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Systemic Anatomy Exam II Prepared especially for the trimester one class, Fall 2001 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) The parietal bone of the skull develops by what means of ossification? a) endochondral b) intramembranous c) intraarticular d) intermembranous e) interchondral 2) Choose the INCORRECT match. a) 1 pint = 1 pound b) 15 cc’s = 1 tablespoon c) 1 ounce = 3 teaspoons d) mg% = mg/100 ml e) 5 grain aspirin tablet = 324mg’s of aspirin 3) If I asked you to trace the mental nerve back to the trigeminal nerve, which of the following represent the correct order of structures it passes through? a) mental foramen, infraorbital foramen, foramen ovale b) mental foramen, mandibular foramen, inferior orbital fissure, foramen rotundum c) mental foramen, mandibular foramen, foramen ovale d) mental foramen, mandibular foramen, inferior orbital fissure, foramen ovale e) mental foramen, mandibular foramen, foramen rotundum 4) Which bone forms the superior portion of the nasal septum? a) ethmoid bone b) sphenoid bone c) vomer bone d) inferior nasal conchae e) middle nasal conchae 5) The groove for the vertebral artery is located on the ___ aspect of the ____ of the atlas. a) superior, posterior arch b) superior, anterior arch c) inferior, posterior arch d) inferior, anterior arch e) none of the above as it is not on the atlas 6) What connects the anterior and posterior tubercles located on the transverse process of cervical vertebra? a) the lamina b) the costotransverse bar c) the intertubercular groove d) the posterior arch e) the anterior arch page 1, SA Exam II, Q.# 1-6 7) What structure can you palpate on the posterior side of an adult’s neck, 2 inches inferior to the inion? a) the nuchal crest b) the vertebral prominens c) the spinous process of the axis d) the spinous process of the atlas e) the uncinate process 8) What goes through the transverse foramen of C7? a) the vertebral artery b) spinal nerve C7 c) the spinal accessory nerve d) the jugular vein e) none of the above 9) The inferior articular facets of T4 face in a ___ direction. a) anterior b) posterior c) anterolateral d) posterolateral e) none of the above 10) T11 and T12 have no transverse costal facets because _________________. a) no ribs articulate with T11 or T12 b) ribs 11 and 12 are floating ribs c) ribs 11 and 12 have no tubercles d) rib 12 is absent in most females e) there are only 7 costal notches on the sternum 11) The popliteal fossa is located on the ___ surface of the femur. a) proximal, posterior b) proximal, anterior c) distal, posterior d) distal, anterior 12) Gerdy’s tubercle is located on the ___ aspect of the tibia. a) proximal, anterior and lateral b) proximal, anterior and medial c) proximal, posterior and lateral d) proximal, posterior and medial e) none of the above as it is not located on the tibia 13) The sagittal suture is an example of a _________. (MACA) a) serrate suture b) squamous suture c) fibrous joint d) cartilaginous joint e) synarthrosis page 2, SA Exam II, Q.# 7-13 14) Which of the following classifications apply to the zygapophyseal joint? (MACA) a) synovial b) symphysis c) amphiarthrodial d) plane e) gliding 15) What is the function of the transverse humeral retinaculum? a) to attach the coracoid process of the scapula to the greater tubercle of the humerus b) to hold the bicipital tendon in place c) to attach the greater tubercle to the anatomic neck of the scapula d) to hold the subacromial bursa in place e) none of the above 16) The capitulum of the humerus articulates with the ___ . a) head of the radius b) annular ligament of the radius c) semilunar notch of the ulna d) olecranon of the ulna e) styloid process of the ulna 17) The ligamentum teres attaches ___ to ___. a) the fovea capitis, the transverse acetabular ligament b) Gerdy’s tubercle, the tibial tuberosity c) the pubis, the intertrochanteric line d) the anterior superior iliac spine, the intertrochanteric line e) the acetabular notch, the greater trochanter of the femur 18) When the foot is planted on the ground and the knee is hyperextended, the ____ rotates in a ____ direction. a) femur, lateral b) femur, medial c) tibia, lateral d) tibia, medial 19) The anterior cruciate ligament attaches to the ____ aspect of the ___ condyle of the femur. a) medial, lateral b) lateral, medial c) medial, medial d) lateral, lateral 20) The patellar tendon attaches the ___ to the ___. a) belly of the rectus femoris muscle, base of the patella b) base of the patella, apex of the patella c) belly of the rectus femoris muscle, apex of the patella d) apex of the patella, tibial tuberosity e) base of the patella, tibial tuberosity page 3, SA Exam II, Q.# 14-20 21) What structure is typically involved in the condition known as “housemaid’s knees”? a) the patellar ligament b) the patellar tendon c) the prepatellar bursa d) the suprapatellar bursa e) the popliteal bursa 22) The iliofemoral ligament, prevents __ of the hip joint. a) hyperextension b) hyperflexion c) medial rotation d) lateral rotation e) adduction 23) Choose the INCORRECT match. a) synarthrosis – fibrous joints b) syndesmosis – joined with cartilage c) symphysis – a growing together d) synostosis – joined with bone e) synovial – literally means joined with egg 24) “FCB in PSI” means? a) faith, confidence and belief in your person, self and institution b) friendship, courtesy and belief in your products, self and institution c) faith, confidence and belief in your product, services and ideas d) friendship, confidence and beauty means people, serve instead e) none of the above 25) The ability of skeletal muscle to respond to a stimulus is explained by which of the following characteristics? a) irritability b) contractility c) extensibility d) elasticity 26) What is the name of the connective tissue layer that covers the individual muscle fiber? a) fascia b) epimysium c) endomysium d) perimysium 27) In flexion of the elbow joint, which of the following muscles would be the antagonist? a) biceps brachii m. b) brachialis m. c) triceps brachii m. d) brachioradialis m. e) two of the above page 4, SA Exam II, Q.# 21-27 28) The rectus abdominis m. is an example of a ___ muscle. a) convergent b) sphincter c) parallel d) pennate 29) What is the neurotransmitter present at the junction between the GSE neuron and the pronator teres muscle? a) epinephrine b) norepinephrine c) gamma amino butyric acid d) acetylcholine e) none of the above as this is not a skeletal muscle 30) Choose the INCORRECT match. a) Epicranius frontalis m. - wrinkles the forehead, CN VII b) Orbicularis oculi m. - closes the eye, CN VII c) Nasalis m. - widens the nostrils, CN VII d) Risorius m. - draws angle of mouth medially, CN VII e) Orbicularis oris m. - “pucker” muscle, CN VII 31) Choose the INCORRECT match. a) Levator labii superioris m. - “Elvis” muscle, CN VII b) Zygomaticus m. - smile muscle, CN VII c) Depressor anguli oris m. - frown muscle, CN VII d) Depressor labii inferioris m. - “pout” muscle, CN VII e) Levator palpebra superioris m. - raises upper lid, CN VII 32) Choose the INCORRECT match. a) leukopenia – increase in number of circulating white blood cells b) lumen – inside of a hollow tubular organ c) ketosis – production of excess ketone bodies in the body secondary to burning fats for energy as opposed to glucose d) idiopathic – of unknown origin e) melena – a black tarry stool, indicative of hemorrhage in the upper GI tract 33) Choose the INCORRECT match. a) enuresis – bed wetting b) nystagmus – an abnormal twitching movement of the eyeballs c) epistaxis – located above the origin of a muscle d) palsy – a weakness or paralysis of a muscle e) opisthotonus – a form of spasm in which the head and the heels are bent backwards and the body is bowed forward 34) Choose the INCORRECT match. a) pathognomonic – a lesion which is diagnostic for a particular disease b) pediculosis – infestation with lice c) pseudopsia – a visual hallucination d) pruritus – inflammation of the lining of the thoracic cavity e) pinguecula – a yellow colored spot on the sclera of the eye page 5, SA Exam II, Q.# 28-34 35) Choose the INCORRECT match. a) sitology – the study of food, diet and nutrition b) sphygmomanometer – a device used to measure blood pressure c) sophomania – an irrational belief in one’s own great wisdom d) spondylalgia – pain in the spongiform tissue of the penis in the male e) strepitus – a noise or sound heard on auscultation 36) Choose the INCORRECT match. a) teleology – the study of cause and effect b) taxis – movement in response to a stimuli c) syncope – joined together with a glue like substance d) sudorific – diaphoresis e) tachycardia – rapid heartbeat 37) Choose the statement that is NOT descriptive for the temporalis m. a) elevates the mandible b) innervated by the nerve that exits the skull through the foramen ovale c) attaches to the temporal lines of the temporal bone d) attaches to the coronoid process of the mandible e) is a convergent muscle 38) Which of the following muscles will depress the mandible? (MACA) a) digastric m. b) platysma m. c) lateral pterygoid m. 39) Which of the following muscles attach to the mastoid process of the temporal bone? (MACA) a) digastric m. b) longissimus capitis m. c) splenius capitis m. d) semispinalis capitis m. e) sternocleidomastoid m. 40) Choose the INCORRECT statements concerning the extrinsic ocular muscles. (MACA) a) lateral rectus m. – CN VI b) inferior oblique m. – points pupil down and out c) medial rectus m. – points pupil medially d) inferior rectus m. – CN III e) superior oblique m. – CN IV 41) Choose the INCORRECT statements concerning the extrinsic muscles of the tongue. (MACA) a) innervated by CN VII b) genioglossus retracts the tongue c) hyoglossus m. – attaches to the hyoid bone d) styloglossus m. attaches to the styloid process of the temporal bone e) genioglossus attaches to the maxillary bone page 6 SA Exam II, Q.# 35-41 42) Choose the CORRECT statements. (MACA) a) the platysma muscles is a flat muscle found under the skin of the neck b) both CN V and CN VII innervate the platysma c) the sternocleidomastoid muscle will flex the neck d) the sternocleidomastoid m. will extend the head e) CN XII innervates the sternocleidomastoid m. 43) Spasms of the anterior scalene m. could compress which of the following nervous tissue structures that are found exiting from the posterior side of its belly. (MACA) a) CN XII b) phrenic nerve c) CN XI d) brachial plexus e) cervical plexus 44) Which of the following muscles will elevate the hyoid bone? (MACA) a) sternohyoid m. b) thyrohyoid m. c) mylohyoid m. d) stylohyoid m. e) digastric m. 45) Choose the INCORRECT statement concerning the muscles of the abdominal wall. a) there is no posterior rectal sheath inferior to the arcuate line b) the rectus abdominis m. is a strap type of muscle c) the linea alba is formed by the confluence of the aponeurosis of the abdominal muscles along the midline and extends from the xiphoid to the pubic bone d) the cremaster muscle is derived from the inferior surface of the internal abdominal oblique m. e) the inguinal ligament attaches on the anterior inferior iliac spine and the pubic tubercle 46) Contraction of the diaphragm muscle will ____ the volume of the thoracic cavity and thereby ____ intrathoracic pressure. a) increase; increase b) decrease; decrease c) increase; decrease d) decrease; increase 47) Which of the following statements are CORRECT concerning the splenius capitis m. (MACA) a) attaches on spinous processes of C7-T4 b) will flex the head and neck c) located deep to the trapezius m. d) located superficial to the semispinalis capitis m. e) name is derived from the Greek word meaning union or joined together 48) Choose the INCORRECT statement. a) the iliocostalis lumborum m. attaches to the ilium and the inferior 6 ribs b) the longissimus mm. are the middle column of the erector spinae group and extend from the ilium to the skull c) the erector spinae muscles will extend the spine, laterally flex the spine and rotate the spine d) the semispinalis capitis m. attaches from the TP’s of C4-T6 and to the occipital bone e) the iliocostalis thoracis m. attaches from the TP’s of T12-L4 and to ribs 8-12 page 7, SA Exam II, Q.# 42-48 49) Choose the INCORRECT statement. a) multifidus mm. attach on the TP of one vertebra and to the spinous process of the vertebra 2-4 segments superior to its origin b) short rotator mm. in the lumbar region attach to the TP of one vertebra and insert on the spinous process of the vertebra directly superior to its origin c) interspinalis mm. attach from spinous process to spinous process d) long rotator mm. in the cervical region attach from the TP of one vertebra and insert on the spinous process of the vertebra directly above it up to the level of C2. e) intertransversarii mm. attach from transverse process to transverse process 50) Which of the following muscles attach to the atlas? (MACA) a) levator scapulae m. b) rectus capitis posterior minor m. c) rectus capitis posterior major m. d) obliquus capitis superior m. e) obliquus capitis inferior m. 51) Which of the following muscles attach to the epistropheus m.? (MACA) a) levator scapulae m. b) rectus capitis posterior minor m. c) rectus capitis posterior major m. d) obliquus capitis superior m. e) obliquus capitis inferior m. 52) Which of the following muscles will protract the scapula? (MACA) a) latissimus dorsi m. b) trapezius m. c) serratus anterior m. d) pectoralis minor m. e) rhomboid mm. 53) Which of the following muscles will retract the scapula? (MACA) a) latissimus dorsi m. b) trapezius m. c) serratus anterior m. d) pectoralis minor m. e) rhomboid mm. 54) Which of the following nerves would I have to cut to prevent lateral rotation of the humerus? (MACA) a) axillary n. b) suprascapular n. c) lower subscapular n. d) thoracodorsal n. e) dorsal scapular n. 55) Which of the following muscles will medially rotate the humerus at the shoulder joint? (MACA) a) latissimus dorsi m. b) teres minor m. c) teres major m. d) pectoralis major m. e) infraspinatus m. page 8, SA Exam II, Q.# 49-55 56) From superior to inferior list in order the muscles that attach to the medial aspect of the scapula. 1) teres minor m. 5) trapezius m. 2) teres major m. 6) rhomboid minor m. 3) levator scapulae m. 7) latissimus dorsi m. 4) rhomboid major m. 8) triceps brachii m., long head a) 3,5,4,6,7 b) 3,6,4,2,7 c) 8,1,2,7 d) 3,4,6,1,7 e) 3,5,6,4,1 57) Which of the following muscles will flex the arm? (MACA) a) coracobrachialis m. b) latissimus dorsi m. c) triceps brachii m., long head d) pectoralis major m. e) teres major m. 58) Which one of the following muscles is NOT part of the rotator cuff group of muscles? a) teres minor m. b) teres major m. c) supraspinatus m. d) infraspinatus m. e) subscapularis m. 59) Which of the following muscles insert on or very close to the intertubercular groove of the humerus? (MACA) a) pectoralis major m. b) supraspinatus m. c) teres minor m. d) latissimus dorsi m. e) teres major m. 60) The tendon of what muscle is palpable running in the intertubercular groove of the humerus? a) supraspinatus m. b) biceps brachii m., long head c) biceps brachii m., short head d) teres minor m. e) triceps brachii m., long head 61) Which of the following muscles will NOT flex the elbow? a) biceps brachii m., long head b) biceps brachii m., short head c) coracobrachialis m. d) pronator teres m. e) brachialis m. page 9, SA Exam II, Q.# 56-61 62) Which of the following muscles will supinate the forearm? (MACA) a) pronator teres m. b) brachialis m. c) biceps brachii m. d) coracobrachialis m. e) supinator m. 63) The radial nerve innervates which of the following muscles that are located primarily on the forearm? a) supinator m. b) pronator teres m. c) brachioradialis m. d) palmaris longus m. e) flexor carpi radialis m. 64) Choose the INCORRECT statement. a) you can visualize the axillary nerve in the triangular space b) the triangle of auscultation is the thinnest region between the skin and the thoracic wall c) the pectoralis major m. can adduct the humerus d) the radial nerve can be visualized in the triangular interval e) the cephalic vein runs between the deltoid m. and the pectoralis major m. 65) The musculocutaneous nerve innervates muscles that ______. a) extend the arm b) flex the elbow c) flex the carpus d) laterally rotate the humerus e) extend the elbow 66) The radial nerve innervates muscles that ___________. (MACA) a) flex the arm b) extend the arm c) extend the elbow d) extend the arm e) supinate the forearm 67) The _____ nerve innervates muscles that pronate the forearm. a) radial b) musculocutaneous c) median d) ulnar e) axillary 68) Which of the following muscles will adduct the hand at the carpus? (MACA) a) flexor carpi radialis m. b) flexor carpi ulnaris m. c) extensor carpi radialis longus m. d) flexor carpi radialis brevis m. e) extensor carpi ulnaris m. page 10, SA Exam II, Q.# 62-68 69) What are the distal attachments for the flexor carpi ulnaris m.? (MACA) a) MC 5 b) palmar aponeurosis c) hamulus of the hamate bone d) MC 4 e) pisiform bone 70) Which of the following muscles originate from the lateral epicondyle of the humerus? (MACA) a) flexor carpi radialis m. b) flexor carpi ulnaris m. c) extensor digitorum communis m. d) flexor carpi radialis brevis m. e) extensor carpi ulnaris m. 71) Which of the following muscles attach to the middle phalanges of the hand? (MACA) a) flexor digitorum superficialis m. b) flexor digitorum profundus m. c) extensor digitorum communis m. d) extensor carpi ulnaris m. e) flexor digitorum intermedius m. 72) Which of the following tendons IS NOT a border of the anatomic snuffbox? (MACA) a) abductor pollicis longus m. b) flexor pollicis longus m. c) extensor pollicis brevis m. d) extensor digiti minimi m. e) extensor pollicis longus m. 73) What nerve innervates the skin and muscles of the thenar eminence? a) radial nerve b) median nerve c) ulnar nerve d) musculocutaneous nerve e) axillary nerve 74) Which of the following muscles will flex the hip joint? (MACA) a) iliacus m. b) gluteus maximus m. c) psoas major m. d) tensor fasciae latae m. e) biceps femoris m. 75) What are the primary functions of the hamstring muscles? (MACA) a) extend the hip joint b) flex the hip joint c) extend the knee joint d) flex the knee joint e) abduct the thigh page 11, SA Exam II, Q.# 69-75 76) Which one of the following muscles will NOT laterally rotate the femur? a) iliacus m. b) piriformis m. c) quadratus femoris m. d) semitendinosus m. e) biceps femoris m. 77) Which one of the following muscles will NOT adduct the femur? a) gracilis m. b) adductor magnus m. c) pectineus m. d) tensor fasciae latae m. e) adductor brevis m. 78) Which one of the following muscles will NOT flex the knee joint? a) sartorius m. b) soleus m. c) gastrocnemius m. d) gracilis m. e) biceps femoris m. 79) Which one of the following muscles will extend the knee joint? a) biceps femoris m. b) gracilis m. c) quadriceps femoris m. d) piriformis m. e) tibialis anterior m. 80) If I cut the ___ nerve I could not extend the knee joint. a) obturator b) femoral c) superior gluteal d) inferior gluteal e) common peroneal 81) This muscle attaches from the ASIS to Gerdy’s tubercle. a) tibialis anterior m. b) biceps femoris m. c) tensor fasciae lata m. d) rectus femoris m. e) gracilis m. 82) This muscle attaches from the AIIS to the tibial tuberosity. a) tensor fasciae latae m. b) gracilis m. c) rectus femoris m. d) sartorius m. e) semimembranosus m. 83) The gluteus maximus m. will ___ the hip joint. a) extend b) flex page 12, SA Exam II, Q.# 76-83 84) What is the common point of origin for the hamstring muscles? a) ASIS b) AIIS c) pubic symphysis d) ischial tuberosity e) pecten pubis 85) Which of the following actions is NOT consistent with those of the sartorius m.? a) flex knee b) extend thigh c) rotate femur laterally d) abduct femur e) flex hip joint 86) Which of the following muscles attach at the pes anserinus? (MACA) a) biceps femoris m. b) semitendinosus m. c) gracilis m. d) sartorius m. e) tensor fasciae latae m. 87) Which of the following muscles will invert the foot at the ankle joint? (MACA) a) tibialis anterior m. b) tibialis posterior m. c) peroneus longus m. d) peroneus brevis m. e) peroneus tertius m. 88) Which of the following muscles will evert the foot at the ankle joint? (MACA) a) tibialis anterior m. b) tibialis posterior m. c) peroneus longus m. d) peroneus brevis m. e) peroneus tertius m. 89) If I cut the common peroneal nerve I could not dorsiflex the foot. a) true b) false 90) What two muscles attach to the base of MT 1 and the medial cuneiform bone? (MACA) a) peroneus longus m. b) tibialis posterior m. c) peroneus brevis m. d) tibialis anterior m. e) peroneus tertius m. 91) Which of the following muscles attach to the base of MT 5? (MACA) a) peroneus longus m. b) tibialis posterior m. c) peroneus brevis m. d) tibialis anterior m. e) peroneus tertius m. page 13, SA Exam II, Q.# 84-91 92) Which of the following muscles attach to the calcaneus bone? (MACA) a) gastrocnemius m. b) tibialis posterior m. c) soleus m. d) popliteus m. e) plantaris m. 93) Who makes the world famous corny dogs sold at the State Fair of Texas? a) Carson’s b) Fletcher’s c) Parker’s d) Rugollos e) Anamia’s 94) Which of the following muscles will plantar flex the foot? (MACA) a) gastrocnemius m. b) peroneus longus m. c) tibialis anterior m. d) soleus m. e) peroneus tertius m. 95) What nerve innervates the gluteus maximus m.? a) superior gluteal nerve b) inferior gluteal nerve c) maximus gluteal nerve d) tibial nerve e) common peroneal nerve 96) What nerve innervates the muscles that plantar flex the foot? a) common peroneal nerve b) obturator nerve c) femoral nerve d) tibial nerve e) none of the above 97) Which one of the following is NOT a border for the femoral triangle? a) inguinal ligament b) gracilis m. c) adductor longus m. d) sartorius m. 98) Which one of the following is NOT an attachment for the tibialis posterior m.? a) base of MT 1 b) cuboid bone c) medial cuneiform bone d) navicular bone e) lateral; cuneiform bone page 14, SA Exam II, Q.# 92-98 99) If I cut the tibial nerve, could the biceps femoris muscle still flex the knee? a) yes b) no 100) Which of the following actions are NOT consistent for the adductor magnus m.? (MACA) a) adduct the thigh b) abduct the thigh c) flex the thigh d) extend the thigh e) flex the knee page 15, SA Exam II, Q.# 99-100 The end of the second systemic anatomy exam. Grades will be emailed to you by the close of the day today. If you have questions concerning this exam please hold them until we review the exam in class on Thursday.