CRISBERT I. CUALTEROS, M.D. - prc anatomy testpaper
   
DR. CRISBERT I. CUALTEROS
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CRISBERT I. CUALTEROS, M.D. Family and Medicine

 

Davao Medical School Foundation

College of Medicine

 

GROSS ANATOMY

 

ANATOMY OF THE CARDIOVASCULAR SYSTEM

 

 

OBJECTIVES:

 

1.Discuss the location,size and position of the heart in the thoracic cavity.

2.Describe the structure of the pericardium,the function of each pericardial layer,the

pericardial space,and the pericardial fluid.

3. List and discuss the 3 layers of the heart wall,the cavities, and the valves.

4. Trace the path of blood flow as it leaves the right side of the heart until it returns to the

left side of the heart.

5. Correlate structure of arteries, arterioles,veins,venules,and capillaries with their

function.

 

Question no. 1.The apex beat of the heart is normally found in the:

a.5th left intercostals space

b.3rd left intercostals space

c.4th left intercostals space

d.6th left intercostals space

 

Referrence:Snell Clinical Anatomy,6th Edition pp.62 and 97

MPL:0.75

 

Question no. 2.The pericardium lies posterior to the body of the sternum and lies:

a.from the second to the sixth costal cartilage

b.from the 4th to the 6th costal cartilage

c.from the 1st to the 7th costal cartilage

d.from the 2nd to 5th costal cartilage

 

Referrence:Snell Clinical Anatomy,6th Edition pp 95

MPL:0.75

 

Question no. 3.The short passage that lies on the posterior of the heart and lie between the

Reflection of serous pericardium around the aorta and pulmonary trunk is

Called the:

a. ransverse sinus

b. oblique sinus

c. aortic sinus

d. coronary sinus

 

Referrence:Snell Clinical Anatomy,6th Edition pp.95

MPL:0.75

 

Question no. 4. Which of the following structures does not form the anterior surface of the heart?

  1. right ventricle

  2. right atrium

  3. left ventricle

  4. left atrium

Reference: Snell Clinical Anatomy,6th Edition pp 129

MPL:0.75

 

 

 

 

 

 

Question no. 5. Which of the following concerning the blood supply of the heart is incorrect?

  1. The coronary arteries are branches of the ascending aorta

  2. The right coronary artery supplies both the right atrium and the right ventricle

  3. The circumflex branch of the left coronary artery descends in the anterior interventricular groove and passes around the apex of the heart

  4. Coronary arteries can be classified as functional end arteries

 

Reference: Snell Clinical Anatomy,6th Edition pp 129

MPL:0.75

 

Question no. 6. All of the following statements regarding the conducting system of the are true EXCEPT

  1. The impulse for the contraction spontaneously begins in the SA node

  2. The atrioventricular bundle is the sole pathway for conduction of the waves of contraction between the atria and the ventricles

  3. The SA node is frequently supplied by the right and left coronary artery

  4. The sympathetic nerves to the heart slow the rate of discharge from SA node

Reference: Snell’s Clinical Anatomy 6th Edition pp103

MPL: 0.75

 

Question no. 7. Most of the blood from the heart wall drains into the right atrium through the:

  1. anterior cardiac vein

  2. small cardiac vein

  3. coronary sinus

  4. great cardiac vein

 

Reference: Snell Clinical Anatomy,6th Edition pp 98

MPL: 0.75

 

Question no. 8. The left Atrioventicular orifice is guarded by

  1. Mitral valve

  2. Tricuspid valve

  3. Aortic valve

  4. Pulmonic valve

 

Reference: Snell Clinical Anatomy,6th Edition pp 96

MPL: 0.75

 

Question no. 9. Which of the the following is not true of the pericardium

  1. it is a fibrous sac that encloses the heart and the roots of the great vessels

  2. its function is to restrict excessive movements of the heart

  3. it lies within the anterior mediastinum

  4. it is located posterior to the body of the sternum

 

Reference: Snell Clinical Anatomy,6th Edition pp 90

MPL: 0.75

 

Question no. 10. Concerning the border of the heart,EXCEPT

  1. The right border is formed by the right atrium

  2. The left border by the left atrium

  3. The lower border mainly by the right atrium

  4. The apex by the left ventricle

Reference: Snell Clinical Anatomy, 6th Edition pp 92

 

Question no. 11. The coronary sinus receive each of the following vessels EXCEPT

  1. great cardiac vein

  2. middle cardiac vein

  3. anterior cardiac vein

  4. small cardiac vein

Reference: Snell’s Clinical Anatomy, 6th Edition pp.

MPL: 0.75

 

Question no. 12. Each of the following is related to the lumen of the right ventricle, EXCEPT the:

  1. interventricular septum

  2. trabeculae carneae

  3. bicuspid valve

  4. anterior papillary muscle

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 98

MPL: 0.75

 

Question no. 13. The left coronary artery bifurcates into the circumflex branch and the:

  1. left marginal branch

  2. left ventricular branch

  3. anterior interventricular branch

  4. right marginal branch

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 103

MPL: 0.75

 

Question no. 14. A patient undergoing a heart attack usually experiences excruciating pain running down

the left upper extremity.this pain is relayed by the

  1. left recurrent laryngeal n.

  2. left vagus n

  3. left phrenic n

  4. left intercostobrachial n.

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 129

MPL: 0.75

 

Question no. 15. Dissection of the coronary sulcus (atrioventricular groove ) of the heart demonstrate

each of the following EXCEPT the:

  1. right coronary artery

  2. circumflex branch of the left coronary artery

  3. great cardiac vein

  4. coronary sinus

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 105

MPL: 0.75

 

ANATOMY OF THE RESPIRATORY SYSTEM-Thorax 1 and 2

 

OBJECTIVES:

 

1.Demonstrate the normal anatomical landmark of the respiratory tree

2.Describe the anatomic structure of the thoracic wall

3.understand the layout of the mediastinum

4.Describe the anatomy of the pleural cavity

5.Demonstrate the lobes and fissure of the lungs

 

Question no.1.The following statement concerning the thoracic inlet are true EXCEPT:

a. The manubrium sterni forms the anterior border

b. On each side, the lower trunk of the brachial plexus and the subclavian artery emerge

through the inlet and pass laterally over the upper surface of the first rib.

c. The body of the seventh cervical vertebra forms the posterior boundary.

d. The first ribs form the lateral boundary.

 

Reference: Snell Clinical Anatomy,6th Edition pp 47

MPL:0.75

 

Question no. 2. Which of the following costal cartilages donot articulate directly with the body of the

sternum?

a. Second c. fifth

b. fourth d. eight

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 47

MPL: 0.75

 

Question no. 3. Within the superior mediatinum, the anterior surface of the esophagus is in connection

With the:

  1. thoracic duct

  2. trachea

  3. thymus

  4. arch of the aorta

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp399

MPL: 0.75

Question no. 4. Which of the following statement concerning the lungs is correct?

a. There are no lymph nodes within the lungs

b. The right lung is in direct contact with arch of the aorta and the descending thoracic

aorta.

c. Inhaled foreign body most frequently enter the right lung.

d. The structure of the lungs receives its blood supply from the pulmonary artery.

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 127

MPL: 0.75

 

Question no. 5. Which of the following statements concerning the bronchopulmonary

Segment is incorrect?

a. The veins are intersegmental

b. The segments are separated by connective tissue septa

c. The arteries are intrasegmental

d. Each segment is supplied by a secondary bronchus.

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 136 & 85

MPL: 0.75

 

Question no. 6. The following statements concerning the trachea are true EXCEPT

  1. it lies anterior to the esophagus in the superior mediastinum

  2. in deep inspiration the carina may descend as far as the level

of the sixth thoracic vertebra

  1. the left main bronchus is more vertical than the right principal

bronchus

  1. the arch of the aorta lies on its anterior and left sides in the superior mediastinum

Reference: Snell Clinical Anatomy, 6th Edition pp.81 & 127

MPL: 0.75

 

Question no. 7. The following statement concerning the right lung are true EXCEPT

  1. it posseses a horizontal and an oblique fissure

  2. its covering of visceral pleura is sensitive to pain and temperature

  3. the lymph from the substance of the lungs reaches the hilum by the

superficial and deep lymphatic plexuses

  1. the bronchial veins drain into the azygos and hemiazygos veins

Reference: Snell Clinical Anatomy,6th Edition pp 83

MPL: 0.75

 

Question no. 8. All of the following statements concerning the mediastinum EXCEPT

  1. The mediastinum forms a partition between the two pleural cavities

  2. The heart occupies the anterior mediastinum

  3. Should air enters the pleural cavity,the lung on the affected side immediately collapses and the mediastinum is displaced to the opposite side.

  4. The posterior mediastinum extend to the 12th thoracic vertebra

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 79

MPL: 0.75

 

Question no.9. With a patient in the standing position,fliud in the left pleural cavity tends

To gravitate down to the

  1. oblique fissure

  2. cardiac notch

  3. costomediastinal recess

  4. costodiaphragmatic recess

Reference: Snell Clinical Anatomy,6th Edition pp 65-66

Question no. 10. In order to pass a needle into the pleural cavity in the midaxillary line

The following structure will have to be pierced EXCEPT the

  1. internal intercostals

  2. levator costarum

  3. external intercostals

  4. parietal pleura

Reference: Snell Clinical Anatomy,6th Edition pp 69

MPL: 0.75

 

ANATOMY OF THE DIGESTIVE SYSTEM AND URINARY SYSTEM

ABDOMEN 1 AND 2,PELVIS 1 AND 2 AND PERINEUM

 

OBJECTIVES:

 

1.Discuss the size,position,divisions,curves,sphincters,layers,and glands of the stomach.

2.Locate and discuss the significance of the vermiform appendix.

3. Locate the landmarks of the abdomen

4.Identify and discuss the parts of the small and large intestines

5.Identify the size ,position ,shape .blood supply and ligaments of the liver

 

Question no. 1. The following concerning the appendix are correct EXCEPT:

a.The appendix is usually located in the right iliac region

b. At its base,the teniae coli of the cecum fuse to form a complete

longitudinal muscle layer in the wall of the appendix

c.afferent nerve fibers accompany the sympathetic nerves and enter

the spinal cord at the level of T10.

d.It receives its blood supply from the posterior cecal artery

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 214

MPL: 0.75

 

Question no. 2. The following statement concerning the Liver are true Except:

a. The quadrate lobe is part of the left lobe

b. The lesser omentum suspends the stomach from the visceral surface

of the liver.

c. The attachment of the hepatic veins to the inferior vena cava is one

of the most important support of the liver

d. The left triangular ligament of the liver lies anterior to the abdominal

part of the esophagus

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 224

MPL: 0.75

 

Question no. 3. The following statement concerning the stomach are true EXCEPT:

a. The splenic artery runs along the upper border of the pancreas and lies

behind the stomach

b. The lesser curvature of the stomach receives its blood supply from the

right and left gastroepiploic arteries

c. The lymph drainage from the gastroesophageal junction passes to the

celiac lymph nodes

d. The lesser sac lies behind the stomach

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 205

MPL: 0.75

 

Question no. 4. The following statements concerning the pancreas are true EXCEPT:

a. The pancreas receives part of its arterial supply from the splenic artery

b. The main pancreatic duct opens into the 3rd part of the duodenum

c. The uncinate process projects from the head of the pancreas

d. The bile duct lies posterior to the head of the pancreas

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 282 & 230

MPL: 0.75

 

 

Question no. 5. The following statement concerning ileum are true EXCEPT:

a. The circular smooth muscle of the lower ileum serves as the

sphincter at the junction of the ileum and cecum

b. The branches of the superior mesenteric artery serving the ileum form

more arcades than those serving the jejunum

c. Peyers patches are present in the mucous membrane of the lower ileum

along the antimesenteric border

d. The plicae circularis are more prominent at the distal end of the ileum

Reference: Snell’s Clinical Anatomy, 6th Edition pp. 211

MPL: 0.75

 

Question no. 6. From which of the following sites is primary cancer most likely to

Metastasize to the lung by venous spread?

a. ileum

b. appendix

c. kidney

d. transverse colon

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp 469 - 470

MPL: 0.75

 

Question no.7. An occlusion of the superior mesenteric artery would result in necrosis of

of each of the following EXCEPT the:

a. ascending colon

b. rectum

c. cecum

d. ileum

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp 479

MPL: 0.75

 

Question no. 8. The esophageal hiatus of the diaphragm transmit the esophagus and the:

a. superior phrenic artery

b. thoracic duct

c. vagal nrve trunks

d. greater sphlancnic nerve

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp 497-499

MPL: 0.75

 

Question no. 10. Each of the following characterizes the levator ani muscle EXCEPT

a. it forms the principal part of the diaphragm

b. it provides an important support for pelvic viscera

c. it separates the floor of the pelvis from the ischiorectal fossa

d. it separates the superficial and deep inguinal spaces

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp399

MPL: 0.75

 

Question no. 11. Which one of the following contributes to the blood supply of the pancreas?

a. left gastroepiploic

b. inferior mesenteric

c. hepatic proper

d. splenic

Reference: Snell Clinical Anatomy,6th Edition pp 230-231

MPL: 0.75

 

Question no.12. Surgical damage to which one of the following arteries would affect

blood supply to the suprarenal gland?

a. renal

b. gonadal

c. superior mesenteric

d. inferior mesenteric

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp399

MPL: 0.75

Question no. 13. The deep perineal space in the male contains each of the following, EXCEPT:

  1. membranous urethra

  2. prostate gland

c. bulbourethral gland

d. sphincter urethrae muscle

Reference: Woodburne, Essential of Anatomy, 9th Edition, pP

MPL: 0.75

 

Question no. 14. Each of the following characterizes the pudendal canal EXCEPT

  1. it is located on the lateral wall of the ischiorectal fossa

  2. it transmits the pudendal nerve

  3. it transmits the internal pudendal artery and vein

  4. it transmits lymphatics from the upper 3rd of the rectum

Reference: Woodburne, Essential of Anatomy, 9th Edition, pp535

MPL: 0.75

 

Question no. 15. The perineum receives its primary motor supply from which of the following nerves?

  1. pudendal

  2. inferior gluteal

  3. superior gluteal

  4. ilioinguinal

Reference: Snell Clinical Anatomy,6th Edition pp 230-231

MPL: 0.75

 

 

THE UPPER LIMB

 

OBJECTIVES:

 

1.Know the different parts of the Shoulder region

2.Describe and locate the axillary structures

3.Describe the different muscular compartments of the arm and foream and its attendant

blood ,nerve and lymphatic supply.

4.Describe and identify the flexor and extensor tendons of the finger

5.Trace the blood flow from the heart going to the upper extremity.

Question no. 1. A penetrating knife wound to the posterior shoulder in thr quadrangular

space would damage the axillary nerve and the

  1. anterior circumflex artery

  2. posterior circumflex artery

  3. subscapular artery

  4. lateral thoracic artery

 

Question no. 2. Following a hard blow to the anterior shoulder, a weakness of the flexion

Of the arm at the shoulder joint would suggest damage to which of the

Following muscles?

  1. rhomboid major

  2. supraspinatus

  3. pectoralis minor

  4. biceps brachii

 

Question no. 3. The nerve most likely to be injured in fractures of the posterior humeral shaft

  1. median nerve

  2. ulnar nerve

  3. musculocutaneous

  4. radial

 

Question no. 4.An injury to the thoracodorsal nerve might affect which of the following movements

  1. lateral movement of the arm

  2. flexion of the arm

  3. rotation of the scapula

  4. extension of the arm

 

Question no. 5. If the entire greater tubercle of the humerus was broken away as a result

of injury,which of the following movements of the humerus would be affected?

  1. flexion and abduction

  2. abduction and lateral rotation

  3. extension and medial rotation

  4. extension and medial rotation

 

Question no. 6. Each of the following muscles form the boundary of the axilla EXCEPT

  1. serratus anterior

  2. subscapularis

  3. pectoralis major

  4. supraspinatus

Reference: Snell Clinical Anatomy,6th Edition pp 394

MPL: 0.75

 

Question no. 7. Damage to the anatomic snuffbox might be expected to injure the

  1. ulnar nerve

  2. median nerve

  3. ulnar artery

  4. radial artery

Reference: Snell Clinical Anatomy,6th Edition pp 446

MPL: 0.75

 

Question no. 8. The cephalic vein is normally a tributary to the

  1. brachial vein

  2. axillary vein

  3. medial brachial vein

  4. subclavian vein

Reference: Snell Clinical Anatomy,6th Edition pp 421

MPL: 0.75

 

Question no. 9. The following structure pass posterior to the flexor retinaculum, EXCEPT

  1. flexor digitorum superficialis tendons

  2. median nerve

  3. flexor plollicis tendon

  4. ulnar nerve

Reference: Snell Clinical Anatomy,6th Edition pp 509

MPL: 0.75

 

Question no. 10. The following bones form the proximal row of the carpal bones, EXCEPT

  1. lunate

  2. scaphoid

  3. pisiform

  4. trapezium

 

Question no. 11. Damage to this nerve results in “winged scapula

  1. radial nerve

  2. median nerve

  3. ulnar nerve

  4. long thoracic nerve

 

Reference: Snell Clinical Anatomy,6thEdition pp 481

MPL: 0.75

 

Question no.12. A drunkard falling asleep with one arm over the back of the chair upon

Waking up had “ wrist drop”most likely nerve involved?

  1. radial nerve

  2. axillary nerve

  3. ulnar nerve

  4. median nerve

 

Reference: Snell Clinical Anatomy,6th Edition pp 482

MPL: 0.75

Question no.13. Most commonly fractured bone in the body?

  1. Clavicle

  2. Scapula

  3. Rib

  4. Humerus

 

Question no. 14. The rotator cuff consists of the following muscle EXCEPT

  1. subscapularis

  2. teres minor

  3. teres major

  4. supraspinatus

 

Reference: Snell Clinical Anatomy,6th Edition pp 494 MPL: 0.75

 

Question no 15.The nerve located behind the medial epicondyle of the humerus

  1. ulnar nerve

  2. median nerve

  3. radial nerve

  4. musculocutaneous nerve

 

Reference: Snell Clinical Anatomy,6th Edition pp 472

MPL:0.75

 

Question no.16. Which of the following structures does not receive innervation from branches of the

pudendal nerve?

  1. labia minora

  2. urethral sphincter

  3. The posterior fornix of the vagina

  4. Skin of the penis or clitoris

 

Reference: Snell Clinical Anatomy,6th Edition pp 379

MPL: 0.75

 

Question no. 17. Which of the following cannot be palpated on rectal exam in the male?

  1. bulb of the penis

  2. urogenital diaphragm

  3. anorectal ring

  4. ureter

 

Reference: Snell Clinical Anatomy,6th Edition pp 378-379 MPL:0.75

 

Question no. 18. Cancer from the testis would most likely metastasize to the

  1. lumbar nodes

  2. superficial inguinal nodes

  3. deep inguinal nodes

  4. external iliac nodes

 

Reference: Woodburne Essentials of Anatomy,9th Edition pp 545

MPL: 0.75

 

Question no. 19. The internal spermatic fascia is derived from the

  1. external oblique aponeurosis

  2. internal oblique aponeurosis

  3. transversus abdominis aponeurosis

  4. transversalis fascia

 

Reference: Woodburne Essentials of Anatomy,9th Edition pp 433

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Question no. 20. The posterior boundary of the epiploic foramen is formed by the

  1. duodenum

  2. lesser omentum

  3. stomach

  4. inferior vena cava

Reference: Woodburne Essentials of Anatomy,9th edition pp 443

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LOWER LIMB

 

OBJECTIVES

 

1.Verify the landmarks of the gluteal region and its boundaries

2.Identify the superficial and deep fascia of the thigh

3.Describe the different muscle of the different compartments of the thigh and legs

4.Know the boundaries of the popliteal fossa

5.Illustrate the blood supply and anastomoses of blood vessels of the lower limb

 

 

Question no.1. Reduced blood supply to the lateral compartment of the leg result primarily from damage

to the

  1. anterior tibial artery

  2. femoral artery

  3. lateral malleolar artery

  4. fibular artery

 

Question no. 2. A patient enters the emergency room not being able to

Raise his foot.the nerve that is expected to be damage is

  1. tibial

  2. common fibular

  3. obturator

  4. medial plantar

 

Question no. 3. As the deep fibular nerve descends through the leg, it is joined

By which one of the following arteries?

popliteal

  1. sural

  2. posterior tibial

  3. anterior tibial

 

Question no. 4. The tibial collateral ligament (medial ligament of the knee)

Extends from the medial epicondyle of the femur to the

lateral condyle of the tibia

  1. medial condyle of the tibia

  2. neck of tibia

  3. articular capsule

 

Question no.5. The powerful extension of the thigh required when one is

Standing from the sitting position is the function of the

  1. gluteus maximus muscle

  2. psoas major muscle

  3. piriformis muscle

  4. iliacus muscle

 

Question no. 6. Loss of function of the muscles of the posterior compartment

Of the leg and the sole of the foot is associated with paralysis of

  1. tibial nerve

  2. common fibular nerve

  3. deep fibular nerve

  4. superficial fibular nerve

 

 

Question no. 7. The muscles of the posterior compartment of the thigh receive

Blood supply primarily by branches of the

  1. popliteal artery

  2. deep femoral artery

  3. superior gluteal artery

  4. inferior gluteal artery

 

Question no. 8. All of the following statement describe the sartorius muscle EXCEPT

  1. it is innervated by the femoral nerve

  2. it arises from the anterior superior spine of the ilium

  3. it inserts on the lateral surface of the tibia

  4. it forms the lateral border of the femoral triangle

 

Question no. 9. Each of the following structure is located in the posterior compartment of the leg

EXCEPT:

  1. posterior tibial artery

  2. soleus muscle

  3. flexor digitorum longus

  4. medial plantar artery

 

Question no.10. The superior boundary of the femoral triangle is formed by

  1. sartorius muscle

  2. adductor longus muscle

  3. inguinal ligament

  4. pectineus muscle

 

Question no. 11. Which of the following nerves innervate at least one muscle that acts

On both the hip and the knee joints?

 

  1. ilioinguinal nerve

  2. femoral nerve

  3. saphenous nerve

  4. common peroneal nerve

Reference: Snell Clinical Anatomy,6th Edition pp 610

MPL:0.75

 

Question no. 12. The following facts concerning the dorsalis pedis artery are correct, EXCEPT

  1. it is a continuation of the anterior tibial artery

  2. it enters the sole of the foot by passing between the two heads of the first dorsal interosseous muscle

  3. it can be palpated on the dorsum of the foot between the tendons of the tibialis anterior and the extensor hallucis longus muscles

  4. it joins the lateral plantar artery

Reference: Snell Clinical Anatomy,6th Edition pp 577

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Question no. 13. The following structures contribute to the boundaries of the popliteal, EXCEPT the

  1. semimembranosus muscle

  2. soleus

  3. biceps femoris

  4. medial head of gastrocnemius

Reference: Snell Clinical Anatomy,6th Edition pp 550

MPL: O.75

 

 

 

 

 

 

Question no. 14. The peroneal artery is a branch of which artery?

  1. anterior tibial artery

  2. popliteal artery

  3. posterior tibial artery

  4. lateral plantar artery

Reference: Snell Clinical Anatomy,6th Edition pp 563

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Question no. 15. In the adult the chief arterial supply to the head of the femur is from the

  1. superficial circumflex iliac artery

  2. obturator artery

  3. inferior gluteal artery

  4. branches from the medial and lateral femoral arteries

Reference: Snell Clinical Anatomy,6th edition pp 529-530

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Question no. 16. Muscles of the gluteal region EXCEPT

  1. gluteus minimus

  2. piriformis

  3. iliacus

  4. obturator internus

 

Reference: Snell Clinical Anatomy,6th Edition pp521

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Question no 17. Muscles of the medial fascial compartment of the thigh EXCEPT

  1. gracilis

  2. adductor longus

  3. obturator externus

  4. obturator internus

Reference: Snell Clinical Anatomy,6th edition pp 535

 

Question no. 18. Function as strong flexor of the thigh

  1. iliopsoas muscle

  2. gluteus minimus

  3. adductor magnus muscle

  4. quadratus femoris muscle

Reference: Woodburne Essentials of human Anatomy,9th edition pp 513

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Question no. 19. Functions as a medial rotator of the thigh and is an important muscle

In locking the hipjoint during walking

  1. gluteus medius

  2. iliopsoas muscle

  3. gluteus maximus

  4. adductor magnus

Reference: Woodburne Essentials of human Anatomy,9th Edition pp 588-589

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Question no. 20. The primary weight support function at the ankle joint is provided

By which of the following bones?

  1. fibula and talus

  2. fibula and tibia

  3. tibia and calcaneus

  4. tibia and talus

Reference: Woodburne Essentials of Anatomy, 9th edition pp 642

MPL: 0.75

 

 

 

 

HEAD AND NECK

 

OBJECTIVES:

 

1.Give its definition and extent of the head and neck region

2.Describe the blood vessel of the face in terms of origin,commencement,

branches,tributaries and termination

3.Know the parotid gland in terms of location,blood and nerve supply

4.Know,describe and identify the different nerves in the face and buccal cavity

 

Question no. 1. In which of the following bones are the foramen rotundum,ovale and spinosum located?

  1. frontal

  2. ethmoid

  3. maxillary

  4. sphenoid

Reference: Woodburne Essentials of Anatomy, 9th edition pp 321

MPL: 0.75

 

Question no.2. Metastatic carcinoma of the tongue would be expected to spread via

The lymphatic vessels directly into the

palatine nodes

  1. deep cervical node

  2. submandibular node

  3. parotid node

Reference: Woodburne Essentials of Anatomy, 9th edition pp 276

MPL: 0.75

 

Question no.3. Following a tonsillectomy, a patient noted loss of general sensation and

Taste from the posterior 1/3 of the tongue.it could be assumed that the

Injured nerve was a branch of the

  1. glossopharyngeal nerve

  2. facial nerve

  3. lingual nerve

  4. vagus nerve

Reference: Woodburne Essentials of Anatomy, 9th edition pp 239

MPL: 0.75

 

Question no.4. If a patient presented with a permanently dilated pupil,which one of the

Following nerves could be assumed to be involved?

  1. optic

  2. sympathetic trunk

  3. ophthalmic

  4. occulomotor

Reference: Woodburne Essentials of Anatomy, 9th edition pp 295

MPL: 0.75

 

Question no. 5. When a patient attempts protrusion of the tongue,the tongue deviates to

The right.this would indicate damage to which of the following nerves?

  1. right glossopharyngeal

  2. left accessory

  3. right hypoglossal

  4. left hypoglossal

Reference: Woodburne Essentials of Anatomy, 9th edition pp 275

MPL: 0.75

 

Question no. 6. Which of the following muscle is primarily responsible for the protrusion of the tongue?

  1. styloglossus

  2. palatoglossus

  3. hyoglossus

  4. genioglossus

Reference: Woodburne Essentials of Anatomy, 9th edition pp 737

Question no. 7. Assuming the patient’s eyesight is normal,in which cranial nerve is there

Likely to be a lesion when the direct and consensual light reflexes are absent?

  1. trochlear nerve

  2. optic nerve

  3. abducent nerve

  4. occulomotor nerve

Reference: Snell’s Clinical Anatomy, 6th Edition pp 814

MPL: 0.75

 

Question no. 8. A patient is unable to taste a piece of sugar placed on the anterior part of

the tongue.which cranial nerve is likely to have a lesion?

  1. hypoglossal nerve

  2. vagus nerve

  3. glossopharyngeal nerve

  4. facial

Reference: Snell’s Clinical Anatomy, 6th Edition pp 814

MPL: 0.75

 

Question no. 9. Pulsation felt at the lower border of the mandible just anterior to the

Masseter muscle are in the

  1. superficial temporal artery

  2. lingual artery

  3. facial artery

  4. maxillary artery

Reference: Snell’s Clinical Anatomy, 6th Edition pp 814

MPL: 0.75

 

Question no.10.. A severe blow to the side of the head could fracture which one of the

Following bones of the roof of the orbit?

  1. palatine

  2. maxilla

  3. frontal

  4. zygomatic

Reference: Snell’s Clinical Anatomy, 6th Edition pp 711

MPL: 0.75

 

Question no. 11. The osseous labyrinth of the internal ear consists of the

  1. vestibule

  2. sacculus

  3. semicircular duct

  4. utriculus

Reference: Snell’s Clinical Anatomy, 6th Edition pp 732

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Question no. 12. The largest structure on the medial wall of the tympanic cavity is the

  1. fenestra vestibule

  2. umbo

  3. promontory

  4. fenestra cochlea

Reference: Woodburne Essentials of Anatomy, 9th edition pp 305

MPL: 0.75

 

Question no. 13. The artery that accompanies the inferior alveolar nerve is a branch of the

  1. superior temporal artery

  2. maxillary artery

  3. facial artery

  4. lingual artery

Reference: Woodburne Essentials of Anatomy, 9th edition pp 269

MPL: 0.75

 

 

Question no. 14. A severe infection that obstructs the middle meatus would affect

Drainage from each of the following sinuses EXCEPT the

  1. maxillary sinus

  2. frontal sinus

  3. nasolacrimal duct

  4. anterior ethmoid air cells

Reference: Woodburne Essentials of Anatomy, 9th edition pp 281-283

MPL: 0.75

 

Question no. 15. All of the following statements concerning the cervical vertebrae are

Correct ,EXCEPT

  1. each transverse process has a foramen

  2. the atlas has no body and no spine

  3. none of the spinous process can be palpated

  4. most of the cervical vertebrae have bifid spines

Reference: Snell’s Clinical Anatomy, 6th Edition pp 821

MPL: 0.75

 

Question no. 16. Space between the cornea and the iris and lens

  1. anterior chamber

  2. posterior chamber

  3. vitreous cavity

  4. aqueos humor

Reference: Snell’s Clinical Anatomy, 6th Edition pp 723-724

MPL: 0.75

 

Question no. 17. When testing the sensory innervation of the face,it is important to

Remember that the skin of the tip of the nose is supplied by the

  1. zygomatic branch of the facial nerve

  2. maxillary division of the trigeminal nerve

  3. ophthalmic division of the trigeminal nerve

  4. external nasal branch of the facial nerve

Reference: Snell’s Clinical Anatomy, 6th Edition pp 664

MPL: 0.75

 

Question no. 18. A tosillar abscess may extend posteriorly through the pharyngeal wall into the

  1. pleural cavity

  2. anterior triangle of the neck

  3. suprasternal space

  4. retropharyngeal space

Reference: Snell’s Clinical Anatomy, 6th Edition pp 226

MPL: 0.75

 

Question no. 19. The superficial investing layer of the cervical fascia encloses which

One of the following muscles

  1. anterior scalene

  2. posterior scalene

  3. sternocleidomastoid

  4. sterno hyoid

Reference: Snell’s Clinical Anatomy, 6th Edition pp 638

MPL: 0.75

 

Question no. 20. Contents of the carotid sheath EXCEPT

  1. vagus nerve

  2. internal jugular vein

  3. common carotid artery

  4. external jugular vein

Reference: Snell’s Clinical Anatomy, 6th Edition pp 646

MPL: 0.75

 

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