Download Spring 02

Systemic Anatomy Exam II
Prepared especially for the trimester one class, Spring 2002
Please place the single best answer in the space provided (unless designated by the letters MACA, which in this
case mark all correct answers that apply) on your scantron sheet. The faculty will not answer any of your
questions (unless you find a typo) once the exam begins, as interpretation of the question is a part of the
examination. Good luck.
FORM A
1) Choose the INCORRECT statement concerning the menisci of the knee.
a) the medial meniscus is the one that is most commonly damaged
b) the medial meniscus is semicircular in shape
c) the lateral meniscus is attached to the posterior cruciate ligament
d) the medial meniscus attaches to the medial collateral ligament
e) the menisci are made of hyaline cartilage
2) Choose the INCORRECT statement concerning the knee joint.
a) the oblique popliteal ligament is located on the anterior aspect of the knee joint
b) the medial collateral ligament is also called the tibial collateral ligament
c) it is a synovial, double condyloid, biaxial joint
d) if the knee is hyperextended, the femur will rotate medially if the foot is planted on the ground
e) there is no well-defined joint capsule on the anterior aspect of the knee
3) Choose the INCORRECT statement concerning cruciate ligaments of the knee.
a) the anterior cruciate ligament attaches on the medial aspect of the lateral condyle of the femur
b) the anterior cruciate ligament prevents anterior movement of the tibia in relation to the femur
c) the posterior cruciate ligament attaches to the lateral aspect of the medial condyle of the femur
d) the posterior cruciate ligament is pulled taut when the knee is extended
e) the anterior cruciate ligament attaches to the anterior aspect of the tibia
4) The direct superior continuation of the posterior longitudinal ligament is called the _____.
a) posterior atlanto-occipital ligament
b) lateral atlanto-occipital ligament
c) tectorial membrane
d) transverse ligament of the atlas
e) none of the above
5) The cruciate ligaments of the cervical region has three components. Which are they? (MACA)
a) superior longitudinal band
b) apical ligament
c) alar ligament
d) transverse ligament of the atlas
e) caudal crus
6) Choose the INCORRECT statement concerning the uncovertebral joint.
a) classified as a synovial joint by many
b) is an amphiarthrosis
c) also called the Joint of Luschka
d) typically undergoes degeneration with resulting osseous outgrowths
e) located between the uncinate process and a small indentation found on the inferior surface of the
vertebra superior to it.
Page 1, SA Exam II, Q.# 1-6
7) Choose the INCORRECT statement concerning intervertebral discs.
a) account for 25% of the height of the vertebral column
b) in areas of lordotic curves the disc are thicker posteriorly
c) form anterior wall of IVF
d) attach to anterior and posterior longitudinal ligaments
e) found from C2 to S1
8) Which of the following statements DO NOT apply to the TMJ?
a) synovial, diarthrodial
b) capable of depression and elevation
c) capable of protraction and retraction
d) joint surfaces covered with hyaline cartilage
e) has an articular disc made of fibrocartilage
9) Choose the INCORRECT match concerning joint classifications.
a) joint between the shaft of the radius and the ulna - syndesmosis
b) joint between root of tooth and the alveolus - gomphosis
c) primary cartilaginous joint - between first rib and sternum
d) amphiarthrosis - zygapophyseal joint
e) intervertebral joint - symphysis
10) A joint classified as a ginglymus permits what type of movement? (MACA)
a) movement in one plane
b) multiaxial movement
c) movement similar to a hinge
d) biaxial movement
e) movement similar to a pivot
11) The anterior atlanto-occipital membrane is a direct continuation of the anterior longitudinal ligament and
attaches the _____ to the ____.
a) dens; anterior margin of the foramen magnum.
b) anterior arch of the atlas; occipital condyles
c) posterior arch of the atlas; posterior margin of the foramen magnum
d) anterior arch of the atlas; anterior margin of the foramen magnum
e) none of the above
12) Which of the following structures is directly inferior to the greater sciatic notch?
a) acetabulum
b) spine of the ischium
c) obturator groove
d) pubic tubercle
e) pecten pubis
13) The linea aspera is located on what aspect of the femur?
a) anterior
b) posterior
c) medial
d) lateral
e) none of the above
page 2, SA Exam II, Q.# 7-13
14) The deltoid tuberosity is located superior to the musculospiral groove of the humerus.
a) true
b) false
15) T11 and T12 vertebra have ____ transverse costal facets because ribs 11 and 12 ________.
a) large; have pronounced tubercles to stabilize them since they do not attach to the sternum
b) concave; have convex tubercular facets
c) demi; articulate with both T11 and T12
d) no; have no tubercles
e) none of the above
16) Which of the following cervical vertebra are considered atypical? (MACA)
a) C1
b) C2
c) C3
d) C5
e) C7
17) The posterior longitudinal ligament lies on the ______ aspect of the spinal cord.
a) anterior
b) posterior
c) none of the above
18) Choose the INCORRECT match of vertebra to the number of articular surfaces present on that vertebra.
a) C1 - 5
b) C2 - 7
c) T1 - 12
d) T11 - 10
e) L1 - 6
19) The superior articular facets of T6 face in a ____ direction.
a) anterior
b) posterior
c) anterolateral
d) posterolateral
20) Which of the following openings do branches of the mandibular division of the trigeminal nerve pass
through? (MACA)
a) foramen ovale
b) superior orbital fissure
c) mandibular foramen
d) mental foramen
e) internal acoustic meatus
21) Which of the following openings do branches of the maxillary division of the trigeminal nerve pass
through? (MACA)
a) foramen rotundum
b) infraorbital foramen
c) mental foramen
d) incisive foramen
e) superior orbital fissure
page 3, SA Exam II, Q.# 14-21
22) Choose the INCORRECT match.
a) 1 tbsp. = 5 ml
b) 1 pint = 1 pound
c) 1 kg. = 2.2 lb.
d) 1 grain = 64.8 mg
e) 1 cup = 16 tbsp.
23) The three causes of disease are? (MACA)
a) bacteria
b) viruses
c) autosuggestion
d) poisons
e) trauma
24) A fibrous cord that connects muscle to bone is called a ____.
a) tendon
b) ligament
25) The deltoid muscle is an example of a ___ muscle.
a) convergent
b) strap
c) multipennate
d) unipennate
e) two of the above
26) What is the origin of the levator scapulae m. if its action is to laterally flex the neck?
a) TP's of C1-C4
b) superior medial margin of the scapula
c) SP's of the upper cervical vertebra
d) none of the above
27) The levator labii superioris m. will elevate the upper eyelid.
a) true
b) false
28) CN VII innervates the skin of the face.
a) true
b) false
29) What muscle attaches to the coronoid process of the mandible?
a) masseter m.
b) temporalis m.
c) medial pterygoid m.
d) lateral pterygoid m.
30) Choose the INCORRECT match.
a) superior oblique m. - CN IV
b) lateral rectus m. - abducens nerve
c) levator palpebrae superioris m. - CN VII
d) medial rectus m. - CN III
e) inferior oblique m. - CN III
page 4, SA Exam II, Q.# 22-30
31) Stick your tongue out at me. What muscles did you just use?
a) styloglossus m.
b) genioglossus m.
c) hyoglossus m.
d) geniohyoid m.
e) platysma m.
32) To stick your tongue out you had to open your mouth. Which of the following muscles will depress the
mandible? (MACA)
a) digastric m.
b) lateral pterygoid m.
c) platysma m.
d) posterior scalene m.
e) longus colli m.
33) Spasms of the anterior scalene m. can compress neurological structures, which can manifest clinically as
pain radiating down the arm.
a) true
b) false
34) Which of the following muscles attach to the mastoid process of the temporal bone? (MACA)
a) longissimus capitis m.
b) longus colli m.
c) semispinalis capitis m.
d) digastric m.
e) trapezius m.
35) The sternohyoid m. and the omohyoid m. will ___ the hyoid bone.
a) elevate
b) depress
36) The diaphragm m. will ___ the volume of the thoracic cavity which will ___ the intrathoracic pressure.
a) increase; decrease
b) increase; increase
c) decrease; increase
d) decrease; decrease
37) The rectus abdominis m. will extend the spine.
a) true
b) false
38) The rectal sheath is formed by the confluence of the aponeuroses of the external abdominal oblique, the
internal abdominal oblique and the transverse abdominis mm.
a) true
b) false
39) The fibers of the external abdominal oblique travel in an inferior and medial direction.
a) true
b) false
page 5, SA Exam II, Q.# 31-39
40) The inguinal ligament is derived from the ____ and the cremaster muscle is derived from the ____.
a) external abdominal oblique m.; transverse abdominis m.
b) internal abdominal oblique m.; external abdominal oblique m.
c) rectus abdominis m., external abdominal oblique m.
d) external abdominal oblique m.; internal abdominal oblique m.
e) rectus abdominis m.; internal abdominal oblique m.
41) The splenius capitis m. attaches on the spinous processes of C7 to T4 and the lower half of the nuchal
ligament and its fibers travel in a superior and lateral direction to attach to the superior nuchal line of the
occipital bone and the mastoid process of the temporal bone.
a) true
b) false
42) The column of the erector spinae muscle group that basically attaches from the ilium to the ribs is the ___.
a) longissimus m.
b) spinalis m.
c) iliocostalis m.
d) splenius m.
e) semispinalis m.
43) Looking at the posterior neck muscles. How could I quickly identify the semispinalis capitis m.?
a) it is the most superficial of the intrinsic back muscles
b) its fibers run in an inferior and lateral direction
c) it has a tendinous band in its belly
d) it attaches to the mastoid process of the temporal bone
e) it is deep to the muscles of the S.O.T.
44) I found a muscle that attaches on the transverse process of L5 and inserts on the spinous process of L1.
What muscle is it?
a) short rotator m.
b) long rotator m.
c) multifidus m.
d) intertransversarii m.
e) interspinalis m.
45) The rectus capitis posterior major m. and the obliquus capitis superior m. share a common attachment point.
a) true
b) false
46) The obliquus capitis superior m. and the obliquus inferior m. share a common attachment point.
a) true
b) false
47) The muscles of the S.O.T. are innervated by the dorsal ramus of spinal nerve C2.
a) true
b) false
48) To visualize the muscles of the S.O.T. you must remove the trapezius, the semispinalis capitis and the
splenius capitis muscles.
a) true
b) false
page 6, SA Exam II, Q.# 40-48
49) Which of the following actions is NOT consistent with those of the trapezius m.?
a) elevate shoulder
b) depress shoulder
c) retract shoulder
d) protract shoulder
e) hyperextend the neck
50) The latissimus dorsi muscle inserts on the ___ aspect of the humerus.
a) anterior
b) posterior
c) lateral
51) Which of the following muscles will laterally rotate the humerus at the shoulder joint? (MACA)
a) teres major m.
b) teres minor m.
c) infraspinatus m.
d) subscapularis m.
e) latissimus dorsi m.
52) Palpating your patients neck muscles you feel a demonstrable knot in the belly of a muscle that travels from
the lateral aspect of the neck down to the scapula. You know they work as a computer key board operator. What
is the action of the muscle most likely involved?
a) depress the shoulder
b) protract the shoulder
c) elevate the shoulder
d) laterally rotate the humerus
e) flex the fingers and carpus
53) Which of the following muscles will adduct the scapula? (MACA)
a) rhomboid major m.
b) pectoralis minor m.
c) serratus anterior m.
d) latissimus dorsi m.
e) rhomboid minor m.
54) Paralysis of this muscle allows for the vertebral margin of the scapula to protrude posteriorly away from the
thoracic wall.
a) pectoralis minor m.
b) pectoralis major m.
c) serratus anterior m.
d) latissimus dorsi m.
e) trapezius m.
55) The deltoid muscle will rotate the humerus both medially and laterally, abduct the humerus, extend the
humerus and flex the humerus.
a) true
b) false
56) Abduction of the humerus past 90 degree is the sole responsibility of the supraspinatus m.
a) true
b) false
page 7, SA Exam II, Q. 49-56
57) Which of the following muscles has the most superior attachment on the humerus?
a) infraspinatus m.
b) teres minor m.
c) supraspinatus m.
d) teres major m.
e) subclavius m.
58) The teres major inserts on the ___ aspect of the humerus.
a) anterior
b) posterior
59) Which of the following muscles will adduct the humerus? (MACA)
a) pectoralis major m.
b) teres major m.
c) latissimus dorsi m.
d) deltoid m.
e) supraspinatus m.
60) The coracobrachialis m. will flex the shoulder joint.
a) true
b) false
61) The tendon of the long head of the biceps brachii m. can be palpated on the anterior aspect of the proximal
humerus deep to the deltoid muscle as it passes through the intertubercular groove.
a) true
b) false
62) The biceps brachii m. attaches distally on the radial tuberosity.
a) true
b) false
63) Which of the following muscles attach to the coracoid process of the scapula? (MACA)
a) coracobrachialis m.
b) pectoralis minor m.
c) pectoralis major m.
d) biceps brachii m. short head
e) biceps brachii m. long head
64) The axillary nerve innervates the deltoid and the teres minor muscles.
a) true
b) false
65) The muscles of the anterior arm are innervated for the most part by the musculocutaneous nerve.
a) true
b) false
66) What nerve(s) innervates the muscles that flex the carpus?
a) median n.
b) musculocutaneous n.
c) radial n.
d) ulnar n.
e) two of the above
page 8, SA Exam II, Q.# 57-66
67) What nerve(s) innervate muscles that extend the carpus?
a) median n.
b) musculocutaneous n.
c) radial n.
d) ulnar n.
e) two of the above
68) The lateral epicondyle of the humerus serves as a common point of origin for the muscles that flex the
carpus and digits.
a) true
b) false
69) The triceps brachii muscle inserts on the olecranon of the ulna.
a) true
b) false
70) The pronator teres muscle will pronate the forearm and flex the elbow.
a) true
b) false
71) Which of the following muscles will supinate the forearm? (MACA)
a) palmaris longus m.
b) supinator m.
c) flexor carpi ulnaris m.
d) biceps brachii m.
e) extensor carpi ulnaris m.
72) Which of the following muscles will flex the distal interphalangeal joint of digits 2-5?
a) flexor digitorum profundus m.
b) flexor digitorum superficialis m.
c) flexor digitorum communis m.
d) flexor phalanges distalis m.
e) none of the above
73) The brachioradialis m. will ____ the elbow joint.
a) flex
b) extend
74) The flexor carpi ulnaris will abduct the hand.
a) true
b) false
75) The tendon of the extensor pollicis brevis m. forms the ulnar border of the anatomic snuffbox.
a) true
b) false
76) The ulnar nerve innervates the muscles of the thenar eminence.
a) true
b) false
page 9, SA Exam II, Q.# 67-76
77) The iliacus m. will flex the hip.
a) true
b) false
78) The rectus femoris m. attaches on the ASIS.
a) true
b) false
79) The tensor fascia latae m. will extend the hip joint.
a) true
b) false
80) Could a patient who experienced a trauma in which the femoral nerve was severed just as it formed, still
extend the knee joint?
a) yes
b) no
81) The _____ is a common point of attachment for the hamstring muscles.
a) symphysis pubis
b) ischial tuberosity
c) ASIS
d) PSIS
e) pubic tubercle
82) The _____ nerve is seen in the quadrangle space.
a) radial
b) axillary
c) musculocutaneous
d) ulnar
83) The gluteus maximus m. will extend and rotate the hip joint medially.
a) true
b) false
84) The piriformis m. will laterally rotate the femur at the hip joint.
a) true
b) false
85) Which of the following muscles will flex the knee? (MACA)
a) soleus m.
b) gastrocnemius m.
c) semimembranous m.
d) semitendinosus m.
e) biceps femoris m.
86) Which of the following muscles will plantar flex the foot at the ankle? (MACA)
a) gastrocnemius m.
b) peroneus brevis m.
c) tibialis anterior m.
d) tibialis posterior m.
e) peroneus tertius m.
page 10, SA Exam II, Q.# 77-86
87) Which of the following muscles will invert the foot at the ankle? (MACA)
a) peroneus tertius m.
b) peroneus brevis m.
c) peroneus longus m.
d) tibialis anterior m.
e) tibialis posterior m.
88) What nerve innervates the muscles that dorsiflex the foot?
a) tibial nerve
b) common peroneal nerve
c) obturator nerve
d) femoral nerve
e) inferior gluteal nerve
89) What three muscles attach at the pes anserinus? (MACA)
a) sartorius m.
b) tensor fasciae latae m.
c) soleus m.
d) gracilis m.
e) semitendinosus m.
90) The biceps femoris m. attaches to the head of the fibula.
a) true
b) false
91) The gastrocnemius muscles and the soleus m. form the triceps surae.
a) true
b) false
92) The superior border of the femoral triangle is formed by the sartorius m.
a) true
b) false
93) The iliopsoas m. will flex the hip joint and attaches to the lesser trochanter of the femur.
a) true
b) false
94) The tensor fascia latae m. attaches via the iliotibial tract to the pes anserinus.
a) true
b) false
95) The adductor magnum m. will flex the thigh, adduct the thigh and extend the thigh.
a) true
b) false
96) Choose the INCORRECT match.
a) idiopathic - caused by a physician
b) jaundice - a yellow discoloration of the tissues
c) leukopenia - a decrease in circulating white blood cells
d) melena - a black tar like stool
e) juxtaspinal - next to the spinal column
page 11, SA Exam II, Q.# 87-96
97) Choose the INCORRECT match.
a) enuresis - a peripheral neuropathy associated with a vitamin B deficiency
b) palsy - paralysis
c) nystagmus - a twitching movement of the eyeballs
d) epistaxis - a nose bleed
e) necrosis - death of tissue
98) Choose the INCORRECT match.
a) patent - open
b) pinguecula - a yellowish discolored spot on the bulbar conjunctiva
c) pseudopsia - a hallucination
d) pruritus - a condition of dry discolored hyperplastic skin seen most commonly on the palms
e) plumbism - lead poisoning
99) Choose the INCORRECT match.
a) rhinorrhea - a runny nose
b) sophomania - an irrational belief in ones own great wisdom
c) sitology - the sum knowledge regarding food, diet and nutrition
d) sphygmomanometer - a device used to measure blood pressure
e) stenosis - a dilation of a body organ
100) Choose the INCORRECT match.
a) syncope - to faint
b) syndactyly - fusion of the digits, web fingers or toes
c) tachycardia - rapid heart beat
d) taxis - movement of an organism in response to an external stimulus
e) sudorific - xeroderma
page 12, SA exam II, Q.# 97-100
The end of the second systemic anatomy exam. I will get these graded and e-mail your grades hopefully by the
end of the day or for sure by noon tomorrow. Thanks for all you do and for being such good attentive students.
Please hold all questions concerning the exam until we go over them in class.