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* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
1. Which statement BEST describes the ulnar artery? a. Anastomoses with carpal branch of radial artery b. Arises from brachial artery in cubital fossa c. Anastomoses with superior ulnar collateral in arm d. All of the options are correct 2. This structure surrounds the radial head and radial notch of ulna, keeps radial head in radial notch and allows pronation and supination. a. Annular ligament b. Capsule c. LUCL d. MCL 3. These structures can be found distal to the DRUJ EXCEPT a. TFCC b. Carpus c. Metacarpals d. Phalanges 4. The ____________ fibrous joint unites both bones via an interosseous membrane, which also divides the forearm into anterior and posterior compartments. a. ulnohumeral b. radiohumeral c. radiocapitellar d. Radioulnar 5. “Golfer’s elbow” refers to inflammation of the tendons that originate from the _____________” a. trochlea b. coronoid c. medial epicondyle d. lateral epicondyle 6. The upper limb is part of the appendicular skeleton and includes the following EXCEPT a. Forearm b. Shoulder c. Arm d. Sternum 7. How many tendons can be found within the carpal tunnel? a. Four b. Nine c. Ten d. Eight 8. Which statement BEST describes the thumb? a. Possesses only one interphalangeal joint b. Capable of abduction/adduction/rotation/retraction c. Responsible for circumduction d. Triquetrometacarpal joint forms the base 9. The first dorsal compartment contains which of the following tendons? a. ECRB ECRL b. ED EIP c. EDM d. APL EPB 10. These muscles abduct, flex digits at metacarpophalangeal joints and extend interphalangeal joints. 11. 12. 13. 14. 15. 16. 17. 18. a. Lumbricals b. Opponens pollicis c. Dorsal interossei d. Palmar interossei The triceps muscle attaches onto what structure? a. Olecranon b. Trochlea c. Coronoid d. Radial head Which tendon is most superficial distal to the PIP joint? a. FDS b. FCU c. FDP d. FCR All EXCEPT two muscles of the anterior compartment (forearm) are innervated by the median nerve. a. EDM and ECU b. FCU and FCR c. FDS and FDP (lateral) d. FCU and FDP (ulnar) Which DOES NOT belong to the group? a. Trapezium b. Lunate c. Scaphoid d. Pisiform Which statement BEST describes the anterior compartment of the forearm? a. They are supplied by the ulnar and radial arteries. b. Two of the muscles are supinators. c. All except two muscles are innervated by the musculocutaneous nerve. d. They are primarily flexors of the hand at the wrist and/or are finger extensors. e. Correct answer The blood supply to the hand is by the radial and ulnar arteries, which anastomose with each a. palmar arch b. medial arch c. dorsal arch d. carpal arch The cubital fossa is the region anterior to the elbow and is demarcated by the ______________ muscle laterally and the ___________ muscle medially. a. Brachioradialis/Pronator teres b. Brachioradialis/Pronator quadratus c. Pronator teres/Coracobrachialis d. Pronator teres/Brachialis The muscles of the posterior compartment are arranged in a superficial and deep layer, with the superficial layer of muscles largely arising from what part of the distal humerus? a. Capitellum b. Medial epicondyle c. Lateral epicondyle d. Trochlea 19. The extensor digitorum extends the four medial fingers. What is another muscle that extends the small finger at the MCP and IP joints? a. EDM b. ECRL c. EIP d. ECRB 20. ________ nerve compression in the carpal tunnel, the most common compression neuropathy, is often linked to occupational repetitive movements related to wrist flexion and extension, holding the wrist in an awkward position, or strong gripping of objects. a. Radial b. Ulnar c. Median d. Carpal 21. This muscle allows you to flex your hip during sit ups. a. Quadriceps femoris b. Gracilis c. Iliopsoas d. Obturator externus 22. Weakening of deep fibular nerve affects all of the following muscles EXCEPT a. Fibularis brevis b. Extensor digitorum c. Fibularis tertius d. Tibialis anterior 23. Which of the following supplies skin of dorsum of the foot? a. Medial plantar nerve b. Superficial fibular nerve c. Sural nerve d. Saphenous nerve 24. Which muscle belongs to the smallest leg compartment? a. Gastrocnemius b. Plantaris c. Fibularis longus d. Fibularis tertius 25. It supplies the skin of the anteromedial thigh a. Anterior cutaneous branches b. Ilioinguinal nerve c. Lateral cutaneous nerve d. Genitofemoral nerve 26. Which bone of the foot DOES NOT have muscle or tendon attachment? a. Calcaneus b. Cuboid c. Talus d. Navicular 27. Injury to obturator nerve will weaken the following muscle EXCEPT a. Adductor longus b. Hamstring part of adductor magnus c. Adductor brevis d. Gracilis 28. A 30 yo man is stabbed on the medial aspect of the thigh, there is profuse bleeding secondary to the transection of which vessel? a. Superior gluteal artery b. Obturator artery c. Deep femoral artery d. Femoral artery 29. Only part that crosses the hip joint a. Vastus lateralis b. Rectus femoris c. Vastus intermedius d. Vastus medialis 30. The adductor hiatus is found in which muscle? a. Adductor longus b. Adductor magnus c. Adductor brevis d. Gracilis 31. Paralysis of the peroneal nerve weakens which muscle? a. Extensor hallucis longus b. Tibialis anterior c. Extensor digitorum longus d. Fibularis longus 32. Paralysis of the femoral nerve will lead to weakness of which movement? a. Abduction of the thigh b. Extension of the knee c. Flexion of the knee d. Adduction of the thigh 33. The longest muscle of anterior thigh is _____________. a. sartorius b. gracilis c. ilipsoas d. Pectineus 34. Injury to femoral nerve affects which muscle? a. Obturator externus b. Gracilis c. Vastus lateralis d. Tibialis anterior 35. All of the following are dorsiflexors of ankle joint EXCEPT a. Fibularis tertius b. Extensor hallucis longus c. Fibularis brevis d. Tibialis anterior 36. Which structure forms the medial border of the femoral triangle? a. Inguinal ligament b. Sartorius c. Femoral nerve d. Adductor longus 37. A stab wound to the midpoint of the femoral triangle will MOST LIKELY injure which structure? a. Femoral vein b. Femoral canal 38. 39. 40. 41. 42. 43. 44. 45. 46. c. Femoral nerve d. Femoral artery The muscles on the lateral compartment of the leg are concerned mainly for __________________. a. ankle dorsiflexion b. great toe extension c. foot inversion d. foot eversion Which of the following is the chief flexor of the thigh? a. Quadriceps b. Pectineus c. Iliopsoas d. Sartorius Which muscle is NOT part of the pes anserinus? a. Semitendinosus b. Semimembranosus c. Sartorius d. Gracilis A sheath of connective tissue that groups muscle fibers into bundles of fascicles. a. Epimysium b. Perimysium c. Paramysium d. Endomysium A _________ contracts isometrically to stabilize the origin of the prime mover so that it can act efficiently. a. Agonist b. Fixator c. Antagonist d. Synergist It is a type of tendon which forms a thin strong sheet that functions to join muscles and the body parts they act upon. a. Cartilage b. Ligament c. Bursa d. Aponeurosis Endomysium is ___________ type of connective tissue a. Dense fibrous irregular connective tissue b. Areolar connective tissue c. Dense fibrous regular connective tissue d. Dense connective tissue All the following muscles have attachment to the scapula, EXCEPT a. Trapezius b. Serratus Anterior c. Coracobrachialis d. Subclavius All of the following are functions of skeletal muscle, EXCEPT a. Maintain posture b. Stabilize joints c. Provides cushion between bones d. Produce movement 47. Which of the following is NOT a characteristic of a skeletal muscle? a. Excitability b. Elasticity c. Stability d. Contractility 48. All of the following are rotator cuff muscles, EXCEPT a. Supraspinatus b. Subscapularis c. Teres major d. Infraspinatus 49. A point at which a motor nerve enters a muscle a. Motor point b. Motor unit c. Origin d. Insertion 50. All the following muscles can medially rotate the arm, EXCEPT a. Deltoid b. Pectoralis major c. Teres minor d. Latissimus dorsi 51. What COMMON movement is produced by the anterior part of the deltoid, latissimus dorsi, and teres major on the arm? a. Medial rotation b. Extension c. Lateral rotation d. Flexion 52. Which of the following pairing of ligament and bone/structure that they articulate is INCORRECT? a. Coracohumeral ligament: Coracoid process and Humerus b. Trapezoid ligament: Acromion and Coracoid process c. Glenohumeral ligament: Humerus and Glenoid Fossa d. Acromioclavicular ligament: Acromion and Clavicle 53. Winging of the scapula is caused by injury to what nerve? a. Dorsal scapular nerve b. Suprascapular nerve c. Thoracodorsal nerve d. Long thoracic nerve 54. The median nerve is composed of the following roots from the brachial plexus EXCEPT a. C8 b. C6 c. C5 d. C7 55. Which of the following is the longest bone of the upper limb? a. Radius b. Clavicle c. Humerus d. Ulna 56. The shallow depression that spirals around the posterior and lateral aspects of the midshaft of the humerus is ________________groove. 57. 58. 59. 60. 61. 62. 63. 64. a. median b. ulnar c. axillary d. Radial What is the COMMON movement produced biceps brachii, and brachialis ? a. Extends arm b. Flexes forearm c. Extends forearm d. Flexes arm In the brachial plexus, the radial nerve is formed by all of the following, EXCEPT a. All posterior divisions b. Superior and Inferior trunk c. Posterior cord d. All anterior divisions All the following muscles are innervated by dorsal scapular nerve, EXCEPT a. Pectoralis minor b. Rhomboid major c. Levator scapulae d. Rhomboid minor All the following muscles adduct the arm , EXCEPT a. Supraspinatus b. Pectoralis major c. Teres major d. Latissimus dorsi Which of the following pairing is CORRECT regarding the boundaries of the apex of the axilla? a. Lateral: Head of humerus b. Behind: medial border of scapula c. Medial: Inner border of the first rib d. Front: Clavicle Which of the following is the structure that divides the axillary artery into three parts? a. Pectoralis major b. Anterior Scalene c. Pectoralis minor d. Clavicle Which of the following is the anatomical landmark that demarcates the termination of axillary artery? a. Lower border of teres minor b. Upper border of teres minor c. Lower border of teres major d. Upper border of teres major The axilla contains the following structures EXCEPT a. Ansa cervicalis b. Vein c. Artery d. Lymph nodes 65. The blood vessel that has a close relation to the surgical neck of humerus and are commonly injured during fractures is _____________. a. Brachial artery b. Circumflex humeral 66. 67. 68. 69. 70. 71. 72. 73. 74. c. Profunda brachii d. Axillary artery The landmark that demarcates the termination of the axillary vein. a. Medial border of the first rib b. Lower border of the Teres major c. Upper border of the Teres major d. Lateral border of the first rib The axillary artery is a branch of which of the following? a. Subclavian artery b. Aorta c. Brachiocephalic trunk d. Brachial artery Regarding the walls of the axilla, which of the following is CORRECTLY paired? a. Lateral wall: Corachobrachialis and biceps brachii in the bicipital groove of the humerus b. Posterior wall: Supraspinatus, Serratus anterior c. Anterior wall: Rhomboids, Pectoralis major and minor d. Medial wall: Lower three ribs and intercostal spaces The left subclavian artery arises from _________. a. brachiocephalic trunk b. ascending aorta c. descending aorta d. arch of the aorta The MOST COMMON nerve affected during anterior shoulder dislocation is _________________. a. Musculocutaneous nerve b. Axillary nerve c. Radial nerve d. Ulnar nerve Which structure encloses several structures, such as the heart, lungs, abdominal viscera, and tendons, much like this collapsed balloon encloses the fist? a. Bursal sac b. Synovium c. Tendon sheath d. Omentum The main use of anatomical planes is to describe ______________________. a. section b. movement c. measurement d. Distance Which of the following statements regarding the axilla is TRUE? a. The ansa cervicalis found in the axilla is an important nerve network that innervates the upper limb b. Contains lymph nodes which drains lymph from the upper limb, the breast and trunk as far as the inguinal area. c. Contains artery and its branches which supplies the lower limb d. Contents are embedded in fat Which of the following is a fibrous joint? a. Diaphysis b. Syndesmosis c. Tubercle d. Prominence 75. In breast cancer, assessment of ___________ is part of staging and determining the appropriate treatment of cancer. a. Brachial plexus b. Axillary artery c. Axillary vein d. Axillary lymph nodes 76. Which is NOT a surface landmark? a. Crevice b. Trochanter c. Fissure d. Crest 77. Which is an example of a biaxial saddle joint? a. Trapeziometacarpal b. Metacarpophallangeal joint (MCP) c. C1-C2 d. Glenohumeral 78. Which statement is FALSE? a. Surface anatomy provides knowledge of what lies under the skin. b. Systemic anatomy sees the body as organized into compartments c. Regional anatomy considers the body as organized into segments or parts. d. Anatomy is the study of the structure of the human body. 79. Which of the following statements regarding axillary artery is INCORRECT? a. Lies superficial to the pectoralis minor and is enclosed in the axillary sheath b. Branches of the 2nd part of the axillary artery are thoracoacromial artery and lateral thoracic artery c. First part is proximal to the pectoralis minor d. Second part is posterior to the pectoralis minor 80. Cross sections are slices of the body or its parts that are cut at right angles to the longitudinal axis of the body or of any of its parts. Because the long axis of the foot runs horizontally, a transverse section of the foot lies in what plane? a. Median b. Sagittal c. Axial d. Frontal 81. Most of the bones can be classified into one of five shapes EXCEPT a. Long b. Sesamoid c. Concave d. Irregular 82. The muscles of the anterior compartment are arranged in a superficial and deep layer, with the superficial layer of muscles largely arising from what part of the distal humerus? a. Trochlea b. Medial epicondyle c. Lateral epicondyle d. Capitellum 83. Which statement BEST describes the ulnar artery? a. Arises from axillary artery in cubital fossa b. None of the options is correct 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. c. Anastomoses with superior radial collateral in arm d. Anastomoses with carpal branch of ulnar artery Which is NOT an origin of the heads of the triceps brachii? a. Infraglenoid tubercle of scapula b. Proximal end of olecranon of ulna and fascia of forearm c. Posterior surface of humerus, inferior to radial groove d. Posterior surface of humerus The arm is divided into two compartments by ___________, which is attached medially and laterally to the deep (investing) fascia surrounding the muscles. a. intermuscular septum b. interosseous membrane c. bursal surface d. arm interval The neurovascular bundle of the arm can be found ________. a. distal b. medially c. centrally d. Laterally Which two muscles of the anterior compartment of the forearm is NOT supplied by median nerve? a. Flexor carpi ulnaris and flexor digitorum profundus (medial) b. Extensor digiti minimi and extensor carpi ulnaris c. Flexor digitorum superficialis and flexor digitorum profundud (radial) d. Flexor carpi ulnaris and flexor carpi radialis Muscles of the posterior compartment of the arm exhibit the following features EXCEPT a. Supplied with blood from the deep artery of the arm (profunda brachii) b. Can supinate the flexed forearm c. Innervated by the radial nerve d. Primarily extensors of the forearm at the elbow Which statement BEST describes the anterior compartment of the forearm? a. Two of the muscles are pronators. b. Supplied by the ulnar and brachial arteries. c. Primary flexors of the hand at the wrist and/or are finger extensors. d. All except two muscles are innervated by the musculocutaneous nerve. The upper limb is part of the appendicular skeleton and includes the following EXCEPT a. Forearm b. Phalanges c. Ribs d. Clavicle Which statement BEST describes the thumb? a. Responsible for opposition b. Possesses two interphalangeal joints c. Capable of abduction/adduction/rotation/retraction d. Triquetrometacarpal joint forms the base These structures can be found proximal to the distal radio-ulnar joint EXCEPT a. Metacarpals b. Radial notch c. Ulnar styloid d. Triangular fibrocartilage complex The tendon of which muscle is most superficial, proximal to the proximal interphalangeal joint? a. Flexor digitorum superficialis b. Flexor carpi ulnaris c. Flexor digitorum profundus d. Flexor carpi radialis 94. How many nerve/s can be found within the carpal tunnel? a. Two b. Four c. Ten d. One 95. Which DOES NOT belong to the group? a. Hamate b. Capitate c. Trapezoid d. Triquetrum 96. This structure surrounds the radial head and radial notch of ulna, keeps radial head in radial notch and allows pronation and supination. a. Medial collateral ligament b. Lateral ulnar collateral ligament c. Annular ligament d. Capsule 97. The radioulnar fibrous joint unites both bones via a/an _______________ membrane, which also divides the forearm into anterior and posterior compartments. a. interosseous b. mucous c. basement d. Permeable 98. The radial and ulnar arteries anastomose with each other in the hand thru the __________. a. carpal arch b. dorsal arch c. medial arch d. palmar arch 99. What is another muscle aside from extensor digitorum that extends the index finger at the metacarpophalangeal and interphalangeal joints? a. Extensor digiti minimi b. Extensor carpi radialis longus c. Extensor carpi radialis brevis d. Extensor indicis propius 100. These muscles abduct, flex digits at metacarpophalangeal joints and extend interphalangeal joints. a. Opponens pollicis b. Lumbricals c. Dorsal interossei d. Palmar interossei 101. The tendon of this muscle has the highest rate of spontaneous rupture of any tendon in the body. a. Brachialis b. Biceps c. Coracobrachialis d. Triceps 102. The short head of the biceps muscle originates from what structure? Apex of coracoid process of scapula Radial head Supraglenoid tubercle of humeral head Coronoid 103. ________ nerve compression (inflamed, swollen or irritated) happens as it passes through the cubital tunnel on the inside of the elbow, a. Ulnar b. Carpal c. Median d. Radial 104. The third dorsal compartment contains the tendon/s of which of the following muscles? a. Extensor digitorum - Extensor inidicis proprius b. Extensor carpi radialis longus and brevis c. Extensor pollicis longus d. Extensor digiti minimi 105. What passes through the intertubercular groove? a. Pectoralis major b. Tendon of the short head of the biceps brachii c. Teres major d. Bicipital tendon 106. This artery is commonly used to measure blood pressure. a. Brachial b. Inferior ulnar collateral c. Deep artery of the arm d. Superficial ulnar collateral 107. Which of the following segmental levels form the deep tendon reflex of triceps brachii? a. C7 C8 b. C5 C6 c. C8 T1 d. C6 C7 108. MOST common site of fracture of the proximal humerus among older persons from a fall on an outstretched hand. a. Surgical neck b. Greater tuberosity c. Lesser tuberosity d. Anatomical neck 109. The deep brachial veins usually consist of either paired veins or venae comitantes that surround the brachial artery. These veins drain into which vein/s? a. Basilic b. Axillary c. Basilic and axillary d. Cephalic 110. “Tennis elbow” refers to inflammation of the tendons that originate from the _____________. a. coronoid b. medial epicondyle c. lateral epicondyle d. Trochlea a. b. c. d. 111. All of the following are attachments of fascia lata EXCEPT Pubic arch Femur Inguinal ligament Body of pubis 112. Which vein is formed by the union of the dorsal vein of the great toe and the dorsal venous arch of the foot? a. Fibular vein b. Femoral vein c. Obturator vein d. Great saphenous vein 113. QN fell and was unable to flex her thigh, which nerve was injured? a. Femoral nerve b. Obturator nerve c. Fibular nerve d. Saphenous nerve 114. This is the longest muscle in the body, with its name derived from the Latin word for “tailor." a. Gracilis b. Sartorius c. Rectus femoris d. Adductor longus 115. The skin of the middle part of the medial thigh is supplied by which of the following nerve? a. Anterior cutaneous branches b. Ilioinguinal nerve c. Cutaneous branch of obturator nerve d. Lateral cutaneous nerve of thigh 116. These are oblique fibers that connect tibia and fibula. a. Medial condyle of the tibia b. Interosseous membrane c. Lateral malleolus of the fibula d. Intercondylar fossa 117. Which surface landmark IS NOT part of the humerus? a. Deltoid tuberosity b. Bicipital groove c. Radial groove d. Supraglenoid tubercle 118. Which of the following CORRECTLY describes the course of the brachial artery? a. Runs with radial nerve around humeral shaft b. Runs with ulnar nerve c. Passes anterior to medial epicondyle of humerus d. Begins at inferior border of teres major and ends at its bifurcation in cubital fossa 119. Which of the following is / are action/s of anconeus muscle? a. Assists triceps in extending elbow and abducts the ulna during pronation b. Abducts ulna during pronation and steadies the head of the adducted humerus c. Steadies head of abducted humerus (long head) d. Adducts the ulna 120. Loss of sensation of skin on anterolateral leg and dorsum of foot is due to injury of which of the following nerve? a. Superficial fibular nerve a. b. c. d. b. Posterior cutaneous nerve of thigh c. Ilioinguinal nerve d. Saphenous nerve 121. The continuation of the quadriceps tendon is the _____________. a. medial patellar retinacula b. lateral patellar retinacula c. patella d. patellar ligament 122. The terminal cutaneous branch of femoral nerve is the _______________. a. saphenous nerve b. popliteal nerve c. deep fibular nerve d. superficial fibular nerve 123. Which is formed by the inferior prolongation of transversalis and iliopsoas fascia from the abdomen? a. Femoral sheath b. Fascia lata c. Crural fascia d. Femoral triangle 124. The structure that divides the retroinguinal space in two compartments is the ______________. a. iliopectineal arch b. inguinal ligament c. rectus femoris d. femur 125. Which of the following muscles is the MOST powerful hip flexor? a. Rectus femoris b. Iliopsoas c. Gracilis d. Pectineus 126. It proximally attaches to body and inferior ramus of pubis and distally attach to superior part of medial surface of tibia. a. Adductor longus b. Gracilis c. Adductor magnus d. Obturator externus 127. FLN was unable to extend her leg at knee joint, which muscle had been paralyzed? a. Rectus femoris b. Gracilis c. Obturator externus d. Pectineus 128. Injury to anterior rami of L1, L2, L3 will cause paralysis of ______________. a. vastus lateralis b. psoas minor c. sartorius d. psoas major 129. EB figured in a vehicular accident and a shard of glass penetrated his right femoral triangle. Which muscle will be affected? a. Rectus femoris 130. 131. 132. 133. 134. 135. 136. 137. 138. b. Vastus lateralis c. Pectineus d. Gracilis The largest component of the quadricep femoris is __________________. a. vastus magnus b. vastus lateralis c. rectus femoris d. vastus intermedius Which of the following forms the base of the femoral triangle? a. Sartorius b. Femoral artery c. Inguinal ligament d. Adductor longus All are boundaries of adductor canal EXCEPT a. Adductor magnus b. Vastus medialis c. Pectineus d. Adductor longus AB injured her superficial fibular nerve, she will experience difficulty in ________________. a. extending great toe b. everting foot c. dorsiflexion of the ankle d. inverting foot An injury to the head of femur will MOST LIKELY affect which of the following artery? a. Medial circumflex femoral b. lateral circumflex femoral c. Obturator artery d. Profunda femoris Injury to this muscle weakens the adduction and flexion of the thigh. a. Adductor magnus b. Rectus femoris c. Pectineus d. Adductor longus Which of the following is the most lateral of the anterior leg muscle? a. Tibialis anterior b. Fibularis longus c. Extensor digitorum longus d. Extensor hallucis longus The adductor muscle is distally attached to which of the following? a. Linea aspera of the femur b. Lateral epicondyle of the femur c. Greater trochanter of the femur d. Medial condyle of the femur Which of the following is the weakest adductor muscle? a. Adductor magnus b. Gracilis c. Adductor brevis d. Adductor longus 139. The largest branch of femoral artery is _______________. lateral circumflex femoral artery medial circumflex femoral artery profunda femoris artery obturator artery 140. SD fell off her bike and had a deep laceration on his left lateral leg. Which muscle was cut? a. Fibularis longus b. Fibularis tertius c. Extensor digitorum longus d. Extensor hallucis longus 141. Branch of the lumbar plexus that leaves the psoas major muscle anteriorly. a. Obturator nerve b. Ilioinguinal nerve c. Iliohypogastric nerve d. Genitofemoral nerve 142. Attachments of thoracolumbar fascia EXCEPT: a. Transverse process of the lumbar vertebrae b. External oblique c. Psoas fascia d. Iliac crest 143. Origin of Quadratus lumborum muscle a. 12th ribs b. Iliac crest c. Intervertebral disc d. Iliac fossa 144. Level at which the abdominal aorta divides to form the right and left common iliac arteries a. L2 b. L5 c. L4 d. L3 145. During a laparotomy procedure (open abdomen operation), the surgeon is dissecting the posterior abdomen and was isolating the abdominal artery which was intact when he accidentally lacerated a large vessel anterior to the L5 vertebrae, approximately 2.5cm to the right of the median plane. It was bleeding profusely. What structure was likely injured? a. Renal artery b. Renal vein c. Gonadal vein d. Inferior vena cava a. b. c. d. 146. The abdominal aorta gives off branches to supply the gastrointestinal organs namely: celiac trunk, superior mesenteric artery, and inferior mesenteric artery. On the other hand, blood drains to the __________ before entering the inferior vena cava. a. superior mesenteric vein b. portal vein c. inferior mesenteric vein d. splenic vein 147. An 18 y/o patient was rushed to the ER 16 hours post injury due to blunt abdominal injury secondary to vehicular crash. After primary and secondary surveys, there was bleeding seen from the indwelling foley catheter with high suspicion of urinary tract injury based on history and presentation. Kidney/Ureter/Bladder (KUB) Intravenous Pyelogram (IVP) showed non-functioning right kidney. A renal artery injury was confirmed by CT imaging. What vertebral level does the renal artery branch from the aorta? a. L1 b. L2 c. L3 d. L4 148. A surgeon was performing an open ureterolithotomy. At the retroperitoneum over the psoas muscle, vessels were lying anterior to the ureter and was identified as ________. a. gonadal vessels b. renal vessels c. common iliac vessels d. lumbar artery and veins 149. An athlete participated in the Iron Man Challenge held 2 days ago. Upon waking up he was experiencing lower back pain. He had difficulty standing up and walking around. He also noted deep sharp pain upon coughing, sneezing, or during forced breathing. He also experienced pain upon stretching side to side. He was diagnosed with a posterior abdominal muscle injury. Which muscle was likely affected? a. Psoas major b. Iliacus c. Quadratus lumborum d. Psoas minor 150. A branch of the lumbar plexus has a purely sensory function amongst others. What are the roots of this branch and the area it innervates? a. L2, L3 – anterior and medial surface of the thigh b. L2, L3 – posterior and lateral surface of the thigh c. L2, L3 – anterior and lateral surface of the thigh d. L2, L3 – posterior and medial surface of the thigh 151. The branch of the lumbar plexus that emerges from the medial aspect of psoas muscle innervates the following muscles EXCEPT: a. Vastus medialis b. Adductor brevis c. Gracilis d. Adductor longus 152. This branch of the plexus nerve originates from the roots of L2-L4, emerges lateral to the psoas muscle and iliacus muscle, enters the thigh behind the inguinal ligament and lateral to the femoral vessels and sheath. a. Genitofemoral nerve b. Femoral nerve c. Lateral cutaneous nerve of the thigh d. Obturator nerve 153. An intern was assisting a surgeon performing Anatrophic Nephrolithotomy (dissecting the kidney on the lateral margin of bloodless plane of incision between anterior and posterior segments) for a staghorn calculus. Which among the following is the correct sequence of layers dissected to reach the renal pelvis starting from the skin? a. Skin-> subcutaneous tissue->medulla->minor calyx->major calyx->renal pelvis b. Skin-> subcutaneous tissue->pararenal fat->minor calyx->renal papilla->renal pelvis c. Skin-> subcutaneous tissue->renal fascia->pararenal fat->cortex->medulla->renal pelvis d. Skin->subcutaneous tissue->perirenal fat->renal fascia->pararenal fat->renal pelvis 154. Nephron is the functional unit of the kidney, the structure that produces urine in the process of removing waste and excess substances from the blood. Upon filtration in the renal corpuscle, what is the correct sequence of flow of fluid until it reaches the renal papilla? a. Distal convoluted tubule->descending limb->ascending limb0->proximal convoluted tubule->collecting duct b. Proximal convoluted tubule->loop of Henle->descending limb->distal convoluted tubule>collecting duct c. Distal convoluted tubule->loop of Henle->descending limb->proximal convoluted tubule>collecting duct d. Proximal convoluted tubule->descending limb->loop of Henle->distal convoluted tubule collecting duct 155. An 18 y/o, intoxicated female was rushed to the ER 16 hours post injury due to blunt abdominal injury secondary to vehicular crash. After primary and secondary survey, there was gross bleeding seen from the indwelling foley catheter with high suspicion of urinary tract injury based on history and presentation. Retrograde pyelogram showed spillage of contrast anterior to the bladder. What is the space needed to be dissected to visualize the injury? a. Vesicovaginal space b. Space of Retzius c. Rectovesical space d. Pouch of Douglas 156. In relation with the previous case in question, all arteries supply the bladder EXCEPT: a. Inferior vesical artery b. Vaginal artery c. Obturator artery d. Gluteal artery 157. Dr. Taby So was operating on a patient with a large uterine mass. Upon nearing the end of the operation, the anesthesiologist called her attention and informed her that there was no urine output from the patient. She accidentally ligated both the ureters. What anatomical landmarks would have helped her in identifying the ureters? a. The left ureter is posterior to the ileocolic vessels and root of mesentery of the small intestine. b. The ureters are anterior to the gonadal vessels. c. The ureters run downward in front of the internal iliac arteries and behind the ovary. d. The ureters run superior to the uterine arteries, usually approximately 2 cm lateral to the supravaginal part of the cervix. 158. The structure that prevents retrograde ejaculation (ejaculatory reflux) of the semen into the bladder. a. External urethral sphincter b. Ureteric orifices c. Internal urethral orifice d. Internal urethral sphincter 159. What happens during parasympathetic stimulation of the bladder (without toilet training)? Bladder relaxes, internal urethral sphincter relaxes Bladder contracts, internal urethral sphincter contracts Bladder relaxes, internal urethral sphincter contracts Bladder contracts, internal urethral sphincter relaxes 160. Part of the brain that integrates the autonomic and neuroendocrine systems. a. Hypothalamus b. Thalamus c. Brainstem d. Pituitary gland 161. What part of the skull (resembles that of a bat with extended wings) that houses the Sella turcica. a. Occipital bone b. Ethmoid bone c. Temporal bone d. Sphenoid bone 162. Part of the pituitary gland with strongest secretory activity. a. Pars intermedia b. Pars distalis c. Pars tuberalis d. Neurohypophysis 163. True regarding hormones secreted by the pancreas. a. Beta cells - Insulin b. Alpha cells - Somatostatin c. Delta cells - Glucagon d. All the above 164. Hormone that is mainly produced by the hypothalamus that regulates electrolyte balance, blood pressure and kidney function. a. Angiotensin b. Antidiuretic hormone c. Erythropoietin d. Renin 165. All are true regarding thyroid EXCEPT: a. b. c. d. a. b. c. d. The thyroid lies deep to the neck muscles. It is located anterolateral to the larynx and trachea. The thyroid is approximately at the level of C4-C6. During physical examination, it moves with deglutition. 166. Which venous drainage of the thyroid anastomoses with one another before joining their respective drainage? a. Superior thyroid vein b. Brachiocephalic vein c. Inferior thyroid vein d. Middle thyroid vein 167. A patient with an acute abdomen underwent laparotomy. During the operation, he was diagnosed with necrotizing pancreatitis. The pancreas was barely recognizable with all the necrotic tissue. The surgeon decided to put drains as management. How would you identify the pancreas using the anatomical relationship of the adjacent or nearby organs or structures? a. The neck of the pancreas is enveloped inside the peritoneum, and is adjacent to the pylorus of the stomach b. The tail of the pancreas lies anterior to the left kidney, where its tip is closely related with the renal hilum. c. The head of the pancreas is found to the left of superior mesenteric vessels just inferior to the transpyloric plane. d. The body of the pancreas lies to the left of superior mesenteric vessels, passing over the aorta and L2 vertebra. 168. During an operation the gastroduodenal artery and superior mesenteric artery were ligated. What part of the pancreas will be likely affected? a. Head of the pancreas b. Body of pancreas c. Tail of the pancreas d. None of the above 169. The tough fibrous outer surface of the testis that thickens into a ridge on its internal, posterior aspect as the mediastinum of the testis. a. Tunica albuginea b. Tunica vaginalis c. Tunica externa d. Tunica intima 170. The hypothalamus sends signals to stimulate the gonadotrophs to produce LH and FSH. What is the role of LH in males? a. Testosterone production b. Regulate oestrogen c. Sperm production d. Testosterone inhibition 171. From right to left, which is the CORRECT order of structures found in between the suprarenal glands? a. IVC->right crus of diaphragm->celiac trunk->celiac ganglion->SMA->left crus of diaphragm b. IVC->right crus of diaphragm->celiac ganglion->celiac trunk->SMA->left crus of diaphragm c. IVC->right crus of diaphragm->celiac ganglion->SMA->celiac trunk->left crus of diaphragm d. IVC->right crus of diaphragm->SMA->celiac ganglion->celiac trunk->left crus of diaphragm 172. The suprarenal medulla secretes this hormone that activates the body to a fight-or-flight status in response to traumatic stress. a. glucocorticoids b. catecholamines c. mineralocorticoids d. Androgens 173. LH and FSH are produced by gonadotropic cells in the anterior pituitary gland regulated by the hypothalamus. In females, they stimulate the ovaries to produce estrogen and progesterone. What can result from an increase in levels of progesterone? a. reproductive organ development b. fat distribution c. development of breast d. Ovulation 174. The parathyroid hormone stimulates the following actions EXCEPT: Reabsorption of phosphate in by the kidneys Release of calcium by bones Conversion of calcium by the kidneys Absorption of calcium by the intestines 175. Which among the following has the correct anatomical structure and location in relation with the hypothalamus? a. Anterior – tuber cinereum b. Inferior – lamina terminalis c. Superior – base of the third ventricle d. Posterior – posterior commissure 176. Cells found in the adenohypophysis EXCEPT: a. somatotrophs b. pituicytes c. gonadotrophs d. progenitor cells 177. If both internal carotid arteries will be blocked, which structure/s will be affected? a. Hypothalamus, Anterior pituitary, and Posterior pituitary b. Anterior pituitary and Posterior pituitary c. Anterior Pituitary only d. Hypothalamus only 178. Melatonin, which is important in the regulation of circadian rhythm, is produced by the pineal gland. Melatonin release peaks a. early in the morning. b. during night-time. c. after eating. d. during noon. 179. What structure correctly bounds the hypophyseal fossa? a. Inferiorly by the sphenoid sinus b. Anteriorly by intercavernous sinus c. Superiorly by the dorsum sellae d. Laterally by the cavernous sinus 180. What is the anterolateral boundary of the perineum? a. Pubic symphysis b. Ischiopubic rami c. Ischial tuberosities d. Sacrotuberous ligaments 181. It is formed by the right and left ischiopubic rami. a. Acetabulum b. Pubic arch c. Pubic symphysis d. Pelvic girdle 182. It is a thin sheet of tough, deep fascia which closes the urogenital triangle. a. Fascia of the pelvic diaphragm b. Perineal body c. Perineal membrane d. Urethra 183. The perineal body is the site of convergence and interlacing of fibers of these muscles EXCEPT: a. b. c. d. a. b. c. d. Bulbospongiosus External anal sphincter Obturator internus Superficial transverse perineal muscle 184. The pudendal canal covers the medial aspect of which muscle? a. Piriformis b. Obturator internus c. Coccygeus d. Pubococcygeus 185. A branch of the internal pudendal artery which supplies superficial perineal muscles and scrotum in males and vestibule of females? a. External pudendal artery b. Deep artery of penis c. Dorsal artery of clitoris d. Perineal artery 186. What part of the urethra includes the male external genitalia? a. Intramural urethra b. Preprostatic urethra c. Prostatic urethra d. Spongy urethra 187. What branch of the femoral artery supplies the anterior aspect of scrotum and skin at the root of penis? a. External pudendal artery b. Inferior rectal artery c. Dorsal artery of penis d. Perineal artery 188. What is made up of penile erectile tissues? a. Bulbospongiosus b. Ischocavernosus c. Corpora cavernosa d. Spongy urethra 189. What is the free pendulous part of the penis? a. Body b. Glans c. Root d. Urethra 190. What anchors the erectile bodies of the penis to the symphysis pubis? a. Buck’s fascia b. Fundiform ligament of the penis c. Suspensory ligament of the penis d. Tunica albuginea 191. The female superficial perineal pouch includes the following EXCEPT: a. clitoris b. greater vestibular gland c. labia majora d. superficial transverse perineal muscle 192. They are prominent folds of skin which contain smooth muscle and the termination of the round ligament of the uterus. a. Clitoris b. Labia majora c. Labia minora d. Vestibule of the vagina 193. What is the distal part of the penis which is formed by the expansion of the corpus spongiosum? a. Body of the penis b. Frenulum of the prepuce c. Glans penis d. Root of the penis 194. The male superficial perineal pouch includes the following EXCEPT: a. proximal part of the spongy urethra b. root of the penis c. scrotum d. superficial transverse perineal muscle 195. It is a prolongation of dartos fascia which divides the scrotum into two compartments. a. Buck’s fascia b. Scrotal septum c. Scrotal raphe d. Tunica albuginea 196. Mrs. Juana consulted a GYNE clinic due to pain on her vulva. On examination, there was a 5x5 cm cystic tender mass at the right side of the vestibule of the vagina posterolateral to the vaginal orifice. What structure is found in that area which also secretes mucus? a. Clitoris b. Greater vestibular gland c. Labia minora d. Lesser vestibular gland 197. What is the transverse fold found in younger women especially virgins that connect the labia minora posteriorly? a. Clitoris b. Frenulum of the labia minora c. Posterior of the labia majora d. Vestibule of the vagina 198. What muscle assists in the erection of the penis? It also surrounds the crura in the root of the penis. a. Bulbospongiosus b. Ischiocavernosus c. Superficial transverse muscle d. External anal sphincter 199. These arteries give off branches called the helicine arteries of the penis. a. Arteries of the bulb of the penis b. Deep arteries of the penis c. Dorsal arteries of the penis d. None of the above 200. Which statement about the female pelvic organs is INCORRECT? a. The round ligament of the uterus follows the subperitoneal course of the ductus deferens of the males. b. The supravaginal part of the cervix is related to the bladder. c. The ureters run superior to the uterine arteries. d. The rectouterine pouch contains loops of the small intestine and anterior wall of the rectum. 201. Which of the following is/are the primary function/s of the pelvic girdle? Bears the weight of the upper body Provides attachment for the powerful muscles of locomotion Transfers weight from the axial to the lower appendicular skeleton All of the above 202. TRUE about the pelvic bones. a. The preadolescent pelvis is composed of four bones. b. The internal aspect of the pelvic bones bound the pelvis, forming the lateral walls. c. Adult pelvic bones are separated and are united by triradiate cartilage. d. The ischium is the superior, fan shaped part of the pelvis. 203. What is the concavity between the ischial spine and the ischial tuberosity? a. Acetabulum b. Greater sciatic notch c. Lesser sciatic notch d. Obturator foramen 204. TRUE about lesser pelvis. a. It is between the pelvic inlet and pelvic outlet. b. It is bounded by the iliac alae posterolaterally. c. It is occupied by abdominal viscera. d. It is superior to the pelvic inlet. 205. It demarcates the body of the uterus from the cervix a. Myometrium b. Isthmus c. Endometrium d. Cardinal ligament 206. During a speculum examination, you were asked to describe the vaginal fornix. Which part is the deepest? a. Anterior fornix b. Lateral fornix c. Posterior fornix d. Vaginal part of the cervix 207. Characteristic of a male bony pelvis. a. Comparatively large pelvic outlet b. Heart-shaped, narrow pelvic inlet c. Small acetabulum d. Shallow greater pelvis 208. Characteristic/s of a female pelvis include/s: a. Oval and rounded pelvic inlet b. Wide pubic arch c. Small acetabulum d. All of the above 209. What is a dynamic barrier separating the lesser pelvis and perineum? a. Hip bones b. Pelvic diaphragm c. Pubic symphysis d. Sacrum 210. Which statement about the pelvic cavity is correct? a. The pelvic cavity is continuous with the abdominal cavity at the pelvic outlet. b. The pelvic cavity contains the proximal part of the ureters. a. b. c. d. c. d. 211. a. b. c. d. 212. a. b. c. d. 213. a. b. c. d. 214. a. b. c. d. 215. a. b. c. d. 216. a. b. c. d. 217. a. b. c. d. 218. a. b. c. d. 219. a. b. c. d. 220. The pelvic cavity is a space bounded peripherally by the bony ligamentous, muscular pelvic walls and floor. None of the above Which muscle forms the posterosuperior wall of the pelvis? Obturator internus Piriformis Levator ani Coccygeus TRUE about the pelvic diaphragm. It consists of coccygeus, levator ani, fascia. It lies within the lesser pelvis. The components of the pelvic diaphragm form the floor of the pelvic cavity. All of the above These are shorter muscular slips of pubococcygeus muscle. Iliococcygeus Puboperinealis Puborectalis None of the above What muscle forms a puborectal sling? Iliococcygeus Puborectalis Puboanalis Puboperinealis It is created by the peritoneum that reflects onto the superior aspect of the bladder. Broad ligament Rectovesical pouch Supravesical pouch Vesico-uterine pouch Which structure/s originate/s from the abdominal aorta? Ovarian artery Testicular artery Both are correct None of the above Branch/es of anterior division of internal iliac artery? Uterine artery Umbilical artery Both are correct None of the above Branch/es of posterior division of internal iliac artery. Iliolumbar artery Lateral sacral artery Superior gluteal artery All of the above What is the main artery of the perineum? Umbilical artery Uterine artery Internal pudendal artery None of the above What is the principal artery of the pelvis? a. b. c. d. External iliac artery Internal iliac artery Femoral artery None of the above 221. The female homologue of the inferior vesical artery in males. a. Uterine artery b. Vaginal artery c. Both are correct d. None of the above 222. The female homologue of artery to ductus deferens in males. a. Uterine artery b. Vaginal artery c. Both are correct d. None of the above 223. TRUE about ductus deferens a. It begins in the tail of epididymis. b. It is the primary component of spermatic cord. c. It penetrates the anterior abdominal wall via the inguinal canal. d. All of the above 224. What are the elongated structures that lie between the fundus of the bladder and the rectum in males that secrete alkaline fluid? a. Ductus deferens b. Ejaculatory ducts c. Spermatic cord d. Seminal glands 225. TRUE about the ejaculatory ducts. a. It is formed by the union of seminal glands and prostate. b. Prostatic secretions do not mix with seminal fluid until the ejaculatory ducts have terminated in the prostatic urethra. c. Both statements are correct. d. None of the above 226. What is the approximate measurement of the prostate gland? a. 5cm long, 5 cm wide, 2cm in anteroposterior b. 3cm long, 4 cm wide, 2cm in anteroposterior c. 8cm long, 4cm wide, 2cm in anteroposterior d. 5cm long, 4cm wide, 2cm anteroposterior 227. What organ produces 20% of the volume of the semen? a. Bladder b. Prostate c. Seminal glands d. Testes 228. The male homologue of female Skene’s gland. a. Testes b. Prostate c. Seminal gland d. Ductus deferens 229. The homologue of male testis in female. a. Ovary b. Uterus c. Vagina d. Vulva 230. TRUE about ovaries. a. Ovaries are suspended by mesosalpinx. b. Ovaries are not endocrine glands. c. Oocytes are formed in the ovaries. d. Before puberty the ovarian surface epithelium is scarred and distorted. 231. It contains the ovarian vessels, lymphatics, nerves that become continuous with the mesovarium. a. Broad ligament b. Cardinal ligament c. Ovarian ligament d. Suspensory ligament 232. What is the remnant of the superior part of the ovarian gubernaculum of the fetus which connects the proximal end of the ovary to the lateral angle of the uterus? a. Broad ligament b. Cardinal ligament c. Ovarian ligament d. Suspensory ligament 233. Which part of the fallopian tube is thick-walled that enters the uterine horn? a. Ampulla b. Infundibulum c. Isthmus d. Uterine part 234. The right ovarian vein drains into: a. Inferior vena cava b. Left renal vein c. Right renal vein d. Right uterine vein 235. What is the position of the uterus that is tipped anterosuperiorly relative to the axis of the vagina? a. Anteverted b. Anteflexed c. Retroverted d. Retroflexed 236. The rounded part of the body of the uterus that lies superior to the uterine ostia. a. Fundus of the uterus b. Isthmus c. Cervix d. None of the above 237. The outer serous layer of the uterus. a. Endometrium b. Myometrium c. Perimetrium d. None of the above 238. Which provides passive support of the uterus? a. Coccygeus b. Position of the uterus c. Pubococcygeus 239. d. Puborectalis Function/s of the vagina. a. Forms the inferior part of the birth canal b. Receives the penis c. Serves as a canal for menstrual fluid d. All of the above 240. Of the 33 vertebrae, how many are movable? 27 33 24 30 241. Each IV disc consists of an anulus fibrosus, an outer fibrous part, composed of concentric lamellae of ________ a. Gelatinous central mass b. Fibrocartilage c. Hyaline cartilage d. Pulp 242. In aggregate, the discs account for ______% of the length (height) of the vertebral column . a. 20-25 b. 15-20 c. 10-15 d. 5-10 243. Where is/are the primary curve/s of the spine located? a. Thoracic only b. Cervical & lumbar c. Lumbar only d. Thoracic & sacral 244. A typical vertebra possesses the following structures EXCEPT a. Vertebral body b. Foramen c. Process d. Vertebral arch 245. The size of the vertebral bodies increases as the column descends as each bears progressively greater body weight. Where does this marked increase begin? a. T5 b. T2 c. T4 d. C7 246. Complete the statement: _______ are short, stout cylindrical processes that project posteriorly from the vertebral body to meet two broad, flat plates of bone, called _______, which unite in the midline. a. Pedicles-lateral masses b. Pedicles-laminae c. Laminae-pedicles d. Laminae-spinous processes 247. This structure differentiates the cervical vertebrae from the other regions. a. Transverse process a. b. c. d. b. Transverse foramen c. Intervertebral foramen d. Uncinate process 248. What is/are the primary characteristic feature/s of thoracic vertebrae? a. Heart-shaped body b. Wide verterbral foramen c. Bifid spinous processes d. Costal facets 249. What is the largest of all movable vertebrae, distinguished by its massive body and transverse processes? a. L2 b. L5 c. S1 d. T12 250. What is responsible for the triangular shape of the sacrum? a. Rapid decrease in the size of the lateral masses during development b. Late ossification of the 5 sacral segments c. Sacralization of the L5 vertebra d. None of the above 251. It contains the bundle of spinal nerve roots arising inferior to the L1 vertebra, known as the cauda equina. a. Sacral canal b. Vertebral canal c. Vertebral foramen d. Sacral foramina 252. The coccyx is a remnant of the skeleton of the embryonic tail-like caudal eminence which is present in human embryos. Which period of development can it be seen? a. End of the 5th week until the beginning of the 8th week b. Beginning of the 5th week until the beginning of the 8th week c. End of the 4th week until the beginning of the 8th week d. Beginning of the 4th week until the end of the 8th week 253. These group includes muscles that specifically act on the vertebral column, producing its movements and maintaining posture. a. Deep b. Intrinsic c. Superficial d. Extrinsic 254. Which nerve/s innervate/s both serratus posterior muscles? Intercostal nerves Phrenic nerve Accessory nerve Vagus nerve 255. TRUE OR FALSE: Although the cervical IV discs are thinner than those of inferior regions, they are relatively thick compared to the size of the vertebral bodies they connect. 256. * 257. 1/1 258. True a. b. c. d. 259. 260. False 261. 262. The tubercles provide attachment for a laterally placed group of cervical muscles. Identify these muscles. 263. * 264. 1/1 265. Levator scapulae and scalenes 266. 267. Serratus anterior and posterior 268. Splenius capitis and cervicis 269. Semispinalis 270. 271. It is the most prominent spinous process in 70% of people. 272. * 273. 1/1 274. C6 275. T1 276. C5 277. C7 278. 279. 280. TRUE OR FALSE: Vertebral arteries and accompanying venous and sympathetic plexuses pass through foramina transversarii of all cervical vertebrae except C7, which transmits only small accessory vertebral veins. 281. * 282. 1/1 283. True 284. 285. False 286. 287. Identify the region being described: The transverse processes project somewhat posterosuperiorly as well as laterally. On the posterior surface of the base of each transverse process is a small accessory process, which provides an attachment for the intertransversarii. 288. * 289. 1/1 290. Sacral 291. Thoracic 292. Cervical 293. Lumbar 294. 295. Skull/Temporal Region/Neck 296. 44 of 60 points 297. 298. What is the ONLY unpaired triangle in the neck? 299. * 300. 1/1 301. Submental 302. 303. Carotid 304. Digastric 305. Muscular 306. 307. An 18 y/o male was stabbed in the neck and was hit in front of the right sternocleidomastoid, below the hyoid bone, above the superior omohyoid. What is the triangle involved? 308. * 309. 0/1 310. Muscular 311. Digastric 312. Submental 313. Carotid 314. 315. Correct answer 316. Muscular 317. 318. What thyroid veins drain into the Internal jugular vein? 319. * 320. 1/1 321. Middle and Inferior 322. Superior, Middle and Inferior 323. Superior and Inferior 324. Superior and Middle 325. 326. 327. Post – operatively after thyroidectomy procedure, your patient presents with hoarseness that results from an inability to abduct or adduct the right vocal cord. The patient is able to swallow normally, and the palate elevates symmetrically during testing of the gag reflex. A complete lesion of which of the following nerves might account for the patient’s symptoms? 328. * 329. 0/1 330. Recurrent laryngeal 331. Glossopharyngeal 332. Superior laryngeal 333. Vagus 334. 335. Correct answer 336. Recurrent laryngeal 337. 338. A child was diagnosed to have Congenital Torticollis involving the right Sternocleidomastoid muscle. Which of the following describes the most likely anatomical change? 339. * 340. 1/1 341. Head rotated to the left 342. 343. Head rotated to the right 344. Head flexed forward in the midline 345. Head extended in the midline 346. 347. What is the correct relationships of the structures within the carotid sheath? 348. * 349. 1/1 350. Vein – Medial, Artery – Lateral, Nerve – Anterior 351. Vein – Lateral, Artery – Medial, Nerve – Posterior 352. 353. Vein – Medial, Artery – Lateral, Nerve – Posterior 354. Vein – Lateral, Artery – Medial, Nerve – Anterior 355. 356. When surgery is performed below the isthmus of the thyroid gland. Which of the following vessels may be encountered by the surgeon? 357. * 358. 0/1 359. Inferior thyroid vein 360. Middle thyroid vein 361. Inferior thyroid artery 362. All of the choices are correct 363. 364. Correct answer 365. Inferior thyroid vein 366. 367. Which cranial nerve descends through the neck in the carotid sheath? 368. * 369. 1/1 370. Vagus 371. 372. Spinal accessory 373. Glossopharyngeal 374. Hypoglossal 375. 376. A patient was seen at the emergency room because of severe chest pain. Past medical history revealed a dental abscess that the patient ignored for two weeks. The doctor suspected that the infection spread to the mediastinum causing the symptoms in this patient most likely through which pathway? 377. * 378. 1/1 379. All of the choices are correct 380. Retropharyngeal space 381. 382. Pretracheal space 383. Suprasternal space 384. 385. What laryngeal muscle acts as the chief tensor of the vocal cords? 386. * 387. 1/1 388. Lateral cricoarytenoid 389. Transverse arytenoid 390. Cricothyroid 391. 392. Posterior cricoarytenoid 393. 394. A laceration was noted in the anterolateral aspect of the patient’s neck. The wound was superficial and the muscle fibers located just beneath the subcutaneous tissue. Which muscle is most likely injured? 395. * 396. 0/1 397. Platysma 398. Omohyoid 399. Trapezius 400. Sternocleidomastoid 401. 402. Correct answer 403. Platysma 404. 405. The Hyoid bone is approximately at what level of the cervical vertebrae? 406. * 407. 1/1 408. C6 409. C5 410. C3 411. 412. C1 413. 414. The Mylohyoid muscles forms the floor of what triangles of the neck? 415. * 416. 1/1 417. Submental and Digastric 418. 419. Submental and Carotid 420. Submental and Muscular 421. Carotid and Muscular 422. 423. 424. 425. 426. 427. 428. 429. 430. 431. 432. 433. 434. 435. 436. 437. 438. 439. 440. 441. 442. 443. 444. 445. 446. 447. 448. 449. 450. 451. 452. 453. 454. 455. 456. 457. 458. 459. 460. 461. 462. 463. 464. 465. 466. 467. 468. rings The Ansa cervicalis C1 C2 C3 supplies the Infrahyoid group of muscles EXCEPT which? * 0/1 Sternothyroid Sternohyoid Thyrohyoid Omohyoid Correct answer Thyrohyoid Which of the following nervous structures are seen in the posterior triangle of the neck? * 0/1 Spinal Accessory Trunks of the brachial plexus Cutaneous branches of the cervical nerves All of the choices are correct Correct answer All of the choices are correct What muscle divides the posterior triangle into two triangles? * 1/1 Posterior belly of Digastric Superior belly of Omohyoid Anterior belly of Digastric Inferior belly of Omohyoid If present, the pyramidal lobe of the thyroid gland projects upward from the: * 1/1 Left lobe Isthmus to the left of the midline Isthmus to the right of the midline Right lobe Which of the following is CORRECT regarding the anatomy of the thyroid gland? * 1/1 It is covered by the Pretracheal layer of the deep cervical fascia The isthmus connecting the right and left lobes is located at the fourth and fifth tracheal 469. The pyramidal lobe is connected to the hyoid by means of a fibrous muscular band called as thyroidea ima 470. All of the choices are correct 471. 472. The thyrocervical trunk supplying the thyroid gland originates from what blood vessel? 473. * 474. 1/1 475. Second part of Subclavian 476. First part of the Brachiocephalic trunk 477. First part of Subclavian 478. 479. Second part of the Brachiocephalic trunk 480. 481. An incision at the thyrohyoid membrane may cause laceration of a nerve that could present with what type of symptoms? 482. * 483. 0/1 484. Loss of sensation above the vocal cords 485. Mild hoarseness 486. Inability to tense the vocal cords 487. All of the choices are correct 488. 489. Correct answer 490. Loss of sensation above the vocal cords 491. 492. In Bell’s palsy, corneal inflammation and ulceration results from which of the following conditions? 493. * 494. 1/1 495. Sensory loss of the cornea and conjunctiva 496. Inability to constrict the pupil 497. Absence of the corneal blink reflex 498. 499. Lack of secretion of the parotid gland 500. 501. Which of the following will NOT be affected in Cavernous sinus thrombosis? 502. * 503. 0/1 504. Lacrimal gland secretions 505. Sensation in the skin of the forehead 506. 507. The ability to elevate the upper eyelid 508. The ability to abduct the eye 509. Correct answer 510. Lacrimal gland secretions 511. 512. Hyperacusis in Bell’s palsy is because of involvement of what structure? 513. * 514. 1/1 515. Tensor tympani muscle 516. Stapedius muscle 517. 518. Cochlear nerve 519. Tympanic membrane 520. 521. Laceration of the main trunk of the Facial nerve in surgical removal of a malignant parotid tumor would cause paralysis of which of the following muscles? 522. * 523. 0/1 524. Anterior belly of the Digastric 525. Masseter 526. 527. Buccinator 528. Tensor tympani 529. Correct answer 530. Buccinator 531. 532. Inability to close the lips is due to paralysis of what muscle of the face? 533. * 534. 1/1 535. Orbicularis oris 536. 537. Levator labii superioris 538. Zygomaticus 539. Depressor labii inferioris 540. 541. A 30 y/o patient has dryness of the corneal surface of his eye because of lack of tears. Which of the following nerves may be damaged? 542. * 543. 0/1 544. Zygomatic branch of facial 545. 546. Greater petrosal 547. Lesser petrosal 548. Temporal branch of facial 549. Correct answer 550. Greater petrosal 551. 552. Trumpeter’s muscle is the common name of what muscle of facial expression? 553. * 554. 1/1 555. Temporalis 556. Masseter 557. Zygomaticus 558. Buccinator 559. 560. 561. The skin on the side of the nose is supplied by what nerve? 562. * 563. 0/1 564. Ophthalmic of Trigeminal 565. 566. Buccal of Facial 567. Zygomatic of Facial 568. Maxillary of Trigeminal 569. Correct answer 570. Maxillary of Trigeminal 571. 572. Inability to open the jaw is because of paralysis of which of the following muscles? 573. * 574. 1/1 575. Masseter 576. Lateral pterygoid 577. 578. Medial pterygoid 579. All of the choices are correct 580. 581. Where is the dangerous area of the face? 582. * 583. 1/1 584. Root of the nose and two angles of the mouth 585. 586. Tip of the nose and two angles of the jaw 587. Tip of the nose and two angles of the mouth 588. Root of the nose and two angles of the jaw 589. 590. Which of the following is correct regarding the anatomy of the parotid gland? 591. * 592. 0/1 593. It is enclosed by an outer dense fibrous capsule derived from the investing layer of the deep cervical fascia 594. 595. It is innervated by parasympathetic secretomotor fibers of the glossopharyngeal nerve 596. It has a duct that crosses the masseter, pierces the buccinator muscle and opens into the vestibule of the mouth 597. All of the choices are correct 598. Correct answer 599. All of the choices are correct 600. 601. Which part of the maxillary artery is seen at the pterygopalatine fossa? 602. * 603. 0/1 604. First 605. 606. Second 607. Third 608. Fourth 609. Correct answer 610. Third 611. 612. Which among the muscles of mastication originates from the zygomatic arch, inserts into the ramus of the mandible and acts as elevator of the mandible? 613. * 614. 1/1 615. Temporalis 616. Masseter 617. 618. Lateral pterygoid 619. Medial pterygoid 620. 621. The Stensen’s duct opens into the vestibule of the mouth opposite what tooth? 622. * 623. 1/1 624. Second lower molar 625. Third lower molar 626. Third upper molar 627. Second upper molar 628. 629. 630. The middle meningeal artery originates from what branch of the external carotid artery? 631. * 632. 1/1 633. Superficial temporal 634. Posterior auricular 635. Maxillary 636. 637. Facial 638. 639. The temporomandibular ligament mainly prevents _________ displacement of the mandible: 640. * 641. 1/1 642. Medial 643. Posterior 644. 645. Anterior 646. Superior 647. 648. The arrangement of structures coursing within the parotid gland from the most superficial to the deepest? 649. * 650. 0/1 651. Retromandibular vein, External carotid artery, Facial nerve, Auriculotemporal nerve 652. Retromandibular vein, Facial nerve, External carotid artery, Auriculotemporal nerve 653. Facial nerve, Retromandibular vein, External carotid artery, Auriculotemporal nerve 654. Facial nerve, External carotid artery, Retromandibular vein, Auriculotemporal nerve 655. 656. Correct answer 657. Facial nerve, Retromandibular vein, External carotid artery, Auriculotemporal nerve 658. 659. What is the terminal branch of the Facial artery that supplies the side of the nose and medial canthus of the eye? 660. * 661. 1/1 662. Angular 663. 664. Infratrochlear 665. Infraorbital 666. Lacrimal 667. 668. The motor nerve supply of the muscles of mastication is derived specifically from what part of Trigeminal nerve? 669. * 670. 1/1 671. Posterior division of maxillary 672. Posterior division of mandibular 673. Anterior division of mandibular 674. 675. Anterior division of maxillary 676. 677. What vein serves as the communication between the superficial veins of the face and the cavernous sinus? 678. * 679. 1/1 680. Infraorbital 681. Supraorbital 682. Angular 683. Ophthalmic 684. 685. 686. Bleeding as a result of tearing of the superior cerebral veins at the superior sagittal sinus is seen at what meningeal space? 687. * 688. 1/1 689. Subdural 690. 691. Subarachnoid 692. Epidural 693. Extradural 694. 695. What marks the separation of the middle and posterior cranial fossae? 696. * 697. 1/1 698. Lesser wing of Sphenoid 699. Petrous part of Temporal 700. 701. Squamous part of Temporal 702. Greater wing of Sphenoid 703. 704. In a collision between 2 buses along the highway, one of the passengers was brought to the ER unconscious with blood and clear fluid oozing from the ear. Neurological examination shows involvement of cranial nerve VII and VIII. What bone is the most likely site of fracture? 705. * 706. 1/1 707. Nasal 708. Sphenoid 709. Ethmoid 710. Temporal 711. 712. 713. A 3 y/o boy with abscess of the scalp developed seizures and was diagnosed to have meningitis. The bridge or vein crossed by bacteria from the loose connective tissue of the scalp to the meninges is: 714. * 715. 1/1 716. Superficial temporal 717. Supraorbital 718. Emissary 719. 720. Superior sagittal sinus 721. 722. Bleeding as a result of aneurysm of the blood vessels of the Circle of Willis is seen at what meningeal space? 723. * 724. 1/1 725. Epidural 726. Subarachnoid 727. 728. Subdural 729. Extradural 730. 731. A 25 y/o male was brought to the ER after he was thrown off his motorcycle. CT scan revealed right temporal bone fracture and epidural hematoma. What vessel was most likely ruptured? 732. * 733. 1/1 734. Posterior auricular 735. Superficial temporal 736. Internal carotid 737. Middle meningeal 738. 739. 740. What nerve may be affected if there is a tumor compressing the foramen rotundum? 741. * 742. 1/1 743. Mandibular 744. Maxillary 745. 746. Facial 747. Ophthalmic 748. 749. Which of the following nerves innervates the skin of the face and scalp? 750. * 751. 0/1 752. Zygomaticofacial 753. 754. Zygomaticotemporal 755. Infraorbital 756. Infratrochlear 757. Correct answer 758. Zygomaticotemporal 759. 760. Which of the following openings of the skull is located at the middle cranial fossa? 761. * 762. 0/1 763. Optic canal 764. 765. Jugular foramen 766. Internal acoustic meatus 767. Foramen spinosum 768. Correct answer 769. Foramen spinosum 770. 771. What structure passes through the foramen ovale? 772. * 773. 1/1 774. Middle meningeal artery 775. Maxillary nerve 776. Internal carotid artery 777. Mandibular nerve 778. 779. 780. A patient comes to the emergency with acute onset of paralysis of the right face and right upper limbs. If this is a case of stroke, where is the likeliest site of occlusion? 781. * 782. 1/1 783. Left middle cerebral artery 784. 785. Right middle cerebral artery 786. Left anterior cerebral artery 787. Right anterior cerebral artery 788. 789. Ophthalmic artery is a branch of which part of the internal carotid artery? 790. * 791. 1/1 792. Cerebral 793. 794. Cavernous 795. Petrous 796. Cervical 797. 798. The Common carotid artery bifurcates into the External and Internal carotid arteries at what vertebral level? 799. * 800. 1/1 801. C4 802. 803. C3 804. C5 805. C6 806. 807. The great cerebral vein of Galen drains immediately into what sinus? 808. * 809. 1/1 810. Sigmoid 811. Cavernous 812. Transverse 813. Straight 814. 815. 816. The Oculomotor nerve passes between which two arteries at the base of the brain and may be affected by an aneurysm of either of these arteries? 817. * 818. 1/1 819. Middle cerebral and anterior cerebral 820. Anterior cerebral and anterior communicating 821. Posterior communicating and posterior cerebral 822. 823. Basilar and vertebral 824. 825. What dural venous sinus lies in the convex attached border of the falx cerebri? 826. * 827. 1/1 828. Inferior sagittal 829. Superior sagittal 830. 831. Transverse 832. Straight 833. 834. What areas of the brain are supplied by the anterior cerebral artery? 835. * 836. 1/1 837. Medial portion of the frontal and parietal lobes 838. 839. Occipital and inferomedial portion of the temporal lobes 840. All of the choices are correct 841. Lateral portions of the frontal, parietal and temporal lobes 842. 843. Within the cavernous sinus, what nerves are located on its lateral wall? 844. * 845. 1/1 846. Oculomotor, Trochlear, Abducens, Ophthalmic 847. Oculomotor, Abducens, Ophthalmic, Maxillary 848. Oculomotor, Trochlear, Ophthalmic, Maxillary 849. 850. Trochlear, Abducens, Ophthalmic, Maxillary 851. 852. In laceration of the middle meningeal arteries at pterion, the bleeding is seen at what meningeal space? 853. * 854. 1/1 855. Between skull bone and dura mater 856. 857. Within the brain parenchyma 858. Between arachnoid and pia 859. Between dura and arachnoid 860. 861. Posterior inferior cerebellar artery originates from what blood vessel? 862. * 863. 1/1 864. Internal carotid 865. Posterior cerebral 866. Vertebral 867. 868. Basilar 869. Root of the Neck 870. 20 of 20 points 871. 872. This muscle in NOT included in the anterior vertebral muscles of the neck. 873. * 874. 1/1 875. Rectus capitis lateralis 876. 877. Longus capitis 878. Longus colli 879. Rectus capitis anterior 880. 881. This muscle flexes neck with rotation to opposite side if acting unilaterally. 882. * 883. 1/1 884. Longus colli 885. 886. Anterior scalene 887. Rectus capitis anterior 888. Longus capitis 889. 890. This prevertebral muscle in innervated by C4-C6 spinal nerves. 891. * 892. 1/1 893. Middle scalene 894. Longus capitis 895. Anterior scalene 896. 897. Splenius capitis 898. 899. The superior attachment of this muscle is at the jugular process of occipital bone. 900. * 901. 1/1 902. Rectus capitis anterior 903. Levator scapulae 904. Rectus capitis lateralis 905. 906. Longus capitis 907. 908. The following statements are TRUE about the Root of the Neck EXCEPT: 909. * 910. 1/1 911. It is bounded posteriorly by the body of C7 vertebra 912. 913. It is bounded inferiorly by the superior thoracic aperture 914. It is the junctional area between the thorax and the neck 915. It is located in the cervical side of the superior thoracic aperture 916. 917. TRUE about Left subclavian artery: 918. * 919. 1/1 920. It is about 1cm distal to the left common carotid artery. 921. 922. The artery course anterior to the left SC joint 923. The left vagus nerve runs parallel to the 2nd part of the artery 924. It arises from the brachiocephalic trunk 925. 926. The subclavian arteries arch superolaterally, reaching an apex as they pass posterior to this muscle: 927. * 928. 1/1 929. Longus colli 930. Longus capitis 931. Anterior scalene 932. 933. Middle scalene 934. 935. When the subclavian arteries cross the margin of the first ribs, they become: 936. * 937. 1/1 938. Axillary artery 939. 940. Vertebral artery 941. Internal thoracic artery 942. Dorsal scapular artery 943. 944. The cervical part of the vertebral artery ascends in the pyramidal space formed between the following prevertebral muscles EXCEPT: 945. * 946. 1/1 947. Splenius capitis 948. 949. Longus capitis 950. Anterior scalene 951. Longus colli 952. 953. This part of the vertebral artery courses in a groove on the posterior arch of the atlas before it enters the cranial cavity through the foramen magnum. 954. * 955. 1/1 956. Cranial part 957. Suboccipital part 958. 959. Cervical part 960. Vertebral part 961. 962. Which statements are TRUE about Internal thoracic artery: 963. * 964. 1/1 965. It arises from the anteroinferior aspect of the SC artery 966. 967. It passes posterolaterally into the thorax 968. It arises from the 2nd part of the subclavian artery 969. Its thoracic part has no branches 970. 971. The largest branch of the thyrocervical trunk. 972. * 973. 1/1 974. Ascending cervical 975. Inferior thyroid 976. 977. Suprascapular 978. Transverse cervical 979. 980. The following statements are TRUE about costocervical trunk EXCEPT: 981. * 982. 1/1 983. It passes posterosuperiorly on both sides 984. It arises posterior to the anterior scalene on the right side 985. It arises medial to the anterior scalene on the left side 986. It arises from the anterior aspect of the first part of SCA 987. 988. 989. This is a branch of costocervical trunk that supplies the first two intercostal spaces: 990. * 991. 1/1 992. Deep cervical 993. Superficial cervical 994. Superior intercostal 995. 996. Inferior intercostal 997. 998. Three pairs of major nerves in the root of the neck are EXCEPT: 999. * 1000. 1/1 1001. Vagus nerves 1002. Recurrent laryngeal nerves 1003. 1004. Phrenic nerves 1005. Sympathetic trunks 1006. 1007. This statement is FALSE regarding the subclavian vein. 1008. * 1009. 1/1 1010. It is separated from the SCA by the Anterior scalene 1011. It passes anterior to the scalene tubercle 1012. It begins at the lateral border of the 2nd rib 1013. 1014. It is the continuation of the axillary vein 1015. 1016. The IJV ends posterior to the medial end of the clavicle by uniting with the subclavian vein to form the: 1017. * 1018. 1/1 1019. Deep cervical vein 1020. Anterior Jugular vein 1021. External Jugular vein 1022. Brachiocephalic vein 1023. 1024. 1025. The right recurrent laryngeal nerve loops inferior to the subclavian artery approximately at what vertebral level? 1026. * 1027. 1/1 1028. T2-T3 1029. T4-T5 1030. T5-T6 1031. T1-T2 1032. 1033. 1034. Recurrent laryngeal nerve supplies all the intrinsic muscles of the larynx EXCEPT: 1035. * 1036. 1/1 1037. Thyrohyoid 1038. Stylohyoid 1039. Cricothyroid 1040. 1041. Sternohyoid 1042. 1043. This cervical ganglion fuses with the first thoracic ganglion to form the large cervicothoracic ganglion: 1044. * 1045. 1/1 1046. Inferior 1047. 1048. Middle 1049. Stellate 1050. Superior 1051. End of Midterms. 1052. 0 of 0 points 1053. This form was created inside of Batangas State University. 1054. Google Forms 1055.