC. there 'as no sensory loss in the palm of the hand because the palmar cutaneous branch

of the ulnar nerve 'as cut

. this 'ill lead to carpal tunnel syndromeP +12 !2. ,hich of the follo'ing is not part of the rotator cuff muscles:

A. infraspinatus B. subscapularis C. supraspinatus . teres maor !%. Tennis elbo' is characteri)ed by pain and tenderness over the lateral epicondyle of the

humerus. &t is caused by:A. repeated friction bet'een the anconeus and abductor pollicis longus

B. partial tearing of the e*tensor muscles from the lateral epicondyle of the humerus

C. supracondylar fracture of the humerus. dislocation of the elbo' oint

P +45 !+. Dlump#e8s palsy is characteri)ed by:

A. upper lesion of the brachial ple*us C. ,aiter8s tip positionB. lo'er lesions of the brachial ple*us . e*cessive traction or tearing of C$ E C!

P +4$ !$. ,hich blood vessel passes along the deltopectoral groove:

A. a*illary artery C. cephalic veinB. suprascapular artery . basilica vein

P $!1 !!. Ferve supply of the anterior fascial compartment of the leg:

A. deep peroneal nerve C. posterior tibial nerve

B. superficial peroneal nerve . sciatic nerveP !22 !4. A 1 year old boy 'as crossing a busy street 'hen he 'as bumped by a car on the lateral

part of his right #nee. 3-ray sho'ed a fracture of the head of the fibula. The patient 'as seen to

be dragging his right foot and catches his toes on the ground as he 'al#s. ,hich of the follo'inge*plains this:

A. the patient inured his common peroneal nerve

B. the medial meniscus 'as inured

C. s#in sensation on the posterior leg is lost. the patient 'ill not be able to plantarfle* his right foot

P $41 !5. The dostalis pedis artery lies bet'een the tendons of e*tensor hallucis longus and:

A. peroneus tertius C. e*tensor digitorum brevisB. e*tensor digitorum longus . e*tensor hallucis brevis

P $5$ 0. Arch of the foot 'hich consists of the bases of the metatarsal bones and the cuboid and

the % cuneiform bones:A. medial longitudinal arch C. transverse arch

B. lateral longitudinal arch . posterior arch

P 125 $. Pain in myocardial infarction is referred to the areas of distribution of the follo'ingspinal nerves:

A. C2 G C+ B. C$ G C! C. T1 G T+ . T$ G T5P 111 !. &n 'hat division of the mediastinum is thoracic duct to the duct to the left side of thevertebral column:

A. superior B. inferior C. middle . posterior

P 1%0 4. A patient 'ith cancer of esophagus develops hoarseness. This is suggestive of direct

invasion of the follo'ing structures:A. laryn* C. left recurrent laryngeal nerve

B. nasal cords . bronchus

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P 10! 41. 7ound of closure of the cardiac valve is heard best over the sternal end of right +th

intercostal space:A. aortic B. pulmonic C. ventral . tricuspid

P 10! 42. Ape* beat has the some auscultation area as the follo'ing heart valve:

A. aortic B. mitral C. pulmonic . tricuspid

P 4! 4%. Composed the medial and lateral bronchopulmonary segments:

A. superior lobar C. middle lobar

B. apical bronchopulmonary segment . inferior lobarP !$ 4+. The cardiac area of dullness e*tends as far left as the:

A. midclavicular line C. anterior a*illary line

B. parasternal line . mida*illary lineP !+ 4$. At 'hat reference line in the thora* 'ould you find the lo'er border of the lung and its

visceral pleura at the lo'er border of the 4thrib:

A. midclavicular B. anterior a*illary C. mid a*illary . scapular lineP !! 4!. The base of an adult female breast e*tends up to the follo'ing:

A. lo'er border of clavicle C. 2nd rib

B. 1strib . %rdribP !+ 4. A stab 'ound in an the anterior chest 'all ust to the right of sternum at +th&C7 'ould

most li#ely inure the follo'ing structure:A. superior vena cava C. right ventricle

B. right atrium . inferior vena cavaP 400 45. A +4 year old female teacher 'as admitted to the hospital and diagnosed on a CT scan to

have a thrombosis of pontine vessels supplying the medial left sector of caudal pons. *pected

neurologic findings of the patient 'ould be:A. ipsilateral hemiplegia C. inability to close the right eye

B. inability of the left eye to loo# laterally . dysphagia

CLINICAL NEU!OANATOMY for MEDICAL STUDENTS

By SNELL "th

editionP 1$ 50. &nitial manifestation of syringomyelia at the level of C! G T1 involves:

A. flaccid paralysis at the level of inury

B. positive Babins#i refle* on the ipsilateral sideC. bilateral loss of pain and temperature at the upper e*tremities

. bilateral proprioceptive loss

P 10 52. ;Hpper motor neuron lesions< involving the spinal cord can be produced by the damageto the:

A. spinothalamic tract . spinocerebellar tract

B. posterior columns . "issauer8s tract

C. corticospinal tract

CLINICAL NEU!OANATOMY for MEDICAL STUDENTS

By SNELL "th edition

P 24 5+. 7timulation of the middle frontal corte* >area I? of the cerebral corte* 'ould most li#ely produce:

A. contraction of the muscles of the contralateral leg

B. visual agnosisC. auditory hallucination

. conugate eye movements

CLINICAL ANATOMY for MEDICAL STUDENTS

By SNELL 6th edition

P %22 5$. The inferior angle of the trigone of the urinary bladder has openings for:

A. urethra B. ureters C. renal papilla . eaculatory ducts

P %$ 5!. Attached to the central tendon of perineum:

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A. bulbospongiosus C. superficial transverse perineal muscle

B. e*ternal anal sphincter . A/B/CP%!% 54. The pudendal nerve andor its branches have the follo'ing characteristics/ 3CPT:

A. traverse the pudendal >Alcoc#8s? canal

B. enter the perineum through the lesser sciatic foramenC. give origin to the posterior scrotal nerves

. supply the ischiocavernosus muscle

. arise from 71/ 2 and % spinal nerves

P %%$ 100. The broad ligament contains all of the follo'ing / 3CPT the:A. round ligament of the ovary . uterine tubes

B. uterine artery . ureters

C. round ligament of the uterus

Given a clinical scenario, identify the structure involvedApplication

1. A !0 year old man consults at your clinic 'ith the complain of occasional deep-seated

retrosternal discomfort radiating to the left shoulder/ 2 months duration/ associated 'ith e*ertion.

Hpon auscultation/ you ta#e note of bradycardia and dysrthmia. By incidence/ the slo'lyoccluding vessel 'ould be the:

A. Coronary sinusB. Jight Coronary arteryC. Circumfle* artery

. Anterior escending artery

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++)( C%ini&a% s&enario A**%i&ation,

2. A 0 year old chronic hypertensive patient consults 'ith you regarding difficulty of s'allo'ing

solid food/ % months duration. Kou proceed to re(uest for a chest 3-ray and note of a 0. cardio-

thoracic ratio. As far as the heart is concerned/ the best e*planation you can give the patientregarding her s'allo'ing difficulty is:

A. &mpingement of the vagus nerve by an overriding ascending aorta

B. Compression of the thoracis esophagus by an enlarged left atriumC. Compression of the recurrent laryngeal nerve underneath the aorta

. verly stretched pericardiophrenic and pericardiosternal ligaments/ compromising

s'allo'ing

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++-( C%ini&a% s&enario A**%i&ation,

%. &n the emergency evacuation of a massive hemopericardium compromising cardiac and

systemic circulation/ the best and safest area to ma#e your access incision en route to thepericardial cavity is via:

A. $thleft &C7 immediately lateral to the sternum

B. thleft &C7 immediately lateral to the sternum

C. !thleft &C7 10 cm from the midsternal line. &mmediately sub*iphoidal

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *# +.)( C%ini&a% s&enario A**%i&ation,

Recall

1. A 0 year old male suffered massive myocardial infarction involving the right coronary artery.

,ith your recent #no'ledge/ 'ant parts of the heart does the right coronary artery suppliesLA. 7A node . right ventricle

B. A@ node . All of the above

C. right atrium

Answer E# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++)( C%ini&a% s&enario !e&a%%,

2. ,hich of the follo'ing nerve 'ill most li#ely to be inured in surgical repair of a patent ductusarteriosusL

A. right phrenic C. left phrenic

B. right recurrent laryngeal . left recurrent laryngeal

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++)( C%ini&a% s&enario !e&a%%,

%. &f blood regurgitates bac# in the right atrium during systole. ,hich of the follo'ing valve ismost li#ely to be damagedL

A. =itral C. aortic

B. Tricuspid . pulmonic

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Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++)( C%ini&a% s&enario !e&a%%,

Identify anatomic landmarks used in Physical examinationRecall

1. &n the auscultation of heart valves/ 'hat valve is heard best behind the right half of thesternum opposite the +thintercostal spaceL

A. Tricuspid valve

B. =itral valveC. Pulmonary valve

. Aortic valve

Answer A $*a/e +00,

2. The lo'er border of the heart is formed mainly by 'hat structureL

A. Jight ventricle

B. "eft ventricleC. Jight atrium

. "eft atrium

Answer A $1a/e +++,

Given a laboratory finding/ radiographic finding, identify the structure involved!ray findings Recall

1. An 40 year old presents to your clinic 'ith the complaint of easy fatigability. Hpon auscultation

of the left upper sternal border you note a systolic murmur. n 3-ray of the chest/ you observe a

cardiothoracic ratio of .!0 'ith mainly right ventricular enlargement. These findings point to:A. Aortic stenosis

B. Pulmonary insufficiency

C. Aortic insufficiency

. Pulmonary stenosis

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++0( 23ray findin/s !e&a%%,

!ray findings Application

1. A +0 year old male comes to you regarding di))iness and occasional chest pain. Hpon

auscultation you note a land apical murmur. 3-rays of the chest reveal normal cardio-thoracic

ratio. This finding point to a:A. Aortic valve incompetence

B. =itral valve stenosis

C. Pulmonary stenosis. Tricuspid valve stenosis

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# ++"( 23ray findin/s A**%i&ation,

Recall

1. ,hich of the follo'ing structures prevents the spread of urine inferiorly to the thigh in case of

ruptured penile urethra due to straddle inuryL

A. Camper8s fascia C. conoint tendonB. 7carpa8s fascia . rectus sheath

Answer B#$C%ini&a% Anato'y( )thed# !# Sne%%( *# +""( C%ini&a% notes,

2. ,hich of the follo'ing structures protects an abdominal viscus from herniation into the

inguinal triangleL

A. inguinal ligament C. rectus abdominis muscleB. conoint tendon . lacunar ligament

Answer B#$C%ini&a% Anato'y( )thed# !# Sne%%( *# +46( C%ini&a% notes,

%. The triangle of Calot is used to identify the:

A. hepatic artery proper C. cystic ductB. bile duct . cystic artery

Answer D#

1. The Celiac artery arises from the abdominal aorta appro*imately at the level of:

A. T!

B. T4


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C. T10

. T12

Answer D $1a/e 06+,

Application

1. A 2$ year old female 'as hit on her left side by a car and thro'n about 10 feet. Aside from

multiple fractures/ the patient 'as diagnosed to have internal bleeding upon initial physical

e*am. ,hat organ 'as most li#ely inuredLA. "iver

B. Didneys

C. &ntestines. 7pleen

Answer D $1a/e045,

Given a laboratory finding/ radiographic finding, identify the structure involved

Application

1. 7'allo'ed gas 'ithin the pro*imal &T 'ill almost al'ays collect in this region/ as appreciated

on antero-posterior 3-ray vie's of the abdomen:A. sophageal hiatus C. cardiaB. 9undus . pylorus

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# 0-5( 23ray findin/s A**%i&ation,


1. ,hat part of the posterior cranial fossa occupies the central area of the floor and transmits

the =edulla oblongataLA. Cerebellar fossa

B. Tentorium cerebelli

C. 9oramen magnum. 9oramen rotundum

Answer C $1a/e )44,

Application

1. A 20-year old male 'as involved in a riot and 'as allegedly hit by a baseball bat at the

bac# of the head. ,hat inury 'ould the patient sustainL

A. Jupture of the =iddle meningeal arteryB. A large tear in the Circle of ,illis

C. Tearing of the 7uperior cerebral veins

. Jupture of the "enticulostriate artery

Answer C $.),

2. A 1$-year old girl consulted because of a gro'ing abscess on the side of her nose. Thefollo'ing statements are true/ *cept:

A. The blood in the facial vein is unable to spread up'ard because of the presence of

valves.

B. The danger area is drained by the facial veinC. Cavernous sinus thrombosis can occur by the spread of infection by the venous

blood

. The facial vein communicates 'ith the cavernous sinus via the superior and inferiorophthalmic veins

Answer A $1a/e 0.,

Given a laboratory finding/ radiographic finding, identify the structure involvedApplication

1. &schemia due to thrombosis in the anterior spinal artery 'ould affect the follo'ing sensorymodalities of that particular spinal segment/ 3CPT:

A. pain C. temperature

B. light touch . proprioception

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *# 45"( C%ini&a% notes,

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Given a patient problem, identify errors in development "germ cell, cell division,

genetic disorders#Application

1. ,hat congenital anomaly results from the failure of development of the spines and arches ofone or more vertebraL

A. 7coliosis

B. AnencephalyC. 7pina bifida

. "ordosis

Answer C $1a/e 4"-,

Given a clinical scenario, identify the structure involvedRecall

1. Bone 'ill be able to heal properly as long as 'hich of the follo'ing structures remains intactL

A. epiphysis C. medullary cavity

B. endosteum . periosteum

Answer D# $C%ini&a% Anato'y( )

th

ed# !# Sne%%( *# -)( C%ini&a% notes,

2. The muscle that initiates the first 1$ degrees of shoulder abduction is the:A. trape)ius C. subscapularis

B. supraspinatus . deltoid

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# 54.( C%ini&a% notes,

%. ,hich of the follo'ing conditions is most li#ely to cause a loss of the median nerve functionL

A. upuytren8s contractureB. Carpal Tunnel syndrome

C. 9racture of the spiral groove of the humerus

. 9racture of the anatomical nec# of the humerusAnswer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *#"- ( C%ini&a% s&enario !e&a%%,

+. 9emoral nec# fractures may disrupt 'hich of the follo'ing vesselsL

A. femoral artery C. circumfle* femoral arteryB. deep femoral artery . artery to the head of the femur

Answer C# $C%ini&a% Anato'y( )thed# !# Sne%%( *#60 ( C%ini&a% s&enario !e&a%%,

2. &f the medial border of the cubital fossa is severed by a #nife/ 'hich of the follo'ing structure

most li#ely suffers damageL

A. radial nerve C. pronator teres

B. brachioradialis . ulnar nerve

Answer C# $C%ini&a% Anato'y( )thed# !# Sne%%( *#"0+ ( C%ini&a% s&enario A**%i&ation,

%. To maintain balance and prevent the hips from tilting and sagging in the unsupported side of the

pelvis 'hile 'al#ing/ the muscle involved is the:A. gluteus ma*imus C. piriformis

B. gluteus medius . (uadratus femoris

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *#6.4 ( C%ini&a% s&enario A**%i&ation,


1. The bony protruberance on the dorsal aspect of the 'rist is part of 'hat boneL

A. JadiusB. HlnaC. Phalanges

. =etacarpals

Answer B $1a/e 56,

Application

1. A patient suffering from ;,rist drop< is most li#ely caused by inury to the:

A. =edian nerve

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10/43

B. Hlnar nerve

C. Jadial nerve. "ateral cutaneous nerve

Answer C $1a/e50,

2. A patient suffering from ;Cla' hand< is most li#ely caused by inury to the:

A. =edian nerve

B. Hlnar nerve

C. Jadial nerve. "ateral cutaneous nerve

Answer B $1a/e50,

Given a laboratory finding/ radiographic finding, identify the structure involvedRecall

1. 9ractures of the surgical nec# of the humerus 'ill most li#ely inure 'hich of the follo'ingnervesL

A. musculocutaneous C. a*illary

B. median . radial

Answer C# $C%ini&a% Anato'y( )thed# !# Sne%%( *# 56( C%ini&a% notes,

Application1. ,hich of the follo'ing nerve is eopardi)ed in a fracture of the medial epicondyle >3-ray? ofthe humerusL

A. Hlnar C. median

B. Jadial . musculocutaneous

Answer A# $C%ini&a% Anato'y( )thed# !# Sne%%( *# "04( 23ray findin/s A**%i&ation,

Application

1. A #nife 'ound immediately belo' the right + thrib along the midclavicular line 'ill most li#elyinure the follo'ing bronchopulmonary segment:

A. apical and posterior segment C. medial basal and anterior basal

B. medial and lateral segment . posterior basal and lateral basalAnswer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# )0( 4( C%ini&a% notes,

2. The driver of a van involved in a vehicular accident comes in 'ith contusions in his anterior

chest 'all. n 3-ray/ you chec# for rib fractures. The most li#ely portion of the rib to be fracturedis the:

A. nec# C. anterior to the costal angle

B. attachments to its costal cartilages . posterior to the costal angle

Answer C# $C%ini&a% Anato'y( )thed# !# Sne%%( *# 6.( C%ini&a% notes,


1. The costal margin is the lo'er boundary of the thora*. &t is formed by the cartilages of the:

A. 4thand 5thrib onlyB. 5thand 10thrib only

C. 4th/ 5thand 10thrib only

. 4th/ 5th/10thrib and the ends of the 11thand 12thrib

Answer D $1a/e 6),

2. The trachea e*tends from the lo'er border of the cricoid cartilage in the nec# toappro*imately the level of the:

A. 10ththoracic vertebraB. 7ternal angleC. 3iphisternal oint

. 7uprasternal notch

Answer B $1a/e )+,


10


11/43

1. An impalement inury at the area of the sternal angle 'ould most li#ely inure the follo'ing

structures/ 3CPT:A. T+T$ &@ disc C. carina

B. ascending aorta . laryn*

Answer D#


1. ,hich of the follo'ing ligaments transmits the uterine artery as it supplies the uterusLA. round ligament C. cardinal ligament

B. broad ligament . uterosacral ligament

Answer C# $C%ini&a% Anato'y( )thed# !# Sne%%( *# -40( C%ini&a% notes,

2. ,hich of the follo'ing provide dynamic support to the uterusL

A. position of the uterus relative to the uinary bladder C. uterosacral ligamentB. transverse cervical ligament . muscles of the pelvic diaphragm

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *# -4)( C%ini&a% notes,

Application

1. &n females/ the rectouterine pouch is best accessible to e*amination via:A rectal vault C. lateral vaginal forni*B. anterior vaginal forni* . posterior vaginal forni*

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *# 5."( C%ini&a% notes,

%. Prostatic cancer cells metastasi)e to the s#ull via the:A. pampiniform venous ple*us C. lumbar nodes

B vertebral venous ple*us . internal iliac nodes

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *# -+( C%ini&a% notes,


1. The normal anatomic position of the uterus is:

A. Anteverted and antefle*ed

B. Jetroverted and antefle*edC. Jetroverted and retrofle*ed

. Anteverted and retrofle*ed

Answer A $1a/e -40,

1. A culdocentesis 'as performed on a 2-year old female suspected to have a ruptured

ectopic pregnancy. 7he had a 10 'ee# history of amenorrhea and presented 'ith severe

hypogastric pain. &n culdocentesis/ blood pools in the area of the rectouterine pouchbecause:

A. &t is the most dependent part of the entire peritoneal cavity

B. The pouch lies anteriorly to the vaginaC. The pouch has a direct contact 'ith the uterine tubes

. All of the above

Answer A $1a/e -4+,


1. A 22 year old male 'as rushed to the emergency room semiconscious 'ith multiple hematomas

on the right lumbar area of the posterior abdominal 'all/ right gluteal region and right lateral area

of the thigh. The organ most li#ely to be traumati)ed is the:

A. "iver C. PancreasB. Didney . 7pleen

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *#0)4 ( C%ini&a% s&enario !e&a%%,

2. 6aving inserted appro*imately 11-12cm. of the catheter/ you note some difficulty in insertion.

The catheter tip is most probably in 'hat part of the urinary systemL

A. 7pongy urethra C. Prostatic urethra

11


12/43

B. =embranous urethra . Hrinary bladder

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *#5-6 ( C%ini&a% s&enario !e&a%%,


1. Jelative anatomy of the #idney/ 3CPT:

A. Jetroperitoneal

B. &n the Paravertebral gutter

C. At the level of T10 and "1 vertebral bodies. Jight #idney is lo'er than the left

Answer C $1a/e 0+,

Application

1. A $$-year old man 'as diagnosed to have ureteric stones. ,ith your #no'ledge in the

anatomy of the ureters/ the follo'ing are considered to be the anatomic narro'ings/e*cept:

A. The pelviureteral unctionB. Pass the level of "%

C. The pelvic brim. Hpon entering the urinary bladder

Answer B $1a/e 0",

2. The renal artery arises appro*imately from the level of the:

A. "1B. "2

C. "%

. "+

Answer B $1a/e 00,


1. A +0 year old male complained of episode of severe pain 'hich starts in the costovertebral angleradiating to the left scrotal area. 6is urinalysis sho'ed microscopic JBCs. 6e is diagnosed to

have ureterolithiasis >ureter stone?. Blood in the urine is most li#ely to come from the follo'ing

vessels/ 3CPT:

A. Testicular C. 7uperior vesicalB. Jenal . "eft colic

Answer D# $C%ini&a% Anato'y( )thed# !# Sne%%( *#05 ( Lab findin/s !e&a%%,

Application

1. A DHB-&@P 'as done and sho'ed a dilated left ureter from the renal pelvis up to the level of"+. Kou then suspect the uterolith to be lodged in the:

A. renal pelvis C. ureterovesical unctionB. pelvic brim . bladder

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *#06 ( 23ray findin/s A**%i&ation,

2. ,hich part of the pituitary gland is really a do'n'ard continuation of the hypothalamusLA. Feurohypophysis C. both

B. Adenohypophysis . neither

Answer A

%. ,hich of the follo'ing is FT a part of neurohypophysisLA. pituitary stal# C. intermediate lobeB. posterior lobe . all of the above

Answer C

. The thyroid gland synthesi)es the follo'ing hormones/ 3CPT for the:

A. T% C. calcitonin

B. T+ . melatonin

Answer D

12


13/43

Given a clinical scenario, identify the structure involvedApplication

1. Kou are manipulating the e*ternal ear canal of a ! year old boy/ attempting to remove an insect

using a cotton bud. All of a sudden/ the boy starts coughing continuously and the mother begins tosho' concern. Kou should assure her that this is merely due to:

A. The insect beginning to enter the middle ear space

B. 7timulation of branches of the vagus nerve

C. Beginning effusion 'ithin the middle ear cavity due to the presence of the insect. Fone of the above

Answer B# $C%ini&a% Anato'y( )thed# !# Sne%%( *#-5 ( C%ini&a% s&enario A**%i&ation,

Recall

1. &n chronic otitis media/ the part of the ossicular chain that is usually first to undergo necrosis

due to its poor blood supply is the:

A# lenticular process of the incus

B# stapes footplate

C# capitulum of the stapes

D# manubrium of the malleus

Answer A# $C%ini&a% Anato'y( )thed# !# Sne%%( *# -4( C%ini&a% s&enario !e&a%%,


1. The optic nerve enters the orbit passing through the optic canal is accompanied by the:A. phthalmic artery

B. 7uspensory ligaments of the eye

C. phthalmic vein

. Trochlear nerve

Answer A $1a/e 0,

2. ,hat structure in the middle ear separates the tympanic cavity from the meninges andtemporal lobe of the brainL

A. 9loor of the middle ear

B. Anterior 'all of the middle earC. Tegmen tympani

. =astoid antrum

Answer C $1a/e -5,

Application

1. &nade(uate treatment of otitis media can result in acute mastoiditis due to spread via 'hat

structureLA. 7emicircular ducts

B. =astoid antrum

C. Petrous bone. Tegmen tympani

Answer B $1a/e 50,

Given a clinical scenario, identify the structure involved

$istology1. &n an asthmatic person/ you e*pect the peripheral blood smear to have higher than normalamount of:

A. Basophils C. "ymphocytesB. osinophils . Feutrophils

Answer B

2. &n a person 'ith multiple abscess formation due to bacterial infection/ you e*pect the peripheral

blood smear to sho' higher than normal values of:

A. Basophils C. "ymphocytesB. osinophils . Feutrophils

Answer D

1%


14/43

Given a clinical scenario, identify the structure involved

$istology1. n surfaces constantly e*posed to abrasion/ such as the s#in and esophagus/ the most suitable

epithelium that can afford protection is:

A. simple s(uamous C. stratified s(uamousB. transitional . pseudostratified

Answer C

SIMPLE MULTIPLE CHOICE. CHOOSE THE BEST ANSWER.

UPPER LIMB1. A spiral fracture in te !i""le t# "istal tir" #f te u!erus !a$ in%ure tis

structure&a. a'illar$ arter$ c. ra"ial arter$(. ra"ial ner)e ". a'illar$ ner)e

Capter * Pa+e ,-*

THORA

/. Cest ra"i#+rap ta0en "urin+ te inspirat#r$ pase #f respirati#n ill s# a)erticall$ el#n+ate" car"iac sa"# (ecause &

a. te eart is c#!presse" ($ te e'pan"e" lun+s(. te 2(r#us pericar"iu! is a"erent t# te !e"iastinal pleurac. parietal pericar"iu! is fuse" t# te central ten"#n #f te "iapra+!". #f increase" intrat#raic pressure

Capter - Pa+e 134

-. Te #r!#ne calcit#nin is pr#"uce" ($ at particular en"#crine cell5a. t$r#c$te c. paraf#llicular cells

(. cief cell #f te parat$r#i" ". #'$ntic cells #f teprat$r#i"Capter Pa+e

,. Surfactant pr#"ucti#n is a functi#n #f ic #f te f#ll#in+ cells #f tepul!#nar$ s$ste!5

a. pneu!#c$tes t$pe I c. en"#teliu!(. pneu!#c$tes t$pe II ". Clara cells

Capter - Pa+e 133

4. Te f#ll#in+ are features #f te ri+t pri!ar$ (r#ncus6 ECEPT tat&a. It is s#rter c. it is !#re )ertical

(. It is narr#er ". It as - (rancesCapter - Pa+e *3

7. Te (l##" suppl$ #f te eart are (rances #f&a. ascen"in+ a#rta c. t#raic a#rta(. arc #f a#rta ". (r#ncial arter$

Capter - Pa+e 118

8. A (l##" cl#t "etace" fr#! te ri+t )entricular all ill li0el$ cause#(structi#n t# te (l##" )essel tat suppl$ te f#ll#in+ #r+an&

a. lun+s c. (rain

(. 0i"ne$ ". li)erCapter - Pa+e 11/

9. :e#'$+enate" (l##" fr#! te fetus is (r#u+ (ac0 t# te !aternal circulati#ntr#u+ te f#ll#in+ (l##" )essels

a. "uctus )en#sus c. u!(ilical arter$(. u!(ilical )ein ". )itteline )ein

Capter - Pa+e 111

*. Sternal an+le #f L#uis refers t# a

1+


15/43

a. "epressi#n at te upper (#r"er #f te sternu!(. %#int (eteen !anu(riu! an" (#"$ #f sternu!c. %#int (eteen (#"$ an" 'ip#i" pr#cess #f sternu!". %uncti#n #f 1stri(6 cla)icle an" !anu(riu! sterni

Capter / Pa+e 78

HEA: AN: NEC;

13.Te f#ll#in+ intrinsic !uscles #f te lar$n' are supplie" ($ te recurrentlar$n+eal ner)e ECEPT te&

a. #(li


16/43

/3.Te cells #f #na +l#!erul#sa #f a"renal c#rte' pr#ce"ure at #r!#ne tatin=uences te electr#l$te an" ater (alance #f te (#"$5

a. c#rtis#ne c. al"#ster#ne(. )as#pressin ". epineprine

Capter , Pa+e /18

/1.Te renal facia is "eri)e" fr#! te fascia #f te a("#!inal alla. lu!(#"#rsal c. ps#as(. trans)ersalis ". "iapra+!atic

Capter 4 Pa+e /91

//.Wic #f te f#ll#in+ #r+ans is l#cate" anteri#r t# te ri+t 0i"ne$5a. Pancreas c. "u#"enu!(. e%unu! ". spleen

Capter 4 Pa+e /91

/-.Te arran+e!ent #f te structures in te renal pe"icle fr#! anteri#r t#p#steri#r is&

a. )ein6 arter$6 ureter c. ureter6 )ein arter$(. arter$6 )ein ureter ". )ein6 ureter6 arter$

Capter 7 Pa+e -48

/,.Wic #f te f#ll#in+ state!ent re+ar"in+ te (la""er is NOT true5a. Its a !uscular receptacle f#r st#ra+e #f urine(. Te e!pt$ (la""er in a"ults is l#cate" entirel$ in te pel)isc. Its p#steri#r all is als# its (ase". It is an intraperit#neal #r+an

Capter 7 Pa+e -48

/4.Te (l##" )essels tat c#n)e$s 83D #f (l##" t# te li)er is te&a. epatic arter$ c. epatic )ein(. p#rtal )ein ". inferi#r )ena ca)a

Capter 4 Pa+e /78

/7.A!#n+ te f#ll#in+ tri(utaries6 ic )ein %#ins te splenic )ein t# f#r! tep#rtal )ein

a. left +astric )ein c. ri+t +astric )ein(. inferi#r !esenteric )ein ". superi#r !esenteric )ein

Capter 4 Pa+e /88

/8.Wic #f te f#ll#in+ represents an internal "i?erence (eteen te s!all an"lar+e intestines5

a. L#n+itu"inal !uscle arran+e!ent c. plicae circulares(. Appen"ices epipl#icae ". intestinal sasculati#n

Capter 4 Pa+e /74

/9.Te part #f te "u#"enu! ic is p#steri#r t# te fun"us #f te +all(la""er6ri+t epatic l#(e an" trans)erse c#l#n an" anteri#r t# te iliu! #f te ri+t0i"ne$ is&

a. "u#"enal cap superi#rF c. trans)erse part(. "escen"in+ part ". ascen"in+ part

Capter 4 Pa+e /,4

/*.Te structure al#n+ te +astr#intetinal tract tat is f#r!e" fr#! te !#stcau"al pr#ti#n #f te f#re+ut an" te !#st cepalic en" #f te !i"+ut is te&

a. +astr#es#pa+eal %uncti#n c. il#ececal %uncti#n(. "u#"enu! ". left c#lic =e'ure

Capter 4 Pa+e /-*

PERINEUM AN: PELGIS

-3.Te en"#crine part #f te testis tat secretes te #r!#ne Test#ster#ne5a. sert#li cells c. sper!at#c$te(. L$e"i+ cells ". sper!at#+#nia

Capter 9 Pa+e ,,9

1!


17/43

-1.Te inte+rit$ #f te (l##"testis (arrier is a functi#n #f ic cell #f te !alerepr#"ucti)e tract5

a. sert#li cells c. +er!inal epiteliu!(. Le$"+ cells ". sper!at###ns

Capter 9 Pa+e ,7*

-/.After trau!atic rupture #f penile uretra "istal t# ur#+enital "iapra+!6 urine#ul" li0el$ e'tra)asate t# te&

a. scr#tu! c. anal trian+le(. p#steri#r a("#!inal all ". "eep perineal p#uc

Capter 9 Pa+e ,-8

--.@ertiliati#n #f an e++ ($ a sper! n#r!all$ #ccurs at te&a. infus"i(ulu! #f te fall#pian tu(e c. ist!us #f te fall#pian

tu(e(. a!pulla #f te fall#pian tu(e ". entrauterine p#rti#n #f

te fall#pian tu(eCapter 8 Pa+e -,,

-,.Te structure tat !aintains te n#r!al p#siti#n #f te uterus is te&a. (r#a" li+a!ent c. perit#neu!(. r#un" li+a!ent ". ureter

Capter , Pa+e -*/

-4.Te )as "eferens en" ($ %#inin+ te "ucts #f te&a. epi"i"$!is c. (ul(#uretral +lan"s(. pr#state +lan" ". se!inal )esicles

Capter , Pa+e 187

-7.Wic #f te f#ll#in+ parts #f te !ale repr#"ucti)e s$ste! is supplie" ($ a(ranc #f te a("#!inal a#rta5

a. epi"i"$!is c. se!inal )esicles(. )as "eferens ". pr#state +lan"

Capter , Pa+e 18*

-8.Te narr#est part #f te !ale uretra is te&a. Pr#static c. sp#n+$(. !e!(ran#us ". e'ternal #ri2ce

Capter 9 Pa+e ,-7

-9.Wen "#in+ $sterct#!$ #ne s#ul" (e careful in cuttin+ te f#ll#in+li+a!ents (ecause it c#ntains te #)arian arter$ an" )eins an" !a$ cause(lee"in+ if ana")ertentl$ cut

a. (r#a" li+a!ents c. r#un" li+a!ents(. suspens#r$ li+a!ents ". #)arian li+a!entsCapter , Pa+e -*8

-*.Tis uterine li+a!ent e'ten"s fr#! te uterus t# te la(ia !a%#raa. trans)erse cer)ical li+a!ent c. r#un" li+a!ent(. uter#sacral li+a!ent ". (r#a" li+a!ent

Capter 8 Pa+e -*,

INTRO:UCTION TO BASIC ANATOMIC STRUCTURES

,3.Te en"#teliu! #f capillaries is ell a"apte" f#r te functi#n #f e'can+e #f+ases an" nutrients (ecause it is !a"e up #f at t$pe #f epiteliu!5

a. strati2e" c. transsiti#nal(. psue"#strati2e" ". si!ple

Capter 1 Pa+e /1

,1.Te !ain cell in c#nnecti)e tissue in)#l)e" in tissue repair&a. plas!a cell c. 2(r#(last(. !ast cell ". a"ip#se cell

Capter Pa+e

1


18/43

,/.Te t$pe #f specialie" c#nnecti)e tissue ic as a ri+i" c#nsistenc$ "ue t#"isp#siti#n #f in#r+anic salts&

a. cartila+e c. !$el#i"(. (#ne ". (l##"

Capter Pa+e

BAC;

,-.Te spinal c#r" is anc#re" )erticall$ t# te c#cc$' ($ te&a. "enticulate li+a!ent c. 2lu! ter!inale(. cau"a e


19/43

Page +!

5. ,hich of the follo'ing nerves is the largest branch of the lumbar ple*us and supplies all the

muscles of the anterior fascial compartment of the thighL

A# fe'ora%

B. sciatic

C. obturator

. deep peroneal

Page !21

10. A $0 year old male patient sustains an inury to the lateral aspect of the right #nee. ue to the

heavy impact on the inured area the nerve most li#ely to be inured is li#ely to produce:

A# *%antar f%e7ion C. dorsifle*ionB. #nee fle*ion . foot enversion

Page !$%/ !$$-!!0

11. The safest area to administer intramuscular medications in the gluteal area is at theA. upper inner (uadrant C. lo'er inner (uadrant

B# 8**er o8ter 98adrant . lo'er outer (uadrant

Page !04

12. The medial umbilical fold in the posterior surface of the anterior abdominal 'all covers the

A. internal epigastric vessels C# ob%iterated 8'bi%i&a% artery

B. remnant of the urachus . linea alba

Page %$2

1%. ,hich of the follo'ing is an e*ample of a saddle ointL

A# &ar*o'eta&ar*a% :oint of the th8'b

B. metacarpophalangeal oint of the inde* finger

C. shoulder oint. 'rist oint

Page 1

1$. All of the follo'ing statements about the adrenal gland are correct 3CPT:

A. They are retroperitoneal organs.B# Both adrena% ;eins drain into the inferior ;ena &a;a#

C. The superior adrenal arteries are branches of the inferior phrenic arteries.

. They are innervated predominantly by preganglionic sympathetic fibers.

Page 250-251

1!. ,hich is an &FCJJCT statement about an intervertebral discL

A. during aging/ fluid 'ithin the nucleus pulposus is replaced by fibrocartilage

B. atlanto-a*ial oint possesses no discC. n8&%e8s *8%*os8s is 'ost %i


20/43

Page 1-%

14. Fot found in the CF7

A. astrocytes C. bipolar cells

B# S&hwann &e%% . oligodendrocytes

Page %%0 Bloom and 9a'cett

2+. ,hich of the follo'ing structures does not form the anterior surface of the heartL

A. right ventricle

B. right atriumC. left ventricle

D# %eft atri8'

Page 110

2!.An occlusion of the superior mesenteric artery 'ould result in necrosis ofof each of the follo'ing 3CPT the:

A. ascending colon B# re&t8'

C. cecum. ileum

Page 2!1

2. 7pace bet'een the cornea and the iris and lens

A# anterior &ha'ber

B. posterior chamber

C. vitreous cavity

. a(ueos humor

Page 4%1-4%2

24. A severe infection that obstructs the middle meatus 'ould affect drainage from each of thefollo'ing sinuses 3CPT the

A. ma*illary sinus

B. frontal sinus

C# naso%a&ri'a% d8&t

. anterior ethmoid air cells

Page 4!0

25.A patient is unable to taste a piece of sugar placed on the anterior part of

the tongue.'hich cranial nerve is li#ely to have a lesionLA. hypoglossal nerve

B. vagus nerve

C. glossopharyngeal nerve

D# fa&ia%

Page 50+

%0# ,hen a patient attempts protrusion of the tongue/the tongue deviates to the right. This 'ouldindicate damage to 'hich of the follo'ing nervesL

A. right glossopharyngeal

B. left accessory

C# ri/ht hy*o/%ossa%

. left hypoglossal

Page 510

20


21/43

%1# &f a patient presented 'ith a permanently dilated pupil/ 'hich one of the follo'ing nerves

could be assumed to be involvedLA. optic

B. sympathetic trun#

C. ophthalmic

D# o&&8%o'otor

Page 50%

%%. amage to the anatomic snuffbo* might be e*pected to inure the

A# ulnar nerve

B# median nerve

C# ulnar artery

D# radia% artery

Page $%%

%+. 9ollo'ing a tonsillectomy/ a patient noted loss of general sensation and taste from the

posterior 1% of the tongue. &t could be assumed that the inured nerve 'as a branch of theA# /%osso*haryn/ea% ner;e

B. facial nerveC. lingual nerve

. vagus nerve

Page 50+

%$. A stab 'ound on the nec# 'hich inures the spinal root of CF 3& results to the follo'ing signsand symptoms 3CPT:

A %oss of *ain sensation on the sho8%der and 8**er &hest

B. drooping of the shoulderC. inability to elevate the shoulder

. 'ea#ness and atrophy of the trape)ius

Page 505-510

%4. The cerebral a(ueduct is located in the

A. cerebrum C# 'idbrainB. diencephalons . pons

Page 410

+1. This histologic structure of the duodenum that neutrali)es the highly acidic content of the

stomach:A. crypts of "eiber#uhn8s C# Br8nner=s /%andB. microvilli . glycocaly*

Page !%%-!%$ Bloom and 9a'cet

+2. *tensor compartment of the leg

A# anterior &o'*art'ent C. peroneal compartment

B. lateral compartement . posterior compartment

Page !!0

+%. The thoracic duct passes through the diaphragm through the

A# aorti& hiat8s C. caval foramenB. esophageal hiatus . sternocostal hiatus

Page !2-!+

21


22/43

++. Posterior to the nec# of the pancreas this vessel is formedA. inferior vena cava C# *orta% ;einB. celiac trun# . thoracic duct

Page 2!2-2!%

+$. The sternal angle is a useful landmar# in counting the intercostal space and it corresponds to

the level ofA. 1stcostal cartilage C. %rdcostal cartilage

B# 0nd&osta% &arti%a/e . +thcostal cartilage

Page !

+. amage to the anterior division of the middle meningeal artery may results into 'hat type of

intracranial hemorrhage

A# e7trad8ra% he'orrha/e C. subdural hemorrhageB. subarachnoid hemorrhage . cerebral hemorrhage

Page 45

+4. ranular leu#ocytes 3CPT:

A. neutrophil C# 'ono&yte

B. basophil . eosinophil

Page 125 Bloom and 9a'cett

$0. Clinical findings of epista*is/ cerebrospinal rhinorrhea or e*ophthalmos is due to fracture of

theA# anterior &rania% fossa C. posterior cranial fossa

B. middle cranial fossa . none of the above

Page 54 402

$1. The structure that serves as a landmar# in doing pudendal bloc# anesthesia through a

transvaginal approach is the: A. iliac crest C# is&hia% s*ine B. ischial tuberosity . sacral promontory

Page %%5 +2%

$%. To 'hat vein does the left ovarian vein drain intoL

A# rena% C. portal

B. &@C . iliac vein

Page%4!

$$. &n doing thoracentesis/ 'hich of the follo'ing layers is not penetrated by the needleL

A. intercostal muscles C. superficial fasciaB. endothoracic D# ;is&era% *%e8ra

Page !1

$5. The po'erful e*tension of the thigh re(uired 'hen one is standing from the sitting position isthe function of the

A# /%8te8s 'a7i'8s '8s&%e

B. psoas maor muscle

22


23/43

C. piriformis muscle

. iliacus muscle

Page !0%

!0. The osseous labyrinth of the internal ear consists of the

A# ;estib8%e

B. sacculus

C. semicircular duct . utriculus

Page 4+2

!%. The main venous drainage of the heart is the

A. great cardiac vein C. a)ygos vein

B# &oronary sin8s . inferior vena cava

Page 121

!$. A patient 'ith an isolated inury to the mandibular division of the trigeminal nerve 'ould

present 'ith

A# atro*hy of the te'*ora%is '8s&%e on the affe&ted side

B. flattened nasao-labial fold on the affected side

C. numbness of the chee# on the affected side. A and C only

Page !4

!!. 9or a soccer player to have a strong #ic# he must develop his

A. hamstring muscles C# 98adri&e*s fe'orisB. pes anserinus muscles . gluteal muscles

Page !2+

!4. A massive infarction of the heart involving the septum/ ape*/ ventricle >left? is li#ely due to

obstruction of the:A. right coronary artery C# L3ant# des&endin/ arteryB. circumfle* artery . right interventricularM

Page 115-120

0. 9ate of the raafian follicle immediately after ovulation

A# &or*8s %8te8'

B. atretic follicle

C. corpus albicans

. none of the above

Page 42$-42! Bloom and 9a'cett

1. 9ollo'ing a hard blo' to the anterior shoulder/ a 'ea#ness of the fle*ion of the arm at the

shoulder oint 'ould suggest damage to 'hich of the follo'ing musclesLA. rhomboid maor

B. supraspinatusC. pectoralis minor

D# bi&e*s bra&hii

Page $00 $0$

2%


24/43

2. "oss of function of the muscles of the posterior compartment of the leg and the sole of the foot

is associated 'ith paralysis of

A# tibia% ner;e

B. common fibular nerve

C. deep fibular nerve. superficial fibular nerve

Page !!2

%. All of the follo'ing forms the boundary of the perineum/ 3CPT:

A. pubic symphysis C. coccy*

B. ischial tuberosities D# sa&ros*ino8s %i/a'ents

Page +1!

!. ,hich of the follo'ing muscles 'ill be paraly)ed if there is a lesion of the ulnar nerveL

A. medial t'o lumbricals and opponens pollicis

B# *a%'ar interossei and add8&tor *o%%i&is

C. dorsal interossei E lateral t'o lumbricals. medial and lateral lumbricals

Page $+!

. &n males/ the mucus-secreting glands found 'ithin the deep perineal pouch are the:A. seminal cuneatus C# Cow*er>s /%andsB. 7#eneNs glands . prostate glands

Page +%$

5.The follo'ing is a subdivision of the posterior triangle of the nec#A. igastric C# S8b&%a;ianB. 7ubmental . Carotid

Page %0

41. The gastrohepatic ligament attaches to this part of the stomach

A. fundus C# %esser &8r;at8reB. greater curvature . none of the above

Page 215

42. The follo'ing are sources of blood supply of the stomach 3CPT:

A. right gastric artery C# he*ati& *ro*er artery

B. left gastric artery splenic artery

Page 2%

4%. "ateral 'all of middle ear:

A# ty'*ani& 'e'brane C. carotid 'all

B. tegmen tympani . ventricular 'all

Page 4%+

4+. Paranasal sinus that communicates 'ith the nasal cavity through its opening in the superior

meatus:

A# *osterior eth'oida% C. frontal

B. anterior ethmoidal . sphenoid

Page 4!%-4!+

4$. This bone forms part of the nasal septum:

2+


25/43

A. sphenoid C# eth'oid

B. nasal bone . frontal

Page 50

45. The dorsalis pedis artery is a terminal branch of the

A# anterior tibia% artery C. peroneal artery

B. posterior tibial artery . saphenous artery

Page !2

50. 7tructure that is easily damagedcut during abdominal hysterectomy

A. obturator nerve C. internal iliac artery

B# 8reter . umbilical artery

Page%5

5%. A + y.o. man 'as riding his motorcycle 'hen a ay'al#er suddenly crossed his path.

6is sudden bra#e and turn caused him to lose control and he subse(uently fell hittingthe pavement 'ith his head and shoulder. n e*amination his upper limb hung

limply on the side/ medially rotated and forearm pronated. iagnosis: rb-uchennePalsy. ,hich statement is true regarding rb-uchenne PalsyL

A# in;o%;es 8**er bra&hia% *%e78s

B. caused by e*cessive abduction of the armC. there is no paralysis of the arm muscles

. s#in sensation of the 'hole arm is intact

Page $

5+. All of the follo'ing vessels are part of the Circle of ,illis 3CPT: A. Posterior communicating artery

B. Anterior cerebral artery

C# Latera% striate arteries

. Posterior cerebral arteries

Page 41+

5!. =otor nerve supply of the face

A. @& C. @&&&

B#?II . 3

Page 1-2

5. The origin of the a*illary vein :

A. basilic vein C. vena comitantes of brachial art.B. subclavian vein D# A @ C

Page +

54. The unction bet'een the anterior 2% and posterior 1% of the tongue is mar#ed by theA. circumvallate C. palatopharyngeal fold

B# s8%&8s ter'ina%is . glossoepiglottic fold

Page 4+!

100. &n the cardiac silhouette of a radiograph the right border of the heart is formed by:

A. right ventricle C. left atrium

2$


26/43

B# ri/ht atri8' . pulmonary trun#

Jeference: Clinical Anatomy for =edical 7tudents by Jichard 7nell/ thed.

A 2 Transection of the costocervical artery will disrupt blood flow to this artery 56A. 2ndposterior intercostalB. 3rdposterior intercostalC. 2ndanterior intercostal

D. 3rdanterior intercostalM!"#.25

B 3 Ape$ beat of the heart is nor%ally located at the left A. 'thintercostal spaceB. 5thintercostal spaceC. 3rdintercostal spaceD. 6thintercostal spaceM!"(

B ' enetratin) stab wound at the root of the nec* will li*ely in+ure the &'A. arch of aortaB. ape$ of lun)

C. a,y)ous veinD. tracheaM!"#.5

B 5 This structure is located between 2 ad+acent bronchopul%onary se)%ents -&A. se)%ental bronchusB. se)%ental veinC. se)%ental arteryD. se)%ental autono%ic nervesM!"#.25

C 6 %bolus that for%s in the left ventricle will %ay enter the ff" structure /CT (2(A. arch of aorta

B. brachiocephalic arteryC. left pul%onary arteryD. ri)ht subclavian arteryM!"(

B & 0n+ury or disruption of the %oderator band will also disrupt this part of the ((6conductin) syste%

A. atrio1ventricular nodeB. ri)ht bundle branchC. left bundle branchD. D. ur*in+e fibersM!"#.5

B - The delay in i%pulse conduction thru the A node is necessary ((6A. to stren)then contraction of atriu%B. adeuate fillin) of the ventriclesC. prevent turbulent flowD. allow coronary blood flowM!"#.25

C (# Mali)nant tu%ors of the %ediastinu% will result in (33A. pneu%othora$B. paralysis of intercostal %usclesC. paralysis of diaphra)%D. pne%o%ediastinu%

M!"#.5

A (34ectus sheath he%ato%a sustained fro% trau%a to the abdo%en results fro% in+ury (6'to this vessel

A. inferior epi)astric arteryB. deep circu%fle$ iliac veinC. superficial epi)astric arteryD. superficial epi)astric veinM!"#.33

A (' The location of the superficial in)uinal rin) is (&2A. e$ternal obliue aponeurosisB. internal obliue

2!


27/43

C. transversalis fasciaD. Ca%pers fasciaM!"#.33

D (5 An indirect in)uinal hernia passes thru deep in)uinal rin) lateral to this structure (-'A. superficial epi)astric arteryB. deep circu%fle$ iliac arteryC. rectus abdo%inisD. inferior epi)astric arteryM!".#.5

C (6 This structure is located outside the fe%oral sheath 62'A. fe%oral arteryB. fe%oral veinC. fe%oral nerveD. ly%phatic vesselsM!"#.33

B ( Blunt trau%a to the anterior abdo%inal wall will %ost li*ely in+ure this part of the 2'3duodenu%

A. first part 7 superior8B. third part 7hori,ontal8C. second part 7 descendin)8

D. 'thpart 7 ascendin)8M!"#.25

C (- This structure can be traced towards the base of the appendi$ and be used as 2'6a )uide for loo*in) for the appendi$

A. haustraB. appendices epiplocaeC. taenia coliD. %esoappendi$M!"#.5

D 2#The presence of %esocolon in this se)%ent of lar)e intestine also %a*es it prone 25(to volvulus

A. ascendin) colonB. cecu%C. descendin) colonD. si)%oid colonM!"#.5

B 2( True re)ardin) Mec*els diverticulu% 25-A. its a pseudodiverticulu%B. possess )astric %ucousaC. located 2# ft. fro% the ileo1ceal valveD. due to persistence of urachusM!"#.5

B 22 The uadrate lobe of the liver is located at 265A. between the li)a%entu% venosu% and the inferior vena cavaB. between the round li)a%ent and the )allbladder bedC. behind the porta hepatisD. lateral to the falcifor% li)a%entM!"#.5

C 23 The fundus of the )allbladder is located at the level of 26A. &thcostal cartila)eB. thcostal cartila)eC. -th costal cartila)eD. 6tcartila)eM!"#.25

C 2' Most co%%on ori)in of the cystic artery 26A. celiac arteryB. left hepatic arteryC. ri)ht hepatic arteryD. )astroduodenalM!"#.5

D 25 9hich is :;T true re)ardin) the blood supply of the pancreas 2&5A. inferior pancreatico1duodenal artery supplies the headB. venous draina)e is to the portal vein

2


28/43

C. splenic artery )ives branches to the bodyD. ori)in of the superiorpancreaticoduodenal artery is the celiac arteryM!"(

C 26


29/43

D. %ental nerveM!"#.5

C 3& This is a %uscle of %astication &&5A. buccinatorsB. risoriusC. te%poralisD. orbicularis orisM!"#.5

B 3 revents posterior dislocation of the %andibular head &3A. ty%panic plateB. lateral te%poro%andibular li)a%entC. articular discD. spheno%andibular li)a%entM!"#.25

C '( Tear in the superior cerebral vein results in he%orrha)e into the #&A. subarachnoid spaceB. epidural spaceC. subdural spaceD. intracerebralM!"#.5

A '2 !acerated wound up to the first layer of the foot will transect 66A. abductor di)iti %ini%iB. uadrates plantaeC. fle$or di)iti %ini%iD. adductor hallucisM!"#.25

C '6 Most %edially located structure in the fe%oral trian)le 62#A. fe%oral arteryB. fe%oral nerveC. fe%oral ly%ph vesselsD. fe%oral vein

M!"(

D '& Derived fro% the lateral cord of the brachial ple$us '&&A. radial nerveB. %edian nerveC. ulnar nerveD. %usculo1cutaneous nerveM!"#.25

B ' The thoracodorsal nerve is derived fro% this part of the brachial ple$us '#A. superior trun*B. posterior cordC. roots of ple$usD. %edial cordM!"#.25

B '- $tra1occular %uscle of the eye is innervated by the trochlear nerve 2'A. lateral rectusB. superior obliueC. superior rectusD. inferior obliueM!"#.5

C 52 The cell that secretes Calcitonin which lowers blood Calciu% level by inhibitin) 3(5

the rate of decalcification of bone is"A. =ollicularB. rincipal

C. arafollicularD. ;$yphilM!"#.5

D 5' The phase of the Menstrual cycle that coincides with the functional activity &'6of the corpus luteu% and pri%arily influenced by pro)esterone secretion"

A. MenstrualB. !utealC. roliferativeD.


30/43

M!"#.5

C 55 The properties of %otility and ability to fertili,e an oocyte are acuired by %ature sper% cell in what portion of Male reproductive syste%>

A. Ductus deferensB.


31/43

A 6' lauco%a is a clinical condition resultin) fro% increased intraocular pressure as &-a result of obstruction of the draina)e or e$cessive secretion of Aueous hu%or.The structure that secretes Aueous hu%or is the"

A. Ciliary processesB. Corneal stro%aC. ChoroidD. 0risM!"#.5

D 66 0nfections of the membranous labyrinthwill result to what clinical condition> 32A. Di,,inessB. Conductive hearin) lossC. erti)oD.

A. ituitaryB. ThyroidC. inealD. AdrenalM!"#.5

A &2 !ac* of %enstruation durin) lactation and infertility e$hibited by fully breast ? &63feedin) wo%en is due to hi)h levels of rolactin which suppress secretion of"

A. !uteini,in) hor%oneB. =ollicle ? sti%ulatin) hor%oneC. stro)enD. ro)esteroneM!"#.33

C &' 0n raves disease these cells are sti%ulated and increased in nu%ber and si,e 65-leadin) to abnor%al secretions of Thyroid hor%ones"

A. arafollicularB. ;$yphilC. =ollicularD. Chief M!"#.5

B &5 The secretions of this endocrine )land prepares the body for G fi)ht or fli)htH 665

%1


32/43

response"A. Adrenal corte$B. Adrenal %edullaC. Anterior ituitaryD. osterior ituitaryM!"#.5

D -3 9hat or)an syste% contains transitional epitheliu%> 3#-A. A.Cardiovascular syste%B. astrointestinal syste%C. :ervous syste%D. Erinary syste%M!"(

D -5 9hich of the followin) )astric cells secretes pepsin> 255A. Bet, cellsB. ;$yntic cellsC. !eydi)s cellsD. y%o)enic cellsM!"#.5

D -6 9here is the i%pulse conductin) syste% of the heart located> 3''A. ndocardiu%

B. picardiu%C. Myocardiu%D. A. ol)i apparatusB. !ysoso%eC. MitochondrionD.


33/43

. The aroreceptor within the wall of the internal carotid arter! is the?A. aortic od! ". carotid sinusB. carotid od! #. glomus

Answer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p(+ Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6th)d.% p22

7. In8ur! to which of the following la!ers of the arterial wall would initiate pla5ueformation in atherosclerosis?

A. asement memrane ". tunica adventitiaB. smooth muscles of tunica media #. tunica intima

Answer$ #% Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6 th)d.% p22+

*6. #uring fetal circulation% lood from the pulmonar! trun, goes to the aorta via the$A. ductus arteriosus ". foramen ovaleB. ductus venosus #. umilical vein

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% p*+*

*+. What structure passes through the esophageal hiatus of the diaphragm?A. a9!gos vein ". phrenic nerveB. thoracic duct #. vagus nerve

Answer$ #% "linical Anatom!% &ichard '% 'nell. (th )d.% p:2

*/. The lood vessel that ridges aove the hilum of the &I;-T lung is the$A. aortic arch ". pulmonar! arter!B. a9!gos arch #. superior vena cava

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% p7/

*. "hest


34/43

A. a9!gos vein ". l!mphatic s!stemB. ronchial vein #. pulmonar! vein

Answer$ #% "linical Anatom!% &ichard '% 'nell. (th )d.% p*66

2/. An intern is tr!ing to elicit the presence of corneal lin, refle3 on a patient. Which ofthe following cranial nerves is the afferent arm of this refle3?

A. II ". = B. III #. =II

Answer$ "% "linical Neuroanatom!% &ichard '. 'nell% th )d.% p++(

2:. A patient with tertiar! s!philis has impairment of his sense of orientation andposition in space. This is indicative of a damage to the$A. p!ramidal tract ". antero1lateral spinothalamic tractB. dorsal column pathwa! #. corticospinal tract

Answer$ B% "linical Neuroanatom!% &ichard '. 'nell% th )d.% p*6

2(. 'pecial somatic afferent fiers are found in which of the following cranial nerves?A. II ". =IIIB. =I # Is patches

Answer$ A% Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6 th)d.% p+*

+. "hoose the "O&&)"T statement aout the -esselach>s triangle.A. It is the site of indirect inguinal hernia.B. The lateral oundar! is formed ! the inferior epigastric vessels.". It transmits the spermatic cord.#. It is found elow the inguinal ligament.

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% p*7/1*7: Atlas of -uman Anatom!% @ran, Netter% plate 2/+

+7. Which of the following arteries ma! e eroded in a patient with perforated ulcer onthe posterior wall of the first part of the duodenum?A. right gastric ". gastroduodenal

B. right gastroepiploic #. splenicAnswer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p2/+

/*. Which of the following est descries the esophagus?A. It is lined ! simple columnar epithelium.B. It is entirel! made up of s,eletal muscle.". Mucus secreting glands are found in the lamina propria and sumucosa.#. The adominal portion is covered ! adventitia.

Answer$ "% Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6 th)d.% p277

%+


35/43

/2. The superior mesenteric and splenic veins unite at the region of the head of thepancreas to form the$A. hepatic vein ". portal veinB. a9!gos vein #. inferior vena cava

Answer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p2:212:+

/+. The superior mesenteric arter! was inadvertentl! cut and ligated. Which of thefollowing structures would NOT e devasculari9ed?A. ascending colon ". descending colon

B. 8e8unum #. appendi3Answer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p2:*

//. At the outpatient clinic% a patient came in with an anal mass. On further e3amination%ilateral inguinal l!mph nodes were palpated. This mass proal! originates fromwhich of the following structures?A. rectum ". lower anal canalB. upper anal canal #. sigmoid colon

Answer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p/26

/. While e3amining a patient with suspected appendicitis% there was tenderness noted onthe right lower 5uadrant. This tenderness is due to irritation of which of the following

structures?A. parietal peritoneum ". mesocolonB. visceral peritoneum #. A " are correct

Answer$ A% "linical Anatom!% &ichard '% 'nell. (th )d.% p2*

/:. Which of the following structures arise from the midgut?A. pancreas ". duodenumB. liver #. stomach

Answer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p2+12(

/(. Which of the following statements is T&0) aout the sartorius?A. It roofs over the femoral triangle.

B. It crosses oth the hip and ,nee 8oints.". It fle3es the thigh ut not the leg.#. It forms part of the triceps surae muscles.

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% p:2*

/. Which tendon of the following muscles is tapped to illicit the ,nee18er, refle3?A. 5uadriceps femoris ". sartoriusB. tiialis anterior #. popliteus

Answer$ A% "linical Anatom!% &ichard '% 'nell. (th )d.% p:2/

/7. A laorator! technician not aware of the gluteal anatom! gave his friend a flu shot atthe lower aspect of the right gluteus. Afterwards% his friend noted decreased sensation

over the anterolateral aspect of the right leg and foot. Also his right foot was noted todrop and drag to the floor. Which of the nerves was proal! in8ured?A. common peroneal nerve ". sciatic nerveB. tiial nerve #. oturator nerve

Answer$ A% "linical Anatom!% &ichard '% 'nell. (th )d.% p(**

6. Which of the following veins is often harvested as grafts for coronar! arterial !passprocedures?A. cephalic ". lesser saphenousB. asilic #. great saphenous

Answer$ #% "linical Anatom!% &ichard '% 'nell. (th )d.% p:*

*. A 26 !ear old patient sustains a deep cut on the volar surface of right wrist. Mediannerve in8ur! would affect which of the following muscles?A. medial lumricals ". thenar B. dorsal interossei #. palmar interossei

Answer $ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p/2

2. Which of the following ligaments is traversed ! the needle in performing a lumartap?A. posterior longitudinal ". cruciateB. anterior longitudinal #. ligamentum flavum

%$


36/43

Answer$ #% "linical Anatom!% &ichard '% 'nell. (th )d.% p7/

+. When a person>s nec, and trun, are fle3ed% as in preparation for a spinal tap% thespinous process of "( ecomes visile and it is for this reason that it is called$A. spina ifida ". vertera prominensB. atlas #. interverteral disc herniation

Answer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p72(

/. In patient with fracture of the middle humerus the following muscles will e

denervated )


37/43

(+. Which of the following structures forms part of the vascular coat of the e!eall?A. choroid ". retinaB. con8unctiva #. sclera

Answer$ A% Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6 th)d.% pp/(61/(2

(/. Which of the following nerves suserveGs taste sensation from the posterior third ofthe tongue?A. =agus ". ;lossophar!ngeal

B. @acial #. All of the aoveAnswer$ "% "linical Anatom!% &ichard '% 'nell. (th )d.% p/(

(:. Which of the following diameters is the narrowest A1 diameter of the true pelvis?A. ostetric con8ugate ". oli5ueB. interspinous #. posterior sagittal

Answer$ A% "linical Anatom!% &ichard '. 'nell% (th )d.% p++/1++(

((. Which of the following muscles is NOT incised during a median episiotom! doneduring vaginal deliver!?

A. Bulocavernosus ". superficial transverse perinealB. e3ternal anal sphincter #. ischiocavernosus

Answer$ #% "linical Anatom!% &ichard '. 'nell% (th )d.% p/+

(7. Which of the following structures #O)' NOT form the urogenital diaphragm?A. sphincter urethrae muscleB. perineal memrane". deep transverse perineal muscle#. "olle>s fascia

Answer$ #% "linical Anatom!% &ichard '% 'nell. (th )d.% p/+% p/+7

. The modified smooth muscle cells in the tunica media of the afferent arteriole arecalled$A. macula densa ". 8u3taglomerular cells

B. mesangial cells #. 8u3taglomerular apparatusAnswer$ "% Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6 th)d.% p+7/

. #uring dissection% M.". noticed a dilated portion of the spong! urethra. This is the$A. e3ternal meatus ". urethral crestB. fossa navicularis #. veromontanum

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% p/+:

7. Which of the following is related to the J)@T ,idne! anteriorl!?A. duodenum ". *2thriB. spleen #. ascending colon

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% pp2*12+

76. "hoose the "O&&)"T statement regarding the autonomic suppl! to the ladder.A. '!mpathetic fiers come from '2% '+ '/.B. aras!mpathetic innervation promote empt!ing of the ladder.". Both A B#. Neither A nor B

Answer$ B% "linical Anatom!% &ichard '% 'nell. (th )d.% p+(

7*. &eferred pain secondar! to stones in the lower two1thirds of the ureter is J)A'T li,el!to e felt in which area?A. @lan, ". ThighB. Anterior adominal wall #. ;roin

Answer B% "linical Anatom!% &ichard '% 'nell. (th )d.% p2:

72. ;erota>s fasciaCrenal fasciaD is an effective anatomic arrier which tends to confinepathological processes in the ,idne! e3cept on which area?A. 'uperiorl! ". Jaterall!B. Inferiorl! #. Mediall!

Answer$ B% Atlas of -uman Anatom!% @ran, Netter% plate +2

7. A9urophilic granules are onl! produced in what stage of granulopoiesis?A. m!elolast ". m!eloc!te

%


38/43

B. prom!eloc!te #. metam!eloc!teAnswer$ B% Basic -istolog!$ Te3t and Atlas% 4un5ueira and "arneiro. *6 th)d.% pp2:12(

*. A high velocit! ullet penetrates the posterior aspect of the shoulder and severel! in8uresthe origin of the posterior cord of the rachial ple3us. )ach of the following nerves might possilee affected )


39/43

A. !e"ian ner)eB. (raci#ra"ialis ner)eC. !uscul#cutane#us ner)eD. radial nerve

AF,. Wic #f te f#ll#in+ state!ent is true re+ar"in+ transecti#n #f te #pticner)e5

A. "irect pupillar$ li+t re=e' #ul" (e una?ecte"B. the afected eye will be blindC. tere #ul" (e (ite!p#ral e!ian#psia:. c#nsensual li+t re=e' #ul" (e l#st #n te a?ecte" e$e

J4. Wic #f te f#ll#in+ re=e'es is a !#n#s$naptic re=e'5A. Achilles reexB. pupillar$ li+t re=e'C. c#rneal re=e':. e'tens#r plantar re=e'

IF8. Wic #f te f#ll#in+ (l##" )essels #ul" (e !#st li0el$ in)#l)e" in patients#in+ #!#n$!#us e!ian#psia it !acular sparin+5

A. internal car#ti" arter$B. posterior cerebral arteryC. !i""le cere(ral arter$:. anteri#r cere(ral arter$

J9. Wic #f te f#ll#in+ state!ents is true #f te !i""le cere(ral arter$5A. it supplies te #ccipital an" p#steri#r p#rti#n #f te te!p#ral l#(eB. it is the continuation o the internal carotid arteryC. it supplies te p#rti#n #f te !#t#r c#rte' c#rresp#n"in+ t# te le+s:. it +i)es rise t# te !e"ial striate arter$

J*. Wic #f te f#ll#in+ centers is l#cate" in te fr#ntal l#(e5A. Brocas speech areaB. Werni0es speec areaC. pri!ar$ )isual area:. pri!ar$ au"it#r$ area

IF1-. A(#)e te arcuate line6 te ap#neur#sis #f tis !uscle splits t# f#r! te rectusseat&

A. e'ternal #(li


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:. tricuspi" )al)eJ--. Te )isceral pericar"iu! is als# calle" te

A. epicar"iu!B. en"#car"iu!C. !$#car"iu!:. 2(r#us pericar"iu!

J-,. Wic #f te f#ll#in+ car"iac tissues as te sl#est c#n"ucti#n )el#cit$5A. SA n#"eB.AG n#"eC. Pur0in%e 2(ers:. )entricular !uscle 2(ers

J-4. Gal)es are present inA. capillariesB. !e"iu! cali(er )einsC. l$!patic "ucts:. )enules

J-9. Te !#st acti)e site f#r e!#p#iesis in a"ultsA. fe!urB.ip (#nesC. s0ull (#nes:. ti(ia

J-*. T L$!p#c$te "i?erentiati#n #ccurs in teA. (#ne !arr#B. l$!p n#"eC. t$!us:. (ursa e


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B. C,C. C4:. C7

J73. Te )al)es #f H#ust#n are f#un" in teA. ile#cecal %uncti#nB.rectu!C. p$l#rus:. ascen"in+ c#l#n

AF71. A ,3 $ear #l" !ale sustaine" fr#! a !#t#r )eicular acci"ent resultin+ t#fracture #f te *tt# te 11tri(s left p#steri#r. He is in $p#)#le!ic s#c0.Te !#stli0el$ #r+an in%ure" is te

A. st#!acB. li)erC.spleen:. pancreas

AF7-. A -3 $ear #l" fe!ale it ist#r$ #f / ee0s fe)er "e)el#pe" perit#nitis an"as "ia+n#se" as T$p#i" @e)er it perf#rati#n. Te #r+an in)#l)e" is te

A. st#!acB. "u#"enu!C. %e%unu!:. ileu!

IF74. Te es#pa+us is relate" t# ic p#rti#n #f te eart5A. ri+t atriu!B. left atriu!C. ri+t )entricle:. left )entricle

J77. Te )ein #f Ma$# is te anat#!ical lan"!ar0 "e!arcatin+ teA. es#pa+us an" st#!acB. st#!ac an" "u#"enu!C. "u#"enu! an" %e%unu!:. si+!#i" an" rectu!

J78. Te e'ternal e!#rr#i"al ple'us "rains int# teA. pu"en"al )einB. internal iliac )einC. !i""le rectal )ein:. superi#r rectal )ein

J79. Wic is cl#sel$ relate" t# te fun"us #f te st#!ac5A. %e%unu!B. ileu!C. si+!#i":. spleen

J7*. Te +astr#"u#"enal arter$ is a (ranc #f teA. ri+t +astr#epipl#icB. epatic

C. superi#r !esenteric:. splenicJ81. As #ne pr#cee"s #utar" fr#! te renal !e"ulla6 te tree separate functi#nalla$ers #f te a"renal c#rte'6 in c#rrect #r"er6 are

A. #na reticularis6 #na fasciculata ten #na +l#!erul#saB. #na fasciculata6 #na reticularis ten #na +l#!erul#saC. #na +l#!erul#sa6 #na fasciculata ten #na reticularis:. #na +l#!erul#sa6 #na reticularis ten #na fasciculate

J8/. Te n#r!al 0i"ne$ #f an a)era+esie" a"ult !an ei+s appr#'i!atel$A. 143 +!sB. -33 +!sC. 733 +!s

:. 16/33 +!sJ8-. Te l#cati#n #f te narr#est p#rti#n #f te ureterA. ureter#pel)ic %uncti#nB. acr#ss te iliac )esselsC. ureter#)essical %uncti#n:. upper tir"

J84. Te !ain (l##" suppl$ #f te pr#state +lan" is teA. uperi#r pr#static arter$B. !e"ian )esical arter$

C. inferi#r )esical arter$

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:. superi#r )esical arter$AF87. A /9 $ear #l" !an sustaine" a pel)ic fracture "ue t# a !#t#rc$cle acci"ent.Wic p#rti#n #f te uretra as !#st li0el$ in%ure"5

A. pr#static uretraB. !e!(ran#us uretraC. (ul(#us uretra:. penile uretra

J88. Te !#t#r ner)es suppl$in+ te urinar$ (la""er c#!e !#stl$ fr#!A. paras$!patetic ner)esB. pel)ic ner)esC. pu"en"al ner)es:. s$!patetic ner)es

J8*.Te :art#s la$er (eneat te s0in #f te penis is c#ntinu#us it tesuper2cial la$er #f te anteri#r a("#!inal all fascia calle" te

A. fascia lataB. ca!pers fasciaC. (uc0s fascia:. scarpas fascia

J93. Te "ull itis c#nnecti)e tissue c#)erin+ #f te #)ar$ is calle"A.tunica al(u+ineaB. teca e'ternaC. #na pelluci"a:. c#r#na ra"iata

J9/. Te ri+t #)arian )ein "rains int# teA. ri+t renal )einB. $p#+astric )einC. inferi#r )ena ca)a:. c#!!#n iliac )ein

J9-. L$!patics fr#! te )ul)a "rain int# teA. $p#+astric n#"esB. in+uinal n#"esC.paraa#rtic n#"es:. c#!!#n iliac n#"es

J94. Te la$er #f en"#!etriu! tat re!ains t# re+enerate after !enstruati#nA. c#!pact la$erB. sp#n+$ la$erC. functi#nal la$er:. (asal la$er

J99. Te !ale #!#l#+ue #f te Kartners "uct #f fe!alesA. epi"i"$!isB. in+uinal li+a!entC. +u(ernaculu! testis:. )as "eferens

IF9*. Wic #f te f#ll#in+ state!ents c#ncernin+ te "e)el#p!ent #f te

repr#"ucti)e s$ste! in te fe!ale is c#rrect5A. te clit#ris is anal#+#us t# te penisB. te uretral f#l"s fail t# fuseC. te uretral f#l"s f#r! te la(ia !in#ra:.All #f te a(#)e

J*/. @ruct#se6 a s#urce #f ener+$ f#r te sper!at##a6 is pri!aril$ present in tesecreti#ns #f

A. se!inal )esicleB. epi"i"$!isC. (ul(#uretral +lan":. )as "eferens

J*8. In ic (#ne is te inner ear l#cate"5

A. spen#i"B. te!p#ralC. parietal:. #ccipital

J*9. Re+ar"in+ te t$!panic ca)it$6 ic #f te f#ll#in+ state!ents isare true5A. an air2lle" space in te petr#us p#rti#n #f te te!p#ral (#neB. c#!!unicates it te par$n' )ia te eustacian tu(eC. #uses te incus6 !alleus an" stapes:. All #f te a(#)e

J**. All are supplie" ($ te #cul#!#t#r ner)e6 !"#!$

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A. superi#r rectusB. !e"ial rectusC. inferi#r #(li

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